Feasibility, Client Engagement, and Person-Centeredness of Telehealth Goal Setting and Goal Management Intervention

OTJR (Thorofare N J). 2023 Jul;43(3):408-416. doi: 10.1177/15394492231172930. Epub 2023 Jun 2.

Abstract

Telehealth-delivered goal setting and goal management may guide occupational therapists (OTs) to form a strong foundation of active client engagement and personally meaningful goals on which to base effective telehealth intervention. The objective was to determine the feasibility of a goal setting and goal management system, called MyGoals, delivered through telehealth and hybrid formats for adults with chronic conditions. This was a mixed-method feasibility study. The Credibility and Expectancy Questionnaire and Client Satisfaction Questionnaire-8 measured credibility, expectancy, and satisfaction. The Goals and Participation subscales of the Client-Centredness of Goal Setting Scale measured engagement and person-centeredness. Targeted self-ratings measured change objective achievement. Individuals' perspectives on MyGoals' feasibility were further explored in semi-structured interviews. In telehealth (N = 8) and hybrid (N = 9) groups, MyGoals had good credibility (M = 25.5, SD = 1.9), expectancy (M = 23.4, SD = 3.3), satisfaction (M = 31.3, SD = 0.9), client engagement (M = 29.4, SD = 1.5), person-centeredness (M = 19.5, SD = 1.2), and change objective achievement (M = 9.6, SD = 0.2). The interview data suggested improvements for MyGoals. In conclusion, telehealth delivery of MyGoals is feasible to support goal setting and goal management for adults with chronic conditions.

Keywords: behavioral intervention; client-centered practice; community-based rehabilitation; participation; self-determination.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Feasibility Studies
  • Goals
  • Humans
  • Occupational Therapy* / methods
  • Patient Satisfaction
  • Telemedicine*