Abstract
Most rehabilitation treatments are volitional in nature, meaning that they require
the patient’s active engagement and effort. Volitional treatments are particularly
challenging to define in a standardized fashion, because the clinician is not in complete
control of the patient’s role in enacting these treatments. Current recommendations
for describing treatments in research reports fail to distinguish between 2 fundamentally
different aspects of treatment design: the selection of treatment ingredients to produce
the desired functional change and the selection of ingredients that will ensure the
patient’s volitional performance. The Rehabilitation Treatment Specification System
(RTSS) is a conceptual scheme for standardizing the way that rehabilitation treatments
are defined by all disciplines across all areas of rehabilitation. The RTSS highlights
the importance of volitional behavior in many treatment areas and provides specific
guidance for how volitional treatments should be specified. In doing so, it suggests
important crosscutting research questions about the nature of volitional behavior,
factors that make it more or less likely to occur, and ingredients that are most effective
in ensuring that patients perform desired treatment activities.
Keywords
List of abbreviations:
COM-B (Capability, Opportunity, Motivation and Behavior), RTSS (Rehabilitation Treatment Specification System), VR (virtual reality)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 26, 2018
Footnotes
Supported by Patient Centered Outcomes Research Institute (contract number ME-1403-14083).
Disclosures: none.
Identification
Copyright
© 2018 Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine
