Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Goals”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,225 records · Page 68Linked to original sources
PubMed1999

Predicting physical activity intentions using a goal perspectives approach: a study of Hungarian youth.

Utilising a goal perspectives framework, a study predicting physical activity intentions in 12 to 16-year-old Hungarian adolescents was conducted with two samples. Theoretical predictions established a model that was tested through path analysis. Beliefs thought to underpin goal orientations were hypothesised to predict ego orientation (general and gift beliefs) and task orientation (learning and incremental beliefs). Task orientation was hypothesised to predict intentions directly, while ego orientation was hypothesised to predict intentions indirectly through perceived competence. Results from the first sample (n=301) suggested that the model could be improved by adding paths between general beliefs and perceived competence and between task orientation and perceived competence. This modified model was shown to fit data from a second sample (n=422) very well. Multi-group analysis confirmed a good fit and so the two samples were combined. The model fitted the data well for the total sample (n=723). Overall, results showed that 20.8% of the variance in intentions was explained by the model, and that sport ability beliefs were moderately associated with task orientation but only weakly associated with ego orientation. The motivational importance of a task orientation was confirmed with its direct prediction of intentions.

Achievement↗
PubMed2004

Perceived parental beliefs about the causes of success in sport: relationship to athletes' achievement goals and personal beliefs.

This study examined the relationship between perceived parental beliefs and young athletes' achievement goal orientations and personal beliefs about the causes of success in sport. Participants were 183 male and female athletes, 11-18 years old, involved in team sports. Athletes completed the Task and Ego Orientation in Sport Questionnaire, the Beliefs about the Causes of Sport Success Questionnaire, and two modified versions of the latter inventory to assess their perceptions of their parents' beliefs. Canonical correlation analysis revealed that perceived parental beliefs were related to goal orientations and personal beliefs in a conceptually coherent fashion. Thus, the perceived parental belief that effort leads to success in sport was related to athletes' task orientation and personal belief that effort causes sport success. In contrast, the perceived parental beliefs that superior ability, external factors, and using deceptive tactics are precursors to success in sport corresponded to athletes' ego orientation and the same personal beliefs. The findings are discussed in terms of their implications for understanding the socialization experiences of young athletes.

Achievement↗
PubMed1984

An exploration of health counseling and goal attainment scaling in health education programs.

This paper presents findings of an experimental study to test the effects of health counseling with seventh and eighth grade students (N = 32). Goal attainment scaling was used to monitor changes in health behavior during a 10-week period with each student meeting with a health counselor five times during the study. A pretest/posttest, repeated measures design with experimental and control groups was used to evaluate the influence of health counseling. The results revealed a significant increase in goal attainment scaling scores (F = 4.96). Health behaviors influenced were exercise and nutrition. There also was a significant increase in self-esteem (F = 8.42) and home-esteem (F = 4.24). The utilization of health counseling appears to be an attractive educational strategy to enhance the effectiveness of classroom instruction.

Adolescent↗
PubMed2000

Introducing the Significant Caries Index together with a proposal for a new global oral health goal for 12-year-olds.

AIM: To describe a new index, the 'Significant Caries Index' (SiC Index) with the intention of focusing attention on those individuals with the highest caries scores in each population. METHOD: Attention is drawn to the skewed distribution of dental caries within a given population, indicating that there are still large groups of individuals who have considerably more caries than the WHO/FDI target level of DMFT 3 by the year 2000. The index is calculated as follows: individuals are sorted according to their DMFT values. The one third of the population with the highest caries score is selected and the mean DMFT for this subgroup is calculated. This value constitutes the SiC Index. RESULTS: The SiC Index can be easily calculated and used as a measure for future oral health goals. CONCLUSION: The SiC Index should be less than 3 DMFT in the 12-year-olds in a given population and it is hoped that this global oral health goal is reached at the latest by the year 2015.

Child↗
PubMed1978

The role of goal attainment scaling in evaluating family therapy outcome.

The role of an individualized goal attainment procedure as an outcome measure for brief family therapy is described. Establishment of a scale and assessment of goal attainment at six-month follow-up are reported in a study of some 270 families. Results support the procedure as being a reliable and valid means of examining the outcome status of treated families.

Adult↗
PubMed2002

Motivational beliefs, values, and goals.

