Activity-Based Goals Generated by Older Adults With Mild Cognitive Impairment.
Juleen Rodakowski, Amanda M Becker, Katlyn W Golias
PMID 29343175WHAT IT FOUND
Older adults with mild cognitive impairment generated 55 activity-based goals with an occupational therapist, averaging 4.23 goals each.
Most goals concerned instrumental daily tasks, especially exercise, not basic self-care, education, or work.
Key findings
01All 13 participants generated activity-based goals, producing 55 goals and an average of 4.23 goals each (SD = 1.48).
02Most goals were instrumental activities of daily living: 39 goals, 70.9% of all goals, with 12 of 39 IADL goals exercise related (30.7%).
03Participants did not select goals in activities of daily living, education, or work.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
This was a secondary analysis with only 13 participants, so the goal pattern may not represent older adults with mild cognitive impairment more broadly. The sample was primarily white and highly educated, which limits generalizability. The process was conducted by occupational therapists in participants' homes, so goals and participation may differ with other professionals or settings. The authors described the findings as preliminary. The analysis examined goal generation and categorization, not intervention outcomes.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that client-centered goal setting improves cognition, participation, or daily function. This small secondary analysis described which goals 13 participants generated and did not compare outcomes with a control group.