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PubMed2004

Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury.

STUDY DESIGN: Retrospective analysis. OBJECTIVES: (1) Describe the self-care, productivity and leisure problems identified by individuals with a spinal cord injury (SCI) during rehabilitation, (2) describe the perceived level of satisfaction and performance with self-care, productivity and leisure activities following an SCI, (3) quantify the relationship between the Canadian occupational performance measure (COPM), a client-centred, individualized measure of function, and the functional independence measure (FIM). SETTING: Tertiary rehabilitation centre, spinal cord injury unit, GF Strong Rehabilitation Centre, Vancouver, Canada. METHODS: Health records from 41 individuals with an SCI admitted between 2000 and 2002 were reviewed. Information was obtained from assessments performed on admission and discharge. Self-care, productivity and leisure problems identified by individuals with an SCI were described and their perceived level of performance and satisfaction was calculated. The relationship between the COPM and the FIM was measured by the Pearson product correlation. RESULTS: Self-care goals were identified most frequently (79%) followed by productivity (12%) and leisure (9%) goals. The top three problems identified by individuals with an SCI were functional mobility (including transfers and wheelchair use), dressing and grooming. A fair relationship was found between the COPM and the FIM (r between 0.351 and 0.514, P<0.05). CONCLUSIONS: The results highlight the importance of including a client-centred outcome measure in the assessment of individuals with an SCI. Initial support is provided for use of the COPM in individuals with an SCI.

Activities of Daily Living↗
PubMed2002

Medical care inconsistent with patients' treatment goals: association with 1-year Medicare resource use and survival.

OBJECTIVES: To describe how frequently seriously ill persons perceive that the care they receive is inconsistent with treatment preferences and the effect on 1-year resource utilization. SETTING: Five U.S. teaching hospitals. DESIGN: Secondary analysis of interview data. PARTICIPANTS: Seriously ill Medicare beneficiaries. MEASUREMENTS: Interviews about patients' preferred approaches to care and whether they perceived care was consistent with these preferences. Part A and B costs for up to 1 year, adjusted for cost differences across hospitals and over time and for 1-year survival. RESULTS: Forty percent of the 1,185 study patients expressed a preference for treatment to focus on extending life, whereas 60% expressed a preference for comfort care. Eighty-six percent of the patients who wanted aggressive treatment reported that care was consistent with their preferences, but only 41% of those who preferred comfort care reported that care was consistent with their preferences. More than one-third of those with a preference for comfort care (35%) reported that the medical care that they received was inconsistent with their goals; 24% were unsure of treatment goals. Those who preferred comfort care but believed that their care was inconsistent with their wishes had higher estimated mean 1-year costs than those who believed that their care was consistent with their wishes (92,442 US dollars vs 52,098 US dollars, P < .001). Even after adjusting for differences in disease severity, age, gender, race, functional status, income, and years of education, adjusted costs were 1.4 times (95% confidence interval = 1.2-1.6) higher. However, 1-year survival was lower in these patients who stated that care was consistent with their preference to focus on comfort care than for those who wished to receive comfort care and stated that care was not consistent with their preference (38% vs 55% 1-year survival, P < .001). CONCLUSION: More than one in three seriously ill persons who prefer comfort care believe that their medical care is at odds with their preference that treatment focus on palliation. Such discord was associated with higher 1-year healthcare costs and increased survival.

Aged↗
PubMed2005

Off-line learning of motor skill memory: a double dissociation of goal and movement.

Acquiring a new skill requires learning multiple aspects of a task simultaneously. For example, learning a piano sonata requires learning the musical notes and being able to implement this goal by learning the appropriate sequence of finger movements. After practice, skill continues to develop off-line during a period of consolidation. Here we show that different aspects of a procedural memory are processed separately during consolidation: Only the movement sequence is enhanced over the day; whereas only the goal is enhanced over a night of sleep. This double dissociation suggests that distinct systems, enhancing different aspects of a procedural memory, support improvements during consolidation. Consolidation is not a single process; instead, there are multiple routes to off-line learning, and the engagement of these distinct mechanisms is determined by when consolidation takes place.

Adult↗
PubMed2003

Characterizing a sustainability transition: goals, targets, trends, and driving forces.

