The aim of this study was to identify the currently available patient-specific measurement instruments used in the process of goal-setting and to assess their feasibility.
Methods:
After a systematic search in PubMed, EMBASE, CINAHL, PsychINFO and REHABDATA, patient-specific instruments were included, structured in a goal-setting practice framework and subjected to a qualitative thematic analysis of feasibility.
Results:
A total of 25 patient-specific instruments were identified and 11 were included. These instruments can be used for goal negotiation, goal-setting and evaluation. Each instrument has its own strengths and weaknesses during the different phases of the goal-setting process. Objective feasibility data were revealed for all instruments such as administration time, instruction, training and availability. Subjective feasibility could only be analysed for the Canadian Occupational Performance Measure, Goal Attainment Scaling, Self-Identified Goal Assessment and Talking Mats. Relevant themes were that Canadian Occupational Performance Measure and Goal Attainment Scaling were time consuming and difficult for patients with cognitive problems, but they facilitated goal-setting in a client-centred approach. Talking Mats was especially feasible for patients with cognitive and communication impairments.
Conclusions:
A total of 11 instruments were identified, and although some had strong points, there is no single good instrument that can be recommended specifically. Applying a combination of the strengths of the available instruments within a goal-setting framework can improve goal setting and tailor it to individual patients.
HazardRGSprattKFMcDonoughCM. The impact of personal functional goal achievement on patient satisfaction with progress one year following completion of a functional restoration program for chronic disabling spinal disorders. Spine2009; 34(25): 2797–2802.
2.
DonnellyCCarswellA. Individualized outcome measures: a review of the literature. Canadian J Occupational Therapy Revue Canadienne D’ergotherapie2002; 69(2): 84–94.
3.
RothmanMLBeltranPCappelleriJCLipscombJTeschendorfB. Patient-reported outcomes: conceptual issues. Value in Health2007; 10(S2): S66–75.
Ponte-AllanMGilesGM. Goal setting and functional outcomes in rehabilitation. Am J Occupational Therapy1999; 53(6): 646–649.
6.
WressleEEeg-OlofssonAMMarcussonJHenrikssonC. Improved client participation in the rehabilitation process using a client-centred goal formulation structure. J Rehabil Med2002; 34(1): 5–11.
7.
LevackWMTaylorKSiegertRJDeanSGMcPhersonKMWeatherallM. Is goal planning in rehabilitation effective? A systematic review. Clin Rehabil2006; 20(9): 739–755.
8.
RosewilliamSRoskellCAPandyanAD. A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation. Clin Rehabil2011; 25(6): 501–514.
9.
ScobbieLDixonDWykeS. Goal setting and action planning in the rehabilitation setting: development of a theoretically informed practice framework. Clin Rehabil2011; 25(5): 468–482.
10.
SchoebV. “The goal is to be more flexible”—detailed analysis of goal setting in physiotherapy using a conversation analytic approach. Manual Therapy2009; 14(6): 665–670.
11.
ParryRH. Communication during goal-setting in physiotherapy treatment sessions. Clin Rehabil2004; 18(6): 668–682.
12.
LevackWMDeanSGSiegertRJMcPhersonKM. Navigating patient-centered goal setting in inpatient stroke rehabilitation: how clinicians control the process to meet perceived professional responsibilities. Patient Educ Counseling2011; 85(2): 206–213.
13.
NorthenJGRustDMNelsonCEWattsJH. Involvement of adult rehabilitation patients in setting occupational therapy goals. Am J Occupational Therapy1995; 49(3): 214–220.
LawMBaptisteSMcCollMOpzoomerAPolatajkoHPollockN. The Canadian occupational performance measure: an outcome measure for occupational therapy. Canadian J Occupational Therapy Revue Canadienne d’Ergotherapie1990; 57(2): 82–87.
16.
KiresukTSShermanRE. Goal attainment scaling: a general method for evaluating comprehensive community mental health programms. Comm Mental Health J1968; 4: 443–453.
JollesBMBuchbinderRBeatonDE. A study compared nine patient-specific indices for musculoskeletal disorders. J Clin Epidemiol2005; 58(8): 791–801.
19.
CarswellAMcCollMABaptisteSLawMPolatajkoHPollockN. The Canadian occupational performance measure: a research and clinical literature review. Canadian J Occupational Therapy Revue Canadienne d’Ergotherapie2004; 71(4): 210–222.
