Goal Setting in Psychiatric Rehabilitation

描述 2009年初，我作为研究健康科学家加入了印第安纳波利斯VA HSR&D卓越中心。我的研究训练包括博士学位。在印第安纳州普渡大学印第安纳波利斯的临床康复心理学。完成学位后，我与几位联邦资助的研究人员一起接受了印第安纳州ACT中心、IUPUI和VA的培训。研究兴趣：我的主要研究兴趣是为患有严重精神疾病的退伍军人（例如，精神分裂症）。感兴趣的相关领域是实现研究和程序保真度的测量。相关性：目标设定，定义为确定治疗的预期结果，是康复实践的核心。目标设定干预措施已被证明可以增加治疗的参与度，并提高患者的自主性。关于患者参与，错过预约是VA系统中的一个相当大的问题，导致数百万美元的生产力损失， 限制了需要服务的退伍军人的进入。目标设定也被证明可以增加动机，并导致与目标相关的绩效增加。更好地理解治疗计划中的目标设定可以为以下人群提供更有效和更有效的精神卫生服务： 老兵目的：这个CDA-2的总体目标是准备我成为一个独立的VA研究人员，在目标设定和测量结构和验证的神经认知过程的专业知识。拟议的研究旨在构建，验证和应用措施的目标结构在精神病康复设置。这项研究的具体目标包括：“开发一种可靠和有效的工具，以评估接受严重精神疾病服务的退伍军人的目标结构。 “使用开发的方法来评估目标结构和职业康复环境中的成功之间的关系。研究设计：我提出了两个相关的项目：1）一个纵向研究的心理测量特性的目标结构评估电池和2）纵向研究的目标设置在职业康复和职业成功。重要性：尽管有希望取得更好的结果和增加对治疗的参与，但在康复方面制定目标的干预措施产生了好坏参半的结果。过去的研究未能衡量的结构已被证明是至关重要的影响目标设定和绩效之间的关系。这一提议将导致创建和验证目标结构的评估组合。这个电池 将作为后续Merit Review关于精神康复目标设定和目标设定协议创建关键因素的建议的核心。 公共卫生相关性： 工业/组织、体育和认知心理学有强有力的证据表明设定目标的有效性。此外，目标设定通常被认为是精神病康复的核心。然而，在康复治疗中缺乏关于目标设定的研究 实践在这方面的研究是阻碍了缺乏方法来评估的结构是关键的目标设定和目标相关的性能。拟议的研究过程将a）建立一个可靠和有效的方法来衡量目标结构和B）使用此措施来检查目标结构和职业成果之间的关系，为退伍军人与严重精神疾病参加职业康复计划。此外，该提案还包括对主要研究者进行测量和神经认知过程的培训。

DESCRIPTION I joined the Indianapolis VA HSR&D Center of Excellence as a Research Health Scientist in the beginning of 2009. My research training included a Ph.D. in clinical rehabilitation psychology from Indiana University Purdue University Indianapolis. Following completion of my degree, I have trained with several federally-funded researchers with the ACT Center of Indiana, IUPUI, and the VA. Research Interests: My primary research interest is goal setting in psychiatric rehabilitation services for veterans with severe mental illness (e.g., schizophrenia). Related areas of interest are implementation research and measurement of program fidelity. Relevance: Goal setting, defined as establishing the desired outcome for treatment, is central to rehabilitation practice. Goal setting interventions have been shown to increase participation in treatment and increase patient autonomy. Regarding patient participation, missed appointments are a sizable problem in the VA system, accounting for millions of dollars of lost productivity and limiting access to veterans needing services. Goal setting has also been shown to increase motivation and lead to increased goal-related performance. A better understanding of goal setting in treatment planning could lead to more efficient and effective mental health services for veterans. Objectives: The overall goal of this CDA-2 is to prepare me to become an independent VA researcher with expertise in the neuro-cognitive processes underlying goal setting and measurement construction and validation. The proposed research aims to construct, validate, and apply measures of goal constructs in a psychiatric rehabilitation setting. Specific aims for this research include: " Develop a reliable and valid tools to assess goal constructs in veterans receiving services for severe mental illness. " Use the developed methods to assess the relationship between goal constructs and success in a vocational rehabilitation setting. Study Design: I propose two related projects: 1) A longitudinal study of the psychometric properties of a goal construct assessment battery and 2) A longitudinal study of goal setting in vocational rehabilitation and vocational success. Significance: Despite the promise of better outcomes and increased participation in treatment, goal setting interventions in rehabilitation have produced mixed results. Past research has failed to measure constructs which have proven critical in effecting the relationship between goal setting and performance. This proposal will lead to the creation and validation of an assessment battery for goal constructs. This battery will serve as a center-piece of subsequent Merit Review proposals on critical factors in psychiatric rehabilitation goal setting and the creation of a goal setting protocol. PUBLIC HEALTH RELEVANCE: There is robust evidence from industrial/organizational, sports, and cognitive psychology regarding the effectiveness of setting goals. Moreover, goal setting is generally consider central to psychiatric rehabilitation. Yet, there is a dearth of research on goal setting in rehabilitation practice. Research in this area is hindered by a lack of methodology to assess the constructs shown to be key to goal setting and goal-related performance. The proposed course of research will a) establish a reliable and valid method to measure goal constructs and b) use this measure to examine the relationship between goal constructs and vocational outcomes for Veterans with severe mental illness enrolled in a vocational rehabilitation program. Additional, the proposal includes training for the primary investigator in measurement and neurocognitive processes.