Table 5 Examples of the mismatch between goal setting and intervention delivery

- Client i2 described positive experiences with participating in a fall-prevention training as part of the SF Programme, however this was not reflected in the primary outcome score as they did not change. Analysing the personal goals revealed that these did not target decreasing fall accidents but they focused instead on the clients’ wish of being in charge and making own decisions, riding a bike and travelling. This revealed a mismatch between goal setting and intervention delivery.

- Client i3 described participation in new social activities, but this was not reflected in primary outcome scores. The increase in participation concerned an activity (day care) different from the activities on which goals were formulated (walking, riding a bike, playing a pool game, travelling). The formulated goals were too difficult to attain due to deterioration of the clients’ situation. This revealed a mismatch between goal setting and intervention delivery; the formulated goals were not realistic and therefore goals were changed during intervention delivery.