20.
GarlandAFKruseMAaronsGA. Clinicians and outcome measurement: what’s the use?J Behavioral Health Services Res2003; 30(4): 393–405.
21.
JetteDUHalbertJIversonCMiceliEShahP. Use of standardized outcome measures in physical therapist practice: perceptions and applications. Physical Therapy2009; 89(2): 125–135.
22.
StevensJGABeurskensAJMH. Implementation of measurement instruments in physical therapist practice: development of a tailored strategy. Physical Therapy. 2010; 90(6): 953–961.
23.
SwinkelsRAvan PeppenRPWittinkHCustersJWBeurskensAJ. Current use and barriers and facilitators for implementation of standardised measures in physical therapy in the Netherlands. BMC Musculoskel Disorders2011; 12: 106.
24.
Trust SACotMO. Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res2002; 11(3): 193–205.
25.
BellamyNMuirdenKDBrooksPMBarracloughDTellusMMCampbellJ. A survey of outcome measurement procedures in routine rheumatology outpatient practice in Australia. J Rheumatol1999; 26(7): 1593–1599.
26.
DekkerJDallmeijerAJLankhorstGJ. Clinimetrics in rehabilitation medicine: current issues in developing and applying measurement instruments 1. J Rehabil Med2005; 37(4): 193–201.
27.
World Health Organization. International classification of functioning, disabilities and health problems. Geneva: World Health Organization, 2001.
28.
Barnett-PageEThomasJ. Methods for the synthesis of qualitative research: a critical review. BMC Med Res Methodol2009; 9: 59.
29.
ThomasJHardenA. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol2008; 8: 45.
30.
Enemark LarssenACarlssonG. Utility of the Canadian Occupational Performance Measure as an admission and outcome measure in interdisciplinary community-based geriatric rehabilitation. Scand J Occupat Ther2012; 19: 204–213.
31.
MelvilleLLBalticTABettcherTWNelsonDL. Patients’ perspectives on the self-identified goals assessment. Am J Occupational Therapy2002; 56(6): 650–659.
32.
ToomeyMNicholsonDCarswellA. The clinical utility of the Canadian Occupational Performance Measure. Canadian J Occupational Therapy Revue Canadienne d’Ergotherapie1995; 62(5): 242–249.
33.
MurphyJOliverT. The use of Talking Mats to support people with dementia and their carers to make decisions together. Health Soc Care Community2013; 21(2): 171–180.
34.
MurphyJTesterSHubbardGDownsMMacDonaldC. Enabling frail older people with a communication difficulty to express their views: the use of Talking Mats as an interview tool. Health Soc Care Community2005; 13(2): 95–107.
35.
WressleEMarcussonJHenrikssonC. Clinical utility of the Canadian Occupational Performance Measure–Swedish version. Canadian J Occupational Therapy Revue Canadienne d’Ergotherapie2002; 69(1): 40–48.
36.
GustafssonLMitchellMGFlemingJPriceG. Clinical utility of the Canadian Occupational Performance Measure in spinal cord injury rehabilitation. Brit J Occupational Therapy2012; 75(7): 337–342.
37.
HaleL. Using Goal Attainment Scaling in physiotherapeutic home-based stroke rehabilitation. Adv Physiotherapy2010; 12(3): 142–149.
38.
StoleePZazaCPedlarAMyersAM. Clinical experience with Goal Attainment Scaling in geriatric care. J Aging Health1999; 11(1): 96–124.
39.
StoleePAwadMByrneKDeforgeRClementsSGlennyC. A multi-site study of the feasibility and clinical utility of Goal Attainment Scaling in geriatric day hospitals. Disability Rehabil2012; 34(20): 1716–1726.
40.
ChenqYHRodgerSPolatajkoH. Experiences with the COPM and client-centred practice in adult neurorehabilitation in Taiwan. Occupational Therapy Int2002; 9(3): 167–184.
41.
ColquhounHLettsLLawMMacDermidJEdwardsM. Feasibility of the Canadian Occupational Performance Measure for routine use. Brit J Occupational Therapy2010; 73(2): 48–54.
42.
KjekenISlatkowsky-ChristensenBKvienTKUhligT. Norwegian version of the Canadian Occupational Performance Measure in patients with hand osteoarthritis: validity, responsiveness, and feasibility. Arthritis Rheumatism2004; 51(5): 709–715.
