Goal Setting and Goal Attainment Scaling in Child Neuropsychological Rehabilitation

2015 ◽  
Author(s):  
Peter Tucker
Keyword(s):  
Goal Setting ◽  
Goal Attainment ◽  
Goal Attainment Scaling ◽  
Neuropsychological Rehabilitation

Strengthening the Planning Process of Motivational Interviewing Using Goal Attainment Scaling

2017 ◽  
Vol 39 (3) ◽  
pp. 195-210 ◽  
Author(s):  
Todd F. Lewis ◽  
Mary F. Larson ◽  
James S. Korcuska
Keyword(s):  
Mental Health ◽  
Motivational Interviewing ◽  
Goal Setting ◽  
Goal Attainment ◽  
Planning Process ◽  
Goal Attainment Scaling ◽  
Clinical Tool ◽  
Health Counseling ◽  
Mental Health Settings

Client-centered, outcomes-based mental health counseling is driving the behavioral health field toward identifying mechanisms to facilitate specific, measurable goal setting and tracking with clients. Motivational interviewing (MI) is an evidence-based, collaborative, goal-oriented style of counseling; however, the fourth process of MI, planning, is not as well defined as the other MI processes, especially related to goal setting. Goal attainment scaling (GAS) is a method for setting measurable goals and assessing clinical progress. The combination of MI and GAS has potential to be a valuable clinical tool to establish client-centered goals, monitor goal attainment, and provide feedback within clinical mental health settings. Therefore, we propose that the MI planning process can be enhanced by incorporating GAS. However, research is needed to substantiate the feasibility of the proposed integration. A brief case study is provided to illustrate key concepts.

scholarly journals Usefulness of Goal Attainment Scaling in Intensive Stroke Rehabilitation During the Subacute Stage

2020 ◽  
Vol 44 (3) ◽  
pp. 181-194
Author(s):  
Youngsu Jung ◽  
Jaehoon Sim ◽  
Joonhyun Park ◽  
Jongmoon Kim ◽  
MinYoung Kim
Keyword(s):  
Goal Setting ◽  
Stroke Rehabilitation ◽  
Goal Attainment ◽  
Patient Specific ◽  
Goal Attainment Scaling ◽  
Stroke Patients ◽  
Post Stroke ◽  
Before And After ◽  
Patient Groups ◽  
Standard Gas

Objective To investigate the usefulness of goal attainment scaling (GAS) in intensive stroke rehabilitation during the subacute stage.Methods Medical records of subacute post-stroke patients who had undergone intensive rehabilitation under hospitalization, before and after the application of GAS, were collected. GAS was conducted at the initial evaluation of each patient. Specific goals were suggested by physical and occupational therapists and were determined by the responsible physiatrist. A 5-point scale was used for the GAS score after 4 weeks of rehabilitation according to the preset criteria of each goal. To evaluate the influence of GAS in rehabilitation practice, functional improvements were compared between two patient groups before (n=121) and after (n=141) GAS. To assess progress in GAS practice, the standard GAS score was calculated, and the changes were observed over a 3-year period. The standard GAS score converged to 50 points when the goal was achieved. The therapists who used GAS also completed a survey regarding its usefulness.Results There were no statistical differences in the motor and cognitive outcomes of the patient groups before and after applying GAS scoring. Successive yearly changes in the standard GAS scores showed progressive convergence to 50 points, signaling that the patient’s goal-setting abilities improved. According to the survey, most therapists felt that GAS enhanced the quality of therapies (84.6%).Conclusion GAS improved goal-setting for the rehabilitation of subacute post-stroke patients and might have a positive effect on rehabilitation.

scholarly journals 342 - The Dementia Early Stage Cognitive Aids New Trial (DESCANT) intervention: Goal Attainment Scaling

2020 ◽  
Vol 32 (S1) ◽  
pp. 102-102
Author(s):  
Helen Chester ◽  
Rebecca Beresford ◽  
Paul Clarkson ◽  
Charlotte Entwistle ◽  
Vincent Gillan ◽  
...  
Keyword(s):  
Goal Setting ◽  
Goal Attainment ◽  
Early Stage ◽  
Randomised Trial ◽  
Well Being ◽  
Clinical Psychologist ◽  
Goal Attainment Scaling ◽  
Structured Interviews ◽  
Cognitive Aids ◽  
People With Dementia

