Goal Categories Research Articles

Goals Set by Patients Using the ICF Model before Receiving Botulinum Injections and Their Relation to Spasticity Distribution.

Purpose: Goal Attainment Scaling (GAS) is used to assess functional gains in response to treatment. Specific characteristics of the functional goals set by individuals receiving botulinum toxin type A (BoNTA) injections for spasticity management are unknown. The primary objectives of this study were to describe the characteristics of the goals set by patients before receiving BoNTA injections using the International Classification of Functioning, Disability and Health (ICF) and to determine whether the pattern of spasticity distribution affected the goals set. Methods: A cross-sectional retrospective chart review was carried out in an outpatient spasticity-management clinic in Toronto. A total of 176 patients with a variety of neurological lesions attended the clinic to receive BoNTA injections and completed GAS from December 2012 to December 2013. The main outcome measures were the characteristics of the goals set by the participants on the basis of ICF categories (body functions and structures, activity and participation) and the spasticity distribution using Modified Ashworth Scale scores. Results: Of the patients, 73% set activity and participation goals, and 27% set body functions and structures goals (p<0.05). In the activity and participation category, 30% of patients set moving and walking goals, 28% set self-care and dressing goals, and 12% set changing and maintaining body position goals. In the body functions and structures category, 18% set neuromuscular and movement-related goals, and 8% set pain goals. The ICF goal categories were not related to the patterns of spasticity (upper limb vs. lower limb or unilateral vs. bilateral spasticity) or type of upper motor neuron (UMN) lesion (p>0.05). Conclusion: Our results show that patients receiving BoNTA treatment set a higher percentage of activity and participation goals than body functions and structures goals. Goal classification was not affected by type of spasticity distribution or type of UMN disorder.

Intrinsic – Extrinsic – Transcendent. A triarchic model of goal contents: introduction and validation

&lt;b&gt;Background&lt;/b&gt;&lt;br /&gt; The article refers to an 11-factor circumplex model of goal contents introduced by Grouzet et al., which suggested a consistent structure of goals allocated within two dimensions: extrinsic–intrinsic and self-transcendent–physical. A previous study showed a rather poor fit of this model in a Polish context. Therefore using data from the aforementioned replication project in Study I we re-examined the structure and found a triarchic configuration more adequately fitting existing data. This new model was further tested in Study II.&lt;br /&gt; &lt;br /&gt; &lt;b&gt;Participants and procedure&lt;/b&gt;&lt;br /&gt; To find an adequate factor structure of life goals measured by the Polish version of the Aspiration Index in Study I we ran exploratory and confirmatory factor analyses in three groups of 1,762 people in total. To check psychometric characteristics of the developed AI-23 questionnaire we conducted Study II on a group of 319 students.&lt;br /&gt; &lt;br /&gt; &lt;b&gt;Results&lt;/b&gt;&lt;br /&gt; The analyses revealed a new structure of the Aspiration Index consisting of scales related to seven life goals connected with three general groups of goals: intrinsic, extrinsic and transcendent. Results of confirmatory factor analysis, convergent and divergent validation, internal consistency and test–retest reliability allowed AI-23 to be treated as an effective tool to measure life goals.&lt;br /&gt; &lt;br /&gt; &lt;b&gt;Conclusions&lt;/b&gt;&lt;br /&gt; The results suggest a triarchic organization of goal contents, with self-transcendent goals supplementing well-established theoretical categories of intrinsic and extrinsic goals.

Factors that influence full-time MPH Students\u2019 willingness in China: would You apply again for an MPH graduate degree if you had another opportunity?

BackgroundCurrent and emerging challenges to public health in the 21st century are vastly different from those faced in previous centuries. And the shortage of health personnel and their low level of educational qualifications hindered the development of Chinese public health services. In order to fulfill this requirement, the Ministry of Education initiated a full-time, Master of Public Health (MPH) graduate programme in 2009. This study aimed to evaluate the level of graduate students’ satisfaction with full-time Master of Public Health (MPH) education in China, and whether they would apply again for an MPH graduate degree if they had another opportunity to do so, as well as to identify the factors influencing their decision-making process.MethodsAn anonymous, web-based survey questionnaire containing 61 items was distributed to 702 MPH students in 35 universities or colleges. The questions covered the categories of student admission, training goals, lecture courses, practical training, research activities and mentorship. Levels of satisfaction were compared between MPH students who would choose MPH again as their graduate degree if they had another opportunity to do so and those who would not. Key influencing factors of training satisfaction were identified using logistic regression models.ResultsA total of 65.10% of the participants would apply again for MPH education if they had another opportunity to do so. The factors influencing students’ willingness included their university type, the time since admission and their initial willingness. In addition, the four common factors (admissions & lecture courses, research activities & mentorship, practical training and training goals) emerging from factor analysis were all significantly positively correlated with student willingness (p < 0.001).ConclusionsMost MPH students surveyed were highly satisfied with their MPH education and, although they advocated for improvements and reforms in some aspects, they would still choose MPH as their graduate degree again if they had another opportunity to do so.

