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ESOC 2025 | The importance of goal setting in rehabilitation after stroke

Natasha A. Lannin, PhD, Monash University, Melbourne, Australia, discusses the importance of goal setting in rehabilitation after stroke. She highlights trials that have utilized structured goal setting, such as the ReCAPS and HOME Rehab trials, as well as the clinical implementation in hospitals in Queensland, Australia. Dr Lannin emphasizes the need for goal setting to be tailored to patients’ wishes and needs. This interview took place at the 11th European Stroke Organisation Conference (ESOC) in Helsinki, Finland.

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Transcript

Yeah, so I’m really excited to be able to present on goal setting after stroke and the reason being is that we’ve done a number of trials in rehabilitation where we’ve used goal setting as a core component of the trial intervention. Complex interventions need to be mapped to patients’ own wishes and needs and that’s where goal setting comes in...

Yeah, so I’m really excited to be able to present on goal setting after stroke and the reason being is that we’ve done a number of trials in rehabilitation where we’ve used goal setting as a core component of the trial intervention. Complex interventions need to be mapped to patients’ own wishes and needs and that’s where goal setting comes in. So I’ll be presenting our findings from a number of trials, the ReCAPS trial and the HOME trial, both of which use very structured goal setting, as well as then some scale-up and implementation work we’ve been doing in Queensland at a state level in rehabilitation, and that is using behavioural change techniques to improve the quality of goal setting in the hospital. Working with hospitals in Queensland, what we were able to do in our implementation study was to understand the barriers that the clinicians faced in setting really good quality goals with patients and their families and then work with them to tailor a program of supporting them to set high-quality SMART goals and by that what we did was it’s sort of slightly different at each site but we released training packages, we supported them with education, we also had patient-led initiatives and all of those resources are fully available online from Queensland Health, actually, so it was a really exciting project that really did change how much goal setting happened in everyday rehab care in Australia.

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