OTProtocolFrontiers in rehabilitation sciences2023

Development of a goal setting and goal management system: Intervention Mapping.

Eunyoung Kang, Erin R Foster

PMID 38259874

WHAT IT FOUND

MyGoals is a new six-step system for goal setting in community rehabilitation.

It was designed with clients and therapists to fix gaps in current practice, but it has not yet been tested to see if it actually improves patient outcomes.

Key findings

01The MyGoals system was developed using Intervention Mapping to address gaps in current goal setting practice, specifically limited use of theory-based components and poor client engagement.

02The intervention consists of six activities: Education, Reflection, Find my goals, Make my goals, Make my plans, and My progress.

03The paper describes the theoretical framework and development process but does not report efficacy results; the authors state that future studies are planned to evaluate effectiveness.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

This is a protocol and development paper, not a clinical trial. No evidence is provided that MyGoals improves patient outcomes. The planning team was very small (two clients and two clinicians), limiting the diversity of perspectives. The pilot testing was conducted only with the planning team members, not with a broader group of patients or therapists. The intervention is currently designed specifically for occupational therapy contexts, which may limit its immediate applicability to other disciplines without adaptation.

Declared interests

The work was supported by the Program in Occupational Therapy at Washington University in St. Louis and NIH Grant R21AG063974.

The easy way to misread this

Do not assume MyGoals is an evidence-based treatment that improves patient outcomes. This paper only describes how the system was designed and built; it has not been tested in a clinical trial to show it works.

Read it on PubMed →