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Table 2 The differences in properties of between GAS compared to other and classical measurement instruments

From: Goal attainment scaling as an outcome measure in rare disease trials: a conceptual proposal for validation

Classical measurement instruments

Goal Attainment Scaling

Items and scoring options are fixed

Items (goals) and scoring options (goal attainment levels) are different for each patient

Instrument can be used for many patients in many settings

Patients make their own personalized instrument for one occasion together with their clinician

Repeated measurements are possible, for example before and after an intervention, that can be compared

Only one measurement is possible, after an intervention or after a defined period of time

The score is ‘anchored’, e.g. to a general population reference range, or to a cut-off score for a diagnosis, and is interpretable on individual level

The score is not ‘anchored’ and can only be interpreted as a comparison of group means in a randomized setting

One or more unidimensional scales quantifying underlying constructs

Quantifies change due to an intervention (or over time) that is relevant to patients