Quality rating criteria for primary goal statements—WHO ICF domain and SMART description used during ULIS-II validation process
| Rating | WHO ‘ICF’ domain, disability and health | Example |
|---|---|---|
| A | Some goal statements contain reference to functional activities at the level of disability or participation—may be ‘active’ or ‘passive’ function* | Reference to meaningful activities such as ease of self-care, reduced care burden, mobility, community-based activities, work-related function, etc |
| B | Goal statements contain reference to impairment only | Reference to movement, range, grip strength, spasticity, clonus, etc |
| C | Goal statements contain reference to anatomical structures only | Reference to extension, flexion, pronation, etc |
| Rating | ‘SMART’ description | Example |
| ++ | There is a SMART goal description, sufficiently detailed and specific to make accurate GAS rating | ‘To be able to type a four-word sentence with only a single typing error using index fingers in 15 s’ |
| + | There is some clear goal description sufficient to support GAS rating, but still reliant on subjective interpretation | ‘To be able to open and close hand, as well as use fingers more in household chores’ |
| – | No clear goal description | ‘To use the hand more easily’ |
*‘Active’ function refers to using the affected limb in some motor activity, preferably for an identified functional purpose. ‘Passive’ function includes tasks related to caring for the affected limb (whether by a carer or by the person him/herself).
GAS, goal attainment scaling; ICF, International Classification of Functioning; SMART, specific, measurable, achievable, realistic and timed; ULIS, Upper Limb International Spasticity.