[article] 
inThe British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.488-498

Titre :	Communication during goal-setting in brain injury rehabilitation: What helps and what hinders?
Type de document :	texte imprimé
Auteurs :	Anne W. Hunt, Auteur ; LE DORZE G., Auteur ; Helene J. Polatajko, Auteur
Année de publication :	2015
Article en page(s) :	p.488-498
Langues :	Anglais (eng)
Mots-clés :	Brain injury  goal-setting  communication
Résumé :	Introduction Setting goals with individuals with acquired brain injury may be challenging due to impairments in cognition and communication. The purpose of this study was to explore how occupational therapists' communication behaviours during goal-setting with individuals with traumatic brain injury facilitated and hindered this process. Method This exploratory study used a conversation analysis inspired approach and frequency calculations to analyse and interpret videotaped goal-setting sessions. Sequences of dialogue leading to, and distracting from, problem identification, a key step in goal-setting, were identified and analysed. Specific therapist behaviours that facilitated or hindered problem identification were subsequently distinguished. Results Acknowledgements and affirmations, open-ended questions about specific tasks and reflective listening, were found to lead to problem identification by the client (facilitators). Instances of disconnections were characterized by a single theme, ‘lack of uptake.' Examples of these hindrances to goal-setting included, abrupt topic shifts, lack of acknowlegement and failure to explore what the client said. Conclusion Clinicians should consider their language use during goal-setting interviews and aim to utilize conversational behaviours that are facilitative whilst minimizing those that distract to optimize their client's engagement during the problem identification phase of goal-setting.
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[article] Communication during goal-setting in brain injury rehabilitation: What helps and what hinders? [texte imprimé] / Anne W. Hunt, Auteur ; LE DORZE G., Auteur ; Helene J. Polatajko, Auteur . - 2015 . - p.488-498.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.488-498

Mots-clés :	Brain injury  goal-setting  communication
Résumé :	Introduction Setting goals with individuals with acquired brain injury may be challenging due to impairments in cognition and communication. The purpose of this study was to explore how occupational therapists' communication behaviours during goal-setting with individuals with traumatic brain injury facilitated and hindered this process. Method This exploratory study used a conversation analysis inspired approach and frequency calculations to analyse and interpret videotaped goal-setting sessions. Sequences of dialogue leading to, and distracting from, problem identification, a key step in goal-setting, were identified and analysed. Specific therapist behaviours that facilitated or hindered problem identification were subsequently distinguished. Results Acknowledgements and affirmations, open-ended questions about specific tasks and reflective listening, were found to lead to problem identification by the client (facilitators). Instances of disconnections were characterized by a single theme, ‘lack of uptake.' Examples of these hindrances to goal-setting included, abrupt topic shifts, lack of acknowlegement and failure to explore what the client said. Conclusion Clinicians should consider their language use during goal-setting interviews and aim to utilize conversational behaviours that are facilitative whilst minimizing those that distract to optimize their client's engagement during the problem identification phase of goal-setting.
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