Sustainable development exhibits broad political appeal but has proven difficult to define in precise terms. Recent scholarship has focused on the nature of a sustainability transition, described by the National Research Council as meeting the needs of a stabilizing future world population while reducing hunger and poverty and maintaining the planet's life-support systems. We identify a small set of goals, quantitative targets, and associated indicators that further characterize a sustainability transition by drawing on the consensus embodied in internationally negotiated agreements and plans of action. To illustrate opportunities for accelerating progress, we then examine current scholarship on the processes that influence attainment of four such goals: reducing hunger, promoting literacy, stabilizing greenhouse-gas concentrations, and maintaining fresh-water availability. We find that such analysis can often reveal "levers of change," forces that both control the rate of positive change and are subject to policy intervention.

Animals↗
PubMed2000

Goal-directed fantasy does not explain the training effect of the Carleton Skills Training Package.

Two treatments to enhance the hypnotic responsiveness of subjects who pretested as low in hypnotic susceptibility were compared. Subjects in one modification treatment (n = 20) received the Carleton Skills Training Package (CSTP). Those in a second modification treatment (n = 20) were administered a partial training that did not include information about imaginal strategies. The authors of the CSTP assume that goal-directed fantasies underlie subjects' feelings of involuntariness, so teaching imaginal strategies is the primary agent of subjective changes after the training. Controls (n = 20) received no treatment. Both training packages enhanced behavioral and subjective response to an equivalent degree. Control subjects' performances were stable across tests. Modest increases in hypnotizability scores following training were related neither to enhancing goal-directed fantasies nor to use of imagery. Other mechanisms, possibly compliance, may underlie the CSTP effect.

Adult↗
PubMed1981

Self-concept, locus of control, goal blockage, and coronary-prone behavior pattern in children and adolescents: Bogalusa heart study.

Four measures that are hypothesized to be correlates of cardiovascular risk factor variables were tested in children and adolescents. A psychosocial questionnaire, including Type A coronary-prone behavior pattern and three additional measures (self-concept, locus of control, and goal blockage), was administered to 384 ten- to 17-year-old students in a biracial public school. White scored higher than did blacks on Type A behavior, and Type A behavior increased with age. Contrary to other reports, a negative relationship was found (excluding white boys and black girls) between self concept and Type A behavior. Blacks had a higher level of self-concept than did whites. Boys were found to have a more external locus of control than did girls, and blacks were more externally oriented and experienced greater goal blockage than did whites. Sufficient test-retest reliability was found to justify use of the four measures in future research.

Adolescent↗
PubMed1987

Self-reports of eating behavior, goals, imagery, and health status: principal components and sex differences.

University students (N = 208) completed a questionnaire on four aspects of eating: behavior, goals, imagery, and health status. A principal components analysis of the 18 self-report variables identified six factors: Weight Control Failure, Sensory Awareness of Food and Eating, Stable Eating Pattern, Unrestrained Overeating, "Home Cooking and Good Digestion," and Environmental Indifference. Sex differences in self-reporting were statistically significant on 10 of the 18 variables, with 6 of those significant variables heavily loaded on the first factor: Weight Control Failure. Analysis of these variables suggests that women report eating to be more problematic than do men. Several of the aspects of self-reports are discussed, including the apparent independence of sensory awareness of food and eating from self-reports of behavior, goals, and health status.

Adult↗
PubMed2002

Leadership styles and occupational stress among college athletic directors: the moderating effect of program goals.

The interaction between an individual's abilities and the perceived demands of the workplace appears to make a unique contribution to job-related stress above and beyond that of dispositional or situational factors alone (R. S. Lazarus, 1990). In the present study, the author evaluated this contention among 245 male intercollegiate athletic directors by assessing the combined influence of leadership style and program goals on occupational stress. Regression analyses revealed the presence of both significant main effects and interaction effects of leadership style and program goals in the prediction of emotional exhaustion, daily job stress, and personal accomplishment. Findings are discussed in terms of person-environment fit theory (J. R. P. French, R. D. Caplan, & R. V. Harrison, 1982) and the notion of perceived control within the occupational setting.

Adult↗
PubMed2002

Perceptions of goal-directed activities of optimists and pessimists: a personal projects analysis.

