Does goal setting in activity‐focused interventions for children with cerebral palsy influence treatment outcome?

Today, treatment for children with cerebral palsy predominantly aims at improving the children's possibilities to perform everyday activities in their natural environment. The activities in focus for intervention are often expressed as specific goals, frequently defined in a collaborative goal‐...

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Bibliographic Details
Published in:Developmental medicine and child neurology 2013-11, Vol.55 (s4), p.47-54
Main Authors: Brogren Carlberg, Eva, Löwing, Kristina
Format: Article
Language:English
Subjects:
Adolescent
Cerebral Palsy - physiopathology
Cerebral Palsy - psychology
Cerebral Palsy - therapy
Child
Child, Preschool
Goals
Humans
Infant
Klinisk medicin
Medicin och hälsovetenskap
Neurologi
Pediatrik
Psychomotor Performance - physiology
Treatment Outcome
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Summary:Today, treatment for children with cerebral palsy predominantly aims at improving the children's possibilities to perform everyday activities in their natural environment. The activities in focus for intervention are often expressed as specific goals, frequently defined in a collaborative goal‐setting process between professionals and parents. The role of goal setting to improve the outcome of the intervention has not been shown in the literature so far. Thus, the aim of this systematic review was to explore if goal setting has an impact on treatment outcome assessed by standardized measures. CINAHL and MEDLINE were searched from January 2000 to October 2012, resulting in a final selection of 13 articles, six of which were randomized controlled trials. Methodological quality was assessed and study characteristics were analysed descriptively. Subject characteristics, type of intervention/s, frequency, and intensity of therapy varied largely. Outcome was assessed by standardized outcome measures as well as evaluated through aspects of goal attainment. Most studies showed robust within‐group changes according to study‐appropriate standardized measures, whereas the between‐group comparisons exhibited less consistent differences in outcome. The review does not provide support for a positive effect of goal setting per se on treatment outcome. Studies that specifically measure the effect of goal setting on treatment outcome are needed.
ISSN:0012-1622
1469-8749
1469-8749
DOI:10.1111/dmcn.12307