Edorium Journal of

Disability and Rehabilitation

 
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Original Article
 
Measuring goal attainment within a community-based multidisciplinary rehabilitation setting for people with spinal cord injury
Melissa Bianca Kendall1,2, Melissa Anne Wallace3
1PhD, Senior Research Officer, Acquired Brain Injury Outreach Service and Transitional Rehabilitation Program, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
2Associate Professor, School of Human Services and Social Work, Griffith University, Logan Campus, Meadowbrook, Queensland, Australia.
3BOccThy, Occupational Therapist, Transitional Rehabilitation Program, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Article ID: 100010D05MK2016
doi:10.5348/D05-2016-10-OA-6

Address correspondence to:
Melissa Bianca Kendall
Senior Research Officer
ABIOS and TRP
PO Box 6053
Buranda QLD Australia 4102

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How to cite this article
Kendall MB, Wallace MA. Measuring goal attainment within a community-based multidisciplinary rehabilitation setting for people with spinal cord injury. Edorium J Disabil Rehabil 2016;2:43–52.


Abstract
Aims: To describe and evaluate the multidisciplinary goal attainment measure (MGAM), a method for measuring goal attainment within a community-based multidisciplinary rehabilitation setting and to explore the relationships between the multidisciplinary goal attainment measure and other standardized outcome measures.
Methods: De-identified data was collected retrospectively from the records of 250 individuals with spinal cord injury who were administered the multidisciplinary goal attainment measure (goal performance and goal satisfaction), functional independence measure, clinical outcomes variables scale and a visual analogue measure of quality of life at commencement and completion of community rehabilitation.
Results: The multidisciplinary goal attainment measure demonstrated sensitivity to change in goal performance and satisfaction over time. Goal performance and goal satisfaction were highly correlated but appeared to operate as separate constructs. Goal performance and goal satisfaction correlated with function and mobility at admission to community rehabilitation but not at completion of community rehabilitation. Goal performance and satisfaction did not discriminate across lesion level or completeness of injury.
Conclusion: Outcome measurement in the community setting requires the use of measures that are appropriate and relevant to the goal-directed nature of rehabilitation in this setting. While goal attainment has been measured in the past, the multidisciplinary goal attainment measure offers an alternative in the multidisciplinary rehabilitation setting but requires further validation and administration to different clinical populations.

Keywords: Community rehabilitation, Goal attainment, Outcome measures, Spinal cord injuries


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Author Contributions:
Melissa Bianca Kendall – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Melissa Anne Wallace – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Melissa Bianca Kendall et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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