Goal attainment scaling outcomes in general inpatient rehabilitation: association with functional independence and perceived goal importance and difficulty

Goal attainment scaling outcomes in general inpatient rehabilitation: association with functional independence and perceived goal importance and difficulty

To investigate the association of goal attainment scaling outcomes with change in the Func-tional Independence Measure, and the association between the perceived importance, difficulty and degree of achievement of individual goals in general inpatient rehabilitation. Prospective cohort study. A tota...

Full description

Saved in:
Bibliographic Details
Published in:Journal of rehabilitation medicine Vol. 52; no. 4; pp. jrm00054 - 6
Main Authors: Churilov, Irina, Brock, Kim, Churilov, James M, Sutton, Emma, Murphy, David, MacIsaac, Richard J, Ekinci, Elif I
Format: Journal Article
Language:English
Published: Sweden Journal of Rehabilitation Medicine 01-04-2020
Medical Journals Sweden
Subjects:
Achievement
Adult
Australia
Cohort analysis
Dependency, Psychological
Female
Functional impairment
goal attainment scaling
Goals
Humans
Inpatient care
inpatient rehabilitation
Inpatients - psychology
Male
Middle Aged
Objectives
Odds Ratio
outcome assessment
Patient Participation - psychology
Prospective Studies
Regression Analysis
Rehabilitation
Rehabilitation Centers
Therapists
Treatment Outcome
Australia
goal attainment scaling
outcome assessment
inpatient rehabilitation
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To investigate the association of goal attainment scaling outcomes with change in the Func-tional Independence Measure, and the association between the perceived importance, difficulty and degree of achievement of individual goals in general inpatient rehabilitation. Prospective cohort study. A total of 208 participants admitted to inpatient rehabilitation in a metropolitan tertiary referral hospital in Melbourne, Australia. Participants determined the nature of the goals and their importance, and therapists determined the difficulty of the goals. The associations were investigated using median regression and random effect ordinal regression. An increase of each point in the goal attainment scaling score was associated with an adjusted median increase of 0.34 points (95% confidence interval (CI): 0.18-0.5, p < 0.001) in Functional Independence Measure change. More important goals of similar difficulty (very important vs a little important: adjusted common odds ratio (cOR) = 1.97, 95% CI: 1.01-3.83, p = 0.045) and less difficult goals of similar importance (moderately difficult vs a little difficult cOR = 0.59, 95% CI: 0.04-0.87, p = 0.007; very difficult vs a little difficult cOR = 0.59, 95% CI 0.37-0.94, p = 0.027) were better achieved. Rehabilitation progress measured using the goal attainment scaling method is associated with changes in functional outcomes. For goals with similar difficulty, those with higher importance were better achieved, while for goals with similar importance, less difficult goals were better achieved.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1651-2081
1650-1977
1651-2081
DOI:10.2340/16501977-2675