Intervention Targeted three month programme of occupational therapy, delivered by qualified occupational therapists and assistants, involving patient centred goal setting, education of care home staff, and adaptations to the environment.
In this phase III cluster randomised controlled trial we found no evidence of benefit of a three month course of individualised occupational therapy, involving patient centred goal setting, education of staff, and appropriate adaptation of the environment, for care homes residents with stroke related disabilities.
Results indicate differences in problem severity ratings, program emphasis (i.e., goal-setting, coping, education), and program leadership between clinicians and each patient subgroup to varying degrees.
Both Dunst [ 16] and Novak [ 62] found positive effects of home programs where parents were actively involved in goal-setting and training and received education compared with no home program.
Talbot and colleagues [ 51] compared the effectiveness of a pedometer-driven walking program with goal-setting versus an education program (no pedometer) by two registered nurses in 34 participants aged over 60 years, with osteoarthritis of the knee.
Cognitive behavioural strategies will also be incorporated including education, goal-setting, motivation and positive reinforcement.
Case management for DSMS can include reminders about needed follow-up care and tests, medication management, education, behavioral goal-setting, and psychosocial support/ connection to community resources.
The coaching program is based on principals of the cognitive behavioural therapy – e.g. education, realistic goal-setting and individual resources – and in particular on the behavioural change theory targeted to reduce and maintain weight by using inexpensive Internet and mobile technologies in combination with existing health care resources of GPs.
This was likely due to specific components of the intervention that addressed these barriers, such as information provision at the continued education meeting and goal-setting, problem solving and feedback through the coaching process.
Reflection plays an essential role in professional training [ 2- 5] and is included in the goals set for medical education [ 6].
Self-management programmes [ 24] which include strategies such as client-centred goal setting, self advocacy training, education and peer mentoring encouraged cautious optimism among participants for improvements in quality of life of people living with CFS/ME.