In this research the authors examined the relationship between optimism and personal projects in a community sample. Three hundred twenty-five community volunteers completed the Personal Projects Analysis (PPA; B. R. Little, 1983) and measures of self-reported optimism and sociodemographic information. Participants who reported high levels of optimism rated their idiosyncratic personal goals significantly higher on PPA factors reflecting Positive Identity Fulfillment and Mastery-Control and significantly lower on the factor reflecting Perceived Strain than did participants who reported low levels of optimism. After the impact of age and education on optimism were statistically controlled, the Perceived Strain and Mastery-Control factors made significant contributions to the prediction of self-reported optimism in both initial and cross-validation samples. Findings indicate that highly optimistic individuals can be differentiated from their less optimistic peers on the basis of their perceptions of idiosyncratic goals. From an expectancy valence perspective, such differences have a direct bearing on individuals' behavior and may be associated with outcomes such as learned helplessness and procrastination.

Achievement↗
PubMed1999

Dispositional and situational goal orientations as discriminators among recreational and competitive league athletes.

The present study examined the relationship between individual goal orientation, motivational team climate, perceived sport competence, and league structure among 216 youth soccer players. It was predicted that competitive league teams would report higher ego-involvement and performance-oriented team climate and lower sport competence than recreational teams. Discriminant analyses indicated that only the mastery-oriented team climate variable differentiated competitive and recreational teams. Athletes who participated in recreational teams reported a greater degree of mastery-oriented climate than competitive league players. The results suggest that athletes' perceptions of situational rather than dispositional aspects of achievement goals are more highly affected by the playing structure present in youth sport teams. The possible psychological benefits derived from the development of a mastery-oriented team climate in sports are discussed.

Adolescent↗
PubMed1996

Beliefs about the state, goals, and objects of sexual desire.

Little is known about how men women conceptualize sexual desire. This descriptive study explored beliefs about the nature of sexual desire. Participants defined sexual desire in a free response format. The results suggest that there is no single common understanding of sexual desire. In particular, although men and women conceptualize the state of sexual desire in a manner similar to researchers and theorists (i.e., as a subjective, psychological experience rather than as a physiological or behavioral sexual event), sexual desire represents a more romantic, interpersonal experience for women than for men. Significantly more women than men believed that love and emotional intimacy are important goals of sexual desire, and fewer women than men viewed sexual activity as a goal of sexual desire.

Female↗
PubMed2001

Empirical links between achievement goal theory and self-determination theory in sport.

The aim of this study was to examine the empirical links between achievement goal theory and self-determination theory in sport. Addressing theoretical and methodological limitations of previous research, the study tested the independent and interactive effects of goal orientations and perceived competence on seven motivational variables with different degrees of self-determination. Regression analyses of data collected from 247 British university students showed that task orientation predicted motivational variables with high self-determination. In contrast, ego orientation predicted motivational variables with low self-determination. Perceived competence predicted both high self-determined and low self-determined motivational variables. A significant interaction emerged between task and ego orientations in predicting external regulation. The results suggest the adaptive role of task orientation in facilitating self-determined motivation in sport. However, the findings are not conclusive, as the variance explained in most analyses was relatively small. Suggestions are offered for a more comprehensive empirical testing of the links between the two theories.

Achievement↗
PubMed2002

Cognitive interference during competition among volleyball players with different goal orientation profiles.

In this study, we examined interfering thoughts during sport competition among university volleyball players as a function of dominant goal orientation and outcome. In particular, we investigated the performance worries and thoughts of escape experienced while performing in athletes with high task and low ego orientation and athletes with high ego and low task orientation. Goal orientations were assessed before the start of a volleyball tournament, whereas cognitive interference was assessed on three different occasions after games. The results revealed no consistent differences for performance worries. In contrast, in all analyses we found that athletes with high ego and low task orientations reported more thoughts of escape when losing than when winning, and more thoughts of escape than athletes with high task and low ego orientations when winning or losing. The results support in part the suggestion that a high ego orientation, when not accompanied by a high task orientation, can be linked to motivationally maladaptive cognitions.

Adult↗
PubMed2005

Peer relationships in adolescent competitive soccer: associations to perceived motivational climate, achievement goals and perfectionism.

