Understanding Maori People's Experience with iPad App ADOC-M/P for Goal Setting in Rehabilitation

The intervention in this study is the use of our iPad app 'ADOC-M/P' which stands for Aid for Decision-making in Occupational Choice - Maori and Pacific version. This app is an adaption of the Japanese app ADOC. The app presents a catalogue of illustrations depicting various activities which the clinician uses to facilitate the collaborative goal-setting process with the patient. The app works by allowing the patient and therapist to individually choose up to 20 goals that they would like to work towards during rehabilitation. Then the app presents the selections together so the patient and therapist can choose 5 goals to create a rehabilitation plan. There is later a section where details regarding each specific goal may be typed up (time frame, therapist in charge, specific definition of the activity.) The app then creates a pdf with the 5 selected goals which can then be printed off an signed by the therapist and the patient. The intervention may be delivered by any person who is employed by Whanganui district health board to work with rehabilitation patients. (Such as a physiotherapist, nurse, occupational therapist, or speech/language therapist.) Goal setting with our iPad app will be conducted by the therapist as they judge clinically appropriate. The goal setting process is face-to-face between the clinician and the patient, the iPad will be passed between the therapist and patient as necessary. The duration of goal setting with the app can be as short as 15 minutes but could be as long as 2 hours depending on how the app is used. The therapist does not need to be present when the patient is selecting their goals and the patient does not need to be present when the therapist is selecting their goals either. We will ask the clinician if they have used the app with patients/a specific patient to measure adherence. We are not employing any other strategies to measure adherence. The participating patients with or without whanau (friends/family) will attend at least one goal setting session to be eligible for the trial. Participating patients must be able to provide informed consent. The data collection will take place in an inpatient setting after the patient has had their goal setting session. The data collection will occur immediately after the goal setting session to up to 3 weeks after goal setting.