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Goal Attainment Scaling Evaluation of Outcome for Upper-limb Spasticity - GAS-eous

Goal attainment scaling (GAS) is increasingly used as an outcome measure for research-based evaluation of focal interventions for upper limb spasticity. However, its uptake in clinical practice has so far been limited by the time-consuming nature of individualised goal-setting and concerns about lack of standardisation and comparability. We have therefore developed and hear present the ‘GASeous’ - a new structured framework for applying GAS in Evaluation of Upper Limb Spasticity.

The GAS-eous tool (PDF, 508kb) offers several potential advantages over traditional goal attainment scaling. The more structured approach is designed to streamline goal-setting in busy clinical settings, thus reducing the time taken to apply GAS. The targeted selection of only those standardised outcome measures that are relevant to chosen goal area(s), cuts down the time that would otherwise be taken to record a battery of measures. Importantly, however, it retains the individualised nature of person-centred goal-setting focused on the patient’s own priorities. Because the process of applying GAS involves patients and/or their carers in a priori goal negotiation, it also provides the opportunity to establish realistic expectations for outcome before starting treatment. Providing that the SMART goal definitions are carefully documented, this will lead to enhanced patient satisfaction with the end result, if the goals are achieved as expected.


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