The DESCANT (Dementia Early Stage Cognitive Aids New Trial) intervention provided a personalised care package to improve the cognitive abilities, function and well -being of people with early-stage dementia and their carers by providing a range of memory aids, with training and support for use. This presentation will explore findings from a goal attainment scaling exercise undertaken within a multi-site pragmatic randomised trial, part of a NIHR-funded research programme ‘Effective Home Support in Dementia Care: Components, Impacts and Costs of Tertiary Prevention.’The aim was to describe the Goal Attainment Scaling (GAS) approach developed; investigate the types of goals identified by people with dementia and their carers and subsequent attainment; and explore the role of Dementia Support Practitioners (DSPs) in the process. This GAS exercise was designed by researchers, a clinical psychologist, a clinician and a DSP. Goal setting and attainment were conducted with the person with dementia and their carer and recorded by DSPs. Data were obtained from 117 intervention records and semi-structured interviews with five DSPs delivering the intervention across seven NHS Trusts in England and Wales. The GAS exercise was conducted as planned with goals and extent of involvement in the exercise tailored to individual participants and engagement was high. Demographic characteristics from the trial baseline dataset were analysed. Measures were created from intervention records to permit quantification and descriptive analysis. Interviews were professionally transcribed and subject to thematic analysis to identify salient themes.A total of 293 goals were identified across the 117 participants. From these 17 goal types were distinguished across six domains: self -care; household tasks; daily occupation; orientation; communication; and well-being and safety. A measure of goal attainment appropriate to both the client group and a modest intervention was obtained. On average participants had evidenced some improvement regarding goals set. Qualitative findings suggested overall DSPs were positive about their experience of goal setting. Although several challenges were identified, if these were overcome, measuring goal attainment was generally viewed as straightforward. GAS can be used in the context of a psychosocial intervention for people with early-stage dementia to identify and measure attainment of personalised care goals.

Goal Attainment Scaling: A Framework for Research and Practice in the Intellectual and Developmental Disabilities Field

2021 ◽  
Vol 59 (1) ◽  
pp. 7-21
Author(s):  
Karrie A. Shogren ◽  
Evan E. Dean ◽  
Kathryn M. Burke ◽  
Sheida K. Raley ◽  
Julie Lounds Taylor
Keyword(s):  
Developmental Disabilities ◽  
Goal Setting ◽  
Goal Attainment ◽  
Planning Process ◽  
Outcome Measure ◽  
Goal Attainment Scaling ◽  
Intellectual And Developmental Disabilities ◽  
Evidence Based Practices ◽  
Ongoing Work ◽  
The Individual

Abstract Goal setting and attainment is often a targeted outcome in the intellectual and developmental disabilities field; however, standardizing the measurement of attainment of individualized goals is challenging. The purpose of this article is to introduce a four-domain framework that provides a series of questions to research and evaluation teams in planning for the use of goal attainment scaling (GAS) as an outcome measure at the individual or aggregate level. We intend to stimulate discussion and ongoing work to further systematize how GAS is used in (a) intervention research to establish evidence-based practices and (b) practice to assess the extent to which interventions and supports lead to intended outcomes. The goal is to promote a clear planning process to inform data collection on individualized goal attainment outcomes that are rooted in goals and outcomes valued by people with intellectual and developmental disabilities.

The use of goal attainment scaling in neuropsychological rehabilitation in multiple sclerosis

2014 ◽  
Vol 37 (21) ◽  
pp. 1984-1991 ◽  
Author(s):  
Mervi Rannisto ◽  
Eija Rosti-Otajärvi ◽  
Anu Mäntynen ◽  
Keijo Koivisto ◽  
Heini Huhtala ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Goal Attainment ◽  
Goal Attainment Scaling ◽  
Neuropsychological Rehabilitation

Goal Attainment Scaling as a Method of Measuring Clinical Outcome for Children with Learning Disabilities

1997 ◽  
Vol 60 (3) ◽  
pp. 111-114 ◽  
Author(s):  
Anita Young ◽  
Rosemary Chesson
Keyword(s):  
Decision Making ◽  
Learning Disabilities ◽  
Occupational Therapy ◽  
Goal Setting ◽  
Goal Attainment ◽  
Treatment Options ◽  
Goal Attainment Scaling ◽  
Therapeutic Goals ◽  
Setting Process ◽  
Inform Decision Making

In this article, one approach to measuring therapeutic impact — Goal Attainment Scaling (GAS) — is discussed. The authors forward the case for GAS based on their own research regarding occupational therapy with children with learning disabilities. GAS is described and the factors relating to the setting of goals are examined. The main advantages are identified and GAS is seen to have benefits beyond those relating specifically to occupational therapy. The implications for multidisciplinary teamworking are examined and, in particular, it is asserted that co-workers may acquire, through the goal-setting process, realistic expectations of clients. The audit of therapeutic goals is seen to have the potential to inform decision making regarding treatment options. In conclusion, GAS is advocated as a particularly appropriate evaluative tool for the 1990s.

Sign in / Sign up

Export Citation Format

Share Document