Writing SMART rehabilitation goals and achieving goal attainment scaling: a practical guide

Bovend'Eerdt, Thamar J. H.; Botell, Rachel E.; Wade, Derick T.
April 2009
Clinical Rehabilitation;Apr2009, Vol. 23 Issue 4, p352
Academic Journal
Objective: To describe a practical method of setting personalized but specific goals in rehabilitation that also facilitates the use of goal attainment scaling. Background: Rehabilitation is a complex intervention requiring coordinated actions by a team, a process that depends upon setting interdisciplinary goals that are specific, clear and personal to the patient. Goal setting can take much time and still be vague. A practical and standardized method is needed for being specific. Method: A novel approach to writing specific, measurable, achievable, realistic/ relevant and timed (SMART) goals is developed here. Each goal can be built up by using up to four parts: the target activity, the support needed, quantification of performance and the time period to achieve the desired state. This method can be employed as part of goal attainment scaling and the other levels can be easily and quickly formulated by adding, deleting and/or changing one or more of the (sub)parts. Discussion: The success of goal setting and goal attainment scaling depends on the formulation of the goals. The method described here is a useful tool to standardize the writing of goals in rehabilitation. It saves time and simplifies the construction of goals that are sufficiently specific to be measurable.


Related Articles

  • Goal attainment scaling (GAS) in rehabilitation: a practical guide. Turner-Stokes, Lynne // Clinical Rehabilitation;Apr2009, Vol. 23 Issue 4, p362 

    Goal attainment scaling is a mathematical technique for quantifying the achievement (or otherwise) of goals set, and it can be used in rehabilitation. Because several different approaches are described in the literature, this article presents a simple practical approach to encourage uniformity...

  • Goal attainment scaling in evaluating a multidisciplinary pain management programme. Fisher, K; Hardie, RJ // Clinical Rehabilitation;Dec2002, Vol. 16 Issue 8, p871 

    Objective: To examine the value of Goal Attainment Scaling (GAS) as a therapeutic tool and an outcome measure in a rehabilitation programme in the management of chronic pain. Design: A prospective observational study. Setting: A 15-day pain management programme, day case or residential, in an...

  • Goal setting in rehabilitation: an overview of what, why and how. Wade, Derick T. // Clinical Rehabilitation;Apr2009, Vol. 23 Issue 4, p291 

    The author reflects on goal setting in rehabilitation. He believes that setting goals in rehabilitation changes the behavior of the patient to be more motivated. However, the setting of goals must be realistic and centered on the patient. Also, the author feels that the attainment of goals...

  • Diagnose and fix out-of-control goals.  // Communication Briefings;Jun2010, Vol. 29 Issue 8, p2 

    The article presents guide questions for goal setting in the workplace.

  • Goal Attainment Scaling: A tool for use in evaluation of services for older people. Weidenbohm, Kate; Parsons, Matthew; Dixon, Robyn // New Zealand Journal of Occupational Therapy;Sep2005, Vol. 52 Issue 2, p9 

    Healthcare systems are being reviewed in response to the changing demographics of the New Zealand population. Service evaluation is used to judge the merit of particular approaches and interventions and is essential for clinical accountability and quality healthcare programmes. Goal Attainment...

  • Goal setting as an outcome measure: a systematic review. Hurn, Jane; Kneebone, Ian; Cropley, Mark // Clinical Rehabilitation;Sep2006, Vol. 20 Issue 9, p756 

    Background: Goal achievement has been considered to be an important measure of outcome by clinicians working with patients in physical and neurological rehabilitation settings. This systematic review was undertaken to examine the reliability, validity and sensitivity of goal setting and goal...

  • Implementation of Goal Attainment Scaling in Residential Treatment: An Administrative Model. Bartelt, Robert F.; Col√≥n, Israel // Child Welfare;Sep/Oct82, Vol. 61 Issue 7, p424 

    The article presents information on an implementation model of the program evaluation system, Goal Attainment Scaling (GAS), at the residential treatment setting for children, Silver Springs-Martin Luther School, in Plymouth Meeting, Pennsylvania. It states that planning for a program evaluation...

  • Impact of "Sick" and "Recovery" Roles on Brain Injury Rehabilitation Outcomes. Barclay, David A. // Rehabilitation Research & Practice;2012, p1 

    This study utilizes a multivariate, correlational, expost facto research design to examine Parsons' "sick role" as a dynamic, time-sensitive process of "sick role" and "recovery role" and the impact of this process on goal attainment (H1) and psychosocial distress (H2) of adult survivors of...

  • Goal attainment scaling: a direct comparison of alternative rating methods. Turner-Stokes, Lynne; Williams, Heather // Clinical Rehabilitation;Jan2010, Vol. 24 Issue 1, p66 

    Purpose: To compare two alternative rating systems for goal attainment scaling (GAS) intended to improve capture of goal underachievement. Setting: A tertiary inpatient neurorehabilitation unit. Design: Secondary comparative analysis of prospective cohort data. Participants: A total of 243...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics