Goal-oriented rehabilitation of preschoolers with cerebral palsy-a multi-case study of combined use of the Canadian Occupational Performance Measure (COPM) and the Goal Attainment Scaling (GAS)
Goal-oriented rehabilitation of preschoolers with cerebral palsy-a multi-case study of combined use of the Canadian Occupational Performance Measure (COPM) and the Goal Attainment Scaling (GAS)
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DOI：
10.1080/17518420802525500
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发表时间：
2008-01-01
影响因子：
1.3
通讯作者：
Fallang, Bjorg
中科院分区：
文献类型：
--
作者：
Ostensjo, Sigrid;Oien, Ingvil;Fallang, Bjorg
目的：探索设置和实施目标作为一个持续的过程中，使用COPM和GAS combination.Methods：多案例研究的目标设定的方法，涉及父母和服务提供者的13名儿童（年龄23-50个月）轻度至中度CP参加了为期9个月的康复计划，包括两个块的设置和实施目标。儿童的COPM报告和GAS的目标和信息，从一份问卷调查有关implementation.Results：在初步评估中，最优先的问题，由家长在COPM措辞的活动。在制定和执行目标的过程中，干预的优先事项发生了变化。GAS目标经常被整合到家庭和幼儿园的日常活动中，这取决于如何实现这些目标。孩子们的表现的变化是由高比例的目标实现和一个小的，但明显的变化，在父母的表现的看法。家长和服务提供者报告了在实现具体且可衡量的目标方面取得的许多成果，但也面临一些挑战。结论：通过结合使用COPM和GAS，出现了在日常活动背景下制定和实施目标的动态互动过程。
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.