Objective: To describe a practical method of setting personalized but specific goals in rehabilitation that also facilitates the use of goal attainment scaling.

Background: Rehabilitation is a complex intervention requiring coordinated actions by a team, a process that depends upon setting interdisciplinary goals that are specific, clear and personal to the patient. Goal setting can take much time and still be vague. A practical and standardized method is needed for being specific.

Method: A novel approach to writing specific, measurable, achievable, realistic/ relevant and timed (SMART) goals is developed here. Each goal can be built up by using up to four parts: the target activity, the support needed, quantification of performance and the time period to achieve the desired state. This method can be employed as part of goal attainment scaling and the other levels can be easily and quickly formulated by adding, deleting and/or changing one or more of the (sub)parts.

Discussion: The success of goal setting and goal attainment scaling depends on the formulation of the goals. The method described here is a useful tool to standardize the writing of goals in rehabilitation. It saves time and simplifies the construction of goals that are sufficiently specific to be measurable.

Shiell A. , Hawe P. , Gold L. Complex interventions or complex systems? Implications for health economic evaluation. Br Med J (Clin Res Ed) 2008 ; 336: 1281-83.
Google Scholar | Crossref
Wade DT Goal planning in stroke rehabilitation: How? Topics Stroke Rehabil 1999; 6: 16-36.
Google Scholar | Crossref
Locke EA , Bryan JF The effects of goal-setting, rule-learning, and knowledge of score on performance . Am J Psychol 1966; 79: 451-57.
Google Scholar | Crossref | Medline | ISI
Locke EA , Latham GP Building a practically useful theory of goal setting and task motivation. A 35-year odyssey. Am Psychol 2002; 57: 705-17.
Google Scholar | Crossref | Medline | ISI
Schmidt RA , Wrisberg WA Motor learning and performance: a situation-based learning approach, fourth edition. Human Kinetics, 2007.
Google Scholar
Hurn J. , Kneebone I. , Cropley M. Goal setting as an outcome measure: a systematic review. Clin Rehabil 2006; 20: 756-72.
Google Scholar | SAGE Journals | ISI
Schut HA , Stam HJ Goals in rehabilitation teamwork. Disabil Rehabil 1994; 16: 223-26.
Google Scholar | Crossref | Medline | ISI
Yip AM , Gorman MC , Stadnyk K. , Mills WG , MacPherson KM , Rockwood K. A standardized menu for Goal Attainment Scaling in the care of frail elders . The Gerontologist 1998; 38: 735-42.
Google Scholar | Crossref | Medline | ISI
World Health Organization. International classification of functioning, disability and health. Accessed 23 September 2008, from: www.who.int/classifications/icf/en/
Google Scholar
Kiresuk TJ , Sherman RE Goal attainment scaling: a general method for evaluating comprehensive community mental health programs. Community Ment Health J 1968; 4: 443-53.
Google Scholar | Crossref | Medline | ISI
Turner-Stokes L. Goal attainment scaling (GAS) in rehabilitation: a practical guide. Clin Rehabil 2009; 23: 362-70.
Google Scholar | SAGE Journals | ISI
Jelles F. , Van Bennekom CA , Lankhorst GJ , Sibbel CJ , Bouter LM Inter- and intra-rater agreement of the Rehabilitation Activities Profile . J Clin Epidemiol 1995; 48: 407-16.
Google Scholar | Crossref | Medline | ISI
Geyh S. , Cieza A. , Schouten J. , Dickson H. , Frommelt P. , Omar Z. et al. ICF core sets for stroke. J Rehabil Med 2004; 44(suppl): 135-41.
Google Scholar | Crossref | ISI
Tennant A. Goal attainment scaling: current methodological challenges. Disabil Rehabil 2007; 29: 1583-88.
Google Scholar | Crossref | Medline | ISI
Law LSH , Dai MOS , Siu A. Applicability of goal attainment scaling in the evaluation of gross motor changes in children with cerebral palsy. Hong Kong Physiother J 2004 ; 22: 22-28.
Google Scholar | Crossref
How do stroke units improve patient outcomes? A collaborative systematic review of the randomized trials. Stroke Unit Trialists Collaboration . Stroke 1997; 28(11): 2139-44.
Google Scholar | Crossref | Medline | ISI
Rockwood K. , Howlett S. , Stadnyk K. , Carver D. , Powell C. , Stolee P. Responsiveness of goal attainment scaling in a randomized controlled trial of comprehensive geriatric assessment. J Clin Epidemiol 2003 ; 56: 736-43.
Google Scholar | Crossref | Medline | ISI
Steenbeek D. , Meester-Delver A. , Becher JG , Lankhorst GJ The effect of botulinum toxin type A treatment of the lower extremity on the level of functional abilities in children with cerebral palsy: evaluation with goal attainment scaling. Clin Rehabil 2005; 19: 274-82.
Google Scholar | SAGE Journals | ISI

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