Table One.
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).
Method highly specific to goal formulation and tracking.
These dimensions are not explicit in (Ottenbacher & Cusick, 1990).
The importance of patient buy-in regarding selected measures discussed.
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.
Original Doran (1981) model highly specific to goal or objective formulation.