This chapter reviews the recent research on motivation, beliefs, values, and goals, focusing on developmental and educational psychology. The authors divide the chapter into four major sections: theories focused on expectancies for success (self-efficacy theory and control theory), theories focused on task value (theories focused on intrinsic motivation, self-determination, flow, interest, and goals), theories that integrate expectancies and values (attribution theory, the expectancy-value models of Eccles et al., Feather, and Heckhausen, and self-worth theory), and theories integrating motivation and cognition (social cognitive theories of self-regulation and motivation, the work by Winne & Marx, Borkowski et al., Pintrich et al., and theories of motivation and volition). The authors end the chapter with a discussion of how to integrate theories of self-regulation and expectancy-value models of motivation and suggest new directions for future research.

Cognition↗
PubMed1979

Goals of education in psychosomatic medicine.

The modern concept of psychosomatic medicine is based on a multifactorial, interactional systems model for all diseases in which the behavioral and social dimensions play important roles in the pathogenesis, manifestation, course, and outcome. This psychosomatic approach forms the philosophical underpinning of a modern educational program. A general goal of education for all physicians is understanding the behavioral and psychosocial factors in all illness. Specific goals for the primary physician and the psychiatrist are the instillation of a holistic attitude in patient care through systematic training, and the attainment of skills and knowledge to integrate behavioral and biomedical sciences, respectively. This includes specific diagnostic, treatment, and educational skills. Yale's multilevel educational program in psychosomatic medicine is described.

Connecticut↗
PubMed2006

Therapeutic inertia is an impediment to achieving the Healthy People 2010 blood pressure control goals.

Therapeutic inertia (TI), defined as the providers' failure to increase therapy when treatment goals are unmet, contributes to the high prevalence of uncontrolled hypertension (> or =140/90 mm Hg), but the quantitative impact is unknown. To address this gap, a retrospective cohort study was conducted on 7253 hypertensives that had > or =4 visits and > or =1 elevated blood pressure (BP) in 2003. A 1-year TI score was calculated for each patient as the difference between expected and observed medication change rates with higher scores reflecting greater TI. Antihypertensive therapy was increased on 13.1% of visits with uncontrolled BP. Systolic BP decreased in patients in the lowest quintile of the TI score but increased in those in the highest quintile (-6.8+/-0.5 versus +1.8+/-0.6 mm Hg; P<0.001). Individuals in the lowest TI quintile were &33 times more likely to have their BP controlled at the last visit than those in highest quintile (odds ratio, 32.7; 95% CI, 25.1 to 42.6; P<0.0001). By multivariable analysis, TI accounted for &19% of the variance in BP control. If TI scores were decreased &50%, that is, increasing medication dosages on &30% of visits, BP control would increase from the observed 45.1% to a projected 65.9% in 1 year. This study confirms the high rate of TI in uncontrolled hypertensive subjects. TI has a major impact on BP control in hypertensive subjects receiving regular care. Reducing TI is critical in attaining the Healthy People 2010 goal of controlling hypertension in 50% of all patients.

Antihypertensive Agents↗
PubMed2004

Activation of the human superior temporal gyrus during observation of goal attribution by intentional objects.

Previous functional imaging experiments in humans showed activation increases in the posterior superior temporal gyrus and sulcus during observation of geometrical shapes whose movements appear intentional or goal-directed. We modeled a chase scenario between two objects, in which the chasing object used different strategies to reach the target object: The chaser either followed the target's path or appeared to predict its end position. Activation in the superior temporal gyrus of human observers was greater when the chaser adopted a predict rather than a follow strategy. Attending to the chaser's strategy induced slightly greater activation in the left superior temporal gyrus than attending to the outcome of the chase. These data implicate the superior temporal gyrus in the identification of objects displaying complex goal-directed motion.

Adult↗
PubMed1992

Improving the compositions of students with learning disabilities using a strategy involving product and process goal setting.

This study was conducted to determine if a planning and writing strategy would improve the essay writing of students with learning disabilities. Four participants were taught a strategy designed to facilitate the setting of product and process goals, generation and organization of notes, continued planning during writing, and evaluation of goal attainment. Training effects were investigated using a multiple probe design across subjects. Strategy instruction had a positive effect on students' essay writing performance and knowledge of the writing process, and effects were maintained over time.

Achievement↗
PubMed2002

Goal attainment scaling in evaluating a multidisciplinary pain management programme.

