Goal attainment scaling with older people in general practice: A feasibility study
Background: The impact of health problems on daily life and consequent treatment goals differ from person to person, particularly for older people with multiple health problems. Personalized care in general practice can help address these health problems, but evaluation of its effects remains diffic...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-11-01
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| Series: | International Journal of Nursing Studies Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666142X2030014X |
| _version_ | 1819319218803310592 |
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| author | Sophie CE van Blijswijk Jacobijn Gussekloo Florentine M Heijmans Annet W Wind Wendy PJ den Elzen Jeanet W Blom |
| author_facet | Sophie CE van Blijswijk Jacobijn Gussekloo Florentine M Heijmans Annet W Wind Wendy PJ den Elzen Jeanet W Blom |
| author_sort | Sophie CE van Blijswijk |
| collection | DOAJ |
| description | Background: The impact of health problems on daily life and consequent treatment goals differ from person to person, particularly for older people with multiple health problems. Personalized care in general practice can help address these health problems, but evaluation of its effects remains difficult. In rehabilitation, a common approach to the evaluation of personalized care is Goal Attainment Scaling. This feasibility study assesses whether goal attainment scaling can also be applied to the evaluation of personal care for community-dwelling older people in general practice. Methods: General practices were invited to participate in this longitudinal, observational feasibility study. Practice nurses and general practitioners received training in care plans and goal attainment scaling. They were each asked to create care plans and goal attainment scales for patients (aged ≥75 years) and to carry out evaluations at three and six months. Professionals and patients both completed a short questionnaire to evaluate their experiences regarding the (dis)advantages of goal attainment scaling. Results: Professionals (n=10) and patients (n=23) were able to set goals and scales (n=57) for problems across five health domains (somatic, functional, social, psychological and communicative), but experienced difficulties formulating goals and corresponding goal attainment scaling levels. Reported benefits of goal attainment scaling were 1) important problems were addressed, 2) patients were involved and motivated to attain goals, and 3) evaluation was straightforward once a scale was created. Disadvantages were 1) difficult for older people, 2) time-consuming and complex for clinical practice. Conclusions: Goal attainment scaling shows potential benefit for clinical practice and general practice research in terms of the setting and evaluation of goals for community-dwelling older persons. Further research is needed to develop more standardized and less time-consuming goal attainment scaling methods. |
| first_indexed | 2024-12-24T11:00:12Z |
| format | Article |
| id | doaj.art-bf4e61c1504347eea611f5384d1ae41f |
| institution | Directory Open Access Journal |
| issn | 2666-142X |
| language | English |
| last_indexed | 2024-12-24T11:00:12Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Studies Advances |
| spelling | doaj.art-bf4e61c1504347eea611f5384d1ae41f2022-12-21T16:58:43ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2021-11-013100015Goal attainment scaling with older people in general practice: A feasibility studySophie CE van Blijswijk0Jacobijn Gussekloo1Florentine M Heijmans2Annet W Wind3Wendy PJ den Elzen4Jeanet W Blom5Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Postzone V0-P, Postbus 9600, 2300 RC Leiden, the Netherlands; Corresponding author.Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Postzone V0-P, Postbus 9600, 2300 RC Leiden, the Netherlands; Department of Internal Medicine, section Gerontology and Geriatrics, Leiden University Medical Center, Hippocratespad 21, Postzone V0-P, Postbus 9600, 2300 RC Leiden, the NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Postzone V0-P, Postbus 9600, 2300 RC Leiden, the NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Postzone V0-P, Postbus 9600, 2300 RC Leiden, the NetherlandsDepartment of Clinical Chemistry and Laboratory Medicine, Leiden University Medical Center, Hippocratespad 21, Postzone V0-P, Postbus 9600, 2300 RC Leiden, the NetherlandsDepartment of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Postzone V0-P, Postbus 9600, 2300 RC Leiden, the NetherlandsBackground: The impact of health problems on daily life and consequent treatment goals differ from person to person, particularly for older people with multiple health problems. Personalized care in general practice can help address these health problems, but evaluation of its effects remains difficult. In rehabilitation, a common approach to the evaluation of personalized care is Goal Attainment Scaling. This feasibility study assesses whether goal attainment scaling can also be applied to the evaluation of personal care for community-dwelling older people in general practice. Methods: General practices were invited to participate in this longitudinal, observational feasibility study. Practice nurses and general practitioners received training in care plans and goal attainment scaling. They were each asked to create care plans and goal attainment scales for patients (aged ≥75 years) and to carry out evaluations at three and six months. Professionals and patients both completed a short questionnaire to evaluate their experiences regarding the (dis)advantages of goal attainment scaling. Results: Professionals (n=10) and patients (n=23) were able to set goals and scales (n=57) for problems across five health domains (somatic, functional, social, psychological and communicative), but experienced difficulties formulating goals and corresponding goal attainment scaling levels. Reported benefits of goal attainment scaling were 1) important problems were addressed, 2) patients were involved and motivated to attain goals, and 3) evaluation was straightforward once a scale was created. Disadvantages were 1) difficult for older people, 2) time-consuming and complex for clinical practice. Conclusions: Goal attainment scaling shows potential benefit for clinical practice and general practice research in terms of the setting and evaluation of goals for community-dwelling older persons. Further research is needed to develop more standardized and less time-consuming goal attainment scaling methods.http://www.sciencedirect.com/science/article/pii/S2666142X2030014XCare-action-planCommunity-dwelling older peopleEvaluation methodGeneral practiceGoal attainment scalingGoal setting |
| spellingShingle | Sophie CE van Blijswijk Jacobijn Gussekloo Florentine M Heijmans Annet W Wind Wendy PJ den Elzen Jeanet W Blom Goal attainment scaling with older people in general practice: A feasibility study International Journal of Nursing Studies Advances Care-action-plan Community-dwelling older people Evaluation method General practice Goal attainment scaling Goal setting |
| title | Goal attainment scaling with older people in general practice: A feasibility study |
| title_full | Goal attainment scaling with older people in general practice: A feasibility study |
| title_fullStr | Goal attainment scaling with older people in general practice: A feasibility study |
| title_full_unstemmed | Goal attainment scaling with older people in general practice: A feasibility study |
| title_short | Goal attainment scaling with older people in general practice: A feasibility study |
| title_sort | goal attainment scaling with older people in general practice a feasibility study |
| topic | Care-action-plan Community-dwelling older people Evaluation method General practice Goal attainment scaling Goal setting |
| url | http://www.sciencedirect.com/science/article/pii/S2666142X2030014X |
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