title: Shared decision making within goal setting in rehabilitation settings: A systematic review.
abstract: To map out and synthesise literature that considers the extent of shared decision-making (SDM) within goal-setting in rehabilitation settings and explore participants' views of this approach within goal-setting.
  
  
  
  Four databases were systematically searched between January 2005-September 2015. All articles addressing SDM within goal-setting involving adult rehabilitation patients were included. The literature was critically appraised followed by a thematic synthesis.
  
  
  
  The search output identified 3129 studies and 15 articles met the inclusion criteria. Themes that emerged related to methods of SDM within goal-setting, participants' views on SDM, perceived benefits of SDM, barriers and facilitators to using SDM and suggestions to improve involvement of patients resulting in a better process of goal-setting.
  
  
  
  The literature showed various levels of patient involvement existing within goal-setting however few teams adopted an entirely patient-centred approach. However, since the review has identified clear value to consider SDM within goal-setting for rehabilitation, further research is required and practice should consider educating both clinicians and patients about this approach.
  
  
  
  To enhance the use of SDM within goal-setting in rehabilitation it is likely clinicians and patients will require further education on this approach. For clinicians this could commence during their training at undergraduate level.
authors.affiliation: South Bristol Rehabilitation Centre, 30 Inns Court Green, Knowle, Bristol BS4 1TF, UK. Electronic address: alice2rose@googlemail.com.
authors.forename: Alice
authors.initials: A
authors.lastname: Rose
authors.affiliation: School of Sport Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
authors.forename: Sheeba
authors.initials: S
authors.lastname: Rosewilliam
authors.affiliation: School of Sport Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Soundy
mesh_terms: D000328:Adult; D003657:Decision Making; D003661:Decision Support Techniques; D006233:Persons with Disabilities / Q000534:rehabilitation*; D006040:Goals; D006302:Health Services Research; D006801:Humans; D010358:Patient Participation / Q000379:methods*; D012046:Rehabilitation; D012047:Rehabilitation Centers
keywords: Goal-setting; Rehabilitation; Shared decision-making; Systematic review