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弗吉尼亚州HSR&D卓越中心。我的研究培训包括印第安纳大学、普渡大学、印第安纳波利斯临床康复心理学博士学位。完成学位后，我在印第安纳州ACT中心、IUPUI和退伍军人管理局接受了几名联邦资助的研究人员的培训。研究兴趣：我的主要研究兴趣是为患有严重精神疾病(如精神分裂症)的退伍军人设定精神康复服务的目标。感兴趣的相关领域是实施研究和程序保真度的测量。相关性：目标设定，即确定期望的治疗结果，是康复实践的核心。设定目标的干预措施已被证明可以增加治疗的参与度，增加患者的自主性。关于患者参与，错过预约在退伍军人管理局系统中是一个相当大的问题，导致数百万美元的生产力损失和 限制对需要服务的退伍军人的接触。研究还表明，设定目标可以增强动力，提高与目标相关的绩效。更好地理解治疗计划中的目标设定可能会导致更高效和有效的心理健康服务 退伍军人。目标：CDA-2的总体目标是让我成为一名独立的退伍军人管理局研究员，在目标设定和测量构建和验证的神经认知过程方面拥有专业知识。这项拟议的研究旨在构建、验证和应用精神康复环境中的目标结构的测量。这项研究的具体目标包括：“开发一个可靠和有效的工具来评估接受严重精神疾病服务的退伍军人的目标结构。”使用已开发的方法来评估目标结构与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)目标构建评估组合的心理测量学特性的纵向研究；2)职业康复中目标设置与职业成功的纵向研究。意义：尽管有望获得更好的结果和更多的参与治疗，但康复中的目标设定干预措施产生了好坏参半的结果。过去的研究未能衡量那些被证明在影响目标设定和绩效之间的关系方面至关重要的结构。这项提议将导致建立和验证目标构建的评估单元。这块电池 将作为随后关于精神康复目标设定的关键因素的功绩审查建议的中心部分，并创建目标设定方案。 公共卫生相关性： 关于设定目标的有效性，工业/组织心理学、体育心理学和认知心理学都有强有力的证据。此外，目标设定通常被认为是精神康复的核心。然而，关于康复目标设定的研究还很少。 练习一下。这一领域的研究由于缺乏评估目标设定和目标相关绩效的关键结构的方法论而受到阻碍。拟议的研究过程将a)建立一种可靠和有效的方法来衡量目标结构，b)使用这一测量方法来检验参加职业康复计划的严重精神疾病退伍军人的目标结构和职业结果之间的关系。此外，该提案还包括对主要研究人员进行测量和神经认知过程方面的培训。

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.