title: Development and construct validation of the Client-Centredness of Goal Setting (C-COGS) scale.
abstract: BACKGROUND
  Client-centred philosophy is integral to occupational therapy practice and client-centred goal planning is considered fundamental to rehabilitation. Evaluation of whether goal-planning practices are client-centred requires an understanding of the client's perspective about goal-planning processes and practices. The Client-Centredness of Goal Setting (C-COGS) was developed for use by practitioners who seek to be more client-centred and who require a scale to guide and evaluate individually orientated practice, especially with adults with cognitive impairment related to acquired brain injury.
  
  
  OBJECTIVE
  To describe development of the C-COGS scale and examine its construct validity.
  
  
  METHODS
  The C-COGS was administered to 42 participants with acquired brain injury after multidisciplinary goal planning. C-COGS scores were correlated with the Canadian Occupational Performance Measure (COPM) importance scores, and measures of therapeutic alliance, motivation, and global functioning to establish construct validity.
  
  
  RESULTS
  The C-COGS scale has three subscales evaluating goal alignment, goal planning participation, and client-centredness of goals. The C-COGS subscale items demonstrated moderately significant correlations with scales measuring similar constructs.
  
  
  CONCLUSIONS
  Findings provide preliminary evidence to support the construct validity of the C-COGS scale, which is intended to be used to evaluate and reflect on client-centred goal planning in clinical practice, and to highlight factors contributing to best practice rehabilitation.
authors.affiliation: School of Health and Rehabilitation Sciences, The University of Queensland , St Lucia Campus, Brisbane, Queensland , Australia.
authors.forename: Emmah
authors.initials: E
authors.lastname: Doig
authors.forename: Sarah
authors.initials: S
authors.lastname: Prescott
authors.forename: Jennifer
authors.initials: J
authors.lastname: Fleming
authors.forename: Petrea
authors.initials: P
authors.lastname: Cornwell
authors.forename: Pim
authors.initials: P
authors.lastname: Kuipers
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000534:rehabilitation*; D002170:Canada; D003072:Cognition Disorders / Q000628:therapy; D015331:Cohort Studies; D005260:Female; D006040:Goals; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010347:Patient Care Planning; D018802:Patient-Centered Care; D011594:Psychometrics; D055815:Young Adult
keywords: brain injury; goal planning; rehabilitation