Service Delivery

Effect of unexpected outcomes and causal attributions on key workers' expectancies of goal attainment.

Stanley et al. (2001) · Journal of intellectual disability research : JIDR 2001
★ The Verdict

The reason you give for a client’s success or failure today quietly sets the bar you expect tomorrow.

✓ Read this if BCBAs who write annual goals or supervise direct-care staff in ID services
✗ Skip if Clinicians working solely with typically developing clients in outpatient clinics

01Research in Context

01

What this study did

The team asked 78 key-workers in UK learning-disability services to read short stories about a client. Each story ended with the client hitting or missing a goal.

After every story the staff rated how likely the client was to succeed next time. The twist: the stories also gave a reason for the outcome. The reason was either stable ("low ability") or unstable ("tried hard today").

02

What they found

When success was blamed on a stable cause, staff raised their next-goal forecast. When failure was pinned on a stable cause, they dropped it.

Unstable causes barely moved the ratings. In short, the label you put on today’s result becomes your crystal ball for tomorrow.

03

How this fits with other research

Poppes et al. (2016) extends the idea. They showed that direct-support staff often shrug and say "biomedical" when asked why challenging behavior happens, but they admit they are guessing. The 2001 paper proves those guesses matter because they shape future plans.

Eussen et al. (2016) found the same link in parents raising kids with FASD. Caregivers who saw misbehavior as brain-based used antecedent strategies and felt competent. Those who saw it as willful leaned on punishment and felt defeated. Same story, different setting.

Qian et al. (2015) looked one step further. They showed that more competent staff boost resident engagement. Put together: attribution → expectancy → staff behavior → client outcome.

04

Why it matters

Your case note language trains your own brain. Write "hit goal due to consistent visual schedule" instead of "got lucky today" and you will plan harder targets next quarter. Write "missed goal due to fixed skill deficit" and you will water down future programs. Catch yourself in the act and re-label unstable causes when they fit; your clients will get tougher, fairer goals on Monday.

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→ Action — try this Monday

Add one sentence to every progress note that pins the outcome to an unstable, changeable cause when appropriate (e.g., "prompt fading worked").

02At a glance

Intervention
not applicable
Design
other
Population
intellectual disability
Finding
positive

03Original abstract

Goal planning is an integral part of the role of the key worker in services for people with intellectual disability. The present study investigated the effect of the Weiner stability-expectancy principle on unexpected outcomes in goal planning. Four hundred and twenty-two actual goal attainment scales were constructed, with each scale describing the key workers' expected levels of outcome. Two hundred and twenty-six (54%) unexpected outcomes, both successful and unsuccessful, were then rated by key workers to provide a causal explanation for each outcome. These explanations were then grouped according to whether the attributions represented stable or variable causes. Finally, key workers were asked to provide a new expectancy rating to forecast future goal attainment. Two predictions from Weiner's model were confirmed by statistical analysis: (1) that success attributed to stable factors would lead to higher revised forecasts of goal attainment than success attributed to variable factors; and (2) that failure attributed to stable factors would lead to lower revised forecasts of goal attainment than failure attributed to variable factors. The results of the present study confirm that stability attributions do alter key workers' revised forecasts of goal attainment. The results are discussed in terms of the possible consequences for key worker behaviour, such as goal abandonment, differential treatment of service users and the need for a knowledgeable approach to performance appraisal by managers.

Journal of intellectual disability research : JIDR, 2001 · doi:10.1046/j.1365-2788.2001.00340.x