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Goal setting within a tertiary-level early developmental intervention program

Charlene M T Robertson1,2, Shannon M DeForge2, Cara F Dosman1,2

  • 1Division of Developmental Pediatrics, Department of Pediatrics, University of Alberta, Edmonton, Alberta.

Paediatrics & Child Health
|February 27, 2018
PubMed

Insights

Parent-therapist goals in early developmental intervention (EDI) programs focus on activity, not participation. Two-thirds of goals showed positive changes, suggesting a need to increase participation goals for better outcomes.

Area of Science:

  • Pediatrics
  • Developmental Disabilities
  • Occupational Therapy

Background:

  • Family-centered, tertiary-level early developmental intervention (EDI) programs aim to support children with complex developmental disabilities.
  • Collaborative goal setting between parents and therapists is a cornerstone of effective intervention.

Purpose of the Study:

  • To identify the primary domains of collaboratively set intervention goals in a tertiary-level EDI program.
  • To assess changes in performance and satisfaction ratings for these goals pre- and post-intervention.

Main Methods:

  • 168 children (30 ± 3 months) with complex developmental disabilities and their parents completed the Canadian Occupational Performance Measure (COPM).
  • Goals were categorized using the International Classification of Functioning, Disability and Health: Children & Youth version (ICF-CY) domains.
  • Pre- and post-intervention COPM ratings were analyzed to determine positive changes.

Main Results:

  • Of 483 goals, 65.4% were in the ICF-CY activity domain, with fewer in participation (16.4%) and body function (10.3%).
  • Positive changes in performance ratings occurred for 70% of goals, and satisfaction ratings for 68%.
  • Approximately two-thirds of individual goals and average child goals showed positive changes in both performance and satisfaction.

Conclusions:

  • Intervention goals in tertiary EDI programs predominantly target activity rather than participation, contrary to ICF-CY recommendations.
  • While most goals show positive change, there is an opportunity to enhance intervention by increasing the focus on participation goals.
  • Further evaluation is needed to optimize goal setting within EDI programs to improve participation and overall outcomes.
Abstract

Keywords:
DisabilityEarly developmental interventionFunctionGoal settingInfants.

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