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. 2022 Apr 13;6(1):37.
doi: 10.1186/s41687-022-00445-y.

Patient and provider perspectives on using goal attainment scaling in care planning for older adults with complex needs

Catherine A Clair  1 , Shana F Sandberg  2 , Sarah H Scholle  3 , Jacqueline Willits  3 , Lee A Jennings  4 , Erin R Giovannetti  5
Affiliations

Patient and provider perspectives on using goal attainment scaling in care planning for older adults with complex needs

Catherine A Clair et al. J Patient Rep Outcomes. .

Abstract

Background: Assess the feasibility of using goal attainment scaling (GAS) in care planning for older adults with complex needs. GAS is an individualized approach to goal setting and follow up using a quantified scale. To date, little is known about the feasibility of GAS among this population.

Methods: We conducted a qualitative study with a sample of 28 older adults and 23 providers from diverse settings to evaluate the value and challenges of this approach. We conducted semi-structured interviews and iteratively coded and analyzed interview transcripts for themes related to value, challenges, and implementation.

Results: Most older adults and providers reported that the GAS approach added value to the care encounter. GAS supported collaboration and patient accountability for their goals, though it could be demotivating to some patients. Some older adults and providers noted that GAS could be confusing and that it was uncomfortable to talk about negative outcomes (i.e., the - 2 and - 1 boxes of the scale). Factors that facilitated implementation included using visual copies of the GAS forms, having an established patient-provider relationship, practicing the approach, and having previous goal-related clinical training.

Conclusions: GAS was feasible to implement across diverse settings, and, despite challenges, both older adults and providers reported that it added value to care planning encounters with the potential to improve delivery of person-centered care. Further efforts to demonstrate the applicability and benefit of this method for older adults are warranted, particularly to address implementation of the approach.

Keywords: Goal attainment scaling; Goal-based care; Person-centered care; Qualitative.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Example of scaled goal using goal attainment scaling
See this image and copyright information in PMC

References

    1. McGlynn EA, Schneider EC, Kerr EA. Reimagining quality measurement. N Engl J Med. 2014;371(23):2150–2153. doi: 10.1056/NEJMp1407883. - DOI - PubMed
    1. Reuben DB, Tinetti ME. Goal-oriented patient care—an alternative health outcomes paradigm. N Engl J Med. 2012;366(9):777–779. doi: 10.1056/NEJMp1113631. - DOI - PubMed
    1. Tinetti ME, Naik AD, Dodson JA. Moving from disease-centered to patient goals-directed care for patients with multiple chronic conditions: patient value-based care. JAMA Cardiol. 2016;1(1):9. doi: 10.1001/jamacardio.2015.0248. - DOI - PMC - PubMed
    1. American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity Patient-centered care for older adults with multiple chronic conditions: a stepwise approach from the American Geriatrics Society: American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity. J Am Geriatr Soc. 2012;60(10):1957–1968. doi: 10.1111/j.1532-5415.2012.04187.x. - DOI - PMC - PubMed
    1. Care P-C. A definition and essential elements. J Am Geriatr Soc. 2016;64(1):15–18. doi: 10.1111/jgs.13866. - DOI - PubMed

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