Shared decision-making within goal-setting in rehabilitation: a mixed-methods study:

Objectives:To assess the extent of shared decision-making within goal-setting meetings and explore patient-reported factors that influenced their participation to shared decision-making about their goals.Design:A two-phase explanatory sequential mixed-methods study, using questionnaires and interviews.Setting:A rehabilitation centre and patients’ homes.Subjects:Frail elderly patients.Main Measures:Quantitative data were collected after every patient’s goal-setting meeting using the Multifocal Approach to Sharing in Shared Decision Making (MAPPIN’SDM) questionnaire that assesses competencies relevant to shared decision-making. Shared decision-making was rated by an observer, patients and staff and compared. Qualitative data were collected through semi-structured interviews.Results:A total of 24 rehabilitation team members and 40 patients (mean age: 83 years) participated. All study participants felt that competency 7a (the language used by staff made sense to the patient) was observed in all meetings. Pati...