The aim of this study was to examine the relationship between the perceived motivational climate, achievement goals, perfectionism and indices of peer relationships in a sample of young male and female Norwegian soccer players. The sample consisted of 1719 experienced soccer players (1231 males, 488 females) aged 12-19 years (mean = 14.9 years) participating in the Norway Cup international youth soccer competition. The players responded to a questionnaire measuring perceived peer acceptance and quality of friendship in soccer, perceived motivational climate, achievement goals and perfectionism in soccer. Canonical correlation analyses revealed that young female players who perceived the motivational climate as predominantly mastery oriented, and who were moderately task oriented and scored negatively on maladaptive perfectionism, reported better relations with their peers in soccer. Constructive peer relations were evident in that they scored positively on companionship with their best friend in soccer; they perceived this friend as being loyal and allowing of free discussion, and they reported being socially accepted by their peers in soccer. Mirroring these findings, young male players who perceived the motivational climate as predominantly performance oriented, who had a moderately negative score on task orientation but a quite strong positive score on maladaptive perfectionism, reported negative relationships with peers in terms of these aspects. They also reported being in conflict with their best soccer friend. The findings suggest that the qualities of motivation have a systematic relationship with peer acceptance and the quality of friendship in male and female youth soccer.

Achievement↗
PubMed1994

Psychosocial predictors of goal orientations in youth soccer.

Little is known about the nature of task and ego orientations that are key motivation constructs. The purpose of this study, therefore, was to examine the extent to which perceived social, contextual, and personal factors predicted the goal orientations of youth sport participants. The sample consisted of 166 male and female adolescent soccer players, who completed self-report measures at the end of a 7-week competitive season. A canonical correlation analysis revealed that the set of predictor variables accounted for 24% of the variance in player goal orientations. Higher scores on perceived soccer competence, perceived parent task orientation, and particularly perceived parent ego orientation were primarily associated with higher scores on player ego orientation. In addition, higher scores on perceived soccer competence, perceived parent task orientation, and perceived mastery climate, as well as lower scores on perceived performance climate, were associated with a higher level of player task orientation. These findings are interpreted and discussed in terms of future research directions.

Adolescent↗
PubMed2003

Imagery use in elite youth sport participants: reinforcing the applied significance of achievement goal theory.

This study examined the motivational profiles of elite youth athletes to determine whether individual differences in goal orientation corresponded with differential levels of imagery use. Two hundred ninety male (n = 88) and female (n = 202) young athletes (M = 16.6 years, SD = 1.48) completed the Perceptions of Success Questionnaire (POSQ, Roberts, Treasure, & Balague, 1998) to assess dispositional goal orientations and the Sport Imagery Questionnaire (Hall, Mack, Paivio, & Hausenblas, 1998) to assess frequency and function of imagery use. A two-stage cluster analysis on the POSQ scores revealed a three-cluster solution with a multivariate analysis of variance indicating significant differences among cluster groups in imagery use. Athletes in Cluster 3 (higher task/higher ego) used significantly more imagery, regardless of the function than athletes in Cluster 1 (lower task/moderate ego) or Cluster 2 (moderate task/lower ego). These findings are discussed with reference to the role of achievement motivation in influencing young athletes' behavioral investments in mental strategies.

Adolescent↗
PubMed1989

Clinically useful limits (CUL) criteria as a basis for quality control including minimal and optimal goals for quality control.

Quality control goals for quantitative clinical chemistry assays are reviewed. Recommendations for clinically useful limits (CUL) criteria as minimally acceptable +/- 2 SD for run-to-run and/or day-to-day technical reliability are presented in terms of biologic variations for different levels and clinical applications. A review of the literature and the questionnaire response of a medical school staff presented in this study reveal striking agreement of acceptable analytic goals based on physicians' opinions, biologic variation, and practical analytic feasibility. The current state-of-the-art in clinical laboratories can approach excellence because actual within-laboratory 2-SD variability estimates are somewhere between acceptable CUL criteria and twice as good. Assessing the reliability of laboratory reports based on accuracy and precision or total analytic error is also discussed.

Blood Chemical Analysis↗
PubMed1998

A standardized menu for Goal Attainment Scaling in the care of frail elders.

Goal Attainment Scaling (GAS), an individualized measurement approach, is particularly attractive for the evaluation and care planning of frail elders, who often experience multiple, complex problems. Some service providers find GAS too unwieldy for routine use. A modified version of GAS that uses a standardized menu of goals and attainment levels has been developed by the Geriatric Assessment and Rehabilitation Unit of a regional referral hospital in Nova Scotia, Canada. This article reviews the development, implementation, benefits, and challenges of the standardized menu, as well as the results of a retrospective descriptive study of its measurement properties. The standardized menu appears to be a feasible, valid, and responsive alternative to traditional GAS, while retaining much of its individualized nature.

Activities of Daily Living↗