68 Chapter 3 caregivers, 4) communication, 5) exercise, 6) peer support, 7) daily schedule, 8) nutrition, and 9) eHealth. Four themes were identified regarding organizational processes: 1) environmental aspects, 2) staff aspects, 3) organizational aspects, and 4) return home. Rehabilitants and informal caregivers experience a lack of attention for neuropsychiatric symptoms during the rehabilitation process, e.g. altered stimulus processing, overburden, decline of executive functions, dealing with emotions, loss of memory, and loss of initiative. They want professionals to provide information about these symptoms repeatedly and in different ways, e.g. written, oral or audio-visual. Recent literature has shown that neuropsychiatric symptoms like depression, disinhibition and anxiety are highly prevalent in rehabilitants, and these symptoms are negatively associated with quality of life and home discharge after rehabilitation.16-20 Information about neuropsychiatric symptoms and their treatment may result in better rehabilitation outcomes. Therefore, we recommend that professionals in geriatric rehabilitation receive training on neuropsychiatric symptoms, which enables them to provide relevant information to rehabilitants and informal caregivers. Participants in this study emphasized tailoring the whole rehabilitation process to their specific situation. They see value in being involved in the process of goal setting. Wade and Holstege et al. describe that rehabilitation has to be tailored to the needs, goals, and wishes of the individual rehabilitant.21,22 In a recent meta-analysis, the importance of shared decision making was seen as a way to respect the preferences, values, and autonomy of rehabilitants.23 In the review of Vaalburg et al., the authors described the importance of involving rehabilitants in the process of setting meaningful goals.24 Tailoring the rehabilitation process to the personal situation of the rehabilitant, by means of goal setting is recommended, e.g. when developing the treatment plan in the first week of admission. Not all rehabilitants are aware that therapy includes all activities that promote rehabilitation rather than only activities with the physical therapist. Moreover, group training is a way to increase intensity of therapy, and rehabilitants with group training experience are positive about this kind of therapy, whereas rehabilitants without experience cannot imagine it being effective. These factors
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