Goal attainment scaling in patients with lower urinary tract symptoms: development and pilot testing of the Self-Assessment Goal Achievement (SAGA) questionnaire

Abstract

SAGA may be used to identify treatment goals and assess goal-achievement in patients with LUTS in the clinic and for research (with additional validation). This information may promote patient-physician interaction and help patients establish realistic treatment goals, which may in turn improve treatment adherence and outcomes.

Can We Decide the Optimal Initial Treatment for Male Lower Urinary Tract Symptoms Patients with Overactive Bladder by the Most Bothersome Symptom? A Randomized, Prospective, Open-Label Study

“…However, clinicians are confronted with the discrepancy between the treatment goal of health providers and treatment satisfaction of health receivers. To overcome this discrepancy, several studies developed treatment outcome measures including patients' subjective satisfaction and objective scales [9,10,11,12]. However, these systems have limitations concerning complexity and do not relate with the most bothersome symptom [11].…”

Clinical value of a patient‐reported goal‐attainment measure: the global development of self‐assessment goal achievement (SAGA) questionnaire for patients with lower urinary tract symptoms

“…It has been demonstrated that GAS improves outcomes by helping patients develop realistic treatment goals and helping clinicians understand the importance of specific goals to each individual patient. It is anticipated that GAS could represent the innovative approach needed to evolve the management of OAB/LUTS …”

“…Development of the Self‐Assessment Goal Achievement (SAGA) questionnaire, an instrument using GAS that was designed to help patients describe and prioritize their own treatment outcome goals, has been conducted in consideration of the stringent FDA requirements for validation of PROs . First, data were collected from women who had undergone pelvic reconstructive surgery on their pre‐operative goals and their post‐operative goal achievement .…”

“…A list of common treatment goals applicable to women with LUTS was obtained from this study and used to develop a preliminary draft of the SAGA questionnaire. Next, face‐to‐face, semi‐structured, qualitative interviews were conducted with 41 patients (22 women, 19 men) with LUTS to further develop the goals for the SAGA questionnaire, as well as to collect data on patients' perspective on the process of ranking goals and assessing goal achievement . The content validity of the SAGA questionnaire was then established based on face‐to‐face interviews with 11 patients (7 women, 4 men) to confirm the relevance of the goals and the appropriateness of the terminology, as well as a review of SAGA by an expert panel .…”

Pelvic organ prolapse in women: what are the patient expectations of the prospective treatment?

“…ОРИГИНАЛьНые ИССЛеДОВАНИя го процесса представляется адекватная оценка ожиданий пациентов от предстоящего хирур-гического вмешательства, поскольку она по-зволяет охарактеризовать их мнение о тяжести имеющегося заболевания [6,7]. Очевидно, что это позволит улучшить качество отношений между врачом и пациентом и таким образом персонализировать дальнейшее лечение.…”