The feasibility of goal attainment scaling to measure case resolution in elder abuse and neglect adult protective services intervention

Burnes, David; Connolly, Marie-Therese; Hamilton, Ricker; Lachs, Mark S.

doi:10.1080/08946566.2018.1454864

Cited by 18 publications

(18 citation statements)

References 24 publications

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“…Considering barriers to implementation, providers in our study mentioned longer encounter times due to GAS, which improved with time but still increased the length of the care visit. Previous research has explored simplified approaches to GAS, including pre-worded goals and 3-point scaling [ 24 , 33 ]. Time added to the encounter and provider buy-in for this approach need to be addressed moving forward, since longer encounter time often reduces provider revenue in the fee-for-service health care system.…”

Section: Discussionmentioning

confidence: 99%

Patient and provider perspectives on using goal attainment scaling in care planning for older adults with complex needs

Clair

Sandberg

Scholle

et al. 2022

J Patient Rep Outcomes

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Background Assess the feasibility of using goal attainment scaling (GAS) in care planning for older adults with complex needs. GAS is an individualized approach to goal setting and follow up using a quantified scale. To date, little is known about the feasibility of GAS among this population. Methods We conducted a qualitative study with a sample of 28 older adults and 23 providers from diverse settings to evaluate the value and challenges of this approach. We conducted semi-structured interviews and iteratively coded and analyzed interview transcripts for themes related to value, challenges, and implementation. Results Most older adults and providers reported that the GAS approach added value to the care encounter. GAS supported collaboration and patient accountability for their goals, though it could be demotivating to some patients. Some older adults and providers noted that GAS could be confusing and that it was uncomfortable to talk about negative outcomes (i.e., the − 2 and − 1 boxes of the scale). Factors that facilitated implementation included using visual copies of the GAS forms, having an established patient-provider relationship, practicing the approach, and having previous goal-related clinical training. Conclusions GAS was feasible to implement across diverse settings, and, despite challenges, both older adults and providers reported that it added value to care planning encounters with the potential to improve delivery of person-centered care. Further efforts to demonstrate the applicability and benefit of this method for older adults are warranted, particularly to address implementation of the approach.

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Section: Discussionmentioning

confidence: 99%

Patient and provider perspectives on using goal attainment scaling in care planning for older adults with complex needs

Clair

Sandberg

Scholle

et al. 2022

J Patient Rep Outcomes

View full text Add to dashboard Cite

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“…GAS scales are uniquely developed for each individual and can therefore readily accommodate cultural differences between generations, geographic locations, and socioeconomic status. Although simplified and menu-facilitated GAS has been shown to be feasible in several conditions [30,37,38,41,57], further work is needed to assess the responsiveness, feasibility and validity of the DS-AD menu in this population. To do so, the next step in this process is to evaluate GAS facilitated by this menu in a feasibility study or as an exploratory outcome measure in adults living with DS-AD.…”

Section: Discussionmentioning

confidence: 99%

“…These issues are often addressed through training programs designed for clinicians administering GAS [34,36]. A complementary approach develops condition-specific goal menus to facilitate goal setting by patients, their caregivers and/or clinicians [30,37,38].…”

Section: Introductionmentioning

confidence: 99%

Development of a symptom menu to facilitate Goal Attainment Scaling in adults with Down syndrome-associated Alzheimer’s disease: a qualitative study to identify meaningful symptoms

Knox¹,

Stanley²,

Hendrix³

et al. 2021

J Patient Rep Outcomes

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Background As life expectancy of people with Down syndrome (DS) increases, so does the risk of Alzheimer’s disease (AD). Identifying symptoms and tracking disease progression is especially challenging whenever levels of function vary before the onset of dementia. Goal Attainment Scaling (GAS), an individualized patient-reported outcome, can aid in monitoring disease progression and treatment effectiveness in adults with DS. Here, with clinical input, a validated dementia symptom menu was revised to facilitate GAS in adults living with Down Syndrome-associated Alzheimer’s disease (DS-AD). Methods Four clinicians with expertise in DS-AD and ten caregivers of adults living with DS-AD participated in semi-structured interviews to review the menu. Each participant reviewed 9–15 goal areas to assess their clarity and comprehensiveness. Responses were systematically and independently coded by two researchers as ‘clear’, ‘modify’, ‘remove’ or ‘new’. Caregivers were encouraged to suggest additional items and recommend changes to clarify items. Results Median caregiver age was 65 years (range 54–77). Most were female (9/10) with ≥15 years of education (10/10). Adults with DS-AD had a median age of 58 years (range 52–61) and either a formal diagnosis (6/10) or clinical suspicion (4/10) of dementia. The initial symptom menu consisted of 67 symptoms each with 2–12 descriptors (589 total). The clinicians’ adaptation yielded 58 symptoms each with 4–17 descriptors (580 total). Of these 580 descriptors, caregivers identified 37 (6%) as unclear; these were reworded, and one goal area (4 descriptors) was removed. A further 47 descriptors and one goal area were added to include caregiver-identified concepts. The final menu contained 58 goal areas, each with 7–17 descriptors (623 total). Conclusions A comprehensive symptom menu for adults living with DS-AD was developed to facilitate GAS. Incorporating expert clinician opinion and input from caregivers of adults with DS-AD identified meaningful items that incorporate patient/caregiver perspectives.

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“…Providers perceived that the restorative processes have the potential to address and prevent social isolation, which often leads to elder abuse. Burnes et al (2018). The feasibility of goal attainment scaling to measure case resolution in elder abuse and neglect adult protective services intervention.…”

Section: Tertiarymentioning

confidence: 99%

Global Approaches to Primary, Secondary, and Tertiary Elder Abuse Prevention: A Scoping Review

Atkinson

Roberto

2023

Trauma, Violence, & Abuse

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Public health professionals use a three-pronged approach to address broad-reaching issues of societal concern: primary prevention, secondary prevention, and tertiary prevention. Applying this framework to the study of elder abuse, the purpose of this review is to describe the status of elder abuse prevention research on a global scale. Elder abuse prevention articles published between 2015 and 2021 were identified through electronic bibliographic searches (PubMed, Medline, CINAHL, APA PsycINFO, and AgeLine). After removing articles based on inclusion and exclusion criteria, articles were sorted into the three main prevention types and further divided into subcategories for a more in-depth review. Most of the studies identified were conducted in North America ( n = 42). Of the 72 articles identified, 13 articles focused on primary prevention (agism, education, and intervention), 35 articles focused on secondary prevention (developing and evaluating screening tools, identifying and reporting abuse, and barriers to detecting and reporting abuse), and 21 focused on tertiary prevention (professional response to cases of abuse, intervention methods, and impact of policy). Collectively, findings bring greater understanding of elder abuse as a public health problem and identify ways of addressing the complexities of elder abuse. Several gaps were identified in the elder abuse prevention literature including the need for global research that includes older adults as stakeholders, evidence-based education and intervention programs, and cultural sensitive and valid tools to identify elder abuse.

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The feasibility of goal attainment scaling to measure case resolution in elder abuse and neglect adult protective services intervention

Cited by 18 publications

References 24 publications

Patient and provider perspectives on using goal attainment scaling in care planning for older adults with complex needs

Patient and provider perspectives on using goal attainment scaling in care planning for older adults with complex needs

Development of a symptom menu to facilitate Goal Attainment Scaling in adults with Down syndrome-associated Alzheimer’s disease: a qualitative study to identify meaningful symptoms

Global Approaches to Primary, Secondary, and Tertiary Elder Abuse Prevention: A Scoping Review

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