SPEAKER BLOG SERIES:

GAS Key -2= much less than expected outcome -1= somewhat less than expected outcome 0= expected level of outcome, most probable outcome from treatment +1= somewhat more than expected outcome +2= much more than expected outcome |
SPEAKER BLOG SERIES:
GAS Key -2= much less than expected outcome -1= somewhat less than expected outcome 0= expected level of outcome, most probable outcome from treatment +1= somewhat more than expected outcome +2= much more than expected outcome |
NEW
The New York Times published the news with links to the BMJ report and to an accompanying editorial by Brent R Collett an investigator at Seattle Children’s Research Institute As therapists, what are your thoughts to this research? Please share any of your experiences.]]>
We would like to share this article from PT Products
Published on April 4, 2014 by “PT PRODUCTS”
“An editorial in The Annals of Family Medicine suggests that the British screening approach for physicians with patients with low back pain (LBP) may help in creating a US-based approach that more often involves physical therapists (PTs) early on and lowers the financial costs of the condition. In the editorial, authors Timothy S. Carey, MD, MPH, and Janet Freburger, PT, PhD, comment on a new study of physical therapy management of patients with LBP, saying the results are an important step in validating an approach that involves early physical therapy.
According to a news release from the American Physical Therapy Association (APTA), the approach described in the study involves physician use of a British screening tool known as the STarT, which is designed to help a physician assess LBP. Once the assessment is made, a medium- or high-risk patient can be referred to a PT for effective treatment. The editorial answers the question as to whether or not this approach should be used in the US, with the authors saying yes.
The editorial authors point to logistical and regulatory wrinkles that would need to be worked out, but do note that similar screening approaches, such as those used for depression or alcohol use, were implemented fairly simply. The editorial states, “These advances don’t solve our problems with the large disability burden and high cost of low back pain, but they represent a promising start.”
[Sources: APTA, The Annals of Family Medicine]
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[caption id="attachment_1847" align="alignleft" width="160" caption="Suzanne Davis"]Considering the three components of EBP, therapy has been particularly lacking in the area of research. Conducting high-level research is difficult for many reasons. One of the issues is finding outcome measures that are sensitive enough to measure the changes that the children with neuromotor and sensory dysfunction make.
A format that is sensitive to individual change is coming to the forefront. Goal Attainment Scaling (GAS) has been found to be responsive to this need and is now being recommended for use in clinical practice and in treatment outcomes research (Palisano, 1993; Steenbeck, et al, 2005; Ekstrom, et al, 2005). GAS is an individualized criterion-referenced measure that has been applied in a number of settings. Because goals are criterion-referenced versus norm-referenced it is a tool that is responsive to small but clinically significant change (McDougall & King, 2007). It can be used to determine the effectiveness of interventions with individuals as well as programs.
In the next entry of this blog, I will provide details on the GAS as well as compare and contrast GAS to SMART goals.
What tools are you using to show measurable change in the children’s outcomes? Share them here.
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