Patient- and caregiver-identified preferences: Dimensions of change in developmental therapy treatment goals
Jennifer M Angeli1,2, Karen L Harpster1,2, Elizabeth Hanson1,2
1a Division of Occupational Therapy and Physical Therapy, Cincinnati Children's Hospital Medical Center , Cincinnati , OH , USA.
Objective:
To describe patterns in preferred dimensions of change in therapy goals identified by individuals with developmental disability and their caregivers.
Methods:
A retrospective chart review of Goal Attainment Scaling (GAS) goals for patients aged 2-32 years (n = 124) participating in a program of episodic care was conducted. Dimensions of change were analyzed through a mixed-methods study design. Co-occurrence rates and descriptor-to-code comparisons were computed in order to relate the dimension of change to diagnosis, International Classification of Functioning, Disability, and Health (ICF) goal domain, gender, age, and goal setter.
Results:
Decreased level of assistance was the most commonly identified preferred dimension of change, cited in 31.0% of goals. Decreased level of assistance remained the most frequently reported dimension of change in multiple subgroup analyses.
Conclusion:
Independence is highly valued by parents and individuals with developmental disability. This finding should help guide therapy plans or program development addressing task performance.
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