McDougall Janette, Wright Virginia
Thames Valley Children's Centre, London, Ontario, Canada.
Disabil Rehabil. 2009;31(16):1362-72. doi: 10.1080/09638280802572973.
There is much heterogeneity and disconnect in the approaches used by service providers to conduct needs assessments, set goals and evaluate outcomes for clients receiving pediatric rehabilitation services. The purpose of this article is to describe how the International Classification of Functioning, Disability and Health-Child and Youth (ICF-CY) can be used in combination with Goal Attainment Scaling (GAS), an individualised measure of change, to connect the various phases of the therapeutic process to provide consistent clinical care that is family-centred, collaborative, well directed and accountable.
A brief description of both the ICF-CY and GAS as they pertain to pediatric rehabilitation is provided as background. An explanation is given of how the ICF-CY offers a framework through which clients, families and service providers can together identify the areas of clients' needs. In addition, the article discusses how the use of GAS facilitates translation of clients' identified needs into distinct, measurable goals set collaboratively by clients, their families and service providers. Examples of integrated GAS goals set for the various components of the ICF-CY are provided. The utility of GAS as a measure of clinical outcomes for individual clients is also discussed.
Used in combination, the ICF-CY and GAS can serve to coordinate, simplify and standardise assessment and outcome evaluation practices for individual clients receiving pediatric rehabilitation services.
在为接受儿科康复服务的儿童进行需求评估、设定目标和评估结果时，服务提供者所采用的方法存在很大的异质性和脱节现象。本文旨在描述如何将《国际功能、残疾和健康分类-儿童与青少年版》（ICF-CY）与目标达成量表（GAS，一种个性化的变化衡量方法）结合使用，以连接治疗过程的各个阶段，从而提供以家庭为中心、协作性强、方向明确且可问责的一致临床护理。
简要介绍与儿科康复相关的ICF-CY和GAS，作为背景知识。解释ICF-CY如何提供一个框架，使儿童、家庭和服务提供者能够共同确定儿童的需求领域。此外，本文还讨论了使用GAS如何促进将儿童确定的需求转化为由儿童及其家庭和服务提供者共同设定的明确、可衡量的目标。提供了为ICF-CY各个组成部分设定的综合GAS目标示例。还讨论了GAS作为个体儿童临床结果衡量指标的效用。
ICF-CY和GAS结合使用，可以协调、简化和标准化为接受儿科康复服务的个体儿童进行的评估和结果评估实践。
