Development of a person-centred goal setting intervention for exercise and fitness training after stroke Thavapriya Sugavanam 1,2, Gillian Mead 3, Marie Donaghy 4, Cathy Bulley 4, Frederike van Wijck 5 1 Peninsula Schools of Medicine & Dentistry, Plymouth University, 2 NIHR CLAHRC South West Peninsula (PenCLAHRC), 3 The University of Edinburgh, 4 Queen Margaret University, Edinburgh, 5 Glasgow Caledonian University Contact: Introduction: Goal setting for exercise and fitness training after stroke (EFaS) is relatively new. Although goal setting is an integral part of stroke rehabilitation, there appears to be no well-defined/structured goal setting method in this field that could be translated to the EFaS setting 1. Aim: To design a person-centred, evidence-based, theoretically driven, and structured goal setting intervention for EFTaS. Acknowledgments The study was part of TS’s PhD funded by Queen Margaret University, Edinburgh, UK. TS is currently supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South West Peninsula. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. Figure 1: Integrating different sources of information to design the person-centred goal setting intervention Conclusion & next steps: A person-centred goal setting intervention for use in exercise and fitness training after stroke has been developed. Next steps include feasibility testing and effectiveness evaluation. Methods (Figure 1): Evidence: Recommendations from the literature on goal setting were considered 1. Theory: Constructs from Bandura’s Social Cognitive Theory were included 2. Structure: Published goal setting tools were researched, resulting in the Canadian Occupational Performance Measure (COPM) being included 3. Results: In line with the key components of the intervention (figure 1), the goal setting procedure is as follows:  Participant’s current understanding of goal setting is identified first.  The meaning of goal setting and anticipated benefits are explained.  Participants then list and discuss their stroke-related problems.  Using COPM, up to five important problems related to physical activity/EFTaS are identified and scored both on performance and satisfaction.  Each of these is formulated into a goal with a specific, realistic time-frame.  Goal setting workbook is introduced, and its purpose explained.  Goals are reviewed every four to five weeks along with discussions on identified barriers and motivators.  Active role of the participants in this process is emphasised throughout. Educate participants on goal setting Follow-up every 4 – 5 weeks Improve communication between participant & professional Goal attainment Reassessment at regular intervals To set goals Train professionals in goal setting Time dedicated for goal setting Performance attainment Set sub-goals Involve participants in the goal setting process Goal ownership Feedback Purpose-designed goal setting workbook Goal setting training for professionals Discuss and help participants to set their own long-term and short-term goals Introduce and explain goal setting to the participants Dedicated time allotted for goal setting References 1.Sugavanam et al Disability & Rehabilitation, 35(3), pp Bandura The Evolution of Social Cognitive Theory. In: K.G. SMITH and M.A. HITT eds., Great Minds in Management: The Process of Theory Development. Oxford: Oxford University Press, pp Law et al Canadian Occupational Performance Measure. Ottawa: CAOT Publications ACE. 4.Mead G & van Wijck F (Eds) Exercise and fitness training after stroke: a handbook for evidence-based practice. Edinburgh: Churchill Livingstone Elsevier. Evidence: Recommendations from relevant literature Sources considered Theory : Constructs from Bandura’s Social Cognitive Theory Structure: Canadian Occupational Performance Measure Recommendations/constructs from selected sources Components of the goal setting intervention Courtesy: John Sheerin for Churchill Livingstone Elsevier (2013) 4