Evaluating Goal Attainment Scaling for Individuals With Mild Cognitive Impairment or Dementia in Rehabilitation Settings.
Praneeta Jogie, Miia Rahja, Maayken van den Berg and 2 others
PMID 41477101WHAT IT FOUND
People with mild cognitive impairment or dementia could use Goal Attainment Scaling to rate their own progress, agreeing closely with therapists.
However, goal attainment scores did not correlate with Functional Independence Measure scores, so the two tools measure different things.
Key findings
01Participants with mild cognitive impairment or dementia were able to engage in goal setting and evaluate their own performance using Goal Attainment Scaling.
02There was acceptable agreement between participant and health professional ratings of goal attainment, with differences falling within the expected range.
03Changes in Goal Attainment Scaling scores did not significantly correlate with changes in Functional Independence Measure scores.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The sample size was very small, with only 21 participants completing the study. The study was cross-sectional, so it cannot prove that using Goal Attainment Scaling causes better outcomes. Many potential participants were excluded because they had severe communication or cognitive deficits, so the results do not apply to those patients. The hospital environment was affected by the pandemic, which pressured staff to discharge patients quickly and may have influenced goal setting and achievement.
Declared interests
The investigators have no financial or nonfinancial disclosures to make in relation to this project.
The easy way to misread this
Do not conclude that Goal Attainment Scaling is a poor measure because it did not correlate with the Functional Independence Measure. The study suggests these tools measure different things: one tracks personal goal achievement, while the other tracks functional ability.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →