1. Goal-setting and attainment in prolonged disorders of consciousness – development of a structured approach.
- Author
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Turner-Stokes, L., Rose, H., Lakra, C., Williams, H., Ashford, S. A., and Siegert, R. J.
- Subjects
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CONFIDENCE intervals , *GOAL (Psychology) , *LONGITUDINAL method , *MEDICAL protocols , *MEDICAL practice , *HEALTH outcome assessment , *RETROSPECTIVE studies , *REHABILITATION for brain injury patients - Abstract
Aims: To develop a structured goal-set for use in programs for the assessment and management of prolonged disorders of consciousness (PDOC). Methods: A retrospective analysis of goals from a consecutive cohort of patients (n = 162) admitted to a specialist in-patient PDOC program in the UK from 2007 to 2018. Overall goal attainment was examined with Goal Attainment Scaling (GAS) using the GAS-Light method. Rates of individual goal-setting and achievement were examined for both standardized objectives (n = 2959) and personalized goals (n = 661). Goal statements from the personalized goals were independently reviewed and mapped to the domains of the existing structured objective set to identify any missing goal areas. Results: Mean outcome GAS T-scores were 47.2 (95% CI: 46.7, 47.6) and 47.7 (95% CI: 46.7, 48.8), respectively, for the standardized and personally set goals. These were closely correlated (r = 0.482, p <.001) with no significant difference between them. Analysis of goal achievement within each domain identified goals that were/were not likely to be achieved. An initial structured set of 20 standardized objectives in 12 domains was expanded and re-organized to produce a final-structured goal-set of 36 objectives in 18 domains. Conclusions: Developed through real-life clinical practice, this first published structured goal-set for PDOC programs now requires testing in other services/settings. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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