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. Author manuscript; available in PMC: 2023 Jan 1.
Published in final edited form as: J Subst Abuse Treat. 2021 Oct 29;132:108650. doi: 10.1016/j.jsat.2021.108650

Table One.

Guidelines, models, or frameworks for goal setting, goal and objective formulation, and goal monitoring

Title (author) population or field of origin attends to motivation attends to self-efficacy attends to barriers/resources goal setting guideline objective setting guideline role for social support goal monitoring guideline
Change Plan (Miller et al., 1992) addictions yes yes yes specific, behavioral target with timeline for completion steps toward making the change yes ---
DIALOG+ (Priebe, 2020) major mental illness yes yes yes priorities selected among 11 life and treatment-related domains brief; precise; expressed as behavior; responsible parties identified yes review of actions agreed upon; review should be brief; focus on progress made (i.e., not unmet goals)
Five As (Glasgow et al., 2006)* general medicine yes yes yes Assess: behavior, beliefs, motivation
Advice: based on health risks
Agree: on a realistic goal
Assist: in anticipating barriers and developing a specific action plan yes Arrange: for follow-up support
Goal Attainment Scaling (Ottenbacher & Cusick, 1990) rehabilitation noa noa noa observable; recordable; time-limited; up to three goals measurable behaviors that indicate goal improvement noa determine mode and timing of review; select 5 levels of progress, ranging from −2 to +2, where 0 = no progress
Goal-based Outcomes (Law, 2013) child/youth mental health yes yes yes typically solution-focused; collaboratively set; up to three goals --- yes 0 to 10 scale where 0 is no progress toward goal achievement and 10 is goal achieved; track at regular intervals (e.g., every session)
Goals Form (Cooper, 2015) psychotherapy nob nob nob specific, concise, simple, absolute (i.e., not relative to some baseline), approach, and SMART (i.e., see Doran, 1981 below), up to five goals --- nob revisit at regular interval, attainment measured on a 7-point scale and progress can be monitored by subtracting current session attainment from the prior session or at the start of treatment
Goal Setting and Action Planning (Scobbie et al., 2011) rehabilitation yes yes yes Developing the goal intention: goal discussion and negotiation
Setting a specific goal: consider goal specificity/difficulty
Activating goal-related behavior: action planning; coping planning yes Appraising performance and giving feedback: review performance in relation to action plan; provide feedback; use persuasion and modelling; plan adjustments based on performance
Goal Setting Theory (Latham & Locke, 1979) management yes yes yes specific; acceptable; sufficiently challenging; with sufficient ability and resources, an explicit commitment, and a supportive supervisor --- yes knowledge of performance in relation to the goal is necessary; feedback is most helpful when it is periodic and guided by visual aids
Measurement-Based Care (i.e., Patient-Focused Research; Lambert et al., 2002) psychotherapy yesc noc noc four domains in the original Outcome Questionnaire (i.e., intra- and inter-personal distress, role functioning, quality of life) --- yesc routinely administer symptom/outcome/process measure, practitioner review of data, practitioner and patient discussion of data, use decisional support, modify treatment, where needed
Model of Action Phases (Gollwitzer & Sheeran, 2006) social psychology yes yes yes Predecisional action phase: selected goals will have high desirability and feasibility Preactionaal phase and Implementation intentions: If-then plan specifying when, where, and how of goal realization yes Postactional phase: assess 1) degree of goal attainment and 2) quality of attainment outcomes
Partners for Change Outcome Management System (Routine Outcome Monitoring; Miller et al., 2005) psychotherapy nob nob nob --- --- yesb routinely administer visual analog scale for client intra- and inter-personal functioning, role functioning, and satisfaction with treatment (i.e., alliance). Ratings analyzed in relation to empirical benchmarks and feedback on functioning provided
Personal Concerns Inventory (Cox & Klinger, 2004) addictions yes yes yes select among 12 life domains; each domain is rated along 10 dimensions (10-point scale e.g., commitment, likelihood of success, happiness if resolved describe actions that will be taken to resolve each concern yes monitoring may occur via numeric changes on ratings, particularly for likelihood of success and happiness/unhappiness items
Progress monitoring (Goodman et al., 2013) addictions nob nob nob --- --- nob feedback to clinician and client, at regular intervals, progress-oriented, and with decision supports
Seven Steps for Problem Solving (Tober & Raistrick, 2020) addictions yes yes yes 7 steps for a problem-solving exercise:
1. clearly define the problem
2. think of solutions
3. weigh advantages and disadvantages
4. choose a solution
5. plan and agree to steps yes 6. carry out the plan
7. review the outcome (e.g., was it successful? did I achieve the goal? What did I learn?)
Shared Decision-Making (Elwyn et al., 2012) general medical care nod nod nod Choice Talk (e.g., offer choice, justify choice, check reaction)
Option Talk (e.g., check knowledge, describe options, harms and benefits, decision support)
Deliberation Talk (e.g., elicit preferences, move to decision, provide review)
--- nod ---
SMART (Doran, 1981) management noe noe noe Specific
Measurable
Achievable
Relevant
Time-bound
Specific
Measurable
Achievable
Relevant
Time-bound
noe ---
Practice Dimension II (Tip 21; SAMHSA, 2017) addictions yes yes yes specific
measurable
realistic
timed
mutually agreed upon
specific
measurable
realistic
timed
mutually agreed upon
yes regular intervals; negotiate changes; openness to critically examine one’s work

Notes.

*

See also Smoking, Nutrition, Alcohol, Physical Activity Framework (The Royal Australian College of General Practitioners, 2015).

a

Method highly specific to goal formulation and tracking.

b

These dimensions are not explicit in (Ottenbacher & Cusick, 1990).

c

The importance of patient buy-in regarding selected measures discussed.

d

These dimensions are not explicit in Elwyn et al., (2012). However, a review of the SDM Toolkit for Mental Health Practitioners (Karlin & Wenzel, 2018) illustrates a broader application of the framework to goal setting and monitoring conversations where motivation, barriers, and use of social support systems are emphasized.

e

Original Doran (1981) model highly specific to goal or objective formulation.