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Journal of Intellectual Disabilities, Vol. 10, No. 4, 317-335 (2006)
DOI: 10.1177/1744629506070051

Using goal attainment scaling to evaluate a needs-led exercise programme for people with severe and profound intellectual disabilities

Martyn C. Jones

University of Dundee,Scotland

Robert M. Walley

NHS Lothian,Scotland

Amanda Leech

Marion Paterson

Stephanie Common

Charlotte Metcalf

Fife NHS,Scotland

The aim of this study was to evaluate whether involvement in a 16 week exercise programme improved goal attainment in areas of behaviour, access to community-based experiences, health and physical competence. Participants were women with severe intellectual disability and associated challenging behaviour (setting A,N = 14) and male/female service users with profound physical and intellectual disabilities (setting B,N = 8).The exercise programme included active and passive exercise, walking, swimming, hydrotherapy, team games and rebound therapy. Significant gains in aggregated goal attainment were demonstrated by week 16.The reliability and validity of our goal attainment procedures were demonstrated with inter-rater reliabilities exceeding 80 percent. Changes in goal attainment were concurrent with global clinical impression scores in a series of single case studies. Continuing care settings should dedicate care staff to provide routinized, continuing exercise programmes.

Key Words: behaviour • exercise • goal attainment • health • intellectual disability • nursing

