Goal attainment scaling and outcome measurement in postacute brain injury rehabilitation

James F. Malec, Jeffrey S. Smigielski, Robert W. DePompolo

Research output: Contribution to journalArticle

107 Citations (Scopus)

Abstract

Relationships among two-month and final goal attainment scaling (GAS) scores, preadmission and final Portland Adaptability Inventory (PAI) scores, and work outcome for 16 graduates of a comprehensive, postacute brain injury rehabilitation program were examined. Final GAS scores were higher for program graduates who obtained the most desirable work outcomes, and preadmission and final PAI scores were lower for the successful program graduates. Final GAS scores were significantly correlated with other outcome measures. Preadmission PAI scores predicted work outcome, and two-month GAS scores predicted final GAS scores. Initial PAI scores distinguished between program successes and failures, but not between program successes and dropouts. A brief look at one case illustrates the modified application of GAS in postacute brain injury rehabilitation. Results of this study and case analyses support GAS as a quantifiable, individualized measure that is useful for (1) monitoring patient progress, (2) structuring team conferences, (3) ongoing rehabilitation planning and decision-making, (4) concise, relevant communication to family, referral sources, and funding sources, and (5) overall program evaluation when used in the context of other objective outcome measures. Although our results support the clinical utility of GAS, further study is recommended to assess the psychometric characteristics of GAS in this application.

Original languageEnglish (US)
Pages (from-to)138-143
Number of pages6
JournalArchives of Physical Medicine and Rehabilitation
Volume72
Issue number2
StatePublished - 1991
Externally publishedYes

Fingerprint

Brain Injuries
Rehabilitation
Equipment and Supplies
Outcome Assessment (Health Care)
Program Evaluation
Physiologic Monitoring
Psychometrics
Decision Making
Referral and Consultation
Communication

Keywords

  • Brain injuries
  • Goals
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Goal attainment scaling and outcome measurement in postacute brain injury rehabilitation. / Malec, James F.; Smigielski, Jeffrey S.; DePompolo, Robert W.

In: Archives of Physical Medicine and Rehabilitation, Vol. 72, No. 2, 1991, p. 138-143.

Research output: Contribution to journalArticle

Malec, James F. ; Smigielski, Jeffrey S. ; DePompolo, Robert W. / Goal attainment scaling and outcome measurement in postacute brain injury rehabilitation. In: Archives of Physical Medicine and Rehabilitation. 1991 ; Vol. 72, No. 2. pp. 138-143.
@article{3db13c454e904edaa38a95f912934ab3,
title = "Goal attainment scaling and outcome measurement in postacute brain injury rehabilitation",
abstract = "Relationships among two-month and final goal attainment scaling (GAS) scores, preadmission and final Portland Adaptability Inventory (PAI) scores, and work outcome for 16 graduates of a comprehensive, postacute brain injury rehabilitation program were examined. Final GAS scores were higher for program graduates who obtained the most desirable work outcomes, and preadmission and final PAI scores were lower for the successful program graduates. Final GAS scores were significantly correlated with other outcome measures. Preadmission PAI scores predicted work outcome, and two-month GAS scores predicted final GAS scores. Initial PAI scores distinguished between program successes and failures, but not between program successes and dropouts. A brief look at one case illustrates the modified application of GAS in postacute brain injury rehabilitation. Results of this study and case analyses support GAS as a quantifiable, individualized measure that is useful for (1) monitoring patient progress, (2) structuring team conferences, (3) ongoing rehabilitation planning and decision-making, (4) concise, relevant communication to family, referral sources, and funding sources, and (5) overall program evaluation when used in the context of other objective outcome measures. Although our results support the clinical utility of GAS, further study is recommended to assess the psychometric characteristics of GAS in this application.",
keywords = "Brain injuries, Goals, Rehabilitation",
author = "Malec, {James F.} and Smigielski, {Jeffrey S.} and DePompolo, {Robert W.}",
year = "1991",
language = "English (US)",
volume = "72",
pages = "138--143",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Goal attainment scaling and outcome measurement in postacute brain injury rehabilitation

AU - Malec, James F.

AU - Smigielski, Jeffrey S.

AU - DePompolo, Robert W.

PY - 1991

Y1 - 1991

N2 - Relationships among two-month and final goal attainment scaling (GAS) scores, preadmission and final Portland Adaptability Inventory (PAI) scores, and work outcome for 16 graduates of a comprehensive, postacute brain injury rehabilitation program were examined. Final GAS scores were higher for program graduates who obtained the most desirable work outcomes, and preadmission and final PAI scores were lower for the successful program graduates. Final GAS scores were significantly correlated with other outcome measures. Preadmission PAI scores predicted work outcome, and two-month GAS scores predicted final GAS scores. Initial PAI scores distinguished between program successes and failures, but not between program successes and dropouts. A brief look at one case illustrates the modified application of GAS in postacute brain injury rehabilitation. Results of this study and case analyses support GAS as a quantifiable, individualized measure that is useful for (1) monitoring patient progress, (2) structuring team conferences, (3) ongoing rehabilitation planning and decision-making, (4) concise, relevant communication to family, referral sources, and funding sources, and (5) overall program evaluation when used in the context of other objective outcome measures. Although our results support the clinical utility of GAS, further study is recommended to assess the psychometric characteristics of GAS in this application.

AB - Relationships among two-month and final goal attainment scaling (GAS) scores, preadmission and final Portland Adaptability Inventory (PAI) scores, and work outcome for 16 graduates of a comprehensive, postacute brain injury rehabilitation program were examined. Final GAS scores were higher for program graduates who obtained the most desirable work outcomes, and preadmission and final PAI scores were lower for the successful program graduates. Final GAS scores were significantly correlated with other outcome measures. Preadmission PAI scores predicted work outcome, and two-month GAS scores predicted final GAS scores. Initial PAI scores distinguished between program successes and failures, but not between program successes and dropouts. A brief look at one case illustrates the modified application of GAS in postacute brain injury rehabilitation. Results of this study and case analyses support GAS as a quantifiable, individualized measure that is useful for (1) monitoring patient progress, (2) structuring team conferences, (3) ongoing rehabilitation planning and decision-making, (4) concise, relevant communication to family, referral sources, and funding sources, and (5) overall program evaluation when used in the context of other objective outcome measures. Although our results support the clinical utility of GAS, further study is recommended to assess the psychometric characteristics of GAS in this application.

KW - Brain injuries

KW - Goals

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=0026088926&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026088926&partnerID=8YFLogxK

M3 - Article

VL - 72

SP - 138

EP - 143

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 2

ER -