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 NHS Regional rehabilitation centre. SUBJECTS: One hundred and forty-nine consecutive patients enrolled during a 15-month period. INTERVENTIONS: Multidisciplinary structured educational programme of physiotherapy, occupational therapy and clinical psychology. MAIN OUTCOME MEASURES: GAS; timed tests of physical mobility measures; McGill Pain Questionnaire (MPQ); Pain Intensity Numerical Rating Scale (NRS); Oswestry low back pain Disability Questionnaire (ODQ); General Health Questionnaire (GHQ); Pain and Impairment Relationship Scale (PAIRS). GAS and physiotherapy measures were compared with baseline data at enrollment and at discharge 15 days later. At six-month follow-up all measures were repeated. RESULTS: Significant improvements at discharge were found for GAS, and physiotherapy measures. One hundred and twelve patients returned for review at six months, when improvements were maintained for GAS, sit/stand, Pain, ODQ and GHQ. GAS was shown to be a valid measure of ability, correlating significantly with walking improvement and somewhat less with a therapist-defined measure, suggesting some ability to discriminate. CONCLUSIONS: The improvement measured by GAS showed that patients were enabled by the programme to achieve personally valued goals over a six-month period and to improve on these more than on other more conventional outcome measures.

Adult↗
PubMed2006

[Psychodynamic therapy foci in inpatient psychotherapy--relations to self-assessment scales and individual therapeutic goals].

OBJECTIVES: How do the OPD-based psychotherapy foci formulated by the therapeutic team at the patient's admission develop and how do they relate to change in symptoms and to the patient's individual therapeutic goals? METHOD: After Operationalized Psychodynamic Diagnostics (OPD) in 188 psychotherapy inpatients, 2-3 clinically relevant OPD foci were chosen in joint team sessions after admission and assessed by the Heidelberg Structural Change Scale (HSCS) at the beginning and the end of inpatient psychotherapy. Patients formulated their individual therapy goals at the beginning and assessed their achievement at the end of inpatient psychotherapy and filled in self-assessment scales. RESULTS: At the end of therapy there was a significant mean improvement of one step on the Heidelberg Restructuring Scale for all three foci (0.9-1.2) in the sample as a whole. In approximately one-fourth of the patients we observed no change in the HSCS (25.5-27.7 %), approximately 70 % improved one to four steps towards higher awareness of, coping with or restructuring of the focus. The hypothesis of high correlations between the different measures of change could be supported only in part. DISCUSSION: The clinical implications and the implications for quality management are discussed.

Adolescent↗
PubMed2002

Achievement goal profiles in school physical education: differences in self-determination, sport ability beliefs, and physical activity.

BACKGROUND: Physical activity is a major public health issue as trends show inadequate levels of physical activity for health and rising levels of obesity. Understanding motivation for physical activity in youth by assessing their motivational profiles associated with school physical education could inform future interventions. AIMS: To investigate goal orientation and perceived competence profiles in young adolescents and to test the nature of differences between clusters on motivational and physical activity measures. SAMPLE: Boys (N = 427) and girls (N = 391), aged 11-14 years, from two comprehensive schools in England. METHOD: Cross-sectional survey using cluster analysis. RESULTS: Clusters reflecting 'highly', 'moderately', and 'lowly' motivated youth were found. Physical activity, incremental sport ability beliefs, and self-determined motivation were highest in the highly motivated cluster. Girls were under-represented in this cluster. CONCLUSIONS: High motivation towards physical activity is characterised by high task and high ego orientation, and high perceived competence. With only 38% of this group being girls, interventions are required to boost motivation for girls based on goal and self-determination approaches.

Achievement↗
PubMed2001

The role of desires and anticipated emotions in goal-directed behaviours: broadening and deepening the theory of planned behaviour.

Building on the theory of planned behaviour (TPB), we develop a new model of purposive behaviour which suggests that desires are the proximal causes of intentions, and the traditional antecedents in the TPB work through desires. In addition, perceived consequences of goal achievement and goal failure are modelled as anticipated emotions, which also function as determinants of desires. The new model is tested in two studies: an investigation of bodyweight regulation by 108 Italians at the University of Rome and an investigation of effort expended in studying by 122 students at the University of Rome. Frequency and recency of past behaviour are controlled for in tests of hypotheses. The findings show that desires fully mediated the effects of attitudes, subjective norms, perceived behavioural control and anticipated emotions on intentions. Significantly greater amounts of variance are explained in intentions and behaviour by the new model in comparison to the TPB and variants of the TPB that include either anticipated emotions and/or past behaviour.

Achievement↗
PubMed2000

Happiness as a treatment goal.

