4.2 Article

Goal attainment scaling in patients with lower urinary tract symptoms: development and pilot testing of the Self-Assessment Goal Achievement (SAGA) questionnaire

期刊

INTERNATIONAL UROGYNECOLOGY JOURNAL
卷 22, 期 8, 页码 937-946

出版社

SPRINGER LONDON LTD
DOI: 10.1007/s00192-011-1382-7

关键词

Antimuscarinic; Benign prostatic hyperplasia; Bladder outlet obstruction; Goal attainment scaling; Lower urinary tract symptoms; Overactive bladder

资金

  1. Pfizer Inc.

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Introduction and hypothesis The Self-Assessment Goal Achievement (SAGA) questionnaire was developed to identify treatment goals and assess goal-achievement in patients with lower urinary tract symptoms (LUTS). Methods This study consisted of (1) gathering information on goal setting/attainment concepts, (2) goal elicitation (n(-)41 patients with LUTS), (3) cognitive debriefing of draft questionnaire (n(-)11), and (4) pilot testing (n(-)104). Results SAGA consists of baseline (goal-assessment; ranking) and follow-up (goal-achievement) modules. In addition to goals most frequently mentioned, patients can list up to five open goals. Goals most commonly reported as very important in pilot testing included reducing urgency (72%), incontinence (65%), and nocturia (64%). Treatment goals spontaneously reported as very important were reducing incontinence (45%), nocturia (40%), and frequency (26%). Conclusions SAGA may be used to identify treatment goals and assess goal-achievement in patients with LUTS in the clinic and for research (with additional validation). This information may promote patient-physician interaction and help patients establish realistic treatment goals, which may in turn improve treatment adherence and outcomes.

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