Goal-setting Process Research Articles

Evolving human resource management processes and interventions as the new paradigms shaped by entrepreneurship, knowledge management, social network analysis’

At the core of human resource management (HRM) is the way ‘’inter-relationship among the stakeholders in an organisation is managed’’, ‘’objective criteria are applied to goal-setting processes’’ and how ‘’HRM contributes to the creation of tangible value in the form of knowledge-based outputs.’’ Hence, the process of knowledge management of storing and sharing in regard to its processes, techniques and operations is linked to HRM practices of effective management of this inter-relationship. The research enquires into how human resource development focuses on building the entrepreneurial resilience, a key ability of entrepreneurs to overcome challenges and adapt to uncertainties, particularly during this era of Covid-19 pandemic. The efforts of organisational leadership, which needs to appropriate these inter-relationships to a social context either India or Bangladesh, always can be aided by a host of social network theories. Within remit of this discourse, the research would like to pursue the questions such as how the role of gender in the economic development process has been increasingly recognized as crucial, both in terms of potential for success and in the nature of the impact of particular development strategies and programs. Addressing these questions, thus, can help us to arrive at the possible HR interventions in this regard. The direction of the current research emerges from the interpretation of the variants such as knowledge workers, knowledge management templates and tools, expected gender roles of social actors, resource allocation, etc. The research proceeds to enquire how these variants are explained by these social network theories, their limitations and if some of these need to be repurposed in the view of emerging challenges posed by knowledge workers and their belonging industries.

Theoretical frameworks for project goal-setting: A qualitative case study of an organisational practice in Nigeria.

Goal-setting in any practice context is vague unless the process is based on a framework that produces good goals. Popular goal-setting frameworks construct Specific, Measurable, Attainable, Realistic, and Time-bound (SMART) goal statements. Yet, research of how healthcare goals that are foundational to health plans are formulated is scanty. This case study explored the goal-setting practice of an organisation in Nigeria to discover the theoretical frameworks for setting the goals of their leprosy projects. The study triangulated individual semi-structured interviews of 10 leprosy managers with a review of their project plans and a participant observation of the organisation's annual planning event. A five-stage thematic analysis was used to serially identify, code, and integrate goal-setting themes from the data collected. This produced three final emergent themes: stakeholders, strategy, and goal statements, with 11 associated conceptual frameworks. All were further theoretically integrated into one general framework that illustrates the organisational goal-setting practice at the time of study. This revealed a practice with a four-staged linear centre-driven process that led to a top-down, problem-based goal formulation, and produced assigned project plans based on hierarchical non-SMART goal statements. Collaborative goal-setting process is proposed for Specific, Measurable, Attainable, Realistic, Timed, and Agreeable statements of project objectives and aims written with Change, Beneficiaries, Indicator, Target, Timeframe and Change, Beneficiaries, Location, and Timeframe models respectively.

Negotiating Learning Goals with Your Future Learning-Self

This paper discusses the challenges towards designing an educational avatar which visualizes the future learning-self of a student in order to promote their self-regulated learning skills. More specifically, the avatar follows a negotiation-based interaction with the student during the goal-setting process of self-regulated learning. The goal of the avatar is to help the student get insights of their possible future learning-self based on their daily goals. Our approach utilizes a Recurrent Neural Network as the underlying prediction model for expected learning outcomes and goal feasibility. In this paper, we present our ongoing work and design process towards an explainable and personalized educational avatar, focusing both on the avatar design and the human-algorithm interactions.

