Test of the Rehabilitation Goal Screening (ReGoS) Tool to Support Decision Making and Goal Setting in Physical and Rehabilitation Medicine Practice

• Published in: International journal of environmental research and public health 2022-11, Vol.19 (23), p.15562
• Main Authors: Gutenbrunner, Christoph, Korallus, Christoph, Egen, Christoph, Schiller, Joerg, Sturm, Christian, Teixido, Lidia, Eckhardt, Isabelle, Boekel, Andrea
• Format: Article
• Language: English
• Subjects: Activities of Daily Living; Anxiety; Case studies; Chronic pain; Clinical decision making; Decision making; Disability Evaluation; Disabled Persons - rehabilitation; Female; Goal setting; Humans; Integrated approach; International Classification of Functioning, Disability and Health; Likert scale; Male; Middle Aged; Pain; Patients; Physical and Rehabilitation Medicine; Questionnaires; Rehabilitation; Retrospective Studies; Self assessment; Self evaluation; Sociodemographics
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph192315562

It has already been shown that it is feasible to use International Classification of Functioning, Disability and Health (ICF) Sets as self-assessment instruments. We used this idea to design an ICF-based screening tool to assess patients of a broadly based rehabilitation department. It was developed for the purpose of having a screening tool before taking the anamnesis, as well as for rehabilitation planning and follow-up. The Rehabilitation Goal Screening (ReGoS) instrument is a self-report questionnaire which was developed based on the most relevant domains from the ICF Core Sets for chronic pain and rehabilitation. The ICF categories were translated into plain language and 0-10 Likert scales were used. A retrospective analysis of routine clinical data using the ReGoS tool, Work Ability Index (WAI) and Hospital Anxiety and Depression Scale (HADS) in paper- or tablet-based form was performed. The average age of the N = 1.008 respondents was 53.9 years (SD = 16.2). Of the respondents, 66% ( = 665) were female. At the time of the survey, 48.3% ( = 487) of the patients were employed. ReGoS results demonstrated that the highest restrictions on a scale from 0 to 10 were found in the areas of energy and drive (M = 5.79, SD = 2.575) and activities of daily living (M = 5.54, SD = 2.778). More than a third of the respondents rated their work ability as critical. The use of the ReGoS instrument as an ICF-based screening tool based on a self-report questionnaire provides relevant information for clinical diagnosis, participative goal setting and a detailed functional capacity profile.