The Client’s Intervention Priorities (CIP)©: A person-centered tool to support goal setting during interdisciplinary neurorehabilitation

Abstract

Evidence-based neurorehabilitation must be informed by the values, expectations, and goals of individuals with acquired brain injury (ABI). The Client’s Intervention Priorities (CIP)© is a person-centered tool for defining rehabilitation priorities according to self-perceived functioning. The use of the CIP tool is encouraged to promote self-determination and optimal involvement of individuals with ABI in interdisciplinary neurorehabilitation. The objective of this study was to determine the reliability (internal consistency, temporal stability) and content validity (expert agreement) of the CIP tool. Thirty individuals with ABI (66.7% with traumatic brain injury, 33.3% with stroke) with a mean age of 44.8 (SD = 12.6) years were administered the CIP twice at a test-retest interval of 2.3 (SD = 0.7) weeks. An expert panel of 17 neurorehabilitation clinicians and researchers participated in the validation. The CIP tool showed excellent (total score α = .90) and good (CIP subscales α = .83-.87) internal consistencies, with excellent temporal stability (intraclass correlation coefficients = .78-.90). Experts agreed that the CIP items reflect the Disability Creation Process model (89.4% scored as having high to very high correspondence) and were comprehensibly stated (98% rated as clear to absolutely clear). The CIP is a valid and reliable self-assessment tool to assist professionals and their clients in developing and prioritizing rehabilitation goals.