Finding common ground: Aligning institutional and survivorship steering committee (SSC) goals.

80 Background: Developing a Survivorship program goes beyond providing survivorship care plans to patients upon completion of cancer treatment. Programs can take many forms; ranging from very robust with long-term follow-up to minimal, with patients returning to the primary care provider when cancer-specific treatment is complete. To develop our program at an academic medical center with 2900 annual new cancer patients, we chose to enlist a SSC of survivors to help shape our program. Methods: In addition to fulfilling the American College of Surgeons Commission on Cancer Standard 3.3 requirements, we also desire to meet the needs of the patient. Thus, the survivorship program coordinator requested that providers within the Cancer Institute (CI) identify patients to form a SSC. 13 physicians contributed a total of 14 patients as candidates. Each patient was invited to participate and 7 accepted. The initial SSC meeting was held 6 months after initiation of our survivorship program. Results: SSC members represented 5 different primary malignancies and had varying degrees of experience within the treatment continuum. The initial meeting began with an overview of the current services available in the CI. Members were also given the opportunity to share treatment &amp; survivorship experiences. Some of the SSC members utilized patient navigation during CI initial intake; others had experience with CI support groups. Some used ancillary services such as physical therapy, integrative health, financial counselors, and social services; others were not aware these services were available. A list of 4 categories of goals for program development was suggested with a meeting planned again in one year to review progress. Meeting one year later, the group determined progress was made in 3/4 (75%) of the goals. Conclusions: When creating a Survivorship program, patient goals should be considered and aligned with institutional and accreditation goals. One way to ensure that this is accomplished is to enlist front-end input from a SSC that represents a wide variety of treatment experiences and providers. In our experience, this strategy leads to alignment of patient and programmatic goals resulting in increased patient satisfaction and program quality.

Navigation through unknown and dynamic open spaces using topological notions

ABSTRACTUntil now, most algorithms used for navigation have had the purpose of directing system towards one point in space. However, humans communicate tasks by specifying spatial relations among elements or places. In addition, the environments in which humans develop their activities are extremely dynamic. The only option that allows for successful navigation in dynamic and unknown environments is making real-time decisions. Therefore, robots capable of collaborating closely with human beings must be able to make decisions based on the local information registered by the sensors and interpret and express spatial relations. Furthermore, when one person is asked to perform a task in an environment, this task is communicated given a category of goals so the person does not need to be supervised. Thus, two problems appear when one wants to create multifunctional robots: how to navigate in dynamic and unknown environments using spatial relations and how to accomplish this without supervision. In this article, a new architecture to address the two cited problems is presented, called the topological qualitative navigation architecture. In previous works, a qualitative heuristic called the heuristic of topological qualitative semantics (HTQS) has been developed to establish and identify spatial relations. However, that heuristic only allows for establishing one spatial relation with a specific object. In contrast, navigation requires a temporal sequence of goals with different objects. The new architecture attains continuous generation of goals and resolves them using HTQS. Thus, the new architecture achieves autonomous navigation in dynamic or unknown open environments.

The effects of social concern goals on the value of learning and on the intentions of medical students to change their majors

ABSTRACTBackground: In the process of developing a professional medical expertise, goals can become a psychological impetus and act as a source of retaining an individual’s persistency. Therefore, the goals of medical students should be considered when designing a curriculum for health professions.Purpose: The purpose of this study was to examine relative effects of goal categories on the value of learning and intention to change one’s major.Method: Data were obtained from the Korea Education Longitudinal Study, which included 1938 representative Korean college freshmen majoring in medicine, engineering, natural science and humanities. They answered a survey questionnaire about goal categories (i.e., social concern, affiliation, self-growth, leisure, wealth, and fame), the value of learning, and intention to change one's major.Results: For medical students, social concern goals were positively related to the value of learning and negatively related to the intention to change one's major. Social concern goals decreased the intention to change one's major directly, and also indirectly through increased value of learning.Conclusion: Providing context for enhancing medical students’ social concern goals is necessary in a medical training curriculum, not only for the students’ professional development but also for improving society.Abbreviations: GCT: Goal contents theory GPA: Grade point average KELS: Korea education longitudinal study SDLA: Self-directed learning abilities SDT: Self-determination theory

