International Urogynecology Journal

, Volume 22, Issue 8, pp 937–946

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

  • Linda Brubaker
  • Vik Khullar
  • Elisabeth Piault
  • Christopher J. Evans
  • Tamara Bavendam
  • James Beach
  • Yating Yeh
  • Zoe S. Kopp
  • Con J. Kelleher
  • Jeffrey Trocio
Original Article

DOI: 10.1007/s00192-011-1382-7

Cite this article as:
Brubaker, L., Khullar, V., Piault, E. et al. Int Urogynecol J (2011) 22: 937. doi:10.1007/s00192-011-1382-7

Abstract

Introduction and hypothesis

The Self-Assessment Goal Achievement (SAGA) questionnaire was developed to identify treatment goals and assess goal-achievement in patients with lower urinary tract symptoms (LUTS).

Methods

This study consisted of (1) gathering information on goal setting/attainment concepts, (2) goal elicitation (n = 41 patients with LUTS), (3) cognitive debriefing of draft questionnaire (n = 11), and (4) pilot testing (n = 104).

Results

SAGA consists of baseline (goal-assessment; ranking) and follow-up (goal-achievement) modules. In addition to goals most frequently mentioned, patients can list up to five open goals. Goals most commonly reported as “very important” in pilot testing included reducing urgency (72%), incontinence (65%), and nocturia (64%). Treatment goals spontaneously reported as “very important” were reducing incontinence (45%), nocturia (40%), and frequency (26%).

Conclusions

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.

Keywords

AntimuscarinicBenign prostatic hyperplasiaBladder outlet obstructionGoal attainment scalingLower urinary tract symptomsOveractive bladder

Abbreviations

GAS

Goal attainment scaling

HRQL

Health-related quality of life

LUTS

Lower urinary tract symptoms

OAB

Overactive bladder

OAB-q

Overactive Bladder Questionnaire

OAB-S

Overactive Bladder Satisfaction

PPBC

Patient Perception of Bladder Condition

SAGA

Self-Assessment Goal Achievement

Copyright information

© The International Urogynecological Association 2011

Authors and Affiliations

  • Linda Brubaker
    • 1
  • Vik Khullar
    • 2
  • Elisabeth Piault
    • 3
  • Christopher J. Evans
    • 3
  • Tamara Bavendam
    • 4
  • James Beach
    • 5
  • Yating Yeh
    • 3
  • Zoe S. Kopp
    • 4
  • Con J. Kelleher
    • 6
  • Jeffrey Trocio
    • 4
  1. 1.Loyola University ChicagoMaywoodUSA
  2. 2.St. Mary’s HospitalLondonUK
  3. 3.Mapi ValuesBostonUSA
  4. 4.Pfizer IncNew YorkUSA
  5. 5.Beach Clinical StudiesParadise ValleyUSA
  6. 6.St. Thomas’ HospitalLondonUK