Article

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 Tscores. 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.

Langue : ANGLAIS