Goal attainment, adjustment and disengagement in the first year after stroke: a qualitative study

Lesley Scobbie, Marian Brady, Edward Duncan, Sally Wyke

Research output: Contribution to journalArticle

Abstract

Understanding stroke survivor responses to attainable and unattainable goals is important so that rehabilitation staff can optimally support ongoing recovery and adaption. In this qualitative study, we aimed to investigate (i) stroke survivor’s experiences of goal attainment, adjustment and disengagement in the first year after stroke and (ii) whether the Goal setting and Action Planning (G-AP) framework supported different pathways to goal attainment. In-depth interviews were conducted with eighteen stroke survivors’ to explore their experiences and views. Interview data were transcribed verbatim and analysed using a Framework approach to examine themes within and between participants. Stroke survivors reported that attaining personal goals enabled them to resume important activities, reclaim a sense of self and enhance emotional wellbeing. Experiences of goal-related setbacks and failure facilitated understanding and acceptance of limitations and informed adjustment of, or disengagement from, unattainable goals. Use of the G-AP framework supported stroke survivors to (i) identify personal goals, (ii) initiate and sustain goal pursuit, (iii) gauge progress and (iv) make informed decisions about continued goal pursuit, adjustment or disengagement. Stroke survivor recovery involves attainment of original and adjusted or alternative goals. The G-AP framework can support these different pathways to goal attainment.
Original languageEnglish
JournalNeuropsychological Rehabilitation
Publication statusAccepted/In press - 15 Jan 2020

Fingerprint

Stroke
Interviews
Rehabilitation

Keywords

  • Stroke, rehabilitation, goal adjustment, adaption, qualitative

Cite this

Scobbie, L., Brady, M., Duncan, E., & Wyke, S. (Accepted/In press). Goal attainment, adjustment and disengagement in the first year after stroke: a qualitative study. Neuropsychological Rehabilitation.
@article{da9c09066c3b4f5e9b23847e75afea2e,
title = "Goal attainment, adjustment and disengagement in the first year after stroke: a qualitative study",
abstract = "Understanding stroke survivor responses to attainable and unattainable goals is important so that rehabilitation staff can optimally support ongoing recovery and adaption. In this qualitative study, we aimed to investigate (i) stroke survivor’s experiences of goal attainment, adjustment and disengagement in the first year after stroke and (ii) whether the Goal setting and Action Planning (G-AP) framework supported different pathways to goal attainment. In-depth interviews were conducted with eighteen stroke survivors’ to explore their experiences and views. Interview data were transcribed verbatim and analysed using a Framework approach to examine themes within and between participants. Stroke survivors reported that attaining personal goals enabled them to resume important activities, reclaim a sense of self and enhance emotional wellbeing. Experiences of goal-related setbacks and failure facilitated understanding and acceptance of limitations and informed adjustment of, or disengagement from, unattainable goals. Use of the G-AP framework supported stroke survivors to (i) identify personal goals, (ii) initiate and sustain goal pursuit, (iii) gauge progress and (iv) make informed decisions about continued goal pursuit, adjustment or disengagement. Stroke survivor recovery involves attainment of original and adjusted or alternative goals. The G-AP framework can support these different pathways to goal attainment.",
keywords = "Stroke, rehabilitation, goal adjustment, adaption, qualitative",
author = "Lesley Scobbie and Marian Brady and Edward Duncan and Sally Wyke",
note = "*1-1-50* Acceptance in SAN AAM: 12m embargo - NYP 29/1/20 DC -- DC/ ET to add rights statement upon publication Record initially included subtitle {"}Goals, recovery and adaption{"}",
year = "2020",
month = "1",
day = "15",
language = "English",

}

Goal attainment, adjustment and disengagement in the first year after stroke: a qualitative study. / Scobbie, Lesley; Brady, Marian; Duncan, Edward; Wyke, Sally.

In: Neuropsychological Rehabilitation, 15.01.2020.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Goal attainment, adjustment and disengagement in the first year after stroke: a qualitative study

AU - Scobbie, Lesley

AU - Brady, Marian

AU - Duncan, Edward

AU - Wyke, Sally

N1 - *1-1-50* Acceptance in SAN AAM: 12m embargo - NYP 29/1/20 DC -- DC/ ET to add rights statement upon publication Record initially included subtitle "Goals, recovery and adaption"

PY - 2020/1/15

Y1 - 2020/1/15

N2 - Understanding stroke survivor responses to attainable and unattainable goals is important so that rehabilitation staff can optimally support ongoing recovery and adaption. In this qualitative study, we aimed to investigate (i) stroke survivor’s experiences of goal attainment, adjustment and disengagement in the first year after stroke and (ii) whether the Goal setting and Action Planning (G-AP) framework supported different pathways to goal attainment. In-depth interviews were conducted with eighteen stroke survivors’ to explore their experiences and views. Interview data were transcribed verbatim and analysed using a Framework approach to examine themes within and between participants. Stroke survivors reported that attaining personal goals enabled them to resume important activities, reclaim a sense of self and enhance emotional wellbeing. Experiences of goal-related setbacks and failure facilitated understanding and acceptance of limitations and informed adjustment of, or disengagement from, unattainable goals. Use of the G-AP framework supported stroke survivors to (i) identify personal goals, (ii) initiate and sustain goal pursuit, (iii) gauge progress and (iv) make informed decisions about continued goal pursuit, adjustment or disengagement. Stroke survivor recovery involves attainment of original and adjusted or alternative goals. The G-AP framework can support these different pathways to goal attainment.

AB - Understanding stroke survivor responses to attainable and unattainable goals is important so that rehabilitation staff can optimally support ongoing recovery and adaption. In this qualitative study, we aimed to investigate (i) stroke survivor’s experiences of goal attainment, adjustment and disengagement in the first year after stroke and (ii) whether the Goal setting and Action Planning (G-AP) framework supported different pathways to goal attainment. In-depth interviews were conducted with eighteen stroke survivors’ to explore their experiences and views. Interview data were transcribed verbatim and analysed using a Framework approach to examine themes within and between participants. Stroke survivors reported that attaining personal goals enabled them to resume important activities, reclaim a sense of self and enhance emotional wellbeing. Experiences of goal-related setbacks and failure facilitated understanding and acceptance of limitations and informed adjustment of, or disengagement from, unattainable goals. Use of the G-AP framework supported stroke survivors to (i) identify personal goals, (ii) initiate and sustain goal pursuit, (iii) gauge progress and (iv) make informed decisions about continued goal pursuit, adjustment or disengagement. Stroke survivor recovery involves attainment of original and adjusted or alternative goals. The G-AP framework can support these different pathways to goal attainment.

KW - Stroke, rehabilitation, goal adjustment, adaption, qualitative

M3 - Article

ER -