title: Identification and comparison of rehabilitation goals after multiple injuries: an ICF analysis of the patients', physiotherapists' and other allied professionals' reported goals.
abstract: OBJECTIVE
  To explore and compare severely injured patients' rehabilitation goals with respect to their functioning and the reported goals of rehabilitation professionals.
  
  
  METHODS
  A prospective cohort study, including longitudinal data on patients' functioning and cross-sectional data from the patients' and professionals' goal descriptions.
  
  
  METHODS
  Sixty-six patients (53 men, 13 women, mean age 35 (standard deviation 13.8) years) with multiple injuries with a New Injury Severity Score >15 and 76 physiotherapists and other municipal rehabilitation professionals/services.
  
  
  METHODS
  Patient questionnaire and interview were applied after return home and a further questionnaire one year post-injury. Short-Form Health Survey was used for self-assessed health. A questionnaire was applied to the professionals. Rehabilitation goals were reported by patients and professionals. International Classification of Functioning, Disability and Health coding of the goals was performed.
  
  
  RESULTS
  Short-Form Health Survey scores were below those of the general population. The patients' goals concerned body functions/structures (8.6%), activities (16.2%) and participation (31.7%). The professionals, mainly physiotherapists, reported few participation goals (10.7%). Agreement between the patients' and professionals' goals were poor, with kappa scores < or =0.20 for musculoskeletal functions/structures, self-care, mobility, interpersonal interactions/relationships, work and recreation/leisure. A statisticaly significant difference between patients' and professionals' goals was demonstrated for musculoskeletal functions/structures (p<0.001), interpersonal interactions/relationships (p=0.002), work (p=0.001) and recreation/leisure (p=0.002).
  
  
  CONCLUSIONS
  The patients mainly reported activity and participation goals. There was poor agreement between patients and professionals for body functions and participation goals.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Ulleval University Hospital, Oslo, Norway. h.l.soberg@medisin.uio.no
authors.forename: Helene L
authors.initials: HL
authors.lastname: Soberg
authors.forename: Arnstein
authors.initials: A
authors.lastname: Finset
authors.forename: Olav
authors.initials: O
authors.lastname: Roise
authors.forename: Erik
authors.initials: E
authors.lastname: Bautz-Holter
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006040:Goals; D006801:Humans; D015601:Injury Severity Score; D007899:Leisure Activities; D008137:Longitudinal Studies; D008297:Male; D009104:Multiple Trauma / Q000145:classification / Q000175:diagnosis / Q000534:rehabilitation*; D026761:Physical Therapy Specialty; D011446:Prospective Studies; D011788:Quality of Life; D020127:Recovery of Function; D012649:Self Concept; D011795:Surveys and Questionnaires; D000078329:Workforce