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AIM: Family-centred goal setting (FCGS) is seen as fundamental to improving meaningful outcomes in paediatric rehabilitation. However, the degree to which FCGS is implemented in paediatric rehabilitation is unknown. This study aimed to develop and utilise a Chart Audit Tool to measure adherence to FCGS in a Canadian inpatient paediatric brain injury unit. METHODS: In this retrospective chart review, a FCGS Chart Audit Tool was developed, piloted on 17 charts, and refined. The audit tool evaluated three categories (i.e., Partnership, Identification and Agreement) and eight subcategories. Charts were included of patients discharged between January and December 2023, with a minimum 14-day stay and involvement from at least two rehabilitation professionals. After a 70% inter-rater reliability was achieved, the audit tool was applied independently by one researcher to review 50 charts. Descriptive analyses were employed to calculate the adherence rates of rehabilitation professionals to the recommended practise of FCGS. RESULTS: Overall, FCGS mean adherence expressed per chart was observed in 60% of the 50 charts reviewed across all categories (range of 33% to 80%). Individual mean adherence rates for the categories were 68% for Partnership, 70% for Identification and 66% for Agreement. Across the eight subcategories, mean adherence rates varied between 7% for the use of 'family-centred tools' to 79% for 'goals supporting family priorities.' CONCLUSIONS: Results of a chart review suggest that FCGS is being implemented most of the time but with areas for improvement. The novel creation of an audit tool to systematically quantify FCGS provides an important foundation for future research.
Dabbagh et al. (Tue,) studied this question.