Are specific, measurable, action-oriented, realistic, and time-bound (SMART) goals associated with improved walking outcomes for stroke survivors undergoing outpatient stroke rehabilitation? An observational cross-sectional retrospective cohort study

Helia Mohammadi-Ghayeghchi, Nidhi Bhagat, Mackenzie Campbell, Madi Mayhew, Rheall Dufresne, Levi Ewald, Augustine J. Devasahayam, Avril Mansfield
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Abstract

Background Goal-setting is a core principle used in clinical practice to guide treatment. Setting goals improves adherence to rehabilitation treatments and may lead to better outcomes in people with neurological disorders. However, there is a lack of research into the prevalence of goals using a Specific, Measurable, Action-Oriented, Realistic, and Time-Bound (SMART) framework. Additionally, it is currently unclear if the SMART framework improves ambulatory outcomes in outpatient stroke rehabilitation.
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具体的、可测量的、以行动为导向的、现实的、有时限的(SMART)目标是否与接受门诊卒中康复治疗的卒中幸存者步行效果的改善有关?一项观察性横断面回顾性队列研究
背景设定目标是临床实践中用于指导治疗的核心原则。设定目标可提高康复治疗的依从性,并可为神经系统疾病患者带来更好的治疗效果。然而,目前还缺乏对使用 "具体、可衡量、以行动为导向、现实、有时限"(SMART)框架设定目标的普遍性的研究。此外,目前还不清楚 SMART 框架是否能改善中风康复门诊的非卧床治疗效果。
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