Goal Attainment Scaling in rehabilitation: A literature-based update
Goal Attainment Scaling in rehabilitation: A literature-based update
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DOI：
10.1016/j.rehab.2013.02.002
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发表时间：
2013-04-01
影响因子：
4.6
通讯作者：
Chevignard, M.
中科院分区：
文献类型：
--
作者：
Krasny-Pacini, A.;Hiebel, J.;Chevignard, M.
目标达成量表 (GAS) 是一种量化个人目标进展的方法。特纳-斯托克斯的 GAS 指南是一种量化个人目标进展的方法。 Turner-Stokes 指南和 Kiresuk T 分数的使用是康复中最广泛使用的基于 GAS 的方法。然而，文献描述了许多其他方法，并强调使用 T 分数时需要谨慎。本文介绍了关于 GAS 的文献争论、GAS 的变化（根据分配给患者初始状态的评分水平和量表不同级别的描述）、生成有效 GAS 量表应采取的预防措施以及分析 GAS 结果的各种方法。我们的目标是 (i) 为临床团队提供对 GAS 的批判性观点（其应用不限于单个研究小组的实践），以及 (ii) 提供有关编写 GAS 量表的最有用的资源和指南。根据文献，似乎最好将患者的初始水平设置为 2（即使可能出现恶化）并详细描述所有五个 GAS 水平。考虑到 GAS 的序数性质，使用中位数和等级检验似乎是合适的。 (C) 2013 Elsevier Masson SAS。版权所有。
Goal Attainment Scaling (GAS) is a method for quantifying progress on personal goals. Turner-Stokes's guide to GAS is a method for quantifying progress towards personal goals. Turner-Stokes's guide and the use of Kiresuk's T-score are the most widely used GAS-based approaches in rehabilitation. However, the literature describes a number of other approaches and emphasizes the need for caution when using the T-score. This article presents the literature debates on GAS, variations of GAS (in terms of the score level assigned to the patient's initial status and description of the scale's different levels), the precautions to be taken to produce valid GAS scales and the various ways of analyzing GAS results. Our objective is to (i) provide clinical teams with a critical view of GAS (the application of which is not limited to a single research group's practices) and (ii) present the most useful resources and guidelines on writing GAS scales. According to the literature, it appears to be preferable to set the patient's initial level to 2 (even when worsening is a possible outcome) and to describe all five GAS levels in detail. The use of medians and rank tests appears to be appropriate, given the ordinal nature of GAS. (C) 2013 Elsevier Masson SAS. All rights reserved.