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Formulating goals in occupational therapy : State of the art in Switzerland

The contemporary occupational therapy literature suggests that different quality criteria exist for setting goals in occupational therapy: a focus on occupation; a link to the International Classification of Functioning, Disability, and Health (ICF); and adherence to the SMART recommendations, which advises goals to be specific, measurable, agreed, realistic, and timed. Aim: To identify the extent to which Swiss occupational therapists (OTs) adhere to the criteria cited above. Material: A total of 1 129 goals formulated with the Goal Attainment Scale (GAS) collected in 2008. Results: In slightly more than half the investigated cases at  least one goal addressed an aspect of occupation. Nearly two-thirds of the goals related to the ICF component “activity and participation”. Nearly 90% of the goals were specific, measurable, and/or realistic. Conclusions: Goals mirror, to some extent, what is done in everyday practice. Several influences on goal formulations of OTs were identified, including the practice models traditionally used in different specialist fields; the cultural contexts in which OTs were trained; and the legal framework that obliges OTs to formulate their goals in a certain way in order to obtain funding for their services. Significance: Based on these results evidence-based products have been developed (a further education course; written recommendations for practice).

Agustoni Stefania
Bänziger Andreas
Margot Cattin Isabel
Meichtry André
Meyer Sylvie
Page Julie
Roos Kim
Rossini-Drecq Emmanuelle

Page, J., Roos, K., Bänziger, A., Margot-Cattin, I., Agustoni, S., Rossini, E., Meichtry, A., & Meyer, S. (2015). Formulating goals in occupational therapy : State of the art in Switzerland. Scandinavian Journal of Occupational Therapy, mis en ligne 19 juin.

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