ЙОГО ВСЕСВЯТІСТЬ ПАТРІАРХ ВАРФОЛОМІЙ І ПРО ДУХОВНІ ІМПЕРАТИВИ ПРАВОСЛАВНОГО БОГОСЛОВ'Я

The article notes that spirituality in Orthodoxy is understood actively, as spiritual life, as the experience of the church community. Moreover, the theological concept of spirituality of Bartholomew I unfolds on the following levels: etymological (spirituality is directly related to breathing, with the quality of a person, without which its existence is impossible); life-meaningful (contextual meanings, in which the process of combining the history of the concept with the history of discourse, their comprehension and rethinking in the transcendent dimension is traced); practical-spiritual (spiritual and preaching activity, the process of moral teaching, the organization of life in accordance with the "Christian science of life"). The relationship between spirituality and personality is emphasized (its components are mystery, freedom, relationship, integrity). Priority in the structural hierarchy of spirituality is the moral and ethical principle, which acts as an indicator. It determines the fullness of social and individual existence since morality is one of the main mechanisms not only for regulating relations but also for the "spiritualization" of a person, on which depends his existential experience. Attention is paid to religious practices, in particular prayer, its spiritual connotations. In the state of prayer, a person tries to build his "Self" to the level of the Other, but at the same time to remain himself. If in this goal-setting process he ceases to hear a response addressed to his unique self, in this case, the prayer loses its dialogical nature. It is emphasized that, according to Ecumenical Patriarch Bartholomew І, spirituality, firstly, acts as a way of God's activity; secondly, it is closely related to the level of development of mental life, of a certain culture of feelings; thirdly, spirituality is recognized as a value that is the property of spiritual freedom, in which the human, the individually unique is combined with the divine, the universal; fourthly, it is the crystallization of the ethical-value core and anthropological-communicative meaning of certain religious practices; fifthly, the "code of spirituality" permeates all spheres of human existence, in which a person is affirmed both existentially and individually.

ЗАСТОСУВАННЯ ТЕХНОЛОГІЇ МЕДІАДИЗАЙНУ ЯК ІНСТРУМЕНТА ФІРМОВОЇ ІДЕНТИФІКАЦІЇ МАРКЕТИНГОВИХ КОМУНІКАЦІЙ (НА ПРИКЛАДІ РОЗРОБКИ СТРАТЕГІЇ КОРПОРАТИВНОГО СТИЛЮ СТРУКТУРНОГО ПІДРОЗДІЛУ ДПУ)

The current state of the market of educational services requires higher education institutions to properly integrate information technology into strategic development. The relevance of this paper reports, was raised in the thesis, due to the intensification of competition between higher education institutions within the country. Therefore, the management of leading higher education institutions pays special attention to the use of IT technologies in strategic development. The integration of information technology is a complex, multi-stage process that affects all information systems of higher education institutions and the business processes that take place in them. The paper studies some aspects of the work of visual communication systems in the channels of promotion of the structural department University of the State Fiscal Service of Ukraine as a result of developing strategic planning and implementing corporate identity. The research problem for this study is to use the information technology in strategic planning of the organization. The article describes the information and intellectual technologies of media design for online communications of channels of promotion and dissemination of information. The object of research is media design technologies as a medium of telecommunications. Particular attention is paid to the role of corporate identity: marketing and the other functional areas in the goal setting and strategic planning process. And implementing key marketing terms determines how effectively a brand of the structural department University of the State Fiscal Service of Ukraine is visually represented, competitive educational markets. According to the results of the study developed the recommendations for creating a guide to visual style (brand book) and guide to the use of visual style (brand book), using information and intelligent media design technologies for online communication channels to promote disseminate information. The obtained results make it possible to implement a system of visual communication for marketing strategic planning. The conceptual approach applied to the methodology of this study, from the perspective of strategic marketing, can be used for various areas of business and organizations.

Модель анализа идеологии во внешней политике

The article presents a theoretical model of how ideological concepts may impact the foreign political strategies of states. The author thinks that the necessity to build a more concrete understanding of the strategic goal setting process is more relevant these days due to the increasing ochlocratic influence on the governmental behavior in the international arena. The model is based on three logically intertwined pillars. The first of them analyzes the socio-psychological mechanism of the transformation of ideas into specific actions on the part of an individual or a collective body. Special attention is paid to the phenomenon of ideologemes as compact expressions of normative attitude towards the surrounding events. The article also takes into consideration psychological predispositions that made the conversion of some ideas into actions more probable. The second pillar accounts for the decision-making process. It analyses the most significant elements of the mechanism, that determine how long-term national interests and specific goals are formulated within the political establishment, the expert and governmental officials’ community. The author also presents a vision in which an overall national might, presence or absence of political will define the spectrum of potentially made decisions. This approach can give a more detailed and concrete understanding of the nature of subjectivity in world affairs. The third pillar is based on the analysis of how a governmental actor perceives through its ideological lens its own interaction with the surrounding international environment. This pillar considers the actors’ self-positioning in the world, the foreign policy instruments this actor uses to affect external objects in order to fortify its place on the global stage. The model may be useful for research of the long-term foreign policy strategic planning, establishing specific criteria of effectiveness of its implementation, and forecasting the decision-making process.

Постановка задачи обеспечения автоматизации полного цикла поддержки принятия решения

The relevance of the topic of the article is determined by the fact that the existing decision support systems (DMSS) provide automation of only part of the stages of a typical management cycle, completely imposing on the user such important ones as goal setting and management of the implementation of developed plans. This is determined by the objective difficulties of formalization and the dynamism of these stages, but breaks the single management process into autonomous, partially automated sections. No research is currently being conducted to solve this problem. Taking this into account, the purpose of the study was to obtain a descriptive formulation of the task of automating the processes of goal-setting and management for implementation in the DMSS. The article, using general scientific research methods, analyzes the content of the control cycle and the existing technologies for automating its elements. Using the results of the analysis, proposals were synthesized and the task was formulated to automate the stages of goal-setting and management of the implementation of plans, for implementation as part of the DMSS, approaches were proposed that can be used to implement the task.The problem of automating the initial stage of the management cycle, goal-setting, is proposed to be solved by using specialized expert systems. To solve the problem of decision support at the control stage, it is proposed to use simplified dynamic control algorithms. In a direct formulation, such a problem is posed for the first time. The article proposes a set of methods and basic algorithms that provide a solution to the problem of automating goal-setting and management processes and, in the future, their implementation in the structure of the DMSS.

Specific features of immunity control of survey radar under its suppression by active interference and interfering information effects

The features of goal-setting control while ensuring the information stability of the sounding modes of a surveillance radar when it is suppressed by active interference and interfering information influences are considered. Overcoming the complexity of goal-setting processes, the validity and efficiency of decision-making with a shortage of time for its adoption is associated with insuring the consistency of goal-setting processes, increasing the levels of their intellectualization and formalization. This will contribute to imparting the desired properties, synthesized during the conflict, to the multipurpose strategies and the situational law of the control of the REP processes and the coordination of actions.
 An increase in the level of intellectualization of goal-setting processes is ensured by:
 - decomposition of the general goal-setting problem into separate, simpler subtasks with effective solutions, implemented in the corresponding subsystems of the ACSstab (or basic associations of its functional elements) at stages of information support, preparation, adoption and implementation of the decision at the stages of hierarchical levels of management;
 - cognitive analysis of goals and reflexive synthesis of goal-setting processes using the capabilities of a specialized intelligent decision support system to enhance the creative-reflexive abilities of the subject of management and increase the level of his professional competencies;
 - combining the universality of the stages of rational management of the synthesis of the strategy for managing the REP processes with the specifics of conflict situations, subjectivity, cognition and reflexivity nature of intellectual control.
 Methods and means for partial formalization of goal-setting processes are presented, when the structuring of the main goal is carried out taking into account belonging to the strategies of internal and external control of the REP, the decomposition of the two-sided dynamic model of the conflict between the systems of the RES complex and the radar, the hierarchy of management levels, various approaches applied to goal-setting in a crisis management, as well as methods of justifying goals, resource costs and control of achieving the goals.
 These features can significantly reduce the degree of subjectivity of management for goal-setting and achieve their validity, completeness, consistency.

Peculiarities of purpose in providing the information stability of surveillance radar sensing modes in the process of their radio electronic suppression

It is possible to look at the special features of the goal setting while ensuring information stability of radar sounding modes when they are suppressed by the active interferences and interfering information influences. Overcoming the complexity of goal-setting processes, the validity and prompt decision-making with a shortage of time for its adoption is associated with insuring the consistency of goal-setting the levels of their intellectualization and formalization. This will contribute to imparting the desired properties, synthesized during the conflict, to the multipurpose strategies and the situational law of the control of the REP processes and the coordination of actions. An increase in the level of intellectualization of goal-setting processes is ensured by: decomposition of the general goal-setting problem into separate, simpler subtasks with effective solutions, implemented in the corresponding subsystems of the ACSstab (or basic associations of its functional elements) at stages of information support, preparation, adoption and implementation of the decision at the stages of hierarchical levels of management; cognitive analysis of goals and reflexive synthesis of goal-setting processes using the capabilities of a specialized intelligent decision support system to enhance the creative-reflexive abilities of the subject of management and increase the level of his professional competencies; combining the universality of the stages of rational management of the synthesis of the strategy for managing the REP processes with the specifics of conflict situations, subjectivity, cognition and reflexivity nature of intellectual control. Methods and means of partial formalization of goal-setting processes are presented, when the structuring of the main goal is carried out taking into account belonging to the strategies of internal and external control of the REP, the decomposition of the two-sided dynamic model of the conflict between the systems of the RES complex and the radar, the hierarchy of management levels, various approaches applied to goal-setting in a crisis management, as well as methods of justifying goals, resource costs and control of achieving the goals. These features can significantly reduce the degree of subjectivity of management for goal-setting and achieve their validity, completeness, consistency.

Statistical analysis of motivators in the Serbian banking sector

Starting from the fact that motivation presents an important factor that directly affects employee effectiveness, this paper examines the attitudes of employees regarding the ability of their leaders and managers to apply appropriate motivators in the work process. The empirical research was based on a sample of 117 respondents who were employed in the Serbian banking sector. The application of statistical methods supported by SPSS software provided the analysis of three groups of motivators applied by leaders and managers, which included material, non-monetary and work-related motivators. In addition, we examined the relationship between the length of service and respondents' attitudes regarding the ability of leaders and managers to involve employees in the decision-making and goal-setting process. Testing hypothesis H1 using the Wilcoxon signed-rank test showed the existence of a pronounced ability of leaders and managers to motivate employees by applying material, non – monetary and work-related motivators. Testing hypothesis H2 using Spearman's Correlation Test indicated a correlation between the studied variables at the population level. The findings of the empirical research can contribute to better efficiency and effectiveness of the operations in the banking sector.

Mobility Analysis of AmpuTees (MAAT 7): Normative Mobility Values for Lower Limb Prosthesis Users of Varying Age, Etiology, and Amputation Level.

ObjectiveThe aim of the study was to establish normative values of lower limb amputation mobility across primary etiologies based on age and amputation level.DesignThis study is a cross-sectional observational analysis of outcomes. A total of 11,995 lower limb prosthesis users were included in the analysis. Participants were grouped by etiology into four categories: cancer, congenital, trauma, and diabetes/dysvascular. Mobility was assessed by using the Prosthetic Limb Users Survey of Mobility.ResultsMobility across seven age groups for the four etiologies was established for both above-the-knee amputation and below-the-knee amputation. Differences were found between age groups for individuals: above-the-knee amputation: cancer (χ2 (6) = 40.97, P < 0.001), congenital (χ2 (3) = 9.41, P = 0.024), trauma (χ2 (6) = 18.89, P = 0.004), and dysvascular (χ2 (5) = 39.73, P < 0.001; below-the-knee amputation: cancer (χ2 (6) = 29.77, P < 0.001), trauma (χ2 (6) = 28.22, P < 0.001), and dysvascular (χ2 (6) = 144.66, P < 0.001).ConclusionsThe awareness of differences across amputation etiologies extending across the lifespan of ages can assist the goal-setting process as part of prosthetic rehabilitation. In addition, refined normative values provide the ability to benchmark new and innovative changes in clinical practice.

STUNTING PREVENTION PROGRAM IN NORTH BENGKULU REGENCY

This study aims to analyze the stunting prevention program in North Bengkulu Regency through the AGIL concept proposed by Talcot Parsons in the theory of Structural Functionalism. This study uses a qualitative research approach, with case studies. The type of research used is a more in-depth descriptive. Research data were collected through observation techniques, unstructured interviews and document collection. Research informants were determined through purposive sampling technique. The results showed that there were 4 stunting prevention programs in North Bengkulu Regency, namely maternal and child health service programs, nutrition counseling programs and supplementary feeding, social protection programs and sanitation and clean water programs through the use of village funds. These four programs were able to reduce stunting rates in the research locations. Implementation of the program is emphasized on the process of community empowerment. The main targets are changes in personal health behavior and environmental health behavior. The process of adaptation, goal setting, integration, and pattern maintenance are also fairly well systemized in the program realization process. In the future, program implementation needs to be accompanied by the economic maturity of the community.

Цифровизация целеполагания: от формирования целевого плана до разработки сценария развития

The growing dynamics of economic processes, uncertainty and complex interconnectedness of development goals require an early transfer of the process of strategic goal-setting of regional development into the format of digital models that would make it possible to recalculate the quantitative parameters of the strategy in case of any change in target guidelines, resource constraints and parameters of the external environment. This action would sufficiently increase the efficiency of the entire strategizing process. The most important tasks in this case are the development of an end-to-end methodology and the digitization of the processes of development of a consistent system of targets and their attainability assessment. The article attempts to document the solution of the tasks of goal-setting and forecasting and to provide users with digital tools to facilitate the passage of these stages in the process of strategic planning of regional development. An approach to achieving the statesd goals is suggested within the framework of problem solution of the best distribution of produced goods between accumulation and consumption. It is shown that the target indicators used in strategic planning should be divided into basic, supporting and derived ones. In this approach, target values should only be set for the basic indicators. As for the supporting indicators the target values should be calculated when solving the task of economic capacity development which is necessary and sufficient to ensure the target values of baseline indicators. The informational technology for the construction of regional development scenario is based on the SNA methodology and computable models of general equilibrium leading to the achievement of the goals set. The technology presents a system of digital models that provide a quantitative description of the results of strategic planning as a single process which starts from the target plan and ends by the development scenario. The core of the system of models is a digital model of the region (constituent entity of the Russian Federation), built within the class of computable general equilibrium models. The developed methods and tools will be useful for developers of regional strategies, since at the goal-setting stage they allow to balance strategic goals and avoid irreconcilable contradictions in the process of target setting.

Patient-Reported Problem Areas in Chronic Traumatic Brain Injury.

The aims of this study were to (1) assess self-reported main problem areas reported by patients with traumatic brain injury (TBI) and their family members in the chronic phase, and (2) compare the self-prioritized problems with difficulties captured by questionnaires and neuropsychological screening through linking to the International Classification of Functioning, Disability and Health (ICF). Outpatient clinic at the Oslo University Hospital, Norway. In total, 120 patients with TBI were recruited, of whom, 78 had a participating family member. Eligibility criteria were a clinical TBI diagnosis with verified intracranial injury, living at home, aged 18 to 72 years, 2 years or more postinjury, and experiencing perceived TBI-related difficulties, reduced physical and mental health, or difficulties with participation in everyday life. Patients with severe psychiatric or neurological disorders or inability to participate in goal-setting processes were excluded. Cross-sectional. Target Outcomes, that is, 3 main TBI-related problem areas reported by patients and family members, collected in a semistructured interview; standardized questionnaires of TBI-related symptoms, anxiety, depression, functioning, and health-related quality of life; neuropsychological screening battery. Target Outcomes were related to cognitive, physical, emotional, and social difficulties. Target Outcomes were linked to 12 chapters and 112 distinct categories in the ICF, while standardized measures only covered 10 chapters and 28 categories. Some aspects of post-TBI adjustment were found to be insufficiently covered by the ICF classification, such as identity issues, lack of meaningful activities, and feeling lonely. The Target Outcomes approach is a useful assessment method in a population with chronic TBI. The standardized questionnaires capture the spectrum of problems, whereas the Target Outcomes approach captures the prioritized individual problems hindering everyday life after TBI. While the standardized measures are an irreplaceable part of the assessment, Target Outcomes ensures patient involvement and may help clinicians better tailor relevant rehabilitation efforts.

