Research Article  |   January 2018
Goal Attainment and Goal Adjustment of Older Adults During Person-Directed Cancer Rehabilitation
Author Affiliations
  • Kathleen Doyle Lyons, ScD, OTR/L, is Assistant Professor, Department of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, NH, and Scientist, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH; kathleen.d.lyons@dartmouth.edu
  • Robin M. Newman, OTD, OTR/L, CLT, is Clinical Assistant Professor, Department of Occupational Therapy, College of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, MA
  • Peter A. Kaufman, MD, is Associate Professor, Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, and Associate Professor, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH
  • Martha L. Bruce, PhD, is Professor, Department of Psychiatry and The Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, NH
  • Diane M. Stearns, MSN, APRN, is Lead Nurse Practitioner, Hematology/Oncology, Norris Cotton Cancer Center, Lebanon, NH, and Instructor, Department of Medicine, Geisel School of Medicine, Hanover, NH
  • Frederick Lansigan, MD, is Assistant Professor, Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, and Director of Clinical Trials in Hematology, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH
  • Mary Chamberlin, MD, is Assistant Professor, Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, and Assistant Professor, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH
  • Stephen J. Bartels, MD, MS, is Professor, Department of Psychiatry, The Dartmouth Institute of Health Policy and Clinical Practice, and Professor, Department of Community and Family Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH
  • Jessica Whipple, MS, OTR/L, was Project Coordinator, Department of Psychiatry, Dartmouth College, Hanover, NH, at the time of the study
  • Mark T. Hegel, PhD, is Professor, Department of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, NH, and Professor, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH
Article Information
Complementary/Alternative Approaches / Geriatrics/Productive Aging / Health and Wellness / Rehabilitation, Participation, and Disability / Research Articles
Research Article   |   January 2018
Goal Attainment and Goal Adjustment of Older Adults During Person-Directed Cancer Rehabilitation
American Journal of Occupational Therapy, January 2018, Vol. 72, 7202205110p1-7202205110p8. doi:10.5014/ajot.2018.023648
American Journal of Occupational Therapy, January 2018, Vol. 72, 7202205110p1-7202205110p8. doi:10.5014/ajot.2018.023648
Abstract

OBJECTIVE. In this pilot study of a home-based occupational therapy intervention intended to reduce disability and improve quality of life, our objective was to identify rates of goal attainment and patterns of goal adjustment of participants.

METHOD. Thirty older adults with cancer were randomized to the intervention arm, and 24 participants identified goals and completed the six-session intervention. An exploratory content analysis of qualitative and quantitative session data was performed.

RESULTS. Participants set 63 6-wk goals and attained 62% of them. Most of the goals addressed walking (28%), sedentary leisure (24%), exercising (16%), or instrumental activities of daily living (14%). When 6-wk goals were not attained (n = 24), there were 10 instances of goal disengagement and 14 instances of goal reengagement.

CONCLUSION. Although most participants were able to meet their goals, many also changed their goals and priorities after reflection and attempts to resume or initiate meaningful activities.