RESUMO
First proposed by Kiresuk in 1968, Goal Attainment Scaling has been widely and enthusiastically accepted as an evaluation tool in service delivery and education. However, it has not been much used in controlled research, probably because its reliability and validity have been questioned by critics. The authors have used Goal Attainment Scaling as one of a number of outcome measures in a research project on the effect of family intervention on inpatients. In the course of doing so, they have developed guidelines for gathering information, constructing goal scales, selecting expected outcome levels, and categorizing subsequent outcome data. They believe that these guidelines have clinical integrity and that their use would improve the reliability of goal attainment scaling without detracting from its value as an individualized measure. With these modifications, Goal Attainment Scaling can be made more systematic and therefore more reliable without losing its intrinsic value as an individually targeted outcome measure.
Assuntos
Hospitalização , Transtornos Mentais/terapia , Avaliação de Processos e Resultados em Cuidados de Saúde/métodos , Escalas de Graduação Psiquiátrica , Psicoterapia , Adulto , Transtorno Bipolar/diagnóstico , Transtorno Bipolar/terapia , Transtorno da Personalidade Borderline/diagnóstico , Transtorno da Personalidade Borderline/terapia , Terapia Familiar , Feminino , Seguimentos , Objetivos , Humanos , Masculino , Transtornos Mentais/diagnóstico , Psicometria , Esquizofrenia/diagnóstico , Esquizofrenia/terapiaRESUMO
This article describes the Role Activity Performance Scale (RAPS) and presents data from a study of its reliability and validity. The RAPS evaluates an individual's functional level, using 12 subscales that represent a range of life roles. It was developed as an instrument for evaluating the impact of occupational therapy and other treatment modalities on the functioning of psychiatric patients. It is also useful in the diagnostic, treatment, and discharge planning processes. Validity and interrater reliability testing involved a sample of 30 patients in two major diagnostic groups. Interrater correlations for subscales and total scores were above .80 and statistically significant. A comparison of the RAPS with other accepted psychosocial rating scales showed strong correlations in scores. The psychometric evidence from this preliminary study supports the continued development and use of the RAPS for both clinical and research purposes.
