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The use of goal attainment scaling in neuropsychological rehabilitation in multiple sclerosis

机译：目标达成量表在多发性硬化症神经心理康复中的应用

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摘要

Purpose: The overall objective was to apply the goal attainment scaling (GAS) in neuropsychological rehabilitation in multiple sclerosis (MS). The specific aims were to evaluate whether (1) GAS-rated goals are attained; (2) attaining goals is related to standardized rehabilitation outcome measures; and (3) GAS-rated goals can be mapped to the International Classification of Functioning, Disability, and Health (ICF). Method: 56 relapsing-remitting MS patients received neuropsychological rehabilitation conducted once a week for 13 consecutive weeks. The attainment of GAS-rated personal goals and the association between achievement of goals and standardized rehabilitation outcome were evaluated. Moreover, GAS-rated goals were mapped to the ICF. Results: Median (interquartile range) GAS attainment T-score was 56.0 (50.0-62.0); 88.8% of personal goals set were fully achieved. The attainment of goals was not significantly associated with the outcome in majority of the standardized measures. Of the 182 meaningful concepts identified in the goals, 181 could be mapped to the ICF. Conclusions: GAS seems to be an appropriate outcome measure in neuropsychological rehabilitation in MS. GAS-rated personal goals were well achieved, and GAS was found to tap changes not covered with standardized outcome measures.
机译：目的：总体目标是将目标达成量表（GAS）应用于多发性硬化症（MS）的神经心理康复中。具体目标是评估（1）是否达到了GAS等级的目标; （2）实现目标与标准化的康复结果措施有关; （3）GAS等级的目标可以映射到国际功能，残疾和健康分类（ICF）。方法：56位复发缓解型MS患者每周接受一次神经心理学康复治疗，连续13周。评估了GAS级个人目标的实现以及目标的实现与标准化康复结果之间的关联。此外，GAS级目标已映射到ICF。结果：GAS得分中位数（四分位间距）为56.0（50.0-62.0）;完全实现了88.8％的个人目标。在大多数标准化措施中，目标的实现与结果没有显着相关。在目标中确定的182个有意义的概念中，可以将181个映射到ICF。结论：GAS似乎是MS的神经心理康复的合适结果指标。 GAS评级的个人目标已经很好地实现，并且发现GAS可以利用标准化结果指标未涵盖的变更。

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