Functional size approximation based on use-case names

Context: Functional size measures, such as IFPUG Function Points or COSMIC, are widely used to support software development effort estimation. Unfortunately, applying the COSMIC or IFPUG Function Point Analysis methods at early stages of software development is difficult or even impossible because available functional requirements are imprecise. Moreover, the resources that could be allocated to perform such measurement are usually limited. Therefore, it is worth investigating the possibility of automating the approximation of IFPUG Function Points or COSMIC early in software projects.Objective: Given a UML use-case diagram or a list of use-case names, approximate COSMIC and IFPUG FPA functional size in an automatic way.Method: We propose a two-step process of approximating the functional size of applications based on use-case goals. In the first step, we process the names of use cases, expressed in a natural language and assign each of their goals into one of thirteen categories. In the second step, we employ information about categories of use-case goals and historical data to construct prediction models and use them to approximate the size in COSMIC and Function Points. We compare the accuracy of the proposed methods to the average use-case approximation (AUC), which is their most intuitive counterpart, and the automatic method proposed by Hussain, Kosseim and Ormandjieva (HKO).Results: The prediction accuracy of the two proposed approximation methods was evaluated using a cross-validation procedure on a data set of 26 software development projects. For both methods, the prediction error was low compared to AUC and HKO.Conclusion: Developers who document functional requirements in a form of use cases might use the proposed methods to obtain an early approximation of the application size as soon as use-case goals are identified. The proposed methods are automatic and can be considered as a replacement for AUC.

Discovering Collaborative Advantage: The Contributions of Goal Categories and Visual Strategy Mapping

AbstractCollaboration can make sense when there is some sort of “collaborative advantage” to be gained, meaning organizations can achieve something together that they cannot easily achieve by themselves. However, the literature is essentially silent on how to identify collaborative advantage. This article addresses this shortcoming in the theory of collaborative advantage for public purposes by proposing a set of goal categories that may be used to help articulate collaborative advantage and introducing the use of visual strategy mapping as part of a facilitated group process to figure out what the collaborative advantage might be. Collaborative advantage, as it is normally understood, consists of shared core goals. Collaborative advantage for public purposes should take into account public values beyond shared core goals.

Long-Term Reward Patterns Contribute to Personal Goals at Work Among Finnish Managers

The research addresses the impact of long-term reward patterns on contents of personal work goals among young Finnish managers ( N = 747). Reward patterns were formed on the basis of perceived and objective career rewards (i.e., career stability and promotions) across four measurements (years 2006–2012). Goals were measured in 2012 and classified into categories of competence, progression, well-being, job change, job security, organization, and financial goals. The factor mixture analysis identified a three-class solution as the best model of reward patterns: high rewards (77%), increasing rewards (17%), and reducing rewards (7%). Participants with reducing rewards reported more progression, well-being, job change, and financial goals than participants with high rewards as well as fewer competence and organizational goals than participants with increasing rewards. Workplace resources can be a key role in facilitating goals toward building competence and organizational performance.

Patient-reported goal attainment and comprehensive functioning outcomes after surgery compared with pessary for pelvic organ prolapse

