Paediatric Application of Individualised Client-Centred Outcome Measures: A Literature Review

Abstract

A literature review was conducted to identify and compare the clinical utility of client-centred, individualised outcome measures for paediatric rehabilitation. Five measures were identified: the Canadian Occupational Performance Measure (COPM) (28 studies); Goal Attainment Scaling (GAS) (34 studies); Perceived Efficacy and Goal Setting System (PEGS) (2 studies); Target Complaints (TC) (1 study); and the Paediatric Activity Card Sort (PACS) (instruction manual only). The COPM and GAS have been used with children across a wide age range and variety of clinical settings. The PEGS and PACS provided young children direct involvement in the goal-setting process. Little evidence supports the use of TC in paediatrics. Clinicians need to use individualised measures in a way that facilitates the maximal participation of children and families in goal setting and outcome evaluation. Clinicians should document their own role in goal setting. The use of individualised and client-centred measures can motivate children and families and focus their attention on therapy goals.

Parents’ and Service Providers’ Perceptions of the Family Goal Setting Tool: A Pilot Study

“…The use of the COPM in paediatric settings has increased over recent years and is the most commonly used tool when goal setting with children (Tam et al. 2008).…”

The Perceived Efficacy and Goal Setting System (PEGS), Part I: Translation and cross-cultural adaptation to a Swedish context

“…Intervention goals for children with disabilities therefore often tend to focus on issues identified by parents. These goals may not be meaningful to the children, as research has shown that children's perceptions often differ from those of the adults around them (5)(6)(7)(8)(9). This points to the importance of involving children in the goal-setting process and of allowing them to propose their own goals for intervention.…”

Feasibility study of a single-blind randomised controlled trial of an occupational therapy intervention

“…Higher ratings indicated better perceived quality of performance and satisfaction with the activity. The COPM is the most frequently used outcome measure in paediatric rehabilitation (25,26) and its validity has been supported by several studies (e.g.,…”

“…The main and specific objectives are based on objectives of feasibility studies recommended by Thabane et al (9) and Tickle-Degnen (6). 6.6, (1.7), [5][6][7][8][9] 7.5, (1.0), [6][7][8][9] 7.1, (1.4), [5][6][7][8][9] Gender (Girls, Boys) 14.3, (6.1), [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Note. The main categories are the objectives of feasibility studies recommended by Thabane, et al [9] and Tickle-Degnen [6].…”