References

  • AINSWORTH, B., HASKELL, W., LEON, A., JACOBS, D., MONTOYE, H., SALLIS, J. & PAFFENBARGER, J.(1993) ‘Compendium of Physical Activities: Classification of Energy Costs of Human Physical Activities’ ,Medicine and Science in Sports and Exercise 25 (1): 71–80 .[Medline] [Order article via Infotrieve]
  • AMAN, M.& SINGH, N.(1994) Aberrant Behavior Checklist–Community. Aurora, NY: Slosson .
  • AMAN, G., SINGH, N., STEWART, A.& FIELD, C.(1985) ‘Aberrant Behaviour Checklist (ABC)’ ,American Journal of Mental Deficiency 89: 489–491 .
  • ANDERSON, E.(1987) ‘Movement Education for Children with Severe Disabilities’ , British Journal of Physical Education 18 (5): 199–200 .
  • BEART, S., HAWKINS, D., STENFERT, B., SMITHSON, P.& TOLOSA, I.(2001) ‘Barriers to Accessing Leisure Opportunities for People with Learning Disabilities’ , British Journal of Learning Disabilities 29: 133–138 .
  • BLUECHARDT, M.& SHEPHARD, R.(1995) ‘Using an Extracurricular Physical Activity Program to Enhance Social Skills’ ,Journal of Learning Disabilities 26 (3): 160–169 .
  • CARMELLI, E., KESSEL, S., COLEMAN, R.& AYALON, M.(2002) ‘Effects of a Treadmill Walking Program on Muscle Strength and Balance in Elderly People with Down Syndrome’ ,The Journals of Gerontology:Series A:Biological Sciences and Medical Sciences 57A (2): 106–111 .
  • CLARK, M.& CAUDREY, D.(1983) ‘Evaluation of Rehabilitation Services:The Use of Goal Attainment Scaling’ ,International Rehabilitation Medicine 5: 41–45 .[Medline] [Order article via Infotrieve]
  • COOPER, S.(1998) ‘Clinical Study on the Effects of Age on the Physical Health of Adults with Mental Retardation’ ,American Journal of Mental Retardation 102 (6): 582–589 .
  • COX, R.& AMSTERS, D.(2002) ‘Goal Attainment Scaling: An Effective Outcome Measure for Rural and Remote Health Services’ ,Australian Journal of Rural Health 10: 256–261 .
  • CYTRYNBAUM, S., GINATH, Y., BIRDWELL, J.& BRANDT, L.(1979) ‘Goal Attainment Scaling: A Critical Review’ ,Evaluation Quarterly 3: 5–40 .
  • DEPARTMENT OF HEALTH (1998) The Healthy Way.How to Stay Healthy:A Guide for People with Learning Disabilities. London: Department of Health .
  • DEPARTMENT OF HEALTH (2001) Valuing People:A New Strategy for Learning Disability for the 21st Century. London: HMSO .
  • DINAN, S.(1998) ‘Fit for Life:Why Exercise is Vital for Everyone’ ,Journal of Dementia Care May/June: 22–25 .
  • DISABILITY RIGHTS COMMISSION (2004) Equal Treatment:Closing the Gap.Background Evidence for the DRC's Formal Investigation into Health Inequalities Experienced by People with Learning Disabilities or Mental Health Problems. London: Disability Rights Commission .
  • DOBSON, S., STANLEY, B.& MALEY, L.(1999) ‘An Integrated Communication and Exercise Programme in a Day Centre for Adults with Challenging Behaviours’ , British Journal of Learning Disabilities 27: 20–24 .
  • ELLIOTT, R., DOBBIN, A., ROSE, G.& SOPER, H.(1994) ‘Vigorous, Aerobic Exercise Versus General Motor Training Activities: Effects on Maladaptive and Stereotypic Behaviors of Adults with both Autism and Mental Retardation’ ,Journal of Autism and Developmental Disorders 24 (5): 565–574 .[CrossRef][Medline] [Order article via Infotrieve]
  • FOX, R., ROSENBERG, R.& ROTATORI, A.(1985) ‘Parental Involvement in a Treatment Program for Obese Retarded Adults’ ,Journal of Behavioural Therapy and Experimental Psychiatry 16: 45–48 .[CrossRef][Medline] [Order article via Infotrieve]
  • FUJIURA, G., FITZSIMONS, N.& MARKS, B.(1997) ‘Predictors of BMI among Adults with Down Syndrome:The Social Context of Health Promotion’ ,Research in Developmental Disabilities 18 (4): 261–274 .[CrossRef][Medline] [Order article via Infotrieve]
  • GABLER-HALLE, D., HALLE, J.& CHUNG, B.(1993) ‘The Effects of Aerobic Exercise on Psychological and Behavioral Variables of Individuals with Developmental Disabilities: A Critical Review’ ,Research in Developmental Disabilities 14: 359–386 .[CrossRef][Medline] [Order article via Infotrieve]
  • GLOVER, S., BURNS, J.& STANLEY, B.(1994) ‘Goal Attainment Scaling as a Method of Monitoring the Progress of People with Severe Learning Disabilities’ ,British Journal of Learning Disabilities 22: 148–150 .
  • GORDON, J., POWELL, C.& ROCKWOOD, K.(1999) ‘Goal Attainment Scaling as a Measure of Clinically Important Change in Nursing-Home Patients’ ,Age and Ageing 28: 275–281 .[Abstract/Free Full Text]
  • GRAHAM, A.& REID, G.(2000) ‘Physical Fitness of Adults with Intellectual Disabilities: A Thirteen Year Follow-Up’ ,Research Quarterly for Exercise and Sport 71 (2): 152–161 .[Medline] [Order article via Infotrieve]
  • HALLE, J., GABLER-HALLE, D.& CHUNG, B.(1999) ‘Effects of a Peer-Mediated Aerobic Conditioning Program on Fitness Levels of Youth with Mental Retardation:Two Systematic Replications’ ,Mental Retardation 37 (6): 435–448 .[CrossRef][Medline] [Order article via Infotrieve]
  • HELLER, T., GUI-SHUANG YING, M., RIMMER, J.& MARKS, B.(2002) ‘Determinants of Exercise in Adults with Cerebral Palsy’ ,Public Health Nursing 19 (3): 223–231 .[CrossRef][Medline] [Order article via Infotrieve]
  • JOYCE, B., ROCKWOOD, K.& MATE-KOLE, C.(1994) ‘Use of Goal Attainment Scaling in Brain Injury in a Rehabilitation Hospital’ ,American Journal of Physical Rehabilitation Medicine 73 (1): 10–14 .
