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Feasibility and Implementation Determinants of a Structured Goal Setting and Goal Management System

Eunyoung Kang¹, Julie Chen², Erin R Foster³

¹Eunyoung Kang, PhD, is Postdoctoral Research Fellow, Institute for Implementation Science, School of Public Health, University of Texas, Houston; eunyoung.kang@uth.tmc.edu. At the time this research was completed, Kang was Doctoral Student, Program in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association

|December 7, 2023

Abstract

Importance:

There is no evidence-based system to guide occupational therapists in implementing theory-based, client-engaged goal setting and goal management. A new system is needed to support high-quality goal setting and goal management.

Objective:

To determine the acceptability, appropriateness, feasibility, credibility, and expectancy of a new structured theory-based, client-engaged goal setting and goal management system, called MyGoals, for occupational therapists. We explored MyGoals' implementation determinants, potential positive outcomes, and comparative advantages.

Design:

This was a mixed-methods feasibility study.

Setting:

Community.

Participants:

Occupational therapists (N = 7).

Outcomes And Measures:

Acceptability, appropriateness, and feasibility were assessed using the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM). Credibility and expectancy were assessed with the Credibility and Expectancy Questionnaire (CEQ). Semistructured 1:1 interviews were conducted to explore occupational therapy perspectives on MyGoals and its implementation-related factors.

Results:

MyGoals had high AIM (M = 18.1, SD = 1.9), IAM (M = 17.9, SD = 2.2), FIM (M = 17.3, SD = 2.1) scores and high CEQ Credibility (M = 22.1, SD = 5.0) and Expectancy (M = 20.6, SD = 4.3) scores. Interview data revealed suggestions to improve MyGoals, implementation determinants across the individuals involved, inner setting, and intervention characteristic domains, client- and clinician-related potential positive outcomes, and comparative advantages.

Conclusions And Relevance:

MyGoals is an acceptable, appropriate, feasible, credible, and promising system to guide occupational therapists in implementing theory-based, client-engaged goal setting and goal management for adults with chronic conditions in community-based rehabilitation. What This Article Adds: MyGoals is an easy-to-use, appealing, and helpful system to support occupational therapists in delivering theory-based goal setting and goal management components and to enable adults with chronic conditions to actively engage in their rehabilitation. This study supports the usefulness of MyGoals in community-based rehabilitation to improve goal setting and goal management quality and personally meaningful rehabilitation goal achievement in this population.

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