Pelvic organ prolapse can have a negative impact on a woman's overall functioning. When choosing between surgery or pessary, many women have information needs about long-term expectations. Whereas it has been shown that both surgery and pessary can improve prolapse symptoms, there is less information comparing comprehensive functioning outcomes and goal attainment between the 2 treatments. Our primary objective was to compare patient-reported goal attainment and comprehensive physical, social, and emotional functioning outcomes after surgery vs pessary for symptomatic prolapse. We conducted a prospective, observational, cohort study including women choosing surgery or pessary for symptomatic stage 2 or greater prolapse. Women undergoing any modality of prolapse surgeryor those anticipating using a pessary long-term to avoid surgery were eligible. Women completed questionnaires at baseline (before treatment) and up to 12 months after treatment including the following: (1) pretreatment goals and actual posttreatment goals achieved; (2) 5 functioning outcomes encompassing physical, social, and emotional function using the Patient-Reported Outcomes Measurement Information System surveys; and (3) validated symptom and quality-of-life questionnaires. Treatment goals were categorized into symptom goals (prolapse, urinary, bowel, pain) and function goals (physical, social, emotional, sexual). Goals achieved were compared using a χ2 test. Multiple logistic regression was used to identify variables associated with not achieving all pretreatment goals. Mean improvements in functioning scores were compared within groups and between groups using paired and independent Student t tests. Assuming 80% of women would achieve complete goal attainment in the surgery group, 64 women per group would be needed to detect a 20% difference at an alpha of 0.05. We recruited 80 women per group to account for dropout. A total of 160 women were enrolled and 72 surgical (90%) (mean follow-up 12 months) and 64 pessary patients (80%) (mean follow up 8 months) had posttreatment data. Fourteen discontinued pessary use and 8 ultimately crossed over to surgery. At follow-up, a higher proportion of women in the surgery arm reported successfully achieving symptom goals and function goals compared with women who chose pessary (P<.05). Women who continued pessary use had comparable goal attainment with women in the surgery group for almost all goal categories, whereas women who discontinued the pessary or crossed over to surgery had significantly lower goal attainment compared with both the surgery and pessary continuation groups. On multiple logistic regression, only college education or higher was associated with an increased odds of not achieving all pretreatment goals (odds ratio, 2.70, 95% confidence interval,1.1-6.6, P= .03). Regarding functioning outcomes, within groups, there were statistically significant improvements between pre-and posttreatment Patient-Reported Outcomes Measurement Information System functioning scores in all 5 domains for the surgery group and 4 of 5 domainsin the pessary group (P < .05). When comparing between groups, women who had surgery reported significantly greater improvements in the physical function, social roles, and depression domains compared with the pessary group (P < .05). Women undergoing either surgery or pessary for symptomatic prolapse experience goal attainment and improvements in physical, social, and emotional functioning, although surgery is associated with greater improvements.

Analyzing Mathematics Textbooks through a Constructive-Empirical Perspective on Abstraction: The Case of Pythagoras’ Theorem

Background:This study aims at analyzing how Pythagoras’ theorem is handled in three versions of Taiwanese textbooks using a conceptual framework of a constructive-empirical perspective on abstraction, which comprises three key attributes: the generality of the object, the connectivity of the subject and the functionality of diagrams as the focused semiotic tool.Material and methods:This study used a content analysis methodology to analyze the selected topic, Pythagoras’ theorem. First, we classified texts by categories of text goals. The categories of text goals serve to identify analysis units. Second, each analysis unit was coded regarding each attribute. The last step was to enter the data into an Excel file for statistical analysis.Results:The results show that Taiwanese textbooks intended to develop the object through the variation among the levels of generality as well as between more and less familiar connections. The procedural diagrams were less provided than the conceptual diagrams, and the diagrams required more processing were less provided than the diagrams required less processing. Nonetheless, there were differences among the three textbooks.Conclusions:On the basis of similarities and differences, we discuss issues related to the learning and teaching of mathematics.

Nieprawidłowości w gospodarce finansowej jednostek samorządu terytorialnego ujawniane przez regionalne izby obrachunkowe – analiza za lata 2006–2014

The issue presented in the article refers to the disclosure of legal violations revealed by regional chambers of audit (RCA) as a result of financial audits of local government units. The article also assesses the financial implications of the various types of irregularities. Given the scale of the irregularities disclosed, the article addresses the concept of management control as a new category of financial goal. According to the assumptions of the legislature, this goal is to support the realisation of the aims and tasks of local government. Bearing in mind the desire to reduce risk factors generating the formation of irregularities, the article presents the essence of control mechanisms in the operation of financial management. The article presents the violations most frequently disclosed by the RCA as regards the operation of the financial management of local governments. It offers a review of the literature and examines RCA activity reports prepared by the National RCA Board. A secondary analysis of the legislation was also carried out. The study covers the years 2006–2014, a period that saw financial law change profoundly.

Meaning-Making Analysis and Topic Classification of SNS Goal-Based Messages

Setting learning goals enhances motivation and performance. However, a lack of motivation is still nowadays a large cause of education failure because learners often find difficulties to relate to the goals fixed in their formal education. Social Networking Services (SNS) offer a massive source of diverse information and represent an influential factor, including for learning. The purpose of this research consists therefore in 1) the construction of a large-scale dataset containing goal-based messages expressed by peers on SNS, and 2) the analysis of topics making the meaning of the different categories of goals included in the goal-based dataset. The massiveness of information available on SNS calls for a systematic text analysis. This study therefore introduced a Systemic Functional Grammar (SFG) approach to determine the linguistic features used to create the meaning of learning goals in SNS messages. This analysis resulted in the creation of a dataset containing 16,000 goal-based messages.