FAMILY-BASED HEALTH PROMOTION AND ILLNESS PREVENTION FOR EMOTION DYSREGULATION

Child and adolescent psychiatry has traditionally focused on interventions for symptomatic youth. Here, we will present the use of a family-based assessment to identify opportunities for health promotion and illness prevention at the family level. Caregivers are included as integral to the development and sustenance of youth emotional regulation, while community-based health promotion interventions are emphasized for their leverage in developing self-regulation skills. The process of empirically based assessment using standardized, multi-informant rating tools is demonstrated. This coincides with written, video- and interview-based description of the family-based approach utilized here as it would be implemented with families presenting for treatment. Tiers of health promotion, illness prevention, and treatment intervention are described in the context of pediatric mental health care with an eye toward equity and inclusion. We describe the inclusion of motivational interviewing, goal-setting theory, and a trauma-informed mindset to create family-based, strengths-oriented goals. Participants then practice these skills in reviewing case materials to which the ideas can be applied as well as using handout tools developed to scaffold the goal-setting process. Data are shared on the feasibility and acceptability of this family-based approach to health promotion and illness prevention from randomized controlled trials in a general pediatrics clinic and a perinatal clinic from an academic setting, as well as a comprehensive community intervention with the foster care system. Participants in this Workshop will achieve an understanding of the rationale for family-based assessment and intervention as well as the role of health promotion. Participants will also attain hands-on experience in implementing family-based mental health care in a preventative context. Strengthening the clinician’s capacity to engage and serve the mental health needs of the entire family multiplies the potential efficacy of child and adolescent psychiatry interventions. Furthermore, an emphasis on health promotion and illness prevention leads to earlier and more sustained support for emotional regulatory processes to develop.

To persist or not to persist? The dilemma of goal adjustment in chronic pain.

To persist or not to persist? The dilemma of goal adjustment in chronic pain.

Setting Individual Goals for Pupils with Profound Intellectual and Multiple Disabilities—Engaging in the Activity Area-Based Curriculum Making

The activity area-based curriculum model (AACM) is used in the Finnish basic education to support pupils—most of whom have profound intellectual and multiple disabilities (PIMD)—who could benefit more from skills that advance independent life coping. Existing studies have concentrated mainly on the Individual Education Plan (IEP) goal-setting process for pupils with milder disabilities than PIMD and have consistently demonstrated significant barriers in the process. This study explores the collaborative IEP goal-setting process for pupils with the AACM. Sixty-five Finnish special education teachers using the AACM participated in the study. Semi-structured interviews were analysed with thematic network analysis. The groups involved in the IEP goal-setting process were divided into main and side mediators. The main mediators were described as significant collaborators with important knowledge of the pupil, while side mediators rarely participated in the process. The special education teachers appeared to be leading the collaboration and were positioned in the middle of the main and side mediators. Further research should focus on the implementation of parents’ collaborative positions. Furthermore, practices and methods should be developed to reinforce the positions of group home staff, special education teacher colleagues and pupils with the AACM or PIMD themselves.

Goal setting for people with mild cognitive impairment or dementia in rehabilitation: A scoping review.

Goal setting is an integral part of the rehabilitation process and assists occupational therapists to target therapy towards achieving meaningful outcomes. People with mild cognitive impairment or dementia may experience barriers participating in goal setting due to preconceptions that the person cannot participate owing to changes in both cognitive and communicative abilities. The aim of this review was to identify goal setting approaches, common goals identified, and enablers and barriers to goal setting for people with mild cognitive impairment or dementia participating in specific rehabilitation programmes. Four electronic databases were searched in April 2020 for English language articles that described goal setting processes during a rehabilitation programme for people with mild cognitive impairment or dementia. Studies of all designs were included. Two authors screened citations and full text articles. Data were extracted, synthesised, and presented narratively. Twenty-seven studies met the eligibility criteria. Both structured and nonstructured goal setting methods were used with common tools including the Canadian Occupational Performance Measure, the Bangor Goal Setting Interview and Goal Attainment Scaling. The nature of goals tended to depend on the scope of the rehabilitation programme in which the person was involved. Goal setting was more difficult for people with more advanced symptoms of dementia and when staff lacked skills and experience working with people with dementia. Use of a structured approach to goal setting, establishment of therapeutic rapport, individualisation of goals, and family involvement were reported to be beneficial. Collaborative goal setting is a foundation of rehabilitation for people with dementia and should not be avoided due to preconceptions that the person cannot participate. Results suggests that occupational therapists can use a number of strategies to maximise participation and engagement and play a pivotal role in upskilling staff to enable effective goal setting for people with mild cognitive impairment or dementia.

