Articlegreen2014

Bridging the goal intention–action gap in rehabilitation: a study ofif-thenimplementation intentions in neurorehabilitation

Paula Kersten · Kathryn M McPherson · Nicola Maree Kayes · Alice Theadom · Alana B. McCambridge

27 citations0/0 files storedDisability and Rehabilitation

No readable copy stored yet — this record is metadata only.

Behavioral Health and Interventions Stroke Rehabilitation and Recovery Cognitive Functions and Memory

Abstract

PURPOSE: To test the feasibility and acceptability of an implementation intention strategy (if-then plans) increasingly used in health psychology to bridge the goal intention-action gap in rehabilitation with people with neurological conditions who are experiencing difficulties with mobility. METHODS: Twenty people with multiple sclerosis (MS) and stroke, randomised to an experimental and control group, set up to three mobility related goals with a physiotherapist. The experimental group also formulated if-then plans for every goal. DATA COLLECTION: Focus groups and interviews with participants and therapists; Patient Activation Measure (PAM), 10-m walk test, Rivermead Mobility Index, self-efficacy, subjective health status, quality of life. RESULTS: Qualitative data highlighted one main theme: Rehabilitation in context, encapsulating the usefulness of the if-then strategy in thinking about the patient in the context of complexity, the usefulness of home-based rehabilitation, and the perceived need for a few more sessions. Changes in walking speed were in the expected direction for both groups; PAM scores improved over 3 months in both groups. CONCLUSION: If-then plans were feasible and acceptable in bridging the goal intention-action gap in rehabilitation with people with MS and stroke, who are experiencing difficulties with mobility. This approach can now be adapted and trialled further in a definitive study. IMPLICATIONS FOR REHABILITATION: Goal planning in rehabilitation necessitates specific strategies that help people engage in goal-related tasks. If-then plans aim to support people to deal more effectively with self-regulatory problems that might undermine goal striving and have been found to be effective in health promotion and health behaviour change. This feasibility study with people with a stroke and multiple sclerosis has demonstrated that if-then plans are feasible and acceptable to patients and physiotherapists in supporting goal-directed behaviour.

Citations in this library

Stored only when both papers are in the corpus — 27 citations exist upstream.

References

2006Using thematic analysis in psychology 1999Self-Efficacy: The Exercise of Control 1989Focus Groups: A Practical Guide for Applied Research 1995Qualitative Research: Introducing focus groups 1999Implementation intentions: Strong effects of simple plans.2004The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A Report from the WHOQOL Group 2000SF-36 Health Survey Update 2002Intention—Behavior Relations: A Conceptual and Empirical Review

Cited by

2020If-then plans help regulate automatic peer influence on impulse buying 2015Turning Pain Into Cues for Goal-Directed Behavior: Implementation Intentions Reduce Escape-Avoidance Behavior on a Painful Task 2019Exercise in Multiple Sclerosis: Knowing is Not Enough—The Crucial Role of Intention Formation and Intention Realization 2023A review of implementation intentions as a tool to benefit high-need patients and healthcare systems: U.S. veterans affairs as an exemplar

Imported from OpenAlex (CC0) — nothing here is generated.