"What do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy
Professional practice guidelines direct health care professionals to include patients in the decision-making process and to establish collaboration for therapeutic goal setting. Currently, little is known about the interaction between patients and professionals during this process. The aim of this s...
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| Format: | Thesis (University of Nottingham only) |
| Language: | English |
| Published: |
2014
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| Subjects: | |
| Online Access: | https://eprints.nottingham.ac.uk/14210/ |
| _version_ | 1848791905401307136 |
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| author | Schoeb Mezzanotte, Veronika |
| author_facet | Schoeb Mezzanotte, Veronika |
| author_sort | Schoeb Mezzanotte, Veronika |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Professional practice guidelines direct health care professionals to include patients in the decision-making process and to establish collaboration for therapeutic goal setting. Currently, little is known about the interaction between patients and professionals during this process. The aim of this study is to shed light on goal setting practices in physiotherapy.
Twenty-eight consenting patients seeking physiotherapy for their musculoskeletal problems and their therapists were videotaped during three consecutive sessions. Sequences related to goal setting were selected, and Conversation Analysis was chosen to analyse patient-therapist interactions.
The data comprise fifteen episodes in which therapists enquire explicitly about goals. Findings show that two assumptions underlie these enquiries: a) that patients have a goal in mind, and b) that they are able to articulate it. My data indicate that this is not straightforwardly the case in practice. Patients orient in their responses to epistemic dimensions related to issues of whether they have access to this knowledge, and whether they treat themselves as entitled to know about goals. When patients respond to therapists’ enquiries, they use a variety of interactional resources to convey their epistemic orientation. I further found that therapists use different strategies for following-up patients’ responses: these have different implications for patients’ continued talk. My analysis also shows that a goal can only be treated as acceptable by therapists when it is amenable to improvement by physiotherapy.
My study indicates that the process of goal setting is not as straightforward as policy documents suggest. In actual practice it requires addressing and managing underlying assumptions and epistemic dimensions. A better comprehension of the interaction between physiotherapists and patients will contribute to better understand the limitations of current goal setting theory, and how and why current policies on goal setting may not have the desired effect. |
| first_indexed | 2025-11-14T18:35:56Z |
| format | Thesis (University of Nottingham only) |
| id | nottingham-14210 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T18:35:56Z |
| publishDate | 2014 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-142102025-02-28T13:19:48Z https://eprints.nottingham.ac.uk/14210/ "What do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy Schoeb Mezzanotte, Veronika Professional practice guidelines direct health care professionals to include patients in the decision-making process and to establish collaboration for therapeutic goal setting. Currently, little is known about the interaction between patients and professionals during this process. The aim of this study is to shed light on goal setting practices in physiotherapy. Twenty-eight consenting patients seeking physiotherapy for their musculoskeletal problems and their therapists were videotaped during three consecutive sessions. Sequences related to goal setting were selected, and Conversation Analysis was chosen to analyse patient-therapist interactions. The data comprise fifteen episodes in which therapists enquire explicitly about goals. Findings show that two assumptions underlie these enquiries: a) that patients have a goal in mind, and b) that they are able to articulate it. My data indicate that this is not straightforwardly the case in practice. Patients orient in their responses to epistemic dimensions related to issues of whether they have access to this knowledge, and whether they treat themselves as entitled to know about goals. When patients respond to therapists’ enquiries, they use a variety of interactional resources to convey their epistemic orientation. I further found that therapists use different strategies for following-up patients’ responses: these have different implications for patients’ continued talk. My analysis also shows that a goal can only be treated as acceptable by therapists when it is amenable to improvement by physiotherapy. My study indicates that the process of goal setting is not as straightforward as policy documents suggest. In actual practice it requires addressing and managing underlying assumptions and epistemic dimensions. A better comprehension of the interaction between physiotherapists and patients will contribute to better understand the limitations of current goal setting theory, and how and why current policies on goal setting may not have the desired effect. 2014 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en arr https://eprints.nottingham.ac.uk/14210/1/Schoeb_Thesis_2014_final.pdf Schoeb Mezzanotte, Veronika (2014) "What do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy. PhD thesis, University of Nottingham. physiotherapy goal setting communication conversation analysis |
| spellingShingle | physiotherapy goal setting communication conversation analysis Schoeb Mezzanotte, Veronika "What do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy |
| title | "What do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy |
| title_full | "What do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy |
| title_fullStr | "What do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy |
| title_full_unstemmed | "What do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy |
| title_short | "What do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy |
| title_sort | "what do you expect from physiotherapy?": a conversation analytic approach to goal setting in physiotherapy |
| topic | physiotherapy goal setting communication conversation analysis |
| url | https://eprints.nottingham.ac.uk/14210/ |