title: A prospective interrupted time series study of interventions to improve the quality, rating, framing and structure of goal-setting in community-based brain injury rehabilitation.
abstract: OBJECTIVE
  To investigate whether the introduction of an electronic goals system followed by staff training improved the quality, rating, framing and structure of goals written by a community-based brain injury rehabilitation team.
  
  
  METHODS
  Interrupted time series design.
  
  
  METHODS
  Two interventions were introduced six months apart. The first intervention comprised the introduction of an electronic goals system. The second intervention comprised a staff goal training workshop.
  
  
  METHODS
  An audit protocol was devised to evaluate the goals. A random selection of goal statements from the 12 months prior to the interventions (Time 1 baseline) were compared with all goal statements written after the introduction of the electronic goals system (Time 2) and staff training (Time 3). All goals were de-identified for client and time-period, and randomly ordered.
  
  
  RESULTS
  A total of 745 goals (Time 1 n = 242; Time 2 n = 283; Time 3 n = 220) were evaluated. Compared with baseline, the introduction of the electronic goals system alone significantly increased goal rating, framing and structure (χ(2) tests 144.7, 18.9, 48.1, respectively, p < 0.001). The addition of staff training meant that the improvement in goal quality, which was only a trend at Time 2, was statistically significant at Time 3 (χ(2) 15.0, p ≤ 001). The training also led to a further significant increase in the framing and structuring of goals over the electronic goals system (χ(2) 11.5, 12.5, respectively, p ≤ 0.001).
  
  
  CONCLUSIONS
  An electronic goals system combined with staff training improved the quality, rating, framing and structure of goal statements.
authors.affiliation: The University of Sydney, Sydney, Australia leanne.hassett@sydney.edu.au.
authors.forename: Leanne
authors.initials: L
authors.lastname: Hassett
authors.affiliation: Ingham Institute of Applied Medical Research, Sydney. Australia.
authors.forename: Grahame
authors.initials: G
authors.lastname: Simpson
authors.affiliation: Royal Rehab, Sydney, Australia.
authors.forename: Rachel
authors.initials: R
authors.lastname: Cotter
authors.affiliation: Liverpool Brain Injury Rehabilitation Unit, Sydney, Australia.
authors.forename: Diane
authors.initials: D
authors.lastname: Whiting
authors.affiliation: Liverpool Brain Injury Rehabilitation Unit, Sydney, Australia.
authors.forename: Adeline
authors.initials: A
authors.lastname: Hodgkinson
authors.affiliation: Liverpool Brain Injury Rehabilitation Unit, Sydney, Australia.
authors.forename: Diane
authors.initials: D
authors.lastname: Martin
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation*; D003153:Community Health Services; D005260:Female; D006040:Goals; D006801:Humans; D065186:Interrupted Time Series Analysis; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team; D010358:Patient Participation; D011446:Prospective Studies; D012656:Self-Help Devices; D055815:Young Adult
keywords: Goal-setting; education; electronic assistive technologies; prospective studies; traumatic brain injury