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Does goal setting in activity‐focused interventions for children with cerebral palsy influence treatment outcome?
Author(s) -
Brogren Carlberg Eva,
Löwing Kristina
Publication year - 2013
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.12307
Subject(s) - cinahl , cerebral palsy , physical therapy , outcome (game theory) , psychological intervention , intervention (counseling) , randomized controlled trial , medline , goal attainment scaling , psychology , medicine , physical medicine and rehabilitation , rehabilitation , psychiatry , mathematics , mathematical economics , political science , law
Today, treatment for children with cerebral palsy predominantly aims at improving the children's possibilities to perform everyday activities in their natural environment. The activities in focus for intervention are often expressed as specific goals, frequently defined in a collaborative goal‐setting process between professionals and parents. The role of goal setting to improve the outcome of the intervention has not been shown in the literature so far. Thus, the aim of this systematic review was to explore if goal setting has an impact on treatment outcome assessed by standardized measures. CINAHL and MEDLINE were searched from January 2000 to October 2012, resulting in a final selection of 13 articles, six of which were randomized controlled trials. Methodological quality was assessed and study characteristics were analysed descriptively. Subject characteristics, type of intervention/s, frequency, and intensity of therapy varied largely. Outcome was assessed by standardized outcome measures as well as evaluated through aspects of goal attainment. Most studies showed robust within‐group changes according to study‐appropriate standardized measures, whereas the between‐group comparisons exhibited less consistent differences in outcome. The review does not provide support for a positive effect of goal setting per se on treatment outcome. Studies that specifically measure the effect of goal setting on treatment outcome are needed.