title: Clinical utility of the combined use of the Canadian Occupational Performance Measure and Goal Attainment Scaling.
abstract: OBJECTIVE
  We investigated the clinical utility of combined use of Goal Attainment Scaling (GAS) and the Canadian Occupational Performance Measure (COPM) to plan goals and measure progress in a community rehabilitation setting.
  
  
  METHODS
  Fourteen participants with traumatic brain injury completed an outpatient, goal-directed 12-wk occupational therapy program; 53 goals were generated. Performance and satisfaction self-ratings and GAS ratings were collected before and after intervention. Self-awareness, motivation to change, and perceived client-centeredness measures were taken before intervention.
  
  
  RESULTS
  Sensitivity to change was demonstrated by significant improvements after intervention for total performance self-ratings on the COPM and GAS Tscores.
  
  
  CONCLUSIONS
  Combined use of these tools, although time consuming, resulted in goals that were perceived almost unanimously as client centered, despite most participants' having moderate or severe impairment in self-awareness. The process also enabled subjective and objective demonstration of goal achievement, thereby supporting the clinical utility and treatment validity of the combined use of these tools.
authors.affiliation: Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland 4072, Australia. emmah.doig@optusnet.com.au
authors.forename: Emmah
authors.initials: E
authors.lastname: Doig
authors.forename: Jennifer
authors.initials: J
authors.lastname: Fleming
authors.forename: Pim
authors.initials: P
authors.lastname: Kuipers
authors.forename: Petrea L
authors.initials: PL
authors.lastname: Cornwell
mesh_terms: D000293:Adolescent; D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D002170:Canada; D005260:Female; D006040:Goals; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D009788:Occupational Therapy / Q000379:methods*; D017063:Outcome Assessment, Health Care; D011795:Surveys and Questionnaires; D013647:Task Performance and Analysis; D016896:Treatment Outcome; D055815:Young Adult