Appendix 7Example of behavioural outcomes, performance objectives and change objectives for prioritised need ‘engaging in meaningful activities’
Engaging in meaningful activities
Finding ways of engaging in some form of meaningful activity to occupy the day (socialising, exercising, driving, working, etc.).
Overall outcome
For every stroke survivor who wants to enhance their engagement in meaningful activities, the survivor will engage in one or more new (or previous) meaningful activities, or adapt one or more ongoing activities to make it become meaningful within 6 months of starting the intervention.
Linked outcomes
Matrix of change objectives for engaging in meaningful activities
Behavioural outcomes
2. Survivor identifies meaningful activities that suit their current circumstances (including functioning, identity, accessibility, available time and money).
3. Survivor engages in meaningful activity.
4. Survivor adapts the strategy over time as appropriate.
5. Survivor accepts loss of some meaningful activities.
(When behavioural outcomes were first drafted, a behavioural outcome 1 was written, which we later agreed to remove but without altering the numbering in the working documents.)
Environmental conditions
Support helps survivor to reflect on meaningful activities.
Support helps survivor to identify feasible meaningful activities.
Support helps survivor to set goals.
Support helps stroke survivor to resume meaningful activities.
Support helps survivor to accept loss of some activities.
Significant other avoids over protectiveness (physical and emotional).
Support encourages significant other to avoid over protectiveness (physical and emotional).
Commissioner funds rehabilitation therapy that focuses on achieving the ability to do a meaningful activity.
Rehabilitation therapy focuses on achieving the ability to do a meaningful activity.
Transport is available to get to the activity.
Activity organiser uses an accessible location.
Local government makes public spaces accessible.
Activity organiser, health services, social services, survivor: provides adaptations to the environment and/or necessary aids to do the activity.
Activity organiser adapts the activity to accommodate impaired functioning.
