Cusick A, McIntyre S, Novak I, Lannin N, Lowe K
College of Science and Health, University of Western Sydney, Australia.
Pediatr Rehabil. 2006 Apr-Jun;9(2):149-57. doi: 10.1080/13638490500235581.
To investigate the relative utility of Canadian Occupational Performance Measure (COPM) (adapted for children) and Goal Attainment Scaling (GAS) as outcome measures for paediatric rehabilitation.
A two-group pre-post design investigated the impact of a 3-month programme. Forty-one children with spastic hemiplegic cerebral palsy (mean 3.9 years; GMPM level 1; 21 boys, 10 girls) were randomized to occupational therapy only and occupational therapy plus one Botulinum Toxin A injection. The latter was considered a 'proven' intervention for the purpose of this instrumentation study. Intervention impact was investigated using GAS and COPM. Instrument sensitivity, convergent validity, goal/problem profiles and administration were evaluated.
Both instruments were sensitive to within group change and detected significant between group change. Likert scale coding for GAS scores was more sensitive than the traditional weighted GAS or COPM. Different constructs were measured by each instrument. COPM was more time efficient in training, development and administration.
Study aim, logistic and resource factors should guide the choice of COPM and/or GAS instruments as both are sensitive to change with a proven intervention and both evaluate different constructs.
探讨加拿大职业表现测量量表（适用于儿童）和目标达成量表（GAS）作为儿科康复结局指标的相对效用。
采用两组前后测设计，研究为期3个月的项目的影响。41例痉挛性偏瘫型脑瘫儿童（平均3.9岁；粗大运动功能测量量表1级；21名男孩，10名女孩）被随机分为仅接受职业治疗组和接受职业治疗加一次A型肉毒毒素注射组。在本器械研究中，后者被视为一种“已证实有效的”干预措施。使用GAS和COPM研究干预效果。评估器械敏感性、收敛效度、目标/问题概况及实施情况。
两种器械对组内变化均敏感，并检测到组间有显著变化。GAS评分的李克特量表编码比传统加权GAS或COPM更敏感。每种器械测量的结构不同。COPM在培训、开发和实施方面更省时。
研究目的、逻辑和资源因素应指导COPM和/或GAS器械的选择，因为两者对已证实有效的干预措施的变化均敏感，且两者评估的结构不同。
