Showing papers by "Jennifer Freeman published in 2007"
TL;DR: It is shown that patients prefer increased participation in the goal setting process over standard procedures, perceiving their goals as more relevant and rehabilitation more patient centred despite the absence of functional gains.
Abstract: Objectives: The recent National Service Framework for Long Term Conditions recommends that patients participate more in decision making about their care. However, few protocols exist to support this. One potentially useful method is goal setting, but little has been done to evaluate the added value of increasing patient participation in this way. Therefore, this study examined the impact of an increased participation goal setting protocol in a neurorehabilitation setting. Design: The study was an AB optimised balance block design with each block lasting 3 months, over an 18 month period. Setting and participants: Patients (n = 201) were recruited from an inpatient neurological rehabilitation unit. Interventions: Patients (n = 100) recruited in phase A were involved in “usual practice” goal setting. Patients (n = 101) recruited in phase B were involved in “increased participation” goal setting, which included a protocol to help them define and prioritise their own goals. Main outcome measures: Patients’ perceptions of the relevance of goal setting and their autonomy within the process; the number, type and outcome of goals; and level of functional ability. Results: Phase B patients (“increased participation”) set fewer goals, of which significantly more were participation related. These patients perceived the goals to be more relevant, and expressed greater autonomy and satisfaction with goal setting. There were no differences in functional outcomes between the groups. Conclusion: This study has shown that patients prefer increased participation in the goal setting process over standard procedures, perceiving their goals as more relevant and rehabilitation more patient centred despite the absence of functional gains. Effective patient centred care can be realised by using structures that help support patients to identify and communicate their priorities. As such, our findings suggest patients would benefit from greater participation in this aspect of clinical decision making.
116 citations
01 Jul 2007
TL;DR: There is evidence to support the effectiveness of some complementary therapies and for such therapies, clinicians should discuss their potential benefits and use alongside conventional therapies in an open, evidence-based and patient-centred manner.
Abstract: 1. Complementary and alternative therapies are commonly used by cancer patients. 2. There is evidence to support the effectiveness of some complementary therapies and for such therapies, clinicians should discuss their potential benefits and use alongside conventional therapies. Some therapies may interfere with conventional treatments. 3. Most alternate therapies have not been assessed for efficacy or safety. Some have been studied and found to be harmful or ineffective. 4. Clinicians should encourage discussion with their patients about complementary and alternative therapies in an open, evidence-based and patient-centred manner. The issues of effectiveness, safety and cost should be explored with all patients using such therapies. 5. NBOCC* supports ongoing scientific evaluation of complementary and alternative therapies.
1 citations