Article

Goal Attainment Scaling (GAS) is a method for writing personalized
evaluation scales to quantify progress toward defined goals.
It is useful in
rehabilitation but is hampered by the experience required to adequately "predict"
the possible outcomes relating to a particular goal before treatment and the time
needed to describe all 5 levels of the scale. Here we aimed to investigate the
feasibility of using GAS in a clinical setting of a pediatric spasticity clinic
with a shorter method, the "3-milestones" GAS (goal setting with 3 levels and
goal rating with the classical 5 levels). Secondary aims were to (1) analyze the
types of goals children's therapists set for botulinum toxin treatment and (2)
compare the score distribution (and therefore the ability to predict outcome) by
goal type. METHODS: Therapists were trained in GAS writing and prepared GAS
scales in the regional spasticity-management clinic they attended with their
patients and families. The study included all GAS scales written during a 2-year
period. GAS score distribution across the 5 GAS levels was examined to assess
whether the therapist could reliably predict outcome and whether the 3-milestones
GAS yielded similar distributions as the original GAS method. RESULTS: In total,
541 GAS scales were written and showed the expected score distribution. Most
scales (55%) referred to movement quality goals and fewer (29%) to family goals
and activity domains. CONCLUSION: The 3-milestones GAS method was feasible within
the time constraints of the spasticity clinic and could be used by local
therapists in cooperation with the hospital team.
CI - Copyright (c) 2017 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS