Capturing what people with COPD want: a systematic review of goal-oriented measurement instruments

Background
A core outcome set (COS) for chronic obstructive pulmonary disease (COPD) recommends measuring personal goal attainment following PR. However, the optimal method for this assessment remains unclear. This article provides a perspective on a review of existing patient-reported outcome measures (PROMs) and their measurement properties, in an attempt to identify the best PROM for assessing personal goals in individuals with COPD.

Methods
The review followed a two-phase approach. In the first phase, a systematic search of PubMed, ScienceDirect and Scopus was conducted to identify PROMs used to assess goal attainment in individuals with COPD after any intervention. In the second phase, measurement properties of the identified PROMs were reviewed using the Consensus-based Standards for the selection of health Measurement INstruments guidelines and search filter.

Results
Only one article, reporting on Goal Attainment Scaling, was included after full-text assessment. The Goal Attainment Scaling was used to measure the personal goals of individuals with COPD following a community pharmacist intervention. No studies on the measurement properties of Goal Attainment Scaling were found.

Conclusion
This review highlights the lack of PROMs specifically developed and evaluated for assessing personal goals in COPD. Future research should focus on validating the use of Goal Attainment Scaling in the COPD and PR contexts or developing a new PROM to integrate into the COS.

Prospero Registration
CRD42022313344.

Contributors

Sara Souto-Miranda, Guilherme Rodrigues, Martijn A. Spruit, Alda Marques

Publication

Journal: Respiratory Medicine
Volume: 256
Issue:
Pages: -
Year: 2026
DOI: https://doi.org/10.1016/j.rmed.2026.108800

Further Study Information

Current Stage: Completed
Date:
Funding source(s):


Health Area

Disease Category: Lungs & airways

Disease Name: Chronic obstructive pulmonary disease (COPD)

Target Population

Age Range: Unknown

Sex: Either

Nature of Intervention: Any

Stakeholders Involved

Study Type

- Recommendations for outcome measures (measurement/how)
- Systematic review of outcome measures/measurement instruments

Method(s)

- Systematic review