Clinical utility of the combined use of the Canadian Occupational Performance Measure and Goal Attainment Scaling.

Abstract

OBJECTIVE:

We investigated the clinical utility of combined use of Goal Attainment Scaling (GAS) and the Canadian Occupational Performance Measure (COPM) to plan goals and measure progress in a community rehabilitation setting.

METHOD:

Fourteen participants with traumatic brain injury completed an outpatient, goal-directed 12-wk occupational therapy program; 53 goals were generated. Performance and satisfaction self-ratings and GAS ratings were collected before and after intervention. Self-awareness, motivation to change, and perceived client-centeredness measures were taken before intervention.

RESULTS:

Sensitivity to change was demonstrated by significant improvements after intervention for total performance self-ratings on the COPM and GAS Tscores.

CONCLUSION:

Combined use of these tools, although time consuming, resulted in goals that were perceived almost unanimously as client centered, despite most participants' having moderate or severe impairment in self-awareness. The process also enabled subjective and objective demonstration of goal achievement, thereby supporting the clinical utility and treatment validity of the combined use of these tools.

• Authors: Emmah Doig, Jennifer Fleming, Pim Kuipers, Petrea L Cornwell
• Journal: The American journal of occupational therapy : official publication of the American Occupational Therapy Association (Am J Occup Ther) 2010 Nov-Dec Vol. 64 Issue 6 Pg. 904-14 ISSN: 0272-9490 [Print] United States
• PMID: 21218681 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adolescent
• Adult
• Brain Injuries (rehabilitation)
• Canada
• Female
• Goals
• Health Status Indicators
• Humans
• Male
• Middle Aged
• Neuropsychological Tests
• Occupational Therapy (methods)
• Outcome Assessment, Health Care
• Surveys and Questionnaires
• Task Performance and Analysis
• Treatment Outcome
• Young Adult