Article

PURPOSE: To explore setting and implementing goals as an ongoing process, using
the COPM and the GAS in combination. METHODS: Multi-case study of a goal-setting
approach, involving parents and service providers of 13 children (aged 23-50
months) with mild-to-moderate CP enrolled in a 9-month rehabilitation programme
consisting of two blocks of setting and implementing goals. The children's COPM
reports and GAS goals and information from a questionnaire about implementation
were analysed. RESULTS: In the initial assessment, most problems prioritized by
the parents in the COPM were phrased in terms of activities. The priorities for
intervention changed during the process of setting and implementing goals. GAS
goals were frequently integrated in everyday activities both at home and in
kindergarten based on decisions on how to implement the goals. Changes in the
children's performance were recognized by a high proportion of goal attainment
and a small, but clear change in the parents' perception of performance. Parents
and service providers reported many gains working towards concrete and measurable
goals, but also some challenges. CONCLUSION: By using the COPM and GAS in
combination, a dynamic and interactive process of setting and implementing goals
in the context of everyday activities emerged.

Langue : ANGLAIS