Goal adjustment by people living with long-term conditions: a scoping review of literature published from January 2007 to June 2018

Lesley Scobbie*, Katie Thomson, Alex Pollock, Jonathan Evans

*Corresponding author for this work

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Abstract

Aim: To map and synthesise goal adjustment definitions, theoretical underpinnings, associations with recovery and supportive interventions for adults with long-term conditions.
Methods: We searched multiple databases (January 2007 - June 2018) and identified peer-reviewed research relating to goal adjustment. Data were charted, mapped and synthesised using content analysis and descriptive summaries. Two stakeholder consultations informed the review.
Results: Ninety-one articles were included. A range of long-term conditions were represented including cancer (22%), stroke (12%) and mixed neurological conditions (8%). Goal adjustment was one available option when faced with unattainable goals; other options were goal disengagement and goal re-engagement. Most studies were quantitative (58%), reporting mainly positive associations between goal adjustment, disengagement, reengagement and recovery. The Dual process model, Goal adjustment model and Self-regulation theory were most cited underpinning models/ theory. Five interventions were identified; one (self-system therapy) had been evaluated in a randomised controlled trial.
Conclusion: Our novel review of goal adjustment across long-term conditions provides original and significant insights into goal adjustment definitions, theoretical underpinnings and association with recovery. Effective interventions to support goal adjustment, disengagement and reengagement are lacking. This research-practice gap warrants attention to ensure people with long-term conditions are optimally supported when facing unattainable goals.
Original languageEnglish
Number of pages32
JournalNeuropsychological Rehabilitation
Early online date11 Jun 2020
DOIs
Publication statusE-pub ahead of print - 11 Jun 2020

Keywords

  • long-term conditions
  • goal adjustment
  • recovery
  • wellbeing
  • scoping review

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