Goal Attainment Scaling as a Program Evaluation Measure in Rehabilitation

1974 ◽  
Vol 5 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Don L. Goodyear ◽  
James A. Bitter
Keyword(s):  
Program Evaluation ◽  
Interrater Reliability ◽  
Goal Attainment ◽  
Rehabilitation Service ◽  
Goal Attainment Scaling ◽  
Client Outcome ◽  
Client Change ◽  
Mental Health Settings ◽  
Evaluation Measure

To date, Goal Attainment Scaling procedures have been used primarily in mental health settings. This study was to investigate the value of Goal Attainment Scaling as a method for program evaluation in rehabilitation. This was assessed by the procedure's capability for measuring rehabilitation client change, the rehabilitation counselor's ability to predict client outcome using the procedure, and interrater reliability among follow-up raters in a rehabilitation setting. It was found that Goal Attainment Scaling is applicable in rehabilitation agencies and demonstrates promise for meeting current public program requirements for evaluation of rehabilitation service impact.

LRS-Elterngruppenprogramm: Teilnehmerzufriedenheit und subjektive Effektivität

2016 ◽  
Vol 5 (1) ◽  
pp. 44-57
Author(s):  
Anke Buschmann ◽  
Bettina Multhauf
Keyword(s):  
Goal Attainment ◽  
Goal Attainment Scaling ◽  
Eine Hohe ◽  
Post Test

Zusammenfassung. Das Ziel vorliegender Studie bestand in einer Überprüfung der Akzeptanz und Teilnehmerzufriedenheit eines Gruppentrainings für Eltern von Kindern mit Lese- und/oder Rechtschreibschwierigkeiten. Zudem sollten erste Indikatoren bezüglich der Wirksamkeit des Programmes untersucht werden. Dazu wurden Daten von 25 Müttern zu 2 Messzeitpunkten (Post-Test, 3-Monats-Follow-up) analysiert. Die Probandinnen nahmen über einen Zeitraum von 3 Monaten an 5 Sitzungen des Programms «Mein Kind mit Lese- und Rechtschreibschwierigkeiten verstehen, stärken und unterstützen: Heidelberger Elterntraining zum Umgang mit LRS» teil. Ein Paper-Pencil-Fragebogen diente zum Post-Test der Erhebung von Teilnahmeparametern, der Zufriedenheit mit dem Training, der Relevanz einzelner Themen und der wahrgenommenen Veränderungen in wichtigen Zielbereichen. Zusätzlich kam eine für das Gruppensetting adaptierte Form des Goal Attainment Scaling zum Einsatz, um das Erreichen persönlich relevanter Ziele unmittelbar nach dem Training sowie 3 Monate später zu erfassen. Die Analyse des Fragebogens zeigte eine hohe Partizipationsbereitschaft der Mütter. Die Rahmenbedingungen des Trainings (Gruppengröße, Dauer des Trainings und der Sitzungen) sowie die didaktischen Methoden wurden als ideal und die Themen als relevant eingeschätzt. Die Mütter sahen sich in der Lage, die Inhalte im Alltag anzuwenden und nahmen positive Veränderungen hinsichtlich Einfühlungsvermögen, Unterstützung des Kindes, Hausaufgabensituation und Beziehung zum Kind wahr. Das Ausmaß des Erreichens individueller Ziele zum Post-Test variierte je nach Zielbereich: Einfühlen und Verstehen (75 %), Optimierung der Hausaufgabensituation (76 %), Unterstützung psychosozialer Entwicklung (86 %), Lese-Rechtschreibförderung (60 %) und war auch 3 Monate später noch vergleichbar hoch. Die Überprüfung der Wirksamkeit hinsichtlich einer Belastungsreduktion und Kompetenzstärkung seitens der Eltern erfolgt aktuell im Vergleich zu einer unbehandelten Kontrollgruppe.

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.

