Scobbie Lesley, Elliott Katie, Boa Sally, Grayson Lynn, Chesnet Emily, Izat Iona, Barber Mark, Fisher Rebecca
School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.
Stroke MCN Team, NHS Lanarkshire, Coatbridge, United Kingdom.
Front Rehabil Sci. 2025 Mar 31;6:1505188. doi: 10.3389/fresc.2025.1505188. eCollection 2025.
Stroke survivor's goals reflect their individual priorities and hopes for the future. Person-centred goal setting is recommended in rehabilitation clinical guidelines, but evidence-based training to support its implementation in practice is limited. We aimed to develop, describe and evaluate a new Goal setting and Action Planning (G-AP) rehabilitation training resource to support person-centred goal setting practice in community neuro-rehabilitation settings.
A clinical-academic team, advisory group and web-design company were convened to co-develop the G-AP training resource. G-AP training was then delivered to multi-disciplinary staff ( = 48) in four community neuro-rehabilitation teams. A mixed methods evaluation utilising a staff questionnaire and focus group discussion was conducted to investigate staff experiences of G-AP training and their early G-AP implementation efforts. Questionnaire data were analysed descriptively; focus group data were analysed using a Framework approach. An integrated conceptual overview of data was developed to illustrate findings.
A fully online G-AP training resource comprising a training website and two interactive webinars was developed. Following training, 41/48 (85%) staff completed the online questionnaire and 8/48 (17%) participated in the focus group. Nearly all staff rated the training website as excellent ( = 25/40; 62%) or good ( = 14/40; 35%) and the webinars as excellent ( = 26/41; 63%) or good ( = 14/41; 34%). Following training, staff agreed they were knowledgeable about G-AP (37/41; 90%) and had the confidence (35/40; 88%) and skills (35/40; 88%) to use it in practice. Within one month of training, staff described implementing G-AP individually, but transitioning to implementation at a team level required more time to develop new working practices. Team context including staff beliefs about G-AP, leadership support and competing demands impacted (positively and negatively) on staff training engagement, learning experience and implementation efforts.
The new G-AP training resource was positively evaluated and supported early G-AP implementation efforts. This study advances our understanding of training evaluation by highlighting the training-context interaction the temporal nature of training effects. A follow up study evaluating longer term G-AP implementation is underway.
中风幸存者的目标反映了他们个人的优先事项和对未来的期望。以患者为中心的目标设定在康复临床指南中得到推荐，但支持其在实践中实施的循证培训有限。我们旨在开发、描述和评估一种新的目标设定与行动计划（G-AP）康复培训资源，以支持社区神经康复环境中以患者为中心的目标设定实践。
召集了一个临床学术团队、咨询小组和网页设计公司共同开发G-AP培训资源。然后，G-AP培训被提供给四个社区神经康复团队的多学科工作人员（n = 48）。采用工作人员问卷和焦点小组讨论的混合方法评估，以调查工作人员对G-AP培训的体验及其早期G-AP实施工作。问卷数据进行描述性分析；焦点小组数据采用框架法进行分析。开发了一个综合的数据概念概述来说明研究结果。
开发了一个完全在线的G-AP培训资源，包括一个培训网站和两个互动网络研讨会。培训后，41/48（85%）的工作人员完成了在线问卷，8/48（17%）的工作人员参加了焦点小组。几乎所有工作人员都将培训网站评为优秀（n = 25/40；62%）或良好（n = 14/40；35%），将网络研讨会评为优秀（n = 26/41；63%）或良好（n = 14/41；34%）。培训后，工作人员一致认为他们了解G-AP（37/41；90%），并且有信心（35/40；88%）和技能（35/40；88%）在实践中使用它。在培训后的一个月内，工作人员描述了他们各自实施G-AP的情况，但向团队层面的实施过渡需要更多时间来发展新的工作实践。团队背景，包括工作人员对G-AP的信念、领导支持和相互竞争的需求，对工作人员的培训参与度、学习体验和实施工作产生了（积极和消极）影响。
新的G-AP培训资源得到了积极评价，并支持了早期G-AP的实施工作。本研究通过强调培训与背景的相互作用以及培训效果的时间性质，推进了我们对培训评估的理解。一项评估G-AP长期实施情况的后续研究正在进行中。
