scholarly journals Patient goals in post-acute geriatric rehabilitation - goal attainment is an indicator for improved functioning

2011 ◽  
Vol 43 (2) ◽  
pp. 156-161 ◽  
Author(s):  
E Grill ◽  
S Kus ◽  
M Müller ◽  
R Strobl
Keyword(s):  
Goal Attainment ◽  
Geriatric Rehabilitation ◽  
Patient Goals ◽  
Rehabilitation Goal

scholarly journals A qualitative study of patient-centered goal-setting in geriatric rehabilitation: patient and professional perspectives

2018 ◽  
Vol 33 (1) ◽  
pp. 128-140 ◽  
Author(s):  
Rosanne van Seben ◽  
Susanne M Smorenburg ◽  
Bianca M Buurman
Keyword(s):  
Goal Setting ◽  
Self Care ◽  
Inpatient Rehabilitation ◽  
Geriatric Rehabilitation ◽  
Patient Centered ◽  
Patient Goals ◽  
Qualitative Interview Study ◽  
Functioning Level ◽  
Over Time ◽  
At Home

Objective: To characterize how rehabilitation goals of older patients change over time and to explore professionals’ attitudes toward patient-centered goal-setting and their perspectives on rehabilitation goals. Design: Qualitative interview study. Setting: Three geriatric rehabilitation centers. Subjects: Ten patients (aged ⩾ 80), who had recently received inpatient geriatric rehabilitation, and seven professionals were purposively recruited. Methods: Semi-structured interviews. Patients were interviewed in the third or fourth week after discharge from inpatient rehabilitation, to reflect on their inpatient goals and to investigate long-term goals now that they were at home. A thematic analysis was performed. Results: During inpatient rehabilitation, participants’ main goals were regaining independence in self-care activities and going home. Post-discharge, patients were not at their baseline functioning level. Rehabilitation goals appeared to shift over time, and once at home, patients formulated more ambitious rehabilitation goals that were related to regaining full independence and being able to perform activities. Although professionals thought goal-setting together with the patient is important, they also stated that older individuals often are either unable to formulate goals or they set unrealistic ones. In addition, professionals indicated that goals have to be related to discharge criteria, such as performing basic self-care activities, and rehabilitation revolves around getting patients ready for discharge. Conclusion: During inpatient rehabilitation, patient goals are related to going home. After discharge, patients have ambitious goals, related to their premorbid functioning level. Rehabilitation services should distinguish between goals that are important while patients are inpatient and goals that are important after discharge.

scholarly journals Feasibility of an integrated multidisciplinary geriatric rehabilitation programme for older stroke patients: a process evaluation

2020 ◽  
Author(s):  
Tom Vluggen ◽  
Jolanda van Haastregt ◽  
Jeanine Verbunt ◽  
Caroline van Heugten ◽  
Jos Schols
Keyword(s):  
Process Evaluation ◽  
Goal Attainment ◽  
Informal Caregivers ◽  
Management Training ◽  
Rehabilitation Programme ◽  
Self Management ◽  
Geriatric Rehabilitation ◽  
Goal Attainment Scaling ◽  
Elderly Persons ◽  
Stroke Patients

