Cochrane · systematic review · CD009727

Goal setting and strategies to enhance goal pursuit for adults with acquired disability participating in rehabilitation

Levack, WMM, Weatherall, M, Hay‐Smith, EJC, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Consumers and CommunicationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 9 · 75%Low 3 · 25%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Goal setting with or without strategies to enhance goal pursuit compared to no goal setting for adults with acquired disability participating in rehabilitation

Population: adults with acquired disability participating in rehabilitation
6 questions
OutcomeEffectEvidenceStatus / GRADE
Health‐related quality of life or self‐reported emotional status
Goal setting with or without strategies to enhance goal pursuit vs no goal setting
no estimate extracted8 studies · 446 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Participation
Goal setting with or without strategies to enhance goal pursuit vs no goal setting
no estimate extracted4 studies · 254 participantsVery low
Downgraded: risk of bias, inconsistency
Activity
Goal setting with or without strategies to enhance goal pursuit vs no goal setting
no estimate extracted4 studies · 223 participantsLow
Downgraded: risk of bias
Body structure and body function
Goal setting with or without strategies to enhance goal pursuit vs no goal setting
no estimate extracted5 studies · 235 participantsVery low
Downgraded: risk of bias, imprecision
Engagement in rehabilitation (motivation, involvement and adherence)
Goal setting with or without strategies to enhance goal pursuit vs no goal setting
no estimate extracted9 studies · 369 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Self‐efficacy
Goal setting with or without strategies to enhance goal pursuit vs no goal setting
no estimate extracted3 studies · 108 participantsVery low
Downgraded: risk of bias

Structured goal setting with or without strategies to enhance goal pursuit compared to 'usual care' that involved some goal setting but where no structured approach was followed for adults with acquired disability participating in rehabilitation

Population: adults with acquired disability participating in rehabilitation
6 questions
OutcomeEffectEvidenceStatus / GRADE
Health‐related quality of life or self‐reported emotional status
Structured goal setting with or without strategies to enhance goal pursuit vs 'usual care' that involved some goal setting but where no structured approach was followed
no estimate extracted5 studies · 441 participantsLow
Downgraded: imprecision, inconsistency
Participation London Handicap Scale
Structured goal setting with or without strategies to enhance goal pursuit vs 'usual care' that involved some goal setting but where no structured approach was followed
no estimate extracted1 study · 201 participantsVery low
Downgraded: risk of bias
Activity
Structured goal setting with or without strategies to enhance goal pursuit vs 'usual care' that involved some goal setting but where no structured approach was followed
no estimate extracted4 studies · 277 participantsLow
Downgraded: risk of bias, imprecision
Body structure and body function
Structured goal setting with or without strategies to enhance goal pursuit vs 'usual care' that involved some goal setting but where no structured approach was followed
no estimate extracted3 studies · 229 participantsVery low
Downgraded: risk of bias, imprecision
Engagement in rehabilitation
Structured goal setting with or without strategies to enhance goal pursuit vs 'usual care' that involved some goal setting but where no structured approach was followed
no estimate extracted1 study · 32 participantsVery low
Downgraded: risk of bias, imprecision
Self‐efficacy
Structured goal setting with or without strategies to enhance goal pursuit vs 'usual care' that involved some goal setting but where no structured approach was followed
no estimate extracted2 studies · 134 participantsVery low
Downgraded: risk of bias, imprecision