[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.
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[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.
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