title: Using the International Classification of Functioning, Disability and Health framework to categorise goals and assess goal attainment for transition care clients.
abstract: OBJECTIVE
  To classify goals according to the International Classification of Functioning, Disability and Health (ICF) and to examine factors associated with goal attainment for transition care program (TCP) clients.
  
  
  METHODS
  Recorded goals at admission were rated at discharge as achieved, partially achieved or not achieved. Two researchers independently linked each statement to the most closely corresponding ICF categories.
  
  
  RESULTS
  Of 268 TCP clients, 215 had 851 goal statements recorded. Of these, 794 (93%) statements were linked to 12 different ICF categories. A total of 515 (61.4%) were attained at discharge, 117 (14%) were partially attained and 207 (24.6%) were not attained. Multivariate analysis identified number of goals, TCP length of stay and high or very high case manager perception of goal attainment to be significant predictors for goal attainment.
  
  
  CONCLUSIONS
  The ICF framework can be used to identify and structure clients' goals in transitional care. Goal attainment can be used to determine overall functional improvement.
authors.affiliation: Centre for Research in Geriatric Medicine, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Salih A
authors.initials: SA
authors.lastname: Salih
authors.affiliation: Centre for Research in Geriatric Medicine, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Nancye M
authors.initials: NM
authors.lastname: Peel
authors.affiliation: Community Aged Care and Rehabilitation Stream, Metro South Hospital and Health Service, Queensland Health, Brisbane, Queensland, Australia.
authors.forename: Wendy
authors.initials: W
authors.lastname: Marshall
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D019983:Guideline Adherence / Q000592:standards*; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D064702:International Classification of Functioning, Disability and Health / Q000592:standards*; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D016017:Odds Ratio; D010347:Patient Care Planning / Q000592:standards*; D017410:Practice Guidelines as Topic / Q000592:standards*; D011793:Queensland; D020127:Recovery of Function; D012046:Rehabilitation / Q000592:standards*; D012189:Retrospective Studies; D013997:Time Factors; D000069341:Transitional Care / Q000592:standards*
keywords: ICF; TCP; goal; rehabilitation