Detecting change in patient outcomes in a rural ambulatory rehabilitation service: the responsiveness of Goal Attainment Scaling and the Lawton Scale

2016 ◽  
Vol 40 (1) ◽  
pp. 63 ◽  
Author(s):  
Louis Baggio ◽  
David J. Buckley
Keyword(s):  
Confidence Interval ◽  
Activities Of Daily Living ◽  
Patient Outcomes ◽  
Daily Living ◽  
Goal Attainment ◽  
Outcome Measure ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Goal Attainment Scaling ◽  
Ambulatory Rehabilitation

Objective The Wagga Wagga Ambulatory Rehabilitation Service (WWARS) clinicians felt the Australian Modified Lawton’s Instrumental Activities of Daily Living Scale (Lawton Scale) was unresponsive to changes detected in many patients following their individualised programs. This study examined the performance of the Goal Attainment Scaling (GAS) concomitantly with the Lawton Scale in ambulatory rehabilitation patients. Methods Consecutive patients (n = 83) of WWARS were evaluated pre and post treatment with the Lawton Scale and GAS. The statistical properties, particularly responsiveness, of the scales were compared. Results Statistically significant change (P < 0.001) was observed following treatment on both the Lawton Scale and GAS. Mean GAS scores changed by 38.7% compared with 8.3% for the Lawton Scale. GAS demonstrated a greater effect size (Cliff’s δ) of 1.67 (95% confidence interval 1.51–1.91) than the Lawton Scale 0.83 (95% confidence interval 0.57–0.94). In 33.7% of patients, the Lawton Scale was invariant but improved with GAS. Conclusions GAS was a more responsive measure than the Lawton Scale in rural ambulatory rehabilitation patients. Consequently, GAS is recommended as a performance outcome measure in the evaluation of ambulatory rehabilitation services to supplement standardised outcome measures such as the Lawton Scale. What is known about the topic? GAS has been shown to be more responsive in detecting changes in patient outcomes than the original Lawton’s Instrumental Activities of Daily Living Scale when assessing the requirements of the elderly for geriatric services and for people with acquired brain injury undergoing cognitive rehabilitation. Its responsiveness in patients with greater casemix diversity, such as those found in rural ambulatory rehabilitation services, remains uncertain. What does this paper add? This study demonstrates GAS is more responsive than the Lawton Scale for detecting clinically meaningful change in a rural Australian ambulatory rehabilitation service delivering programs to people with heterogeneous goals. What are the implications for practitioners? GAS facilitates the delivery of patient-centred care, accommodates the heterogeneity of patient-centred goals for evaluation, and better measures goal-achievement. Global standardised measures such as the Lawton Scale may be useful for the comparison of differing patient populations, but a weakness is they may not capture the individualised goals valued by each patient seen in rehabilitation. Consequently, GAS should be considered as an additional outcome measure in the evaluation of ambulatory rehabilitation services in assessing program effectiveness and possibly for service comparison. Furthermore, ongoing training and support in GAS application should be provided to ensure the maintenance of accurate goal setting and scaling.

Interrater Reliability of Goal Attainment Scaling in Rehabilitation of Children With Cerebral Palsy

2010 ◽  
Vol 91 (3) ◽  
pp. 429-435 ◽  
Author(s):  
Duco Steenbeek ◽  
Marjolijn Ketelaar ◽  
Eline Lindeman ◽  
Krys Galama ◽  
Jan Willem Gorter
Keyword(s):  
Cerebral Palsy ◽  
Interrater Reliability ◽  
Goal Attainment ◽  
Goal Attainment Scaling ◽  
Children With Cerebral Palsy

scholarly journals Determining the effect of tele-rehabilitation on patients with stutter using the goal attainment scaling (GAS)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maryam Eslami Jahromi ◽  
Leila Ahmadian
Keyword(s):  
Goal Attainment ◽  
Speech Therapy ◽  
Healthcare Services ◽  
Patient Treatment ◽  
Goal Attainment Scaling ◽  
Therapeutic Goals ◽  
Rehabilitation Centers ◽  
Health Goals ◽  
The Mean

Abstract Background Lack of proper and timely patients' access to speech pathologists can affect the treatment and follow-up process; therefore, patients do not achieve the expected therapeutic goals. The aim of this study was to determine the effect of tele-rehabilitation on the stuttering patients using the goal attainment scaling (GAS). Methods This interventional study was carried out on patients who visited the rehabilitation centers affiliated to the Jahrom Welfare Office. They underwent remote speech therapy using Skype. To evaluate the treatment outcomes of the stuttering patients, GAS was used. Results The participants' speech and lingual skills improved using videoconferencing. The mean score of total GAS for patients was 53.08. Of 112 health goals, patients reached the expected or higher than expected levels in 78 goals. Conclusions Rehabilitation through video conferencing was effective for patients with stuttering, improved their speech, and decreased their stuttering. Since, application of remote rehabilitation services can provide regular access to healthcare services, it can lead to improving patient treatment provide more frequent and faster treatment follow-up.

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