43.
RochmonDLRaySAKullchRJMehtaNRDriscollS. Validity and utility of the Canadian occupational performance measure as an outcome measure in a craniofacial pain center. Occupational Participation Health2008; 28(1): 4–11.
44.
SpadaroALubranoEMassimianiMP. Validity, responsiveness and feasibility of an Italian version of the Canadian Occupational Performance Measure for patients with ankylosing spondylitis. Clin Experimental Rheumatol2010; 28(2): 215–222.
45.
WressleELindstrandJNeherMMarcussonJHenrikssonC. The Canadian Occupational Performance Measure as an outcome measure and team tool in a day treatment programme. Disability Rehabil2003; 25(10): 497–506.
46.
McCollMAPatersonMDaviesDDoubtLLawM. Validity and community utility of the Canadian Occupational Performance Measure. Canadian J Occupational Therapy Revue Canadienne d’Ergotherapie2000; 67(1): 22–30.
47.
MilneJLRobertMTangSDrummondNRossS. Goal achievement as a patient-generated outcome measure for stress urinary incontinence. Health Expectations2009; 12(3): 288–300.
48.
ParkerDMSykesCH. A systematic review of the Canadian Occupational Performance Measure: a clinical practice perspective. Brit J Occupational Therapy2006; 69(4): 150–160.
49.
EvansJJ. Goal setting during rehabilitation early and late after acquired brain injury. Current Opinion in Neurology2012; 25(6): 651–655.
50.
WadeDT. Goal setting in rehabilitation: an overview of what, why and how. Clin Rehabil2009; 23(4): 291–295.
51.
TerweeCBBotSDde BoerMR. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol2007; 60(1): 34–42.
52.
TerweeCBMokkinkLBKnolDLOsteloRWBouterLMde VetHC. Rating the methodological quality in systematic reviews of studies on measurement properties: a scoring system for the COSMIN checklist. Qual Life Res2012; 21(4): 651–657.
53.
ValderasJMFerrerMMendivilJDevelopment of EMPRO: a tool for the standardized assessment of patient-reported outcome measures. Value in Health2008; 11(4): 700–708.
TugwellPBombardierCBuchananWWGoldsmithCHGraceEHannaB. The MACTAR Patient Preference Disability Questionnaire—an individualized functional priority approach for assessing improvement in physical disability in clinical trials in rheumatoid arthritis. J Rheumatol1987; 14(3): 446–451.
56.
BellMBBombardierCTugwellP. Measurement of functional status, quality of life, and utility in rheumatoid arthritis. Artritis & Rheumatism1990; 33: 591–601.
57.
BeurskensAJde VetHCKokeAJ. A patient-specific approach for measuring functional status in low back pain. J Manipul Physiolog Therapeut1999; 22(3): 144–148.
58.
RollmanANaeijeMVisscherCM. The reproducibility and responsiveness of a patient-specific approach: a new instrument in evaluation of treatment of temporomandibular disorders. J Orofacial Pain2010; 24(1): 101–105.
59.
NijkrakeMJKeusSHQuist-AnholtsGW. Evaluation of a Patient-Specific Index as an outcome measure for physiotherapy in Parkinson’s disease. Eur J Physical Rehabil Med2009; 45(4): 507–512.
60.
StratfordPGillCWestawayMBinkleyJ. Assessing disability and change on individual patients: a report of a patient specific measure. Physiotherapy Canada1995; 47(4): 258–263.
61.
WrightJGYoungNL. The patient-specific index: asking patients what they want. J Bone Joint Surg Am1997; 79(7): 974–983.
62.
WrightJGSantaguidaPLYoungNHawkerGASchemitschEOwenJL. Patient preferences before and after total knee arthroplasty. J Clin Epidemiol2010; 63(7): 774–782.
63.
AsenlofPDenisonELindbergP. Behavioral goal assessment in patients with persistent musculoskeletal pain. Physiotherapy Theory And Practice2004; 20: 243–254.
64.
AsenlofPSiljebackK. The Patient Goal Priority Questionnaire is moderately reproducible in people with persistent musculoskeletal pain. Physical Therapy2009; 89(11): 1226–1234.
65.
NelsonDL. Therapeutic occuption: A definition. Am J Occupational Therapy1996; 50: 775–782.
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