UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Goal setting in neurorehabilitation: development of a patient-centred tool with theoretical underpinnings

Aleksandrowicz, AW; (2016) Goal setting in neurorehabilitation: development of a patient-centred tool with theoretical underpinnings. Doctoral thesis , (UCL) University College London. Green open access

[img]
Preview
Text
aleksandrowicz_Thesis_submission_volume1_ALEKSANDROWICZ_copyright material excluded p201_redacted.pdf

Download (4MB) | Preview

Abstract

Aim: This review aimed to evaluate the effects of self-management interventions on self-efficacy in patients with acquired neurological conditions. Method: Four electronic databases (MEDLINE, PsychINFO, CINAHL Plus and PubMed) were systematically searched and papers were assessed against inclusion and exclusion criteria producing 20 eligible articles. Results: Thirteen randomised controlled trials, 2 quasi-experimental controlled design studies, 4 pre-post design studies and 1 multiple participant, two-phase single subject design study were included in the review. There was a variety of neurological diagnoses covered including Multiple Sclerosis (N=8), stroke (N=6), epilepsy (N=5) and acquired brain injury (N=1). The sample sizes varied from 10 to 216 participants. Mean age varied from 29.87 to 67.38 years. Twelve out of 20 studies found some support for the effectiveness of self-management programmes in increasing self-efficacy, although the studies were prone to biases, such as small sample sizes, lack of blinding and low power to detect effects. All but one of the studies involved some incorporation of social cognitive theory or self-efficacy enhancing strategies in their programmes. Conclusion: The review found some evidence for the effectiveness of selfmanagement programmes in increasing levels of self-efficacy in patients with neurological conditions. However, more rigorous studies are needed in order to draw firm conclusions regarding the effectiveness of the programmes and their application in clinical practice.

Type: Thesis (Doctoral)
Title: Goal setting in neurorehabilitation: development of a patient-centred tool with theoretical underpinnings
Event: (UCL) University College London
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Third-party copyrighted content has been removed from this thesis.
Keywords: neurological rehabilitation, goal setting, neurorehabilitation
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
URI: https://discovery.ucl.ac.uk/id/eprint/1517870
Downloads since deposit
585Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item