ABSTRACT

We begin this chapter with an overview of what theory is and what it can be used for. We suggest that theory is central to the development of a cumulative evidence base, especially in an area as complex as rehabilitation. However, it is possible to identify numerous theories relevant to rehabilitation in general and goal setting in particular. As a consequence, researchers and practitioners are faced with the problem of selecting a theory or theories

CONTENTS

11.1 Introduction ...................................................................................................................... 213 11.2 What Is Theory and Why Is It Important in Rehabilitation? ..................................... 214 11.3 Theory, Rehabilitation and the Concept of Disability ................................................ 214 11.4 Goal Setting and Rehabilitation .................................................................................... 215 11.5 Identifying Appropriate Theoretical Frameworks for Goal

Setting in Rehabilitation ................................................................................................. 216 11.6 Integrating Goal Setting within a Wider Theoretical

Framework for Rehabilitation ........................................................................................ 217 11.7 Value of Theory to Practice and Patient Outcomes ..................................................... 219 11.8 Theory to Practice: A Worked Example ........................................................................ 220 11.9 Which Theories Should Inform Goal-Setting Practice

in the Rehabilitation Setting? ......................................................................................... 220 11.10 How Can Theoretical Constructs Be Mapped onto the Goal-Setting Process? ......222 11.11 Developing a G-AP Framework for Clinical Practice .................................................223 11.12 Four Stages of the G-AP Framework ............................................................................. 226

11.12.1 Stage 1: Goal Negotiation .................................................................................. 226 11.12.2 Stage 2: Setting a Specific Goal ......................................................................... 226 11.12.3 Stage 3: Action Planning and Coping Planning ............................................227 11.12.4 Stage 4: Appraisal and Feedback .....................................................................227