Outcomes from a pilot genetic counseling intervention using motivational interviewing and the extended parallel process model to increase cascade cholesterol screening.

Familial hypercholesterolemia (FH) is an inherited condition resulting in increased risk of premature cardiovascular disease. This risk can be reduced with early diagnosis and treatment, but it can be challenging to identify individuals with FH. Cascade screening, the most efficient and cost-effective identification method, requires FH patients to communicate with their at-risk family and encourage them to pursue screening. Beyond FH, patients with conditions increasing disease risk to family members report barriers to the communication process such as insufficient knowledge of the condition and discomfort informing relatives. We conducted a pilot study of a genetic counseling intervention incorporating behavior-change principles from motivational interviewing (MI) and the extended parallel process model (EPPM) to help parents of children with FH overcome these barriers and improve cascade screening rates for FH. Of the 13 participants who completed the intervention and post-intervention surveys, 6 reported contacting and/or screening additional relatives. A large effect size in increasing communication and screening was observed (η2 =0.20), with the mean percent of at-risk relatives contacted rising from 33% to 45%, and the mean percent screened rising from 32% to 42%. On average, 2.23 new relatives were contacted and 2.46 were screened, per participant, by the end of the study. Direct content analysis revealed that despite the open-ended nature of the goal-setting process, participant goals fell into two categories including those who set goals focused on communicating with and screening family members (n=9) and those who set goals only focused on managing FH (n=4). Overall, the communication and screening rates reported after the intervention were higher than previous observations in adult FH populations. These results suggest this EPPM/MI genetic counseling intervention could be a useful tool for increasing communication and cascade screening for FH. With further research on goal-setting techniques, the intervention could be refined and replicated to identify more individuals affected by FH or modified for use with other actionable genetic conditions.

Rehabilitation Goals and Effects of Goal Achievement on Outcome Following an Adapted Physical Activity-Based Rehabilitation Intervention.

PurposeTo explore the goal-setting process carried out at a rehabilitation facility providing adapted physical activity, by 1) identifying goals set by individuals with chronic disabilities, 2) comparing these goals to the negotiated goals set in collaboration with the rehabilitation team and 3) assessing goal achievement and its association with self-reported functioning after 12 months.MethodsA prospective observational study where adults (18–67 years) admitted to Beitostølen Healthsports Centre (n=151) reported mental and physical functioning measured by the Medical Outcomes Study 12-item Short-Form Health Survey (SF-12) administered at baseline (eight weeks before rehabilitation), admission, discharge and follow-up 12 months after rehabilitation. The participants provided their individual goals for rehabilitation in the admission questionnaire. Individual goals were compared to negotiated goals set by the participants and the rehabilitation team together as part of the goal-setting process at the facility. The goals were linked to The International Classification of Functioning, Disability and Health (ICF) for comparison. Goal achievement was assessed on a 10-point numeric rating scale (NRS) in the discharge questionnaire. The association between SF-12 physical and mental functioning at long-term follow-up and goal achievement was explored.ResultsThe 293 individual goals and the 407 negotiated goals were most frequently linked to the ICF-component Body Functions. When comparing negotiated to individual goals, negotiated goals were more frequently linked to activities and participation. Goals to wide to be linked to the ICF were less frequent. For 76% of the participants, content of individual goals was captured in negotiated goals. Goal achievement with NRS scores ≥9 points was reported by 66% of the included participants. Goal achievement was a significant predictor for long-term mental functioning (p=0.04).ConclusionCollaboration between participants and health professionals resulted in more specific goals directed towards the activities and participation component. Goal achievement predicted long-term mental functioning following rehabilitation.