Abstract Background Almost half of the stroke patients admitted to geriatric rehabilitation has persisting problems after discharge. Currently, there is no evidence based geriatric rehabilitation programme available for older stroke patients, combining inpatient rehabilitation with adequate aftercare aimed at reducing the impact of persisting problems after discharge from a geriatric rehabilitation unit. Therefore, we developed an integrated multidisciplinary rehabilitation programme consisting of inpatient neurorehabilitation treatment using goal attainment scaling, home based self-management training, and group based stroke education for patients and informal caregivers. We performed a process evaluation to assess to what extent this programme was performed according to protocol. Furthermore, we assessed the participation of the patients in the programme, and the opinion of patients, informal caregivers and care professionals on the programme. Methods In this multimethod study, process data were collected by means of interviews, questionnaires, and registration forms among 97 older stroke patients, 89 informal caregivers, and 103 care professionals involved in the programme. Results A substantial part of patients and informal caregivers did not receive all key elements of the programme. Almost all patients formulated rehabilitation goals, but only among two thirds of the patients the goal attainment scaling method was used. Furthermore, the self-management training was considered rather complex and difficult to apply for frail elderly persons with stroke, and the percentage of therapy sessions performed in the patients’ home environment was lower than planned. In addition, only about a quarter of the patients and informal caregivers attended the education sessions. However, a large majority of patients, informal caregivers and care professionals indicated the beneficial aspects of the programme. Conclusion This study revealed that although the programme in general is perceived to be beneficial by patients, and informal and formal caregivers, the feasibility of the programme needs further attention. Because of persisting cognitive deficits and specific care needs in our frail and multimorbid target population, some widely used methods such as goal attainment scaling, and self-management training seemed not feasible in their current form. To optimize feasibility of the programme, it is recommended to tailor these elements more optimally to the population of frail older patients.

scholarly journals ActiviDaily: Turning Apathy Into Action in Neurodegenerative Disease

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 802-802
Author(s):  
Lauren Massimo ◽  
Sean Lydon ◽  
Alexander Miller ◽  
Katya Rascovsky ◽  
Dawn Mechanic-Hamilton
Keyword(s):  
Caregiver Burden ◽  
Goal Attainment ◽  
Mobile App ◽  
Everyday Functioning ◽  
Caregiver Depression ◽  
Design Goal ◽  
Standard Scale ◽  
Patient Goals ◽  
Goal Directed Behavior ◽  
Everyday Function

Abstract Impairment of goal-directed behavior (GDB), often labeled apathy, is a common behavioral symptom in dementia. ActiviDaily is a novel mobile app that engages both patients and caregivers to increase GDB to improve everyday function. ActiviDaily targets key components of GDB (motivation, planning and initiation) and individualizes patient goals. Pilot testing in twelve patient/caregiver dyads occurred over 4 weeks of app use. Measures of behavior, everyday functioning, and psychological distress were assessed in a pre-post design. Goal Attainment Scaling (GAS) was used to establish individualized goals and measure progress on a standard scale. GAS showed that 79% of participants’ goals were met at or above expectations. Caregiver depression and stress were significantly reduced. There was also a reduction in ratings of patient apathy. ActiviDaily is an innovative intervention that individualizes treatment of apathy and has the potential to increase independence in day-to-day life and decrease caregiver burden.

scholarly journals Feasibility of an integrated multidisciplinary geriatric rehabilitation programme for older stroke patients: a process evaluation

2020 ◽  
Author(s):  
Tom Vluggen ◽  
Jolanda van Haastregt ◽  
Jeanine Verbunt ◽  
Caroline van Heugten ◽  
Jos Schols
Keyword(s):  
Process Evaluation ◽  
Goal Attainment ◽  
Informal Caregivers ◽  
Management Training ◽  
Rehabilitation Programme ◽  
Self Management ◽  
Geriatric Rehabilitation ◽  
Goal Attainment Scaling ◽  
Stroke Patients ◽  
Trial Register

