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Updated: Apr 5, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Capturing what people with COPD want: a systematic review of goal-oriented measurement instruments
Sara Souto-Miranda1, Guilherme Rodrigues2, Martijn A Spruit3
1Polytechnic Institute of Setúbal, School of Health, Setúbal, Portugal; Comprehensive Health Research Center (CHRC), NOVA Medical School, Lisbon, Portugal.
Background:
A core outcome set (COS) for chronic obstructive pulmonary disease (COPD) recommends measuring personal goal attainment following PR. However, the optimal method for this assessment remains unclear. This article provides a perspective on a review of existing patient-reported outcome measures (PROMs) and their measurement properties, in an attempt to identify the best PROM for assessing personal goals in individuals with COPD.
Methods:
The review followed a two-phase approach. In the first phase, a systematic search of PubMed, ScienceDirect and Scopus was conducted to identify PROMs used to assess goal attainment in individuals with COPD after any intervention. In the second phase, measurement properties of the identified PROMs were reviewed using the Consensus-based Standards for the selection of health Measurement INstruments guidelines and search filter.
Results:
Only one article, reporting on Goal Attainment Scaling, was included after full-text assessment. The Goal Attainment Scaling was used to measure the personal goals of individuals with COPD following a community pharmacist intervention. No studies on the measurement properties of Goal Attainment Scaling were found.
Conclusion:
This review highlights the lack of PROMs specifically developed and evaluated for assessing personal goals in COPD. Future research should focus on validating the use of Goal Attainment Scaling in the COPD and PR contexts or developing a new PROM to integrate into the COS.
Prospero Registration Id:
CRD42022313344.
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Chronic Obstructive Pulmonary Disease
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...

