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Article Abstract
Goal-setting in stroke rehabilitation is poorly understood. This study examined attitudes, practices, and factors related to goal-setting in stroke rehabilitation among Portuguese physiotherapists. An online cross-sectional exploratory survey was conducted, collecting data on sociodemographic and service profiles, patient-centeredness, attitudes and practices of goal-setting, using the Patient-Practitioner Orientation Scale, and Attitudes toward Goal-Setting and Practices toward Goal-Setting Scales. Logistic regression identified factors associated with goal-setting. From 347 physiotherapists, mostly high scores were obtained for attitudes toward goal-setting. Heterogeneous practices were verified and 17 % reported no involvement in goal-setting. Working from the stroke survivor's home (OR10.218 [1.267-82.389], p=0.029) or from an inpatient rehabilitation unit (OR6.443 [1.918-21.636], p=0.003) were the strongest predictors of goal-setting, followed by positive attitudes toward goal-setting (OR1.111 [1.028-1.201], p=0.008). The identified organizational and professional characteristics should be considered to improve suboptimal goal-setting, namely by advocating the core contribution of goal-setting, disseminating best practices, and providing training.
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| http://dx.doi.org/10.1016/j.gerinurse.2025.103390 | DOI Listing |
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