Happiness is a concept reflecting general satisfaction with one's life and with oneself, not necessarily congruent with objective indicators. A most important ingredient is a positive self-image, depending, in turn, on positive perception of self as compared to one's peers and to the expectations of important figures in one's life. This requires understanding of personal strengths and constructive acceptance of limitations. Helping individuals develop subjective self-satisfaction should be the goal in any treatment program, achieved through direct therapeutic interventions as well as environmental supports (e.g., provision of opportunities for success). It is essential that service providers differentiate between their own values, goals, and administrative requirements and the individual's personal preferences and wishes.

Goals↗
PubMed2003

On ethical issues at the foundation of the debate over the goals of psychoanalysis.

In this paper the author points to ethical issues that underlie the debate over the nature of the goals of psychoanalysis. While it has been suggested that the lack of consensus and clarity in this debate may be partially explained in terms of opposing attitudes to the importance of therapeutic benefit and variance in core values of analysts and patients, the author shows that these explanations do not fully resolve the ambiguity. The examination of the limitations of the existing explanations points to the value of introducing an ethical dimension. She discusses two ethical issues: the complex nature of the ethical value of self-determination in psychoanalysis, and the ethical status of analytic change. The clarification of these two issues contributes to an understanding both of the inherently controversial nature of the debate over analytic goals, and of the place of ethical considerations in psychoanalytic theory and practice.

Goals↗
PubMed2005

Lesions of medial prefrontal cortex disrupt the acquisition but not the expression of goal-directed learning.

Several studies have established that pretraining lesions of the medial prefrontal cortex (mPFC) render instrumental actions insensitive to devaluation of the instrumental outcome and degradation of the action-outcome contingency. Nevertheless, it remains to be assessed whether the involvement of the mPFC in goal-directed action is limited to the acquisition or to the expression of the action-outcome association in performance. The current series of experiments investigated this issue by comparing the effects of mPFC lesions made either before or after initial training using sensitivity to outcome devaluation as an assay of goal-directed performance. Whereas pretraining lesions left performance insensitive to outcome devaluation, posttraining lesions spared this effect. To determine whether the effect of mPFC lesions on outcome devaluation was the result of a more fundamental deficit in response selection, experiment 2 assessed the impact of pretraining and posttraining lesions on the ability of the instrumental outcome to selectively reinstate the performance of its associated action after a period of extinction. Although both lesions attenuated the magnitude of instrumental reinstatement generally, they left intact the ability of the instrumental outcome to influence response selection. Experiment 3 investigated the relationship between the outcome-selective devaluation and reinstatement effects and found evidence that these effects are both behaviorally and neurally dissociable at the level of the mPFC. These results indicate that the mPFC is selectively involved in the acquisition, but not the permanent storage or expression, of action-outcome associations in instrumental conditioning.

Animals↗
PubMed2006

Mice lacking brain/kidney phosphate-activated glutaminase have impaired glutamatergic synaptic transmission, altered breathing, disorganized goal-directed behavior and die shortly after birth.

Neurotransmitter glutamate has been thought to derive mainly from glutamine via the action of glutaminase type 1 (GLS1). To address the importance of this pathway in glutamatergic transmission, we knocked out GLS1 in mice. The insertion of a STOP cassette by homologous recombination produced a null allele that blocked transcription, encoded no immunoreactive protein, and abolished GLS1 enzymatic activity. Null mutants were slightly smaller, were deficient in goal-directed behavior, hypoventilated, and died in the first postnatal day. No gross or microscopic defects were detected in peripheral organs or in the CNS. In cultured neurons from the null mutants, miniature EPSC amplitude and duration were normal; however, the amplitude of evoked EPSCs decayed more rapidly with sustained 10 Hz stimulation, consistent with an observed reduction in depolarization-evoked glutamate release. Because of this activity-dependent impairment in glutamatergic transmission, we surmised that respiratory networks, which require temporal summation of synaptic input, would be particularly affected. We found that the amplitude of inspirations was decreased in vivo, chemosensitivity to CO2 was severely altered, and the frequency of pacemaker activity recorded in the respiratory generator in the pre-Bötzinger complex, a glutamatergic brainstem network that can be isolated in vitro, was increased. Our results show that although alternate pathways to GLS1 glutamate synthesis support baseline glutamatergic transmission, the GLS1 pathway is essential for maintaining the function of active synapses, and thus the mutation is associated with impaired respiratory function, abnormal goal-directed behavior, and neonatal demise.

Animals↗