A scoping review of goal setting research based on the shared decision-making model for people with orthopedic disorders in rehabilitation

Abstract

Objectives: This scoping review aims to identify research gaps in goal-setting processes during rehabilitation programs for people with orthopedic disorders. Study design: This scoping review followed Arksey and O'Malley's framework. Data sources: Electronic searches of PubMed, Web of Science, Scopus, ProQuest, and CINAHL were conducted using predetermined search strategies. Eligibility criteria: We included studies involving goal-setting processes in rehabilitation for patients with orthopedic disorders without limiting the region/country or target disease. Data extraction and synthesis: Two reviewers independently screened the abstracts and full texts and extracted the data based on the eligibility criteria. A third reviewer adjudicated any disagreement and collated the extracted data. Results: Results of the database searches yielded 968 studies, 17 of which were deemed eligible to include in this review. Most studies enrolled patients with spinal cord injuries (n=10, 58.8%), while the number of other diseases was 2 or less. There were only a few studies using decision aids to identify occupational problems. Conclusion: Our review indicates that there is a scarcity of evidence of goal setting in orthopedic rehabilitation. Furthermore, establishing clinical practice is required, while focusing on goal-setting processes.