Training in the use of Goal Attainment Scaling

Choate, Robert O.; Smith, Aaron; Cardillo, Joseph E.; Thompson, Leslie M.

doi:10.1007/bf00754364

Cited by 25 publications

(4 citation statements)

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“…Goals can be assigned a weighing score by caregivers and a difficulty score by the team [14]. We chose not to assign weighing scores since the weighted and unweighted scores are closely correlated [18]. A value of 1 is applied to ‘weight’ in the formula described below.…”

Section: Methodsmentioning

confidence: 99%

Intrathecal baclofen treatment in dystonic cerebral palsy: a randomized clinical trial: the IDYS trial

et al. 2013

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BackgroundDystonic cerebral palsy is primarily caused by damage to the basal ganglia and central cortex. The daily care of these patients can be difficult due to dystonic movements. Intrathecal baclofen treatment is a potential treatment option for dystonia and has become common practice. Despite this widespread adoption, high quality evidence on the effects of intrathecal baclofen treatment on daily activities is lacking and prospective data are needed to judge the usefulness and indications for dystonic cerebral palsy. The primary aim of this study is to provide level one clinical evidence for the effects of intrathecal baclofen treatment on the level of activities and participation in dystonic cerebral palsy patients. Furthermore, we hope to identify clinical characteristics that will predict a beneficial effect of intrathecal baclofen in an individual patient.Methods/DesignA double blind placebo-controlled multi-center randomized clinical trial will be performed in 30 children with dystonic cerebral palsy. Patients aged between 4 and 25 years old with a confirmed diagnosis of dystonic cerebral palsy, Gross Motor Functioning Classification System level IV or V, with lesions in the cerebral white matter, basal ganglia or central cortex and who are eligible for intrathecal baclofen treatment will be included. Group A will receive three months of continuous intrathecal baclofen treatment and group B will receive three months of placebo treatment, both via an implanted pump. After this three month period, all patients will receive intrathecal baclofen treatment, with a follow-up after nine months. The primary outcome measurement will be the effect on activities of and participation in daily life measured by Goal Attainment Scaling. Secondary outcome measurements on the level of body functions include dystonia, spasticity, pain, comfort and sleep-related breathing disorders. Side effects will be monitored and we will study whether patient characteristics influence outcome.DiscussionThe results of this study will provide data for evidence-based use of intrathecal baclofen in dystonic cerebral palsy.Trial registrationNederlands Trial Register, NTR3642

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Section: Methodsmentioning

confidence: 99%

Intrathecal baclofen treatment in dystonic cerebral palsy: a randomized clinical trial: the IDYS trial

et al. 2013

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“…In goal attainment scaling, at least three treatment goals are set which reflect problems identified by the client. Five possible levels of outcome are determined in the initial goal setting, with the follow-up assessment determining whether the goals have been met (Choate et al, 1981).…”

Section: Areas Of Practicementioning

confidence: 99%

Trends in Forensic Psychiatry

Lloyd¹

1995

British Journal of Occupational Therapy

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“…Many professionals who have been conversant with similar procedures, such as those basic to the 'objectives' movement, will find the technique straightforward. Others might need considerable help (Choate, Smith, Cardillo, and Thompson, 1981). In addition to the professional background and previous experience of the staff irvolved, however, knowledge of the way competence develops in the required domains might also be helpful.…”

Section: Goal Attainment Scalingmentioning

confidence: 99%

Goal Attainment Scaling: A Technique for Evaluating Conductive Education

MacKay¹,

McCool²,

Cheseldine³

et al. 1993

British J Special Edu

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Conductive education -how to evaluate it?Is it really impossible for scientists to design the definitive evaluation study? This is a question asked many times by both parents and professionals involved with conductive education. Understandably frustrated by years of controverSy over an approach which was first introduced into this country more than 30 years ago, many looked to the Birmingham project for the answer to the question: is conductive education a good way of educating children with cerebral palsy? Here was a project which had been planned by experts in the field, was funded by the government and was centred on an attempt to transplant conductive education as a complete system into the UK. However, as Bairstow and Cochrane pointed out recently in the BJSE, the teething problems associated with getting the Birmingham Institute running had a knock-on effect on the evaluation itself and the results raised many more questions than they answered. Ideally, of course, the first Birmingham evaluation should have been viewed as a preparation for a second study which would begin after the first set of conductors had been fully trained and new children recruited.Since it is unlikely that a repeat of the Birmingham project will take place, what are the alternatives? In the papers that follow, two quite different approaches are represented. In the first MacKay and colleagues, from the Faculty of Education Sirathclyde University, describe the beginnings of another large project, based at the Scottish Centre for Children with Motor Impairments. In this project, organ transplant has not been considered. Instead, an attempt is being made to produce a Scottish version of conductive education by the process of grafting. As part of the evaluation project the group is experimenting with a measurement technique, Goal Attainment Scaling, which they describe in detail.In the second paper, Sigafoos etal., from the

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Training in the use of Goal Attainment Scaling

Cited by 25 publications

References 1 publication

Intrathecal baclofen treatment in dystonic cerebral palsy: a randomized clinical trial: the IDYS trial

Intrathecal baclofen treatment in dystonic cerebral palsy: a randomized clinical trial: the IDYS trial

Trends in Forensic Psychiatry

Goal Attainment Scaling: A Technique for Evaluating Conductive Education

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