1. Goals of Older Adults Participating in a Short-term,
Goals of Older Adults Participating in a Short-term,
Community-based, Slow-stream Rehabilitation Program:
More than Just Physical?
Virag B., Maximos M., BSc, Page A., PT, MSc PT, Virag O., Hon BA, Dal Bello Haas V., PT, PhD
School of Rehabilitation Science, McMaster University
Contact Information
Briana Virag

2. BACKGROUND OBJECTIVES METHODS
Goal setting leads to increased levels of self-efficacy, adherence behaviours, and recovery at home1
Because of variations in capabilities, goals for community-based frail older adults differ between individuals, making the patients’ perspective critical2,3
Challenges:
There is no known consistent goal setting practice4, 5
Patient versus health care professional regarding priorities2, 6
OBJECTIVES
Determine the types of goals older adult patients have in a community-based, slow-stream, hospital-to-home rehabilitation.
Compare goals set by the participant and by a physiotherapist.
Determine if goal setting in this type of program is effective and successful in helping older adults’ achieve their goals.
METHODS
DATA COLLECTION
Older adults  60 years, recently discharged from the hospital and participating in the Goldies2Home program (Shalom Village, Hamilton, Ontario)
The Patient Specific Functional Scale7 was completed by participants at initial assessment (baseline) and follow up assessment after four weeks (discharge)
DATA ANALYSIS
Goals were categorized using The International Classification of Functioning, Disability, and Health (ICF):
Body Functions, Body Structure, Activities and Participation, and Environmental Factors8
PSFS means were calculated and compared based on ICF categories
One-tailed dependent sample t-tests: to determine a significant difference in PSFS scores from baseline to discharge

3. 62% 38% Body Functions RESULTS Activities and Participation
look for p-value
62%
A total of 190 goals from 76 participants had goals recorded at baseline and were categorized using the ICF (see charts)
Only goals with pre and post numbers were analyzed with descriptive statistics: 159 goals from 62 participants
Mean PSFS scores across all goal categories:
Baseline: 3.28 (SD = 2.31)
Discharge : 5.84 (SD = 3.0)
Significant difference of (SD = 2.5)
Domestic Life
Mobility
Community, Social, and Civic Life
Self-Care
Activities and Participation
Cardiovascular & Respiratory Related Functions
Sensory Function & Pain
Neuromusculoskeletal & Movement Related Functions
38% Body Functions

4. TAKE HOME MESSAGES
Older adults’ have a variety of goals for rehabilitation that do not solely pertain to physical function.
Returning to everyday routines, performing certain tasks and doing activities is what older adults’ view as their most significant needs during the critical transition of hospital to home.
A short-term, community-based slow-stream rehabilitation program was effective in achieving goals, however it is unknown if older adults are able to maintain their goal achievement longer term.
Goal setting in a slow stream rehabilitation program may work as a motivator for the participant which in turn can improve self-efficacy, lasting beyond the 30 days of the program.

5. Ethics: HiREB #15-089, McMaster University
ACKNOWLEDGEMENTS
Thank you to our participants for participating in this study and continued support from Shalom Village.
Ethics: HiREB #15-089, McMaster University
Funding: Labarge Optimal Aging Initiative & the Saskatchewan Health Research Foundation
References
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