  • KIRESUK, T.& SHERMAN, M.(1968) ‘Goal Attainment Scaling: A General Method of Evaluating Comprehensive Community Mental Health Programs’ ,Community Mental Health Journal 4 (6): 443–453 .[CrossRef]
  • KOSMA, M., CARDINAL, B.& RINTALA, P.(2002) ‘Motivating Individuals with Disabilities to be Physically Active’ ,Quest 54: 116–132 .
  • LANCIONI, G., GIGANTE, A., O'REILLY, M., OLIVA, D.& MONTIRONI, L.(2000) ‘Indoor Travel and Simple Tasks as Physical Exercise for People with Profound Multiple Disabilities’ ,Perceptual and Motor Skills 91: 211–216 .[Medline] [Order article via Infotrieve]
  • LLOYD, F.(1998) ‘A Pilot Study into the Effect of Rebound Therapy on the Behaviour of Adults with Moderate and Profound Learning Disabilities’, unpublished MSc, University of Exeter, Exeter.
  • MACKAY, G., SOMERVILLE, W.& LUNDIE, J.(1996) ‘Reflections on Goal Attainment Scaling (GAS): Cautionary Notes and Proposals for Development’ ,Educational Research 38 (2): 161–172 .
  • MALEC, J.(1999) ‘Goal Attainment Scaling in Rehabilitation’ ,Neuropsychological Rehabilitation 9 (3/4): 253–275 .[CrossRef]
  • MATE-KOLE, C., DANQUAH, S., TWUM, M.& DANQUAH, A.(1999) ‘Outcomes of a Non-Aversive Behavior Intervention in Intellectually Impaired Individual using Goal Attainment Scaling’ ,Nursing Research 48 (4): 220–225 .[CrossRef][Medline] [Order article via Infotrieve]
  • MCLAREN, C.& RODGER, S.(2003) ‘Goal Attainment Scaling: Clinical Implications for Paediatric Occupational Therapy Practice’ ,Australian Occupational Therapy Journal 216–224 .
  • MCMAHAN, J.& GROSS, R.(1987) ‘Physical and Psychosocial Effects of Aerobic Exercise in Boys with Learning Disabilities’ ,Developmental and Behavioral Pediatrics 8 (5): 274–277 .
  • MESSENT, P.& COOKE, C.(1998) ‘Physical Activity, Exercise and Health of Adults with Mild and Moderate Learning Disabilities’ ,British Journal of Learning Disabilities 26: 17–22 .
  • MESSENT, P., CARLTON, C.& LONG, J.(1998) ‘Daily Physical Activity in Adults with Mild and Moderate Learning Disabilities: Is There Enough?’ ,Disability and Rehabilitation 20 (11): 424–427 .[Medline] [Order article via Infotrieve]
  • MITCHELL, T.& CUSICK, A.(1998) ‘Evaluation of a Client-Centred Paediatric Rehabilitation Programme using Goal Attainment Scaling’ ,Australian Occupational Therapy Journal 45: 7–17 .
  • NHS EXECUTIVE (1999) Once a Day. London: HMSO .
  • PITETTI, K., YARMER, D.& FERNHALL, B.(2001) ‘Cardiovascular Fitness and Body Composition of Youth with and without Mental Retardation’ ,Adapted Physical Quarterly 18: 127–141 .
  • POMMERING, T., BROSE, J., RANDOLPH, E., MURRAY, T., PURDY, R., CADAMAGNANI, P.& FOGLESONG, J.(1994) ‘Effects of an Aerobic Exercise Program on Community-Based Adults with Mental Retardation’ ,Mental Retardation 32 (3): 218–226 .[Medline] [Order article via Infotrieve]
  • PRASHER, V.& JANICKI, M.(2002) Physical Health of Adults with Intellectual Disabilities. Oxford: Blackwell .
  • RIMMER, H.(1999) ‘Health Promotion for People with Disabilities:The Emerging Paradigm Shift from Disability Prevention to Prevention of Secondary Conditions’ , Physical Therapy 79 (5): 495–502 .[Abstract/Free Full Text]
  • RIMMER, H.& BRADDOCK, D.(2001) ‘Health Promotion for People with Physical, Cognitive and Sensory Disabilities: An Emerging National Priority’ ,American Journal of Health Promotion 16: 220–224 .
  • ROCKWOOD, K., HOWLETT, S., STADNYK, K., CARVER, D., POWELL, C.& STOLEE, P.(2003) ‘Responsiveness of Goal Attainment Scaling in a Randomised Controlled Trial of Comprehensive Geriatric Assessment’ ,Journal of Clinical Epidemiology 56: 736–743 .[CrossRef][Medline] [Order article via Infotrieve]
  • SCHLOSSER, R.(2004) ‘Goal Attainment Scaling as a Clinical Measurement Technique in Communication Disorders: A Critical Review’ ,Journal of Communication Disorders 37: 217–239 .[CrossRef][Medline] [Order article via Infotrieve]
  • SMITH, S.& COOK, D.(1990) ‘A Study in the Use of Rebound Therapy for Adults with Special Needs’ ,Physiotherapy 76 (11): 735–754 .
  • STANLEY, B.(1984) ‘Evaluation of Treatment Goals:The Use of Goal Attainment Scaling’ ,Journal of Advanced Nursing 9: 351–356 .[Medline] [Order article via Infotrieve]
  • STANLEY, B.& STANDEN, P.(2001) ‘Effect of Unexpected Outcomes and Causal Attributions on Key Workers’ Expectancies of Goal Attainment’ ,Journal of Intellectual Disabilities Research 45 (5): 351–360 .[CrossRef]
  • STUIFBERGEN, A., BECKER, H., TIMMERMAN, G.& KULLBERG, V.(2003) ‘The Use of Individualised Goal Setting to Facilitate Behaviour Change in Women with Multiple Sclerosis’ ,Journal of Neuroscience Nursing 35 (2): 94–106 .[Medline] [Order article via Infotrieve]
  • VARELA, A., SARDINHA, L.& PITETTI, K.(2001) ‘Effects of an Aerobic Rowing Training Regimen in Young Adults with Down Syndrome’ ,American Journal of Mental Retardation 106 (2): 135–144 .
  • WHITAKER, S.& SALEEM, A.(1994) ‘The Effect of Non-Contingent Exercise on Purposeless Wandering and Self-Injury in a Man with Profound Learning Disability’ ,Behavioural and Cognitive Psychotherapy 22: 99–102 .
  • YIP, A., GORMAN, M., STADNYK, K., MILLS, W., MACPHERSON, K.& ROCKWOOD, K.(1998) ‘A Standardized Menu for Goal Attainment Scaling in the Care of Frail Elderly’ , The Gerontologist 38 (6): 735–742 .[Abstract]

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