Development and construct validation of the Client-Centredness of Goal Setting (C-COGS) scale

Doig, Emmah; Prescott, Sarah; Fleming, Jennifer; Cornwell, Petrea; Kuipers, Pim

doi:10.3109/11038128.2015.1017530

Cited by 26 publications

(24 citation statements)

References 28 publications

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“…Thus, flexible measurements are required that can capture the patient-centred perspective on an individual level, as illustrated by Jenny’s goal of regaining her cooking ability (Table 2), while still remaining possible to evaluate on an aggregated level. Some instruments are designed to capture the patient’s own healthcare goals and how well healthcare succeeds in meeting these goals (e.g., Goal Attainment Scaling [24, 25], the Canadian Occupational Performance Measure [26], and the Client-Centredness of Goal Setting scale [27]). But it is not sufficient to measure effectiveness alone in patient experiences of goal achievements; there is also a need to understand how well healthcare succeeds in terms of patients’ satisfaction with care and their health-related quality of life.…”

Section: Discussionmentioning

confidence: 99%

The case of value-based healthcare for people living with complex long-term conditions

Elf

Flink

Nilsson

et al. 2017

BMC Health Serv Res

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BackgroundThere is a trend towards value-based health service, striving to cut costs while generating value for the patient. The overall objective comprises higher-quality health services and improved patient safety and cost efficiency. The approach could align with patient-centred care, as it entails a focus on the patient’s experience of her or his entire cycle of care, including the use of well-defined outcome measurements. Challenges arise when the approach is applied to health services for people living with long-term complex conditions that require support from various healthcare services. The aim of this work is to critically discuss the value-based approach and its implications for patients with long-term complex conditions. Two cases from clinical practice and research form the foundation for our reasoning, illustrating several challenges regarding value-based health services for people living with long-term complex conditions.DiscussionAchieving value-based health services that provide the health outcomes that matter to patients and providing greater patient-centredness will place increased demands on the healthcare system. Patients and their informal caregivers must be included in the development and establishment of outcome measures. The outcome measures must be standardized to allow evaluation of specific conditions at an aggregated level, but they must also be sensitive enough to capture each patient’s individual needs and goals. Healthcare systems that strive to establish value-based services must collaborate beyond the organizational boundaries to create clear patient trajectories in order to avoid fragmentation.SummaryThe shift towards value-based health services has the potential to align healthcare-service delivery with patient-centred care if serious efforts to take the patient’s perspective into account are made. This is especially challenging in fragmented healthcare systems and for patients with long-term- and multi-setting-care needs.

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Section: Discussionmentioning

confidence: 99%

The case of value-based healthcare for people living with complex long-term conditions

Elf

Flink

Nilsson

et al. 2017

BMC Health Serv Res

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“…Treatment planning was measured using the Client-Centeredness of Goal Setting construct (C-COGS; Doig, Prescott, Fleming, Cornwell, & Kuipers, 2015). The C-COGS scale has three subscales evaluating goal alignment, goal planning participation, and client-centeredness of goals, and can be used to evaluate goal planning from the patient's perspective.…”

Section: Methodsmentioning

confidence: 99%

“…This scale consists of 13 items using a Likert-type scale from strongly disagree to strongly agree. The reliability of this scale was found to be fair, with an average 67% agreement across all test items (Doig et al, 2015).…”

Section: Methodsmentioning

confidence: 99%

The Process of Patient Engagement in Outpatient Cardiac Rehabilitation Programs

et al. 2019

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The primary aim of this study was to test the causal structure of the model of therapeutic engagement (MTE) for the first time, to examine whether the model assists in understanding the process of patient engagement in cardiac rehabilitation (CR) programs. This study used a prospective design, following up patients from the Gold Coast University Hospital Cardiology ward who attended Robina Cardiac Rehabilitation Clinic. A structural equation model of the interactions among the proposed variables within the three stages of the MTE (intention to engage in CR programs, CR initiation, and sustained engagement) revealed significant relationships among these variables in a dataset of 101 patients who attended a CR program. However, no relationship was discerned between outcome expectancies and patient intention to engage in CR. Patients’ willingness to consider the treatment also mediated the relationship between perceived self-efficacy and patient intention to engage in CR. These findings help clarify the process proposed by Lequerica and Kortte (2010) in the context of patient engagement in CR programs. The findings also reveal information on how patients engage in CR programs. Importantly, this provides new information for healthcare providers, enabling them to more effectively engage patients according to their stage of engagement.

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“…The COPM has been shown to be reliable and valid for research and practice with many client populations (Carswell et al, 2004;Dedding, Cardol, Eyssen, Dekker, & Beelen, 2004;Enemark Larsen & Carlsson, 2012;Eyssen et al, 2011). Other assessments, such as the Client-Centered Rehabilitation Questionnaire (Cott, Teare, McGilton, & Lineker, 2006) and the Client-Centredness of Goal Setting (Doig, Prescott, Fleming, Cornwell, & Kuipers, 2015) scale, were designed specifically to address one or more aspects of client-centered care. Occupational therapy has a responsibility to consider appropriate measures of client centeredness for research and practice but also the opportunity to contribute to development and evaluation of measures of patient-centered care based on prior work in this area.…”

Section: Comparing Client-centered and Patient-centered Carementioning

confidence: 99%

Client Centeredness and Health Reform: Key Issues for Occupational Therapy

Mroz¹,

Pitonyak

Fogelberg

et al. 2015

The American Journal of Occupational Therapy

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Health reform promotes the delivery of patient-centered care. Occupational therapy's rich history of client-centered theory and practice provides an opportunity for the profession to participate in the evolving discussion about how best to provide care that is truly patient centered. However, the growing emphasis on patient-centered care also poses challenges to occupational therapy's perspectives on client-centered care. We compare the conceptualizations of client-centered and patient-centered care and describe the current state of measurement of client-centered and patient-centered care. We then discuss implications for occupational therapy's research agenda, practice, and education within the context of patient-centered care, and propose next steps for the profession.

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Development and construct validation of the Client-Centredness of Goal Setting (C-COGS) scale

Abstract: Findings provide preliminary evidence to support the construct validity of the C-COGS scale, which is intended to be used to evaluate and reflect on client-centred goal planning in clinical practice, and to highlight factors contributing to best practice rehabilitation.

Cited by 26 publications

References 28 publications

The case of value-based healthcare for people living with complex long-term conditions

The case of value-based healthcare for people living with complex long-term conditions

The Process of Patient Engagement in Outpatient Cardiac Rehabilitation Programs

Client Centeredness and Health Reform: Key Issues for Occupational Therapy

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