Frequency and characteristics of goal attainment following BoNT-A injection for management of spasticity

Purpose: To determine which Goal Attainment Scale (GAS) goals are commonly achieved in patients with upper limb and/or lower limb spasticity following Botulinum Neurotoxin Type A (BoNT-A) injection.Method: Adults who attended a Spasticity Management Clinic for upper and/or lower limb BoNT-A injection were included in this prospective cohort study. Goals were set by participants and/or carers in conjunction with the therapist using the GAS, prior to injection and reviewed at one month following the injection. Three out of the five categories of goals were passive. Goals were categorised into: mobility/transfers, pain/comfort, upper limb use, hygiene, and cosmesis. The number of responders for the GAS total score, and in each of the GAS categories, was calculated.Results: Sixty-seven participants were recruited (mean age 51 ± 16 years; range 18–85), 70% had a stroke. Responders for mobility and transfer goals were further post injury or disease onset than non-responders (median 5.9 vs. 1.2 years, p = 0.03). Clients with stroke were less likely than other participants to achieve mobility and transfer goals (p = 0.02). There was a trend for those who achieved mobility and transfer goals to be younger (mean 49 years vs. 55 years, p = 0.06). Although active goals are more commonly identified, passive goals were more likely to be achieved.Conclusions: Although active goals are commonly identified by people with spasticity, passive goals were more likely to be achieved following BoNT-A injection. A long duration of spasticity does not preclude patients from achieving mobility and transfer goals. Non-stroke participants were more likely to achieve mobility and transfer goals.Implications for RehabilitationPatients with chronic spasticity should be considered for BoNT-A as clinically meaningful outcomes can be achieved.When spasticity is present in multiple muscles, the GAS can be an assistive tool to guide clinicians in determining which muscles are a priority for injection, because the client will be more motivated to improve those specific goals.Although carers and patients are more willing to set active goals, these are more difficult to achieve possibly because follow up intervention or independent practise is required.

How Much the Act of Secrecy Is Done by Medical Staff? A Descriptive Cross-Sectional Survey in South of Iran

Some information may be gathered during the medical procedures, including medical records or information. Many of them can be considered as secrets. The medical staff has the duty of privacy, which means keeping the secrets away from a third party. Hippocratic Oath accepts no exceptions but modern ethical express the situations in which the of secrets is allowed, legal, or even necessary. The present study is about to evaluate the act of in medical staff of the tertiary health care centers affiliated with Jahrom University of Medical Sciences in south of Iran. This cross sectional study is done on 204 members of medical staff of 8 different wards in tertiary health care centers affiliated with Jahrom University of Medical Sciences in south of Iran, using a questionnaire of 31 questions in 5 major categories adding to a data sheet for demographic information (age, gender, ward). Validity and reliability of the questionnaire was proved by previous studies. Collected data analyzed by dependent T-test, Fisher's exact and SPSS.17 using descriptive and deductive statistics. The mean rate of was 3.82± 0.75. Respecting others in the category of goals of secrecy earned 4.48, common medical services in the category of for disclosure earned 3.89, damage to the patient in the category of reasons for disclosure earned 4.05, patient's rights in personal reasons for secrecy earned 4.07, and informing the medical managers in proper way to confront the offenders with the score 2.85 were the highest scores of each category. The variant Ages (p=0.003) and wards (p=0.03) showed significant differences in the secrecy. Results show that the medical staff is not familiar enough to the legal and ethical indications of secrecy, so holding in-service courses may be effective.

Studying the Motivated Agent Through Time: Personal Goal Development During the Adult Life Span.

This research examined the rank-order and mean-level consistency of personal goals at two periods in the adult life span. Personal goal continuity was considered among a group of young adults (N = 145) who reported their goals three times over a 3-year period and among a group of midlife adults (N = 163) who specified their goals annually over a 4-year period. Goals were coded for a series of motive-based (viz., achievement, affiliation, intimacy, power) and domain-based (viz., finance, generativity, health, travel) categories. In both samples, we noted a moderate degree of rank-order consistency across assessment periods. In addition, the majority of goal categories exhibited a high degree of mean-level consistency. The results of this research suggest that (a) the content of goals exhibits a modest degree of rank-order consistency and a substantial degree of mean-level consistency over time, and (b) considering personality continuity and development as manifest via goals represents a viable strategy for personality psychologists.

