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GOAL ATTAINMENT SCALING IN REHABILITATION: AN EDUCATIONAL REVIEW PROVIDING A COMPREHENSIVE DIDACTICAL TOOL BOX FOR IMPLEMENTING GOAL ATTAINMENT SCALING

Journal

JOURNAL OF REHABILITATION MEDICINE
Volume 55, Issue -, Pages -

Publisher

FOUNDATION REHABILITATION INFORMATION
DOI: 10.2340/jrm.v55.6498

Keywords

goal attainment scaling; rehabilitation; person-cent-red; scales; clinimetric properties; quality appraisal; outcome

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Goal Attainment Scaling (GAS) is a person-centered and collaborative approach used to assess the effectiveness of interventions on personally relevant goals. However, GAS is a heterogeneous group of methodologies with variations and lack of consensus on high quality GAS. This communication aims to provide updated information on GAS use in PRM practice and research, address methodological challenges, guide the integrated use of GAS in rehabilitation, and offer resources for self-directed learning.
Context: Goal Attainment Scaling (GAS) is a per-son-centered and collaborative approach, allowing to assess the effectiveness of an intervention on personally relevant goals. However, GAS is not a scale but a heterogeneous group of methodolo-gies, including many variations and lack of consen-sus on high quality GAS. Objective: The aim of this communication is to: 1. provide updated didactical information on GAS use in PRM practice and research; 2. increase awareness of GAS methodological challenges; 3. guide use of GAS as an integrated process of rehabilitation after goal setting and; 4. provide updated resources for self-directed learning and extensive supplemental material to increase knowledge and practical skills in GAS use.Methods: Educational literature review about current GAS applications relevant to PRM fields.Results: Practical advice is provided regarding clini-cal challenges in GAS: definition of 0 level, time-frame and means employed to attain the goal, dealing with unforeseen pattern of improvement, synthesizing the numerous significations of SMART goal acro-nym to guide best use of GAS, and thinking flexibility on the type of relevant goals that can be set. Challen-ges with GAS in rehabilitation research are presen-ted in order to promote researcher's and reviewer's awareness on reliable use of GAS and encouraging best-use of GAS.

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