Background: To develop a priority-based patient/parent reported outcome measure for children with lower-limb differences (LD) by adapting the Gait Outcomes Assessment List (GOAL) questionnaire.
Methods: Guided by a conceptual framework of patient priorities, the GOAL questionnaire was iteratively modified and its sensibility evaluated by field-testing it on children with LD, and their parents. Cognitive interviews were conducted with a subgroup of these children, and an e-survey administered to a multidisciplinary group of health care professionals with expertise in paediatric LD. Findings were integrated to create the final version of the GOAL-LD.
Results: Twenty-five children (9-18 years), 20 parents, and 31 healthcare professionals evaluated the content and sensibility of the GOAL, with an emphasis on the relevance and importance of the items to patients’ health related quality of life (HRQL). This resulted in the retention of 26 of the original 50 items, elimination of 12, modification of 12, and addition of seven new items. The new 45-item GOAL-LD questionnaire was shown to be sensible and its content deemed important.
Conclusions: The GOAL-LD questionnaire has a high level of face and content validity, and sensibility. It comprehensively captures the HRQL goals and outcomes that matter to children with LD and their parents. Following further psychometric evaluation, the GOAL-LD may serve as a much needed evaluate patient and parent reported outcome measure for this population.

Figure 1

Figure 2

Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
Additional file 1.docx Cognitive interview guide
Additional file 2.docx Child participant demographics
Additional file 3.pdf Summary of content adaptation through each iteration of the GOAL (Phase 1 and 2 feedback)
Additional file 4.pdf GOAL-LD Child version
Additional file 5.pdf GOAL-LD Parent version
Loading...
Posted 21 Jan, 2021
On 06 Mar, 2021
Received 27 Feb, 2021
On 26 Jan, 2021
Invitations sent on 26 Jan, 2021
On 26 Jan, 2021
Received 26 Jan, 2021
On 13 Jan, 2021
On 13 Jan, 2021
On 13 Jan, 2021
On 14 Nov, 2020
Received 09 Nov, 2020
On 29 Oct, 2020
Received 26 Oct, 2020
On 05 Oct, 2020
Received 29 Aug, 2020
On 21 Aug, 2020
On 20 Aug, 2020
Invitations sent on 20 Aug, 2020
On 19 Aug, 2020
On 19 Aug, 2020
On 17 Aug, 2020
Posted 21 Jan, 2021
On 06 Mar, 2021
Received 27 Feb, 2021
On 26 Jan, 2021
Invitations sent on 26 Jan, 2021
On 26 Jan, 2021
Received 26 Jan, 2021
On 13 Jan, 2021
On 13 Jan, 2021
On 13 Jan, 2021
On 14 Nov, 2020
Received 09 Nov, 2020
On 29 Oct, 2020
Received 26 Oct, 2020
On 05 Oct, 2020
Received 29 Aug, 2020
On 21 Aug, 2020
On 20 Aug, 2020
Invitations sent on 20 Aug, 2020
On 19 Aug, 2020
On 19 Aug, 2020
On 17 Aug, 2020
Background: To develop a priority-based patient/parent reported outcome measure for children with lower-limb differences (LD) by adapting the Gait Outcomes Assessment List (GOAL) questionnaire.
Methods: Guided by a conceptual framework of patient priorities, the GOAL questionnaire was iteratively modified and its sensibility evaluated by field-testing it on children with LD, and their parents. Cognitive interviews were conducted with a subgroup of these children, and an e-survey administered to a multidisciplinary group of health care professionals with expertise in paediatric LD. Findings were integrated to create the final version of the GOAL-LD.
Results: Twenty-five children (9-18 years), 20 parents, and 31 healthcare professionals evaluated the content and sensibility of the GOAL, with an emphasis on the relevance and importance of the items to patients’ health related quality of life (HRQL). This resulted in the retention of 26 of the original 50 items, elimination of 12, modification of 12, and addition of seven new items. The new 45-item GOAL-LD questionnaire was shown to be sensible and its content deemed important.
Conclusions: The GOAL-LD questionnaire has a high level of face and content validity, and sensibility. It comprehensively captures the HRQL goals and outcomes that matter to children with LD and their parents. Following further psychometric evaluation, the GOAL-LD may serve as a much needed evaluate patient and parent reported outcome measure for this population.

Figure 1

Figure 2

Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
Additional file 1.docx Cognitive interview guide
Additional file 2.docx Child participant demographics
Additional file 3.pdf Summary of content adaptation through each iteration of the GOAL (Phase 1 and 2 feedback)
Additional file 4.pdf GOAL-LD Child version
Additional file 5.pdf GOAL-LD Parent version
Loading...