Socialization Goals of Immigrant Mothers from Diverse Cultures and of Their Children’s Preschool Teachers in Italy

This study investigated and compared the socialization goals and values of first-generation immigrant mothers in Italy and of their children’s preschool teachers. Seventy-eight mothers of four major migrant groups—Romanian, Moroccan, Nigerian, and Sri Lankan—and 21 Italian teachers were interviewed about the most important things they want their children to learn or achieve in their life. A thematic content analysis of the interviews yielded nine categories of socialization goals that were differentially emphasized by mothers and teachers. All immigrant mothers emphasized the value of goals associated with hierarchical relatedness, particularly Respect for Adults, Religious Practice, and Sense of Family and Original Culture. However, correspondence analysis showed that the mothers’ views tended to conglomerate in clusters with those of mothers of the same cultural background, indicating some differences between the four groups that might shed light on different acculturation processes. The Italian teachers focused on goals pertaining to individual psychological autonomy (Autonomy Identity), Social Integration, and Respect for Social Rules, showing a considerable distance from the immigrant mothers’ main goals. These findings provide empirical evidence that children of first-generation immigrant families experience caregivers at home and in preschool with divergent goals for their development. This has important practical implications, suggesting the need for action to increase the mutual understanding of caregivers with different cultural backgrounds.

The thrill of victory: Women and sport shopping

This study explores a new shopper type, ‘Sport Shoppers’, who are unique in their actions, attitudes and behaviors. We present evidence that these shoppers exhibit behavior similar to that of competitive athletes in that they view bargain shopping as an achievement domain. Data were collected through open-ended surveys, in-depth interviews and closet inventories. Thematic analysis of transcripts was undertaken based on three achievement goal categories; task-oriented, ego-oriented and social approval-oriented. Achievement goal theory is employed to offer an explanation of the Sport Shoppers’ behaviors and motivations. We argue the Sport Shopper is an economically viable and important shopper for fashion retailers to target.

Conflicting personal goals: a risk to occupational well-being?

Purpose – The purpose of this paper is to investigate the moderating role of goal conflict in the relationship between the contents of managers’ personal work goals and occupational well-being (burnout and work engagement). Eight goal categories (organization, competence, well-being, career-ending, progression, prestige, job change, and employment contract) described the contents of goals. Goal conflict reflected the degree to which a personal work goal was perceived to interfere with other life domains. Design/methodology/approach – The data were drawn from a study directed to Finnish managers in 2009 (n=806). General linear models were conducted to investigate the associations between goal content categories and occupational well-being and to test whether goal conflict moderates the relationship between goal content categories and occupational well-being. Findings – Career-ending goals related to significantly higher burnout than progression goals. Participants with organization, competence, or progression goals reported the highest goal conflict, whereas participants with well-being, career-ending, or job change goals reported lower goal conflict. Goal conflict was found to have a moderating role: in a high-goal conflict situation, participants with organizational, competence, and progression goals reported lower occupational well-being, whereas participants with job change goals reported higher occupational well-being. Originality/value – The research highlights that both the contents and appraisals (e.g. goal conflict) of personal work goals should be taken into account when investigating the relationship between personal goals and well-being at work.

Common goal areas in the treatment of upper limb spasticity: a multicentre analysis

Objective: We aimed to develop a goal classification of individualised goals for spasticity treatment incorporating botulinum toxin intervention for upper limb spasticity to under-pin a more structured approach to future goal setting. Design: Individualised goals for spasticity treatment incorporating botulinum toxin intervention for upper limb spasticity (n=696) were analysed initially from four studies published in 2008-2012, spanning a total of 18 centres (12 in the UK and 6 in Australia). Goals were categorised and mapped onto the closest matching domains of the WHO International Classification of Functioning. Confirmatory analysis included a further 927 goals from a large international cohort study spanning 22 countries published in 2013. Results: Goal categories could be assigned into two domains, each subdivided into three key goal areas: Domain 1: symptoms/impairment n=322 (46%): a. pain/discomfort n=78 (11%), b. involuntary movements n=75 (11%), c. range of movement/contracture prevention n=162 (23%). Domain 2: Activities/function n=374 (54%): a. passive function (ease of caring for the affected limb) n=242 (35%), b active function (using the affected limb in active tasks) n=84 (12%), c. mobility n=11 (2%). Over 99% of the goals from the large international cohort fell into the same six areas, confirming the international applicability of the classification. Conclusions: Goals for management of upper limb spasticity, in worldwide clinical practice, fall into six main goal areas.