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Article

Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study

by
Joachim Støren Sagen
1,2,*,
Ingvild Kjeken
2,
Andreas Habberstad
3,
Anita Dyb Linge
4,
Ann Elisabeth Simonsen
5,
Anne Dorte Lyken
6,
Eirik Lind Irgens
7,
Heidi Framstad
5,
Peter Solvoll Lyby
8,
Mari Klokkerud
1,
Hanne Dagfinrud
2 and
Rikke Helene Moe
2,† on behalf of the RehabNytte Consortium
1
Faculty of Health Sciences, Oslo Metropolitan University, St. Olavs plass 4, 0130 Oslo, Norway
2
Diakonhjemmet Hospital, Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Norwegian National Advisory Unit on Rehabilitation in Rheumatology (NKRR), Diakonveien 12, 0370 Oslo, Norway
3
The Norwegian Federation of Organizations of Disabled People, Mariboesgate 13, 0183 Oslo, Norway
4
Muritunet Rehabilitation Center, Grandegata 58, 6210 Sylte, Norway
5
Røysumtunet Rehabilitation Center, Røysumlinna 41, 2770 Jaren, Norway
6
Sørlandet Rehabilitation Center, Ola Garsons vei 1, 4596 Eiken, Norway
7
Helsepartner Rehabilitation Center, Follumsvei 1, 9510 Alta, Norway
8
Catosenteret Rehabilitation Center, Kvartsveien 2, 1555 Store Brevik, Norway
*
Author to whom correspondence should be addressed.
†
Collaborating institutions included in the RehabNytte consortium are listed in the Acknowledgments.
J. Clin. Med. 2024, 13(2), 320; https://doi.org/10.3390/jcm13020320
Submission received: 4 December 2023 / Revised: 22 December 2023 / Accepted: 4 January 2024 / Published: 6 January 2024
(This article belongs to the Section Clinical Rehabilitation)
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Abstract

The objective was to explore the associations between patient involvement in the rehabilitation process and improvements in function and goal attainment in the first year after rehabilitation. The longitudinal multicenter study RehabNytte provided data from participants who had been referred to rehabilitation (n = 2113). Quality indicator (QI) pass rates (% yes) were used to assess patient involvement in the rehabilitation process. The Patient-Specific Functional Scale (PSFS) (10 = best possible) was used to assess function. The outcome QI on goal achievement (response options of yes/no) was used to assess goal attainment. Logistic regression and paired sample t-tests were used to examine associations and mean changes in function from rehabilitation admission up to 3, 6, and 12 months. Most participants (95%) were involved in goal-setting, which was positively associated with younger age (OR 0.97, 95% CI 0.95–0.99) and female sex (OR 1.87, 95% CI 1.15–3.02). Function improved over the follow-up period, with greater improvements in the active goal-setting group. Being involved in goal planning almost tripled the odds of goal attainment (OR 2.78, 95% CI 1.60–4.83) and involvement in the rehabilitation plan almost doubled it (OR 1.99, 95% CI 1.41–2.81). Most participants were involved in rehabilitation goal-setting/planning and being involved was associated with beneficial functional outcomes and greater goal attainment.
Keywords: patient engagement; goal-setting; health care services; rehabilitation; goal attainment; shared decision making; RMDs patient engagement; goal-setting; health care services; rehabilitation; goal attainment; shared decision making; RMDs

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MDPI and ACS Style

Sagen, J.S.; Kjeken, I.; Habberstad, A.; Linge, A.D.; Simonsen, A.E.; Lyken, A.D.; Irgens, E.L.; Framstad, H.; Lyby, P.S.; Klokkerud, M.; et al. Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study. J. Clin. Med. 2024, 13, 320. https://doi.org/10.3390/jcm13020320

AMA Style

Sagen JS, Kjeken I, Habberstad A, Linge AD, Simonsen AE, Lyken AD, Irgens EL, Framstad H, Lyby PS, Klokkerud M, et al. Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study. Journal of Clinical Medicine. 2024; 13(2):320. https://doi.org/10.3390/jcm13020320

Chicago/Turabian Style

Sagen, Joachim Støren, Ingvild Kjeken, Andreas Habberstad, Anita Dyb Linge, Ann Elisabeth Simonsen, Anne Dorte Lyken, Eirik Lind Irgens, Heidi Framstad, Peter Solvoll Lyby, Mari Klokkerud, and et al. 2024. "Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study" Journal of Clinical Medicine 13, no. 2: 320. https://doi.org/10.3390/jcm13020320

APA Style

Sagen, J. S., Kjeken, I., Habberstad, A., Linge, A. D., Simonsen, A. E., Lyken, A. D., Irgens, E. L., Framstad, H., Lyby, P. S., Klokkerud, M., Dagfinrud, H., & Moe, R. H., on behalf of the RehabNytte Consortium. (2024). Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study. Journal of Clinical Medicine, 13(2), 320. https://doi.org/10.3390/jcm13020320

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