Clinical Utility of the Combined Use of the Canadian Occupational Performance Measure and Goal Attainment Scaling

• Autores: Emmah Doig, Jennifer M. Fleming, Pim Kuipers, Petrea L. Cornwell
• Localización: American Journal of Occupational Therapy, ISSN 0272-9490, Vol. 64, Nº. 6, 2010, págs. 904-914
• Idioma: inglés
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• Resumen

  • 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