Evaluating the feasibility of Goal Attainment Scaling as a rehabilitation outcome measure for veterans

Lewis, Virginia; Dell, Lisa; Matthews, Lynda R.

doi:10.2340/16501977-1131

Cited by 14 publications

(7 citation statements)

References 19 publications

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“…Six of the identified tools were described and studied in five or more articles. These included Goal Attainment Scaling including Goal Attainment Scaling for Major Depressive Disorder and Goal Attainment Scaling for Upper Limb Spasticity 28–57,113,114,118–143,150,172,181 ( n = 61), Canadian Occupational Performance Measure 6,25–27,101,103…”

Section: Resultsmentioning

confidence: 99%

Characteristics of goal-setting tools in adult rehabilitation: A scoping review

Okita,

Kawaguchi,

Inoue

et al. 2023

Clin Rehabil

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Objectives This scoping review aims to map the literature on goal-setting tools in adult rehabilitation, exploring their characteristics, target users and supporting evidence to inform practice and future research in this area. Methods We completed a comprehensive search of four databases to identify relevant articles on tools for goal setting in rehabilitation. We followed Arkey and O’Malley's scoping review process to guide article selection, data extraction and data analysis. Results We identified a total of 165 studies that reported on 55 different goal-setting tools, including tools for goal selection and goal documentation ( n = 31), goal setting and intervention planning ( n = 15), and for measuring the quality of the goal-setting process ( n = 9). Over half of the tools were primarily designed for use in rehabilitation of physical disabilities ( n = 32). Some tools fell under multiple sub-categories based on their characteristics as follows: 22 framework tools, 12 interview tools, 9 outcome measurement tools for goal achievement, 6 outcome measurement tools for goal quality and 25 documentation tools. The majority of goal-setting instruments targeted goals at the level of activity and participation ( n = 51) and aimed to facilitate a client-centred or shared decision-making approach to rehabilitation planning ( n = 46). Conclusions This study provides a comprehensive overview of existing goal-setting tools, highlighting their characteristics, target users and identified needs. These findings can enhance practitioners’ awareness of the range of goal-setting tools available and can enable more effective utilization of these tools in clinical practice. Further research should investigate how clinicians can combine multiple tools to deliver goal setting.

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Section: Resultsmentioning

confidence: 99%

Characteristics of goal-setting tools in adult rehabilitation: A scoping review

Okita,

Kawaguchi,

Inoue

et al. 2023

Clin Rehabil

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“…Besides complementing standard outcome measures to more effectively measure change, the large effect size observed suggests that GAS‐Hēm may be considered a co‐intervention. Other studies incorporating GAS have indicated that its use may have motivated some to address their challenges with greater effort and persistence . Additionally, although no intervention was required, in some cases interventions (eg education, training and change in care plan) were implemented and may account for some of the observed changes.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies incorporating GAS have indicated that its use may have motivated some to address their challenges with greater effort and persistence. 9,18,22 Additionally, although no intervention was required, in some cases interventions (eg education, training and change in care plan) were implemented and may account for some of the observed changes.…”

Section: Discussionmentioning

confidence: 99%

“…A critical step for any PRO measure is to evaluate its feasibility . Accordingly, a study was conducted to investigate the feasibility of using a standardized GAS menu (GAS‐Hēm) to set goals and track progress towards those goals in PwH, to assess the measurement properties of the GAS‐Hēm tool, including near‐term (12‐week) responsiveness, and to obtain feedback from clinicians and patients regarding their experience of the GAS process.…”

Section: Introductionmentioning

confidence: 99%

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Goal Attainment Scaling for haemophilia (GAS‐Hēm): testing the feasibility of a new patient‐centric outcome measure in people with haemophilia

et al. 2018

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“…To consider the implementation of GAS in routine clinical practice, it must be administered in a timely (<15 minutes average examination time) and consistent (checklist adherence >80%) manner. The GAS process, feasibility, and fidelity will be evaluated by measuring the time (in minutes) to perform the GAS process, checklist adherence (as a percentage), and the nature of the goals identified (using the ICF domains) [ 45 , 46 ]. Interrater reliability of GAS scores will be assessed by examining the association between 2 independent physical therapist examiners using the Spearman rank correlation [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

Goal Attainment Scaling in Outpatient Physical Therapy for Chronic Low Back Pain: Protocol for a Mixed Methods Study

Haladay¹,

Ditwiler²,

Klein³

et al. 2022

JMIR Res Protoc

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Background Patient engagement in decisions regarding their health care may lead to improved outcomes and improved adherence to treatment plans. While there are several options for involving patients in their health care, goal setting is a readily accessible method for physical therapists to increase the involvement of patients in health care decisions. Physical therapy goals are often generated by health care providers based on subjective information or standardized, fixed-item, patient-reported outcome measures. However, these outcome measures may not fully reveal the activity and participation limitations of individual patients. Goal attainment scaling (GAS) is a patient-centered approach that allows patients to set meaningful goals. While GAS has been shown to be reliable, valid, and sensitive to change in various populations, there is limited evidence in the United States on utilizing GAS in physical therapy for patients with chronic low back pain (LBP). Objective The purpose of this paper is to describe the protocol for a study to (1) develop a way to apply GAS procedures for physical therapists treating patients with chronic LBP in the United States and (2) test the feasibility of applying GAS procedures for chronic LBP in an outpatient physical therapy setting. Methods This study used a mixed methods design with 2 phases: qualitative and quantitative. The qualitative phase of the study employed focus groups of patients with chronic LBP to identify an inventory of goals that were important and measurable. A series of prompts was developed from this inventory to assist physical therapists in collaboratively establishing goals with patients in a clinical setting. The quantitative phase of the study pilot-tested the inventory developed in the qualitative phase in patients with chronic LBP to determine feasibility, reliability, validity, and responsiveness. We also plan to compare how well GAS reveals change over time relative to traditional, fixed-item, patient-reported measures. Results Phase 1 data collection was completed in June 2020, while data collection for phase 2 was performed between March 2021 and December 2021. We anticipate that this study will demonstrate that GAS can be implemented successfully by outpatient physical therapists, and that it will demonstrate clinically important changes in patients with chronic LBP. Conclusions GAS represents an opportunity for patient-centered care in the physical therapy management of chronic LBP. While GAS is not new, it has never been studied in real-world physical therapy for chronic LBP in a clinical setting. Due to unique time and productivity constraints, for GAS to be successfully implemented in this environment, we must demonstrate that clinicians can be trained efficiently and reliably, that GAS can be implemented in a clinical setting in under 15 minutes, and that GAS is able to detect clinically meaningful changes in patient outcomes. International Registered Report Identifier (IRRID) DERR1-10.2196/32457

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Evaluating the feasibility of Goal Attainment Scaling as a rehabilitation outcome measure for veterans

Cited by 14 publications

References 19 publications

Characteristics of goal-setting tools in adult rehabilitation: A scoping review

Characteristics of goal-setting tools in adult rehabilitation: A scoping review

Goal Attainment Scaling for haemophilia (GAS‐Hēm): testing the feasibility of a new patient‐centric outcome measure in people with haemophilia

Goal Attainment Scaling in Outpatient Physical Therapy for Chronic Low Back Pain: Protocol for a Mixed Methods Study

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