Abstract：
UNASSIGNED: To explore how patients with rheumatic musculoskeletal diseases (RMDs) perceive participation in the goal setting process prior to interdisciplinary rehabilitation.
UNASSIGNED: We conducted semi-structured interviews with 22 participants admitted to an interdisciplinary rehabilitation stay for patients with RMDs at two Danish rehabilitation centres. Qualitative content analysis was applied.
UNASSIGNED: The participants perceived goal setting as a joint venture between two parties: the health professionals and the participant. Three categories were formed, which described both facilitators and barriers in the process. Responsibility for goal setting described the importance of shared responsibility, or health professionals as experts, taking full responsibility for goal setting. Equipped for goal setting included perceptions of being well prepared for the process, or considerations that goal setting was difficult because of a lack of information. An equal member of the team entailed both the feeling of being recognised as one in the team, or feeling like an outsider.
UNASSIGNED: Goal setting is perceived as a challenge by some patients. Participation in goal setting depends on both the capacity and the opportunity to participate which are factors linked to patients\' level of health literacy.
Patients largely perceive goal setting as a joint venture, constituting a partnership aimed at sharing decisions regarding one or more rehabilitation goals, yet, for some patients, active participation in this joint venture poses challenges.When patients perceive a shared responsibility, acquire appropriate and sufficient knowledge prior to the process and feel accepted as whole persons based on a biopsychosocial approach it facilitates goal setting.Health professionals should be aware of barriers perceived by patients, such as abdicating responsibility because they view health professionals as authority figures, feeling uncertain about the purpose of setting goals and having difficulties in receiving and applying information.Patients’ health literacy as well health literacy responsiveness may be of importance to the experience of barriers to shared decisions and goal setting among patients with RMDs.
UNASSIGNED: We conducted semi-structured interviews with 22 participants admitted to an interdisciplinary rehabilitation stay for patients with RMDs at two Danish rehabilitation centres. Qualitative content analysis was applied.
UNASSIGNED: The participants perceived goal setting as a joint venture between two parties: the health professionals and the participant. Three categories were formed, which described both facilitators and barriers in the process. Responsibility for goal setting described the importance of shared responsibility, or health professionals as experts, taking full responsibility for goal setting. Equipped for goal setting included perceptions of being well prepared for the process, or considerations that goal setting was difficult because of a lack of information. An equal member of the team entailed both the feeling of being recognised as one in the team, or feeling like an outsider.
UNASSIGNED: Goal setting is perceived as a challenge by some patients. Participation in goal setting depends on both the capacity and the opportunity to participate which are factors linked to patients\' level of health literacy.
Patients largely perceive goal setting as a joint venture, constituting a partnership aimed at sharing decisions regarding one or more rehabilitation goals, yet, for some patients, active participation in this joint venture poses challenges.When patients perceive a shared responsibility, acquire appropriate and sufficient knowledge prior to the process and feel accepted as whole persons based on a biopsychosocial approach it facilitates goal setting.Health professionals should be aware of barriers perceived by patients, such as abdicating responsibility because they view health professionals as authority figures, feeling uncertain about the purpose of setting goals and having difficulties in receiving and applying information.Patients’ health literacy as well health literacy responsiveness may be of importance to the experience of barriers to shared decisions and goal setting among patients with RMDs.
摘要：
■探讨风湿性肌肉骨骼疾病（RMDs）患者在跨学科康复之前如何感知参与目标设定过程。
我们对22名参与者进行了半结构化访谈，这些参与者在丹麦的两个康复中心接受了RMD患者的跨学科康复治疗。采用定性内容分析。
■参与者认为目标设定是双方之间的合资企业：卫生专业人员和参与者。形成了三个类别，其中描述了这一过程中的促进者和障碍。责任目标设定描述了共同责任的重要性，或卫生专业人员作为专家，对目标设定负全责。为目标设定而配备的包括对过程做好充分准备的看法，或者考虑到目标设定是困难的，因为缺乏信息。团队中的平等成员既需要被认可为团队中的一员的感觉，或者感觉像个局外人.
■一些患者认为目标设定是一种挑战。参与目标设定取决于参与的能力和机会，这些因素与患者的健康素养水平有关。
患者在很大程度上认为目标设定是一个合资企业，建立旨在分享关于一个或多个康复目标的决定的伙伴关系，然而，对一些病人来说,积极参与这一合资企业构成了挑战。当患者意识到共同的责任时，在此过程之前获得适当和足够的知识，并根据有助于目标设定的生物心理社会方法感到被整个人接受。卫生专业人员应该意识到患者感知到的障碍，例如放弃责任，因为他们将卫生专业人员视为权威人物，对设定目标的目的感到不确定，在接收和应用信息方面遇到困难。患者的健康素养以及健康素养的反应能力对于RMD患者共同决策和目标设定的障碍体验可能很重要。
我们对22名参与者进行了半结构化访谈，这些参与者在丹麦的两个康复中心接受了RMD患者的跨学科康复治疗。采用定性内容分析。
■参与者认为目标设定是双方之间的合资企业：卫生专业人员和参与者。形成了三个类别，其中描述了这一过程中的促进者和障碍。责任目标设定描述了共同责任的重要性，或卫生专业人员作为专家，对目标设定负全责。为目标设定而配备的包括对过程做好充分准备的看法，或者考虑到目标设定是困难的，因为缺乏信息。团队中的平等成员既需要被认可为团队中的一员的感觉，或者感觉像个局外人.
■一些患者认为目标设定是一种挑战。参与目标设定取决于参与的能力和机会，这些因素与患者的健康素养水平有关。
患者在很大程度上认为目标设定是一个合资企业，建立旨在分享关于一个或多个康复目标的决定的伙伴关系，然而，对一些病人来说,积极参与这一合资企业构成了挑战。当患者意识到共同的责任时，在此过程之前获得适当和足够的知识，并根据有助于目标设定的生物心理社会方法感到被整个人接受。卫生专业人员应该意识到患者感知到的障碍，例如放弃责任，因为他们将卫生专业人员视为权威人物，对设定目标的目的感到不确定，在接收和应用信息方面遇到困难。患者的健康素养以及健康素养的反应能力对于RMD患者共同决策和目标设定的障碍体验可能很重要。
