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Table 2 Factors that facilitated/ hindered use of the G-AP framework

From: Implementing a framework for goal setting in community based stroke rehabilitation: a process evaluation

 

Facilitators

Inhibitors

Patient factors

• Previous experience goal setting

• Cognitive impairment e.g. poor insight, executive dysfunction

• Familiarity with the G-AP process

• Communication difficulties

• Being in the ‘right frame of mind’

• Complex emotional/ social/ health issues

• Unrealistic expectations

Process factors

• Rehabilitation assistant involvement

• Individual health professionals’ waiting lists resulting in team members  initiating input at different times

• Goal meetings in the patent’s house

• Time pressures leading to incomplete implementation of the process

• Consistent use of G-AP record

• Staff absence

• Explaining the G-AP process to patients at the outset

HP factors

• Experience of using goal setting

• Lack of experience using goal setting

• Experience of post stroke recovery

• Lack of experience of post stroke recovery

• Confidence in goal setting abilities

• Not habitually using G-AP in routine practice

• Lack of confidence using G-AP

Other

 

• HP and patient having differing views about priorities and/or what  constitutes improvement

  1. HP Health Professional.