Abstract Background: Almost half of the stroke patients admitted to geriatric rehabilitation has persisting problems after discharge. Currently, there is no evidence based geriatric rehabilitation programme available for older stroke patients, combining inpatient rehabilitation with adequate aftercare aimed at reducing the impact of persisting problems after discharge from a geriatric rehabilitation unit. Therefore, we developed an integrated multidisciplinary rehabilitation programme consisting of inpatient neurorehabilitation treatment using goal attainment scaling, home based self-management training, and group based stroke education for patients and informal caregivers. We performed a process evaluation to assess to what extent this programme was performed according to protocol. Furthermore, we assessed the participation of the patients in the programme, and the opinion of patients, informal caregivers and care professionals on the programme.Methods: In this multimethod study, process data were collected by means of interviews, questionnaires, and registration forms among 97 older stroke patients, 89 informal caregivers, and 103 care professionals involved in the programme.Results: A part of patients and informal caregivers did not receive all key elements of the programme. Almost all patients formulated rehabilitation goals, but among two thirds of the patients the goal attainment scaling method was used. Furthermore, the self-management training was considered rather complex and difficult to apply for frail elderly persons with stroke, and the percentage of therapy sessions performed in the patients’ home environment was lower than planned. In addition, about a quarter of the patients and informal caregivers attended the education sessions. However, a majority of patients, informal caregivers and care professionals indicated the beneficial aspects of the programme.Conclusion: This study revealed that although the programme in general is perceived to be beneficial by patients, and informal and formal caregivers, the feasibility of the programme needs further attention. Because of persisting cognitive deficits and specific care needs in our frail and multimorbid target population, some widely used methods such as goal attainment scaling, and self-management training seemed not feasible in their current form. To optimize feasibility of the programme, it is recommended to tailor these elements more optimally to the population of frail older patients. Trial registration: International Standard Randomized Controlled Trial Register Number (ISRCTN62286281), and The Dutch Trial Register (NTR2412).

scholarly journals Cardiac rehabilitation goal attainment after myocardial infarction with versus without diabetes: A nationwide registry study

2019 ◽  
Vol 292 ◽  
pp. 19-24 ◽  
Author(s):  
John Wallert ◽  
Adam Mitchell ◽  
Claes Held ◽  
Emil Hagström ◽  
Margret Leosdottir ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Rehabilitation ◽  
Goal Attainment ◽  
Registry Study ◽  
Nationwide Registry ◽  
Rehabilitation Goal

The Use of Behavioral and Cognitive Techniques to Facilitate Achievement of Rehabilitation Goals

1992 ◽  
Vol 1 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Teddy W. Worrell
Keyword(s):  
Goal Attainment ◽  
Short Term ◽  
Significant Challenge ◽  
Rehabilitation Programs ◽  
Behavioral Techniques ◽  
Rehabilitation Goal ◽  
Cognitive Techniques ◽  
The Relationship ◽  
Return To Activity

Noncompliance to rehabilitation programs presents a significant challenge to clinicians. Noncompliant athletes are at greater risk for re-injury and slower return to activity. There is a paucity of information concerning compliance to sports rehabilitation. This paper advocates the use of behavioral and cognitive techniques to facilitate achievement of rehabilitation goals. Behavioral techniques involve the use of specific short-term functional goals to achieve the long-term goal of return to activity. Cognitive techniques involve the relationship between thoughts and action, that is, if athletes are thinking negatively, they are less compliant to rehabilitation programs. Specific examples of both techniques are presented to the clinician that are proposed to increase rehabilitation goal attainment.

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.

Goal Attainment and Treatment Compliance in a Cognitive-Behavioral Telephone Intervention for Family Caregivers of Persons with Dementia

GeroPsych ◽  
2011 ◽  
Vol 24 (3) ◽  
pp. 115-125 ◽  
Author(s):  
Gabriele Wilz ◽  
Denise Schinköthe ◽  
Renate Soellner
Keyword(s):  
Family Caregivers ◽  
Mentally Ill ◽  
Goal Attainment ◽  
Outcome Measurement ◽  
Controlled Trial ◽  
Treatment Success ◽  
Treatment Compliance ◽  
Control Group ◽  
Telephone Intervention ◽  
Effective Interventions

Introduction: The evaluation of effective interventions is still needed to prevent family caregivers of persons with dementia from becoming physically or mentally ill. However, in most existing intervention studies, primary outcomes are not well matched to the treatment goals. Method: A randomized controlled trial (N = 229) was conducted to compare a treatment group (CBT), a treated control group, and an untreated control group. In theses analyses we focused on the primary outcome measurement (GAS) as a perceived treatment success as well as treatment compliance and participants’ evaluation. Results: Results showed that 30.1% achieved complete goal attainment, 39.8% partial goal attainment, and 24.1% declared no change (overachievement 2.4%; deterioration 3.6%). Discussion: The intervention can be considered to have been successful.

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