ABSTRACT
BACKGROUND.: Five stroke rehabilitation teams were supported in the implementation of Cognitive Orientation to daily Occupational Performance (CO-OP) as part of a knowledge translation (KT) project called CO-OP KT. Medical record auditors noted there was occasionally a disconnect between client goals and treatment plans, revealing a need to better understand the characteristics of each and their relationship to each other. PURPOSE.: This study aimed to examine the characteristics of goals and treatment plans in occupational therapy before and after CO-OP KT. METHOD.: A descriptive secondary analysis of medical record data was employed. FINDINGS.: Post intervention, there was a change in goal specificity (p = .04) and therapist-client goal alignment (p = .05). Occupation-based goals were often paired with a bottom-up, impairment-based treatment. Top-down treatments, when present, lacked the same detail given to bottom-up plans. IMPLICATIONS.: CO-OP KT seemed to lead to more specific goals, but matching top-down treatment plans were not found.
