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Shared decision-making intervention — SDMI / Goals of Treatment questionnaire — GoT-Q

Instrument description
View/download instrument: Goals of Treatment questionnaire GoT-Q
Author/Developer / Address: E.A.G. Joosten, C.A.J. de Jong, G.H. de Weert-van Oene, T. Sensky, C.P.F. van der Staak,
Radboud University Nijmegen/ Academic
Centre for Social Sciences/ Nijmegen Institute for Scientist Practitioners in Addiction (Montessorilaan 10)
P.O. Box 9104, 6500 HE NIJMEGEN
Phone: + 31 (0) 24 3611150
Fax: +31 (0) 24 3611152
Email contacts should be addressed to: EJoosten@ggznml.nl
Publication dates: 2009
Description / Type of assessment:

The Goals of Treatment questionnaire (GoT-Q) is an instrument used in the Shared Decision-Making Intervention (SDMI). SDMI was developed to help with the identification of problem areas and to allow the patient to indicate his/her treatment goals. The GoT-Q is an essential part of the SDMI and is used to evaluate these goals through a treatment agreement reached between patient and clinician.

The instrument GoT-Q is based on the Camberwell Assessment of Needs (CAN) but also covers two additional areas: gambling and legal aspects. The questionnaire is used in two versions: one version which is completed by the patient and one which is completed by the clinician. Areas of life are translated into 'goals' for each of which the patient can tick whether they want to work on it definitely, possibly or definitely not. The clinician indicates per goal whether the patient has to work on it definitely, possibly, or definitely not during treatment. The procedure for completing the questionnaire is extended with a Q-sort ranking. After patient and clinician have completed the questionnaire, both arrange cards of the Q-sort. These are cards where the 24 treatment goals are described. Patient and clinician have to arrange these cards in the same way as the goals of the questionnaire are arranged (definitely, possibly or definitely not). After this, the piles definitely and possibly are arranged in order of importance and priority.

The SDMI process comprises five sessions. In the first session (session I), at the beginning of the treatment, the clinician introduces the study-protocol to the patient and during this session the GoT- Q is completed by both patient and clinician.One week after the introductory session (session II), the patient’s treatment goals and expectations are explored and compared to the clinician’s perception. Agreements and differences between clinician’s and patient’s perceptions are discussed. Based on this discussion, the treatment contract is completed and agreed. During the interim evaluation (session III), halfway through the treatment, goals and expectations are re-evaluated and adapted to the treatment development. At the end of the treatment program, a final evaluation (session IV) take place and new goals are set up for the post-treatment period. A follow-up evaluation (session V) is carried out three months after treatment to assess the patients achievements.

Primary use / Purpose: Designed to structurally and frequently discuss and evaluate a wide range of problem areas and treatment goals between patient and clinician.
Domains measured / Life Areas / Problems Assessed: The questionnaire contains 24 areas of life on which problems possibly exist, e.g. physical health, psychological distress, social relationships, and daytime activities.
Population: Adults.
Administration / Completion time: Administration: 10 minutes for a skilled and trained clinician.
Discussion: 45 minutes for a skilled and trained clinician.
Scoring procedures: Not specified.
Scoring time: Five minutes (by hand). 
Credentials/Training: Clinicians will require training in interviewing troubled clients with substance use-related problems.
Source of psychometrics: Joosten, E.A.G., De Jong, C.A.J., De Weert – Van Oene, G.H., Sensky, T. & Van der Staak, C.P.F. (2009). Shared Decision-Making Reduces Drug Use and Psychiatric Severity in Substance Dependent Patients. Psychotherapy Psychosomatic, 78,245-253.
Languages: Dutch, English.
Terms of use / Copyright: The Goals of Treatment questionnaire (GoT-Q) is in the public domain and can be downloaded above. The shared decision-making intervention (SDMI) is not in the public domain — to use it or for more information, please contact the authors.
Practicability / usefulness: The GoT-Q is used to indicate treatment preferences by patients as well as clinicians. The results are discussed and evaluated during treatment. SDMI obliges clinicians to negotiate about treatment goals at an equivalent level with their patients. By using SDMI every clinician has the same way of reaching and evaluating the treatment plan.

Page last updated: Tuesday, 05 April 2011