The methodological application of goal attainment scaling in pediatric rehabilitation research: a systematic review

Harpster, Karen; Sheehan, Amber; Foster, Ellen A.; Leffler, Eryn; Schwab, Sarah M.; Angeli, Jennifer M.

doi:10.1080/09638288.2018.1474952

Cited by 38 publications

(45 citation statements)

References 74 publications

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“…Use of GAS to set goals enables families to participate in OT interventions in ways that are meaningful to them. Use of GAS to measure participation and satisfaction with therapy outcomes is consistent with the literature (Harpster et al , 2019; Herdman et al , 2019).…”

Section: Discussionsupporting

confidence: 78%

A sensory intervention to improve sleep behaviours and sensory processing behaviours of children with sensory processing disorders

Spira

2021

IJOT

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Purpose This paper aims to investigate if a sensory intervention of moderate pressure touch of children with sensory processing disorder (SPD) affects sleep behaviors and sensory processing behaviors. Design/methodology/approach A total of 50 children, aged 5–11 years with both SPD and sleep difficulties in Israel, were randomly divided into an experimental and a control group, nonblinded. Participants in the experimental group received three weeks of nightly massage by their parents, with a baseline week on both ends. Parents filled out questionnaires reporting on sensory and sleep behaviors and filled out a nightly sleep log. Parents determined outcome goals using goal attainment scoring. The assessment tools used were the short sensory profile and the child sleep habits questionnaire (Dunn, 1999; Owens et al., 2000). Findings Significant improvement was found in the total and subgroup scores of sleep participation measures including sleep onset, sleep anxiety, parasomnias, sleep duration, daytime sleepiness, as well as the total sleep score (F (1,48) = 24.71, p < 0.001). Originality/value Results of this study suggest that consistent application of moderate pressure touch as advised or trained by an occupational therapist may be used in clinical practice to improve sleep participation in children with SPD.

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Section: Discussionsupporting

confidence: 78%

A sensory intervention to improve sleep behaviours and sensory processing behaviours of children with sensory processing disorders

Spira

2021

IJOT

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“…In addition, GAS-based rehabilitation recently was shown to result in significant motor function improvements compared with standard rehabilitation in a randomized controlled trial of patients with Parkinson disease 36 as well as high patient satisfaction with treatment of chronic lower back pain 37 . Still, the most persuasive evidence until now comes from research in pediatric rehabilitation, in which GAS has been broadly used and could detect meaningful change, as experienced by patients and caregivers, in most studies 38 .…”

Section: Discussionmentioning

confidence: 99%

Goal Attainment Scaling Rehabilitation Improves Satisfaction with Work Activities for Younger Working Patients After Knee Arthroplasty

Hoorntje

Waterval-Witjes

Koenraadt

et al. 2020

Journal of Bone and Joint Surgery

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Background: Knee arthroplasty (KA) is increasingly performed in relatively young, active patients. This heterogeneous patient population often has high expectations, including work resumption and performance of knee-demanding leisure-time activities. Goal attainment scaling (GAS) may personalize rehabilitation by using patient-specific, activity-oriented rehabilitation goals. Since unmet expectations are a leading cause of dissatisfaction after KA, personalized rehabilitation may improve patient satisfaction. We hypothesized that, compared with standard rehabilitation, GAS-based rehabilitation would result in younger, active patients having higher satisfaction regarding activities after KA. Methods: We performed a single-center randomized controlled trial. Eligible patients were <65 years of age, working outside the home, and scheduled to undergo unicompartmental or total KA. The required sample size was 120 patients. Using GAS, patients developed personal activity goals with a physiotherapist preoperatively. These goals were used to monitor patients’ goal attainment and provide goal-specific feedback during postoperative outpatient rehabilitation. Standard rehabilitation consisted of regular outpatient physiotherapy visits. The primary outcome measures were visual analogue scale (VAS) scores (scale of 0 to 100) for satisfaction regarding activities of daily living and work and leisure-time activities 1 year postoperatively, which were analyzed using generalized estimating equation models. Results: Patient satisfaction with work activities was significantly higher in the GAS group (β = 10.7 points, 98% confidence interval [CI] = 2.0 to 19.4 points) than in the control group. Patient satisfaction with activities of daily living and leisure-time activities did not differ between groups. We found no differences in VAS satisfaction scores between unicompartmental KA and total KA. Conclusions: Personalized, goal-specific rehabilitation using GAS resulted in higher patient satisfaction with work activities, compared with standard rehabilitation, 1 year after KA. Level of Evidence: Therapeutic Level I . See Instructions for Authors for a complete description of levels of evidence.

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“…Each participant contributed to their own goals using the Goal Attainment Scale (Steenbeek et al, 2007 ), a tool designed to standardize the setting and scaling of goals in a way that allows for both improvement and regression as a result of intervention. GAS has been used to show meaningful change across a range of diagnoses and intervention types in pediatric rehabilitation (Harpster et al, 2019 ). Goals were collaboratively identified starting with what was important to the participant (“I want to be go from the 1 mile distance to the 5K distance in the race, but it is a big jump and I am not sure I can do it”).…”

Section: Methodsmentioning

confidence: 99%

Use of Frame Running for Adolescent Athletes With Movement Challenges: Study of Feasibility to Support Health and Participation

Sukal-Moulton

Egan

Johnson³

et al. 2022

Front. Sports Act. Living

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Children and adolescents with movement challenges have lower instances of physical activity and longer time spent in sedentary behaviors compared to children with typical development. The purpose of this study was to investigate the feasibility of a sport-based youth development running program modified for accessibility using a running frame and to evaluate initial evidence for its efficacy on endurance and functional strength. We completed four 8-week seasons (2–3 times per week) in a combination of 3 different formats by season: online remote (winter and spring), in person in a community park (winter, spring, and summer), and in person in an afterschool setting (autumn). Participants included 13 athletes (average age 14.46 years, range 8–18 years, 4 females), who collectively completed 22 season blocks. Diagnoses included cerebral palsy (n = 10), arthrogryposis (n = 1), Dandy-Walker malformation (n = 1), and transverse myelitis (n = 1). In all settings, participants engaged in activities of social emotional learning, cardiovascular endurance, and muscle strengthening in a progressive manner. We found that each season format was feasible to administer with high attendance rates (76–97%) and positive qualitative feedback from athletes. In addition, promising average improvements in motor performance across a season (6 min frame running test, 170 m; timed up and go test, 8.44 s; five times sit to stand, 14.1 s; and Goal Attainment Scale, t = 65.01) were identified in the pilot data of this non-randomized cohort. Training in any of the proposed settings with an overall goal of completing a community race in a running frame is feasible and warrants further study.

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The methodological application of goal attainment scaling in pediatric rehabilitation research: a systematic review

Cited by 38 publications

References 74 publications

A sensory intervention to improve sleep behaviours and sensory processing behaviours of children with sensory processing disorders

A sensory intervention to improve sleep behaviours and sensory processing behaviours of children with sensory processing disorders

Goal Attainment Scaling Rehabilitation Improves Satisfaction with Work Activities for Younger Working Patients After Knee Arthroplasty

Use of Frame Running for Adolescent Athletes With Movement Challenges: Study of Feasibility to Support Health and Participation

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