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Goal-Setting Instruments in Geriatric Rehabilitation: A Systematic Review.

R van Seben1, L Reichardt, S Smorenburg

  • 1R. van Seben, Department of Internal Medicine, Section of Geriatric Medicine, Academic Medical Center, PO Box 22660, Meibergdreef 9 1100 DD Amsterdam, The Netherlands, +31 (0) 20 56 61282,

The Journal of Frailty & Aging
|March 1, 2017
PubMed
Summary
This summary is machine-generated.

Goal-Attainment Scaling (GAS) shows strong psychometric properties for geriatric rehabilitation goal setting. Further research is needed for the Canadian Occupational Performance Measure (COPM) and Self-Identified Goals Assessment (SIGA).

Keywords:
Geriatric rehabilitationgoal-setting instrumentspsychometric properties

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Area of Science:

  • Geriatric Rehabilitation
  • Rehabilitation Medicine
  • Health Outcomes Research

Background:

  • Effective goal-setting instruments are crucial for geriatric rehabilitation.
  • Limited evidence exists on the psychometric properties of these instruments in this population.
  • Existing instruments require rigorous evaluation for validity, reliability, and responsiveness.

Purpose of the Study:

  • To systematically review the psychometric properties of goal-setting instruments used in geriatric rehabilitation.
  • To identify instruments with robust evidence for use in this clinical setting.
  • To highlight areas requiring further research in geriatric rehabilitation goal setting.

Main Methods:

  • Systematic literature search of PubMed Medline and Embase.
  • Inclusion criteria: somatic/neurological rehabilitation, patients ≥55 years, psychometric data.
  • Eleven studies evaluated Goal-Attainment Scaling (GAS), Canadian Occupational Performance Measure (COPM), Self-Identified Goals Assessment (SIGA), and ICF core sets.

Main Results:

  • Goal-Attainment Scaling (GAS) demonstrated high validity and reliability, with excellent responsiveness.
  • Canadian Occupational Performance Measure (COPM) and Self-Identified Goals Assessment (SIGA) showed good validity but poor responsiveness.
  • International Classification of Functioning, Disability and Health (ICF) core sets had fair content validity and very poor responsiveness.

Conclusions:

  • Goal-Attainment Scaling (GAS) is a promising instrument for geriatric rehabilitation, supported by existing psychometric evidence.
  • Further research is needed to confirm GAS's utility and explore its application in diverse settings.
  • Canadian Occupational Performance Measure (COPM) and Self-Identified Goals Assessment (SIGA) require additional psychometric validation before recommendation.