Utility of Goal Attainment Scaling(GAS)in evaluating a multicomponent exercise programme for community-dwelling pre-frail older adults  

作　　者：Juan Fang Jianping Ren Jinjing Wang Xiantao Qiu Shiyan Zhang Shuang Yuan Liangfeng Wu Lin Xie Le Yu 

机构地区：[1]School of Public Health,Hangzhou Normal University,Hangzhou,Zhejiang,China [2]School of Medicine,Huzhou University,Huzhou,Zhejiang,China [3]School of Clinical Medicine,Hangzhou Normal University,Hangzhou,Zhejiang,China [4]Ziyang Street Community Health Service Center,Hangzhou,Zhejiang,China

出　　处：《Family Medicine and Community Health》2024年第1期36-44,共9页家庭医学与社区卫生（英文）

基　　金：funded by Zhejiang Province Public Welfare Technology Application Research Project(LGF21G030003);Zhejiang Province Traditional Chinese Medicine Science and Technology Program Project(2023ZF034).

摘　　要：Objectives This study aimed to investigate the effectiveness of Goal Attainment Scaling(GAS)in assessing an intervention for pre-frail senior citizens.Additionally,the study aimed to explain how the GAS goals were established based on the International Classification of Functioning,Disability and Health(ICF)categories,including body function,activity and participation and environmental factors.Methods In this study,220 pre-frail older adults were randomly selected to participate in a controlled trial.The intervention group engaged in multicomponent exercise three times a week,once at a community health service location and twice at home.The control group received advice on physical activity but did not have supervised exercise.Participants in both groups selected individualised GAS goals from 23 goals developed based on ICF by focus group discussion.The study used generalised estimating equations to analyse the differences between the groups.Results The study included 144 participants,72 in the exercise group and 72 in the control group.The top three individualised goals for all participants were vestibular functions(53.5%),pain management(43.1%)and lifting and carrying objects(31.9%).Both groups saw a significant increase in GAS scores at week 8 and week 24 of the intervention(p<0.05),but the exercise group showed a more significant improvement(p<0.05).The participants living alone were associated with lower postintervention improvements in the GAS scores.In contrast,the participants who were using a smartphone were likely to get higher postintervention improvements in the GAS scores.Conclusions GAS can be a valuable tool for setting and evaluating individualised and meaningful goals in body functions,activity and participation and environmental factors.The multicomponent exercise interventions can help pre-frail older adults achieve their expected goals as measured by the GAS.

关 键 词：meaningful goals LIFTING 

分 类 号：D669.6[政治法律—政治学]