Clinical utility of the combined use of the canadian occupational performance measure and goal attainment scaling / Emmah Doig in American Journal of Occupational Therapy, Vol. 64/6 (novembre-décembre 2010)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 64/6 (novembre-décembre 2010) . - p. 904-914 Titre : Clinical utility of the combined use of the canadian occupational performance measure and goal attainment scaling Type de document : texte imprimé Auteurs : Emmah Doig ; Pim KUIPERS ; et al. ; Jennifer Fleming Année de publication : 2010 Article en page(s) : p. 904-914 Langues : Anglais (eng) Mots-clés : Ergothérapie  Cérébro lésé Résumé : OBJECTIVE. We investigated the clinical utility of combined use of Goal Attainment Scaling (GAS) and the Canadian Occupational Performance Measure (COPM) to plan goals and measure progress in a community rehabilitation setting. METHOD. Fourteen participants with traumatic brain injury completed an outpatient, goal-directed 12-wk occupational therapy program; 53 goals were generated. Performance and satisfaction self-ratings and GAS ratings were collected before and after intervention. Self-awareness, motivation to change, and perceived client-centeredness measures were taken before intervention. RESULTS. Sensitivity to change was demonstrated by significant improvements after intervention for total performance self-ratings on the COPM and GAS T scores. CONCLUSION. Combined use of these tools, although time consuming, resulted in goals that were perceived almost unanimously as client centered, despite most participants' having moderate or severe impairment in self-awareness. The process also enabled subjective and objective demonstration of goal achievement, thereby supporting the clinical utility and treatment validity of the combined use of these tools. Permalink : ./index.php?lvl=notice_display&id=14013 [article] Clinical utility of the combined use of the canadian occupational performance measure and goal attainment scaling [texte imprimé] / Emmah Doig ; Pim KUIPERS ; et al. ; Jennifer Fleming . - 2010 . - p. 904-914. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 64/6 (novembre-décembre 2010) . - p. 904-914 Mots-clés : Ergothérapie  Cérébro lésé Résumé : OBJECTIVE. We investigated the clinical utility of combined use of Goal Attainment Scaling (GAS) and the Canadian Occupational Performance Measure (COPM) to plan goals and measure progress in a community rehabilitation setting. METHOD. Fourteen participants with traumatic brain injury completed an outpatient, goal-directed 12-wk occupational therapy program; 53 goals were generated. Performance and satisfaction self-ratings and GAS ratings were collected before and after intervention. Self-awareness, motivation to change, and perceived client-centeredness measures were taken before intervention. RESULTS. Sensitivity to change was demonstrated by significant improvements after intervention for total performance self-ratings on the COPM and GAS T scores. CONCLUSION. Combined use of these tools, although time consuming, resulted in goals that were perceived almost unanimously as client centered, despite most participants' having moderate or severe impairment in self-awareness. The process also enabled subjective and objective demonstration of goal achievement, thereby supporting the clinical utility and treatment validity of the combined use of these tools. Permalink : ./index.php?lvl=notice_display&id=14013

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Development of Self-Awareness After Severe Traumatic Brain Injury Through Participation in Occupation-Based Rehabilitation: Mixed-Methods Analysis of a Case Series / Emmah Doig in American Journal of Occupational Therapy, Vol. 68/5 (septembre/octobre 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/5 (septembre/octobre 2014) . - p. 578-588 Titre : Development of Self-Awareness After Severe Traumatic Brain Injury Through Participation in Occupation-Based Rehabilitation: Mixed-Methods Analysis of a Case Series Type de document : texte imprimé Auteurs : Emmah Doig ; et al. ; Sarah Prescott ; Pim KUIPERS Année de publication : 2014 Article en page(s) : p. 578-588 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Réhabilitation  Estime soi  Conscient Résumé : OBJECTIVE. We examined participation in goal planning and development of self-awareness for people with impaired self-awareness after traumatic brain injury. METHOD. We performed a mixed-methods study of 8 participants recently discharged from inpatient rehabilitation. Self-awareness was measured using discrepancy between self and significant other ratings on the Mayo–Portland Adaptability Index (MPAI–4) at four time points. We calculated effect size to evaluate the change in MPAI–4 discrepancy over time. RESULTS. Seven participants identified their own goals. We found a large reduction in mean MPAI–4 discrepancy (M = 8.57, SD = 6.59, N = 7, d = 1.08) in the first 6 wk and a further small reduction (M = 5.33, SD = 9.09, N = 6, d = 0.45) in the second 6 wk of intervention. Case data indicated that 7 participants demonstrated some growth in self-awareness. CONCLUSION. Engagement in occupation-based, goal-directed rehabilitation appeared to foster awareness of injury-related changes to varying extents. Permalink : ./index.php?lvl=notice_display&id=33751 [article] Development of Self-Awareness After Severe Traumatic Brain Injury Through Participation in Occupation-Based Rehabilitation: Mixed-Methods Analysis of a Case Series [texte imprimé] / Emmah Doig ; et al. ; Sarah Prescott ; Pim KUIPERS . - 2014 . - p. 578-588. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/5 (septembre/octobre 2014) . - p. 578-588 Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Réhabilitation  Estime soi  Conscient Résumé : OBJECTIVE. We examined participation in goal planning and development of self-awareness for people with impaired self-awareness after traumatic brain injury. METHOD. We performed a mixed-methods study of 8 participants recently discharged from inpatient rehabilitation. Self-awareness was measured using discrepancy between self and significant other ratings on the Mayo–Portland Adaptability Index (MPAI–4) at four time points. We calculated effect size to evaluate the change in MPAI–4 discrepancy over time. RESULTS. Seven participants identified their own goals. We found a large reduction in mean MPAI–4 discrepancy (M = 8.57, SD = 6.59, N = 7, d = 1.08) in the first 6 wk and a further small reduction (M = 5.33, SD = 9.09, N = 6, d = 0.45) in the second 6 wk of intervention. Case data indicated that 7 participants demonstrated some growth in self-awareness. CONCLUSION. Engagement in occupation-based, goal-directed rehabilitation appeared to foster awareness of injury-related changes to varying extents. Permalink : ./index.php?lvl=notice_display&id=33751

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