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Am J Occup Ther. 2018 May/Jun;72(3):7203345030p1-7203345030p6. doi: 10.5014/ajot.2018.023135.

Implementation Intentions for Self-Selected Occupational Therapy Goals: Two Case Reports.

The American journal of occupational therapy : official publication of the American Occupational Therapy Association

Mary Vining Radomski, Gordon Giles, Marsha Finkelstein, Jenny Owens, Mark Showers, Joette Zola

Affiliations

  1. Mary Vining Radomski, PhD, OTR/L, FAOTA, is Senior Scientific Adviser, Courage Kenny Research Center, Minneapolis, MN; [email protected].
  2. Gordon Giles, PhD, OTR/L, FAOTA, is Professor, Samuel Merritt University, Oakland, CA.
  3. Marsha Finkelstein, MS, is Senior Scientific Adviser, Courage Kenny Research Center, Minneapolis, MN.
  4. Jenny Owens, OTD, OTR/L, is Research Occupational Therapist, Oak Ridge Associated Universities, Oak Ridge, TN.
  5. Mark Showers, MSOT, OTR/L, is Lead Occupational Therapist, Fort Campbell Intrepid Spirit, Fort Campbell, KY.
  6. Joette Zola, OTR/L, is Occupational Therapist, Courage Kenny Rehabilitation Institute, Minneapolis, MN.

PMID: 29689185 PMCID: PMC5915234 DOI: 10.5014/ajot.2018.023135

Abstract

OBJECTIVE: We evaluated the feasibility of an intervention combining metacognitive strategy instruction (MSI) with training in implementation intentions for adults with mild traumatic brain injury (mTBI). Implementation intentions are written premade decision statements specifying when, where, and how goal behaviors are to be enacted.

METHOD: Two participants with mTBI received a six-session intervention that included setting a daily implementation intention for an occupational therapy goal. A scoring rubric was used to evaluate the quality of implementation intentions; goal achievement was measured using the Canadian Occupational Performance Measure (COPM) and goal attainment scaling.

RESULTS: All implementation intentions received perfect quality scores, suggesting participants learned to correctly craft implementation intentions. Improvements in COPM self-ratings exceeded minimal detectable change values; goal attainment levels indicated better-than-expected goal achievement.

CONCLUSION: An intervention combining MSI and implementation intention training appears to be feasible. As an adjunct to MSI, implementation intentions may contribute to clients' ability to achieve their own occupational performance goals. Further study is needed.

Copyright © 2018 by the American Occupational Therapy Association, Inc.

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