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Key elements of goal-directed training for children with cerebral palsy : A qualitative content analysis
Ogilvie, Louise Garbellini, Simon Sakzewski, Leanne Davidson, Sue-Anne Elliottt, Catherine
Ogilvie, Louise
Garbellini, Simon
Sakzewski, Leanne
Davidson, Sue-Anne
Elliottt, Catherine
Abstract
Background:
Goal-directed training is an evidence-based occupational therapy intervention for children with cerebral palsy targeting motor performance and goal attainment. There is variability and limited description on goal-directed training delivery within the studies who found it a successful intervention. The aim of this study was to establish the who, what, why and how of goal directed training according to practicing occupational therapists.
Methods:
Occupational therapists currently delivering goal-directed training to children with cerebral palsy were recruited. Qualitative data were collected from structured, open-ended interviews and analysed through content analysis. Themes and consensus answers were elicited and mapped to the Template for Intervention Description and Replication checklist.
Results:
Four key elements were identified as essential for goal-directed training: goal setting, task analysis, active intervention and evaluation. Within each area, occupational therapists provided rich descriptions of what these elements looked like in practice. Despite having a clear understanding of goal-directed training, some barriers to implementation were identified.
Conclusion:
Occupational therapists identified key elements and barriers to implementing goal-directed training in their practice. It is recommended that further support and training is provided to ensure that occupational therapists deliver goal-directed training with high fidelity.
Keywords
occupational therapy, goal-directed training, cerebral palsy, fidelity
Date
2025
Type
Journal article
Journal
British Journal of Occupational Therapy
Book
Volume
88
Issue
1
Page Range
17-24
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled