Writing SMART rehabilitation goals and achieving goal attainment scaling: a practical guide

Bovend’Eerdt, Thamar J. H.; Botell, Rachel; Wade, Derick T

doi:10.1177/0269215508101741

Cited by 576 publications

(407 citation statements)

References 16 publications

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“…It’s hard to keep them (108F GSM)” and “Pretty easy, I could come up with quite a few (115F GS).” The interviewer’s facilitation of the goal-setting process was important in helping to identify individual goals. Goals adhered to the specific, measurable, achievable, realistic/relevant and timed (SMART) principles (Bovend’Eerdt, Botell, & Wade, 2009). Guidance and prompts provided by the interviewer aided this process: “ We did it together really didn’t we, so yes, it was fine” (173F GS) .…”

Section: Resultsmentioning

confidence: 99%

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Goal-setting to Promote a Healthier Lifestyle in Later Life: Qualitative Evaluation of the AgeWell Trial

Nelis

Thom

Jones

et al. 2018

Clinical Gerontologist

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Objective: We report a mixed method evaluation of the feasibility and implementation of the AgeWell goal-setting intervention to promote healthy ageing later life.Method: Researcher field notes, goal-setting interview content, and semi-structured interviews with participants were content analysed to review trial implementation and participants’ perspective on the goal-setting and mentoring intervention.Results: 75 people were recruited: 21 in the goal-setting and 22 in the goal-setting with mentoring arms of the intervention. Goal-setting was feasible in the main domains of interest. Adherence to the protocol was good and the mentoring schedule was adhered to. Participants reported satisfaction with their goal attainment, but barriers for non-achievement were also identified. Recommendations for small changes to the intervention included reducing the number of goals.Conclusions: Participants understood the goal-setting process, and were able to set realistic and achievable lifestyle goals. The intervention and the procedures were acceptable but changes in how goal-setting is both introduced and monitored are needed for wider implementation.Clinical Implications: Goal-setting can be a useful process to help people alter their lifestyle to allow them to age more successfully and reduce risk factors associated with dementia.

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Section: Resultsmentioning

confidence: 99%

“…Participant feedback on this negotiation phase emphasized the importance of SMART principles in the identification and specification of goals (Bovend’Eerdt et al, 2009). Participant feedback on the negotiation phase emphasized the importance of the co-production of goals with the interviewer.…”

Section: Discussionmentioning

confidence: 99%

Goal-setting to Promote a Healthier Lifestyle in Later Life: Qualitative Evaluation of the AgeWell Trial

Nelis

Thom

Jones

et al. 2018

Clinical Gerontologist

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“…Ela é usada em diversas áreas da saúde independente de diagnósticos. Sua aplicação consiste em cinco passos 7 . No primeiro, o paciente define suas principais limitações e seus objetivos, incluindo quaisquer atividades.…”

Section: Goal Attainment Scaling (Gas)unclassified

“…No primeiro, o paciente define suas principais limitações e seus objetivos, incluindo quaisquer atividades. Os objetivos devem ser relevantes para o paciente, compreensíveis, mensuráveis, relacionados ao desempenho de atividades funcionais e atingíveis dentro de um prazo pré-estabelecido 7 . No segundo, o paciente atribui níveis de importância e dificuldade para cada objetivo com escores de 0 a 3.…”

Section: Goal Attainment Scaling (Gas)unclassified

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Prática centrada no cliente na reabilitação: definição, instrumentos e desafios

Vaz

Jubilini

Queiroz

2017

Rev. Ter. Ocup. Univ. São Paulo (Online)

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Vaz DV, Jubilini LG, Queiroz LC. Prática centrada no cliente na reabilitação: definição, instrumentos e desafios. Rev Ter Ocup Univ São Paulo. 2017 jan.-abr.;28(1):122-7. RESUMO:Introdução: Na reabilitação, a habilidade do paciente em lidar com a sua condição de saúde e tomar decisões, sua motivação e sua adesão, são determinantes para os desfechos terapêuticos. A prática centrada no cliente (PCC) reconhece e promove a centralidade dos interesses de pacientes e por isso seu conhecimento é fundamental para o avanço da reabilitação. Objetivos: i) identificar os fundamentos da PCC, ii) descrever instrumentos para sua implementação, iii) registrar resultados da PCC, e iv) analisar as principais dificuldades e benefícios da PCC. Método: Revisão narrativa a partir de bancos de dados e cruzamento de referências. Resultados: segundo estudos revisados, a PCC é uma abordagem clínica colaborativa e empoderadora do paciente, que reconhece-o no centro do processo decisório, aumentando a adequação do cuidado. Diferentes instrumentos simples podem ser imediatamente adotados na clínica. Ainda poucos estudos documentam resultados da PCC na reabilitação. Para implantação da PCC é necessário vencer desafios no nível individual de terapeutas e pacientes e no nível institucional de serviços de saúde. ABSTRACT: Introduction: in rehabilitation, a patient's ability cope with a health condition, make decisions, find motivation and adhere to treatment are determinants of therapeutic outcomes. Client-centered practice (CCP) recognizes and promotes patients' interests as central to care delivery. CCP is essential for the advancement of rehabilitation. Objectives: i) identify the fundamentals of CCP, ii) describe clinical instruments available for implementing it, iii) register CCP results obtained so far, iv) analyze the main barriers and benefits of CCP. Methods: narrative review of literature from databases and reference lists. Results: based on reviewed studies, CCP is a collaborative approach to clinical practice that aims to empower patients and recognize them at the center of the decision making process, in order to deliver better care. Several simple instruments can be immediately used in clinical practice. Few studies have investigated effects of CCP in rehabilitation. Challenges at the individual level of therapists and patients as well as at the institutional level of health services need to be met in order to implement CCP. DESCRITORES:

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Goal setting and activities to enhance goal pursuit for adults with acquired disabilities participating in rehabilitation

Levack¹,

Siegert²,

Dean³

et al. 2012

Cochrane Database of Systematic Reviews

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Writing SMART rehabilitation goals and achieving goal attainment scaling: a practical guide

Cited by 576 publications

References 16 publications

Goal-setting to Promote a Healthier Lifestyle in Later Life: Qualitative Evaluation of the AgeWell Trial

Goal-setting to Promote a Healthier Lifestyle in Later Life: Qualitative Evaluation of the AgeWell Trial

Prática centrada no cliente na reabilitação: definição, instrumentos e desafios

Goal setting and activities to enhance goal pursuit for adults with acquired disabilities participating in rehabilitation

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