The effects and experiences of goal setting in stroke rehabilitation – a systematic review
Abstract
Objective To systematically integrate and appraise the evidence for effects and experiences of goal setting in stroke rehabilitation. Design Systematic review of quantitative and qualitative studies. Methods Relevant databases were searched from start of database to 30 April 2011. Studies of any design employing goal setting, reporting stroke-specific data and evaluating its effects and/ or experiences were included. Results From a total of 53998 hits, 112 full texts were analysed and 17 studies were included, of which seven evaluated effects while ten explored experiences of goal setting. No eligible randomized controlled trials were identified. Most of the included studies had weak to moderate methodological strengths. The design, methods of goal setting and outcome measures differed, making pooling of results difficult. Goal setting appeared to improve recovery, performance and goal achievement, and positively influenced patients' perceptions of self-care ability and engagement in rehabilitation. However, the actual extent of patient involvement in the goal setting process was not made clear. Patients were often unclear about their role in this process. Professionals reported higher levels of collaboration during goal setting than patients. Patients and professionals differed on how they set goals, types of goals set, and on how they perceived goal attainment. Barriers to goal setting outnumbered the facilitators. Conclusion Due to the heterogeneity and quality of included…
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The discovery of core values and their use in value-based goal setting and committed action are key ACT features that may improve on traditional goal setting practice in stroke.
“The discovery of a person's core values and the facilitation of their use in value-based goal setting and 'committed action' are key features of ACT that may represent an improvement on the traditional goal setting practice in stroke which has been criticized (Sugavanam et al., 2013;Plant, Tyson, Kirk, & Parsons, 2016).”
From Brief group‐based acceptance and commitment therapy for stroke survivors. (2019) · cites this paper as Sugavanam et al., 2013
Several systematic reviews have concluded that there is limited evidence for the efficacy of psychosocial therapies including problem-solving, goal setting, psychoeducation, and social support.
“Several systematic reviews have concluded that there is limited evidence for the efficacy of psychosocial therapies including problem-solving, goal setting, psychoeducation, and social support (Hackett, Anderson, House, & Halteh, 2008;Hackett, Anderson, House, & Xia, 2008;Sugavanam, Mead, Bulley, Donaghy, & van Wijck, 2013).”
From Brief group‐based acceptance and commitment therapy for stroke survivors. (2019) · cites this paper as Sugavanam et al., 2013
Cites
Methods for the thematic synthesis of qualitative research in systematic reviews
Thomas, J., & Harden, A. (2008) · BMC Medical Research Methodology · doi:10.1186/1471-2288-8-45 · Cited by 9,312 · see citing works
Thomas, B. H., Ciliska, D., Dobbins, M., & Micucci, S. (2004) · Worldviews on Evidence-Based Nursing · doi:10.1111/j.1524-475x.2004.04006.x · Cited by 2,118 · see citing works
Integrating qualitative research with trials in systematic reviews
Thomas, J., Harden, A., Oakley, A., Oliver, S., Sutcliffe, K., Rees, R., Brunton, G., & Kavanagh, J. (2004) · BMJ · doi:10.1136/bmj.328.7446.1010 · Cited by 515 · cited 2× · see citing works
“(2004) [27], whereby data from quantitative and qualitative studies are extracted and analyzed separately and the findings are then synthesized accordingly to answer the research questions.”
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Brief group‐based acceptance and commitment therapy for stroke survivors.
Majumdar, S., & Morris, R. (2019) · British Journal of Clinical Psychology · doi:10.1111/bjc.12198 · Cited by 107 · see citing works
Goal planning in mental health service delivery: A systematic integrative review
Stewart, V., McMillan, S. S., Hu, J., Ng, R., El-Den, S., O’Reilly, C., & Wheeler, A. J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1057915 · Cited by 30 · see citing works
- Authors
- Sugavanam, T., Mead, G., Bulley, C., Donaghy, M., & van Wijck, F.
- Affiliations
- Queen Margaret University (GB)
- University of Edinburgh (GB)
- Corresponding author
- Sugavanam, Thavapriya
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2012-06-07
- Volume
- 35
- Issue
- 3
- Pages
- 177-190
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2155274063
- Cited by
- 226
- References
- 3
- Citations by year
- 2026: 16 · 2025: 13 · 2024: 20 · 2023: 16 · 2022: 22 · 2021: 13 · 2020: 28 · 2019: 13 · 2018: 19 · 2017: 6 · 2016: 26 · 2015: 17 · 2014: 10 · 2013: 5
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Queen Margaret University Publications Repository (Queen Margaret University) (acceptedVersion)
- ResearchOnline (acceptedVersion)
- Queen Margaret University Publications Repository (Queen Margaret University) (submittedVersion)
- ResearchOnline (Glasgow Caledonian University) (submittedVersion)
- Funders
- Medical Research Council (MR/K026992/1)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Keywords
- goal setting, stroke rehabilitation, patient involvement, patient-provider partnership, patient experience, goal achievement, barriers and facilitators, self-care ability, patient engagement
- MeSH terms
- Stroke Rehabilitation, Attitude of Health Personnel, Goals, Persons with Disabilities, Humans, Patient Participation, Rehabilitation, Stroke
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