Implementing Solution-Focused Goal-Setting Using the COM-B Model of Behaviour Change at Canada's Largest Pediatric Rehabilitation Hospital
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Authors
Crawford, Lindsey
Date
Type
thesis
Language
eng
Keyword
Goal-setting , Rehabilitation , Barriers and facilitators , behaviour change , COM-B Model , Implementation , Rehabilitation Science
Alternative Title
Abstract
Rehabilitation medicine is shifting focus toward more participation for individuals with chronic disabilities. New clinical practices are required to support and sustain this transformation. Collaborative goal-setting is a core element of client-centred rehabilitation and important for achieving outcomes. However, Health Care Providers (HCP) have been slow to adopt it in practice.
My thesis is about the barriers and facilitators to collaborative goal setting within clinical practice to help identify the behaviour changes and interventions required to ensure its successful adoption. Two studies were guided by the Capability, Opportunity, and Motivation Model of Behaviour change (COM-B) for theory testing and scientific communication with the literature. The studies were: Study 1: A scoping review of the rehabilitation literature about facilitators and barriers to patient-centred goal-setting. Study 2: A quantitative study of HCPs’ perceived facilitators and barriers to the delivery of Solution-Focused Coaching (SFC) goal-setting in a pediatric rehabilitation.
The findings in both studies identified the most prominent barriers and facilitators to collaborative goal setting, which were summarized and linked to the leadership behaviours required to implement SFC goal-setting. The barriers consistently identified that: clients require preparation to participate; HCPs require an ongoing training, practice performance feedback and reinforcement. Leaders and organizations must create the optimal implementation environments. The identified knowledge gaps were: (i) effective goal-setting with culturally diverse clients, (ii) adaption to diverse service delivery models, (iii) the child’s role in goal-setting.
A Knowledge Translation plan was developed that provides an implementation roadmap to guide leadership practices and intervention development.
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Queen's University's Thesis/Dissertation Non-Exclusive License for Deposit to QSpace and Library and Archives Canada
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Copying and Preserving Your Thesis
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ProQuest PhD and Master's Theses International Dissemination Agreement
Intellectual Property Guidelines at Queen's University
Copying and Preserving Your Thesis
This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner.