USE OF GOAL ATTAINMENT SCALING IN BRAIN INJURY IN A REHABILITATION HOSPITAL1

USE OF GOAL ATTAINMENT SCALING IN BRAIN INJURY IN A REHABILITATION HOSPITAL1
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目标达成量表在康复医院脑损伤中的应用1

DOI:
10.1097/00002060-199402000-00003
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发表时间:
1994
影响因子:
3
通讯作者:
C. Mate
C. Mate
中科院分区:
医学3区
文献类型:
--
作者:
B. Joyce;K. Rockwood;C. Mate

文献摘要

被引文献

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&NA;Joyce BM,罗克伍德KJ,Mate‐Kole CC:在康复医院脑损伤中使用目标达成量表。Am J Phys Med Rehabil 1994;73:10 - 14我们报告了一项关于目标达成(GA)量表用于脑损伤患者康复时的测量特性的研究。GA评分是一种具有数学特性的个性化测量技术,允许计算具有正态分布的汇总评分。本研究检查了16名住院患者,其中13人遭受了创伤性脑损伤。除了GA缩放,标准化的措施,以解决问题,如内容效度和结构效度。GA缩放变化评分与临床疗效判断高度相关(r = 0.81),与标准性能指标中度相关。在入院(r = 0.92)和出院(r = 0.94)评分之间发现了高水平的评分者间可靠性。GA缩放似乎是一种可行的方法,评估脑损伤患者的康复,有前途的测量性能。所设定的目标对患者和康复团队都非常有意义,在整个康复过程中提供了有价值的反馈。
&NA; Joyce BM, Rockwood KJ, Mate‐Kole CC: Use of goal attainment scaling in brain injury in a rehabilitation hospital. Am J Phys Med Rehabil 1994;73:10‐14 We report a study of the measurement properties of goal attainment (GA) scaling when used in the rehabilitation of brain injury patients. GA scaling is an individualized measurement technique with mathematical properties allowing for calculation of summary scores with a normal distribution. The present study examined 16 inpatients, 13 of whom had suffered a traumatic brain injury. In addition to GA scaling, standardized measures were employed to address issues such as content validity and construct validity. GA scaling change scores correlated highly (r = 0.81) with clinical judgment of efficacy and modestly with standard performance measures. A high level of inter‐rater reliability was found between admission (r = 0.92) and discharge (r = 0.94) scores. GA scaling seems to be a feasible method of evaluating rehabilitation in brain injury patients, with promising measurement properties. The goals set are extremely meaningful to the patient and rehabilitation team, providing valuable feedback throughout the rehabilitation course.