Research article summary:

Responsiveness of goal attainment scaling in a randomized controlled trial of comprehensive geriatric assessment.

Abstract Extract:
BACKGROUND AND OBJECTIVE: Frail elderly patients have complex problems that require a multidimensional assessment and a range of treatment goals. Goal Attainment Scaling (GAS) measures multiple, individualized goals, but its responsiveness in comparative ... (Full abstract text below)

Published 2003Aug in Journal: J Clin Epidemiol (Language : eng)

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1. J Clin Epidemiol. 2003 Aug;56(8):736-43

Responsiveness of goal attainment scaling in a randomized controlled trial of comprehensive geriatric assessment.

Rockwood K, Howlett S, Stadnyk K, Carver D, Powell C, Stolee P

Division of Geriatric Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. rockwood@is.dal.ca

BACKGROUND AND OBJECTIVE: Frail elderly patients have complex problems that require a multidimensional assessment and a range of treatment goals. Goal Attainment Scaling (GAS) measures multiple, individualized goals, but its responsiveness in comparative clinical trials has not been established. METHODS: We assessed the responsiveness of GAS in a randomized, controlled trial of an interdisciplinary Mobile Geriatric Assessment Team (MGAT) in 265 rural frail older adults. Sensitivity to change was compared with standard measures; clinical meaningfulness was assessed in relation to a patient and a blinded physician global measure. RESULTS: At 3 months follow-up, GAS was the most responsive measure (standardized response mean 1.22, Norman's responsiveness statistic 0.58) compared with the Barthel Index (1.13, 0.46), Physical Self-Maintenance Scale (0.10, 0.16, 0.02), Instrumental Activities of Daily Living (0.23, 0.00), and modified Spitzer Quality of Life Index (-0.04, 0.00). CONCLUSIONS: Only GAS detected clinically important change associated with the MGAT intervention in these frail elderly patients. Clinometric measures can offer a responsive means of evaluating complex interventions.

PMID : 12954465 [PubMed - Indexed for MEDLINE]

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Full Author Information

First Name	LastName	Initials
Kenneth	Rockwood	K
Susan	Howlett	S
Karen	Stadnyk	K
Daniel	Carver	D
Colin	Powell	C
Paul	Stolee	P

Affiliation: Division of Geriatric Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. rockwood@is.dal.ca

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