Clinician Manual Goal Setting in Stroke Version 1 July 2018.pdf

Goal setting is also recognised as an effective way of achieving behavioural change, promoting person-centred care (see below), facilitating better self-management and improving satisfaction with the care received. However, goal setting can be difficult, time consuming, and can lack a fully person-centred approach. The goal setting package presented in this manual has been designed to: simplify the goal setting process between clinicians and patients; ensure that a comprehensive range of goals known to be important to survivors of stroke are discussed; facilitate a collaborative person-centred approach to goal setting; and ensure goals are set in a standardised manner to allow objective assessment of goal attainment. Although the package has been primarily developed for use as part of comprehensive discharge care planning, the components have been developed with sufficient flexibility for use across a range of settings for research and clinical practice.

The package is being used to support a digital intervention entitled Recovery-focused Community support to Avoid readmissions and improve Participation after Stroke (ReCAPS) to support people discharged directly home from acute care.