Goal Setting, Planning, and Measuring Efficacy

Question 1

What are some moderators and mediators of goal attainment?

Answer 1

• Perceived importance of the outcomes
• Commitment
• Clinician feedback
• Self-efficacy (belief in one’s ability to succeed or that the goal is attainable)

Question 2

How does self-efficacy act as a moderator?

Answer 2

• Moderates goal challenge (high self efficacy = set more challenging goals)
• Moderates goal commitment (high self efficacy = greater goal persistence
• Moderates strategy use (high self-efficacy = find and use better strategies to achieve goals
• Moderates response to feedback (high self-efficacy = more favourable response to negative feedback)

Question 3

What are features of problematic GAS goals?

Answer 3

It’s problematic when GAS goals are:
- Activity dependent
- Process focused (e.g. identifying required items on shopping list rather than making goal about the outcome of shopping)
- Overlap between GAS goals
- Multiple variables

Question 4

What does SMART meaning in GAS.20?

Answer 4

Specific (everyday client experiences and challenges)
Measurable (unidimensional, continuous and qualified variables)
Achievable (goals are not too difficult or easy, noting clinical may have a higher duty when there is an awareness disorder)
Relevant (if goal is achieved, it will make a difference to QoL
Time-based (set a time-frame for goal completion)

Question 5

Explain Maximum Realistic Level (MRL) and Current Level of Functioning (CLF)

Answer 5

MRL is the maximum amount of time the client needs to engage in a behaviour (e.g., meds twice a day)
CLF is the amount of times the client is currently engaging in the behaviour (e.g. meds twice a week)

Question 6

What does the concept of common factors mean?

Answer 6

The idea that more than half of your treatment effect will be due to common factors such as collaboration/goal setting, empathy, therapeutic alliance and positive regard.