title: [Evaluation of a collaborative goal setting intervention in patients with chronic back pain].
abstract: OBJECTIVE
  Although setting rehabilitation goals is considered to be a core rehabilitation process, in actual rehabilitation practice there is a considerable need for improvement with respect to consistent goal orientation. The objective of the PARZIVAR project was therefore to develop an intervention for participative goal setting in medical rehabilitation. This article reports the results of the evaluation of the PARZIVAR intervention in patients with chronic back pain.
  
  
  METHODS
  The PARZIVAR intervention was evaluated in a sequential control group design with 3 measurement points (before the start of rehabilitation, at the end of rehabilitation, and at 6-month follow-up). The proximal endpoints were defined as patient perception of participative goal setting, subjective awareness of goals, and satisfaction with goal setting. The distal endpoints were intensity of pain and generic and illness-specific functioning.
  
  
  RESULTS
  Overall, the degree of achieving aspects of participative goal setting was higher in the intervention group. There were no differences regarding satisfaction with goal setting, however, and distal outcomes also remained unchanged after the intervention was implemented.
  
  
  CONCLUSIONS
  Participation in the PARZIVAR intervention was partially reflected in the perception of the rehabilitation patients, but the effects regarding distal outcomes in the intervention group did not exceed those of usual care. There is a need for more research into how concepts of goal setting can be improved in the future to better address the diverse functions of goal setting.
authors.affiliation: Abteilung Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg. manuela.glattacker@uniklinikfreiburg.de
authors.forename: M
authors.initials: M
authors.lastname: Glattacker
authors.forename: A
authors.initials: A
authors.lastname: Dudeck
authors.forename: S
authors.initials: S
authors.lastname: Dibbelt
authors.forename: M
authors.initials: M
authors.lastname: Quatmann
authors.forename: B
authors.initials: B
authors.lastname: Greitemann
authors.forename: W H
authors.initials: WH
authors.lastname: Jäckel
mesh_terms: D001416:Back Pain / Q000534:rehabilitation*; D059350:Chronic Pain / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000706:statistics & numerical data; D010347:Patient Care Planning / Q000706:statistics & numerical data*; D010358:Patient Participation / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D015995:Prevalence; D016896:Treatment Outcome