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Related Experiment Videos

Goal attainment scaling in evaluating a multidisciplinary pain management programme.

K Fisher1, R J Hardie

  • 1Wolfson Neurorehabilitation Centre, Atkingson Morley's Hospital, London, UK.

Clinical Rehabilitation
|December 28, 2002
PubMed
Summary

Goal Attainment Scaling (GAS) effectively measures patient progress in chronic pain rehabilitation, showing sustained improvements in personal goals and physical function over six months. This approach highlights patient-centered goal achievement in pain management outcomes.

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Area of Science:

  • Rehabilitation Medicine
  • Pain Management
  • Outcome Measurement

Background:

  • Chronic pain significantly impacts patient quality of life and functional ability.
  • Effective outcome measures are crucial for evaluating rehabilitation program efficacy.
  • Goal Attainment Scaling (GAS) offers a personalized approach to outcome assessment.

Purpose of the Study:

  • To evaluate Goal Attainment Scaling (GAS) as a therapeutic tool and outcome measure in chronic pain rehabilitation.
  • To assess the value of GAS in a multidisciplinary pain management program.

Main Methods:

  • A prospective observational study involving 149 chronic pain patients.
  • A 15-day multidisciplinary rehabilitation program including physiotherapy, occupational therapy, and clinical psychology.

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  • GAS, physical mobility tests, McGill Pain Questionnaire, and other validated scales were used for assessment at baseline, discharge, and six-month follow-up.

    • Main Results:

    • Significant improvements were observed at discharge and maintained at six months for GAS and various functional measures.
    • GAS demonstrated validity, correlating with physical mobility improvements and therapist-defined measures.
    • Patients achieved personally valued goals measured by GAS, indicating program effectiveness.

    Conclusions:

    • Goal Attainment Scaling (GAS) is a valuable tool for assessing patient progress in chronic pain rehabilitation.
    • GAS effectively captures improvements in personally meaningful goals, complementing traditional outcome measures.
    • The findings support the use of GAS for personalized and effective pain management programs.