title: Recognizing potential barriers to setting and achieving effective rehabilitation goals for patients with persistent pain.
abstract: Although the process of goal setting in rehabilitation of individuals with persistent pain is considered a fundamental and requisite skill, it is frequently reported as a challenging element of clinical practice. Factors which may contribute to the complexity of goal setting include the potential for unrecognized shifts in cognitive function, psychological comorbidities, and the social context of both providers and patients. This review aims to describe factors which may confound the process of setting and achieving collaborative rehabilitation goals using a biopsychosocial framework and to provide recommendations to enhance goal setting effectiveness.
authors.affiliation: a Kaiser Foundation Rehabilitation Center , Physical Therapy Department , Vallejo , CA , USA.
authors.forename: Stephen G
authors.initials: SG
authors.lastname: Schmidt
mesh_terms: D003142:Communication; D003299:Cooperative Behavior; D004185:Disability Evaluation; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010146:Pain / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010347:Patient Care Planning; D010353:Patient Education as Topic / Q000379:methods*; D026741:Physical Therapy Modalities; D011369:Professional-Patient Relations; D016896:Treatment Outcome
keywords: Biopsychosocial; chronic pain; cognition; collaborative goal setting; executive functioning; neuroplasticity; persistent pain