Goal setting is a core component of physical therapy in multiple sclerosis (MS). It is unknown whether and to what extent goals are set at different levels of the International Classification of Functioning, Disability and Health (ICF), and whether, and to which, standardized outcome measures are used in real life for evaluation at the different ICF levels. Our aim was to describe the real-world use of goal setting and outcome measures in Europe. An online cross-sectional survey, completed by 212 physical therapists (PTs) specialized in MS from 26 European countries, was conducted. Differences between European regions and relationships between goals and assessments were analyzed. PTs regularly set goals, but did not always apply the Specific, Measurable, Achievable, Realistic, Timed (SMART) criteria. Regions did not differ in the range of activities assessed, but in goals set (e.g., Western and Northern regions set significantly more goals regarding leisure and work) and outcome measures used (e.g., the Berg Balance Scale was more frequently used in Northern regions). Quality of life was not routinely assessed, despite being viewed as an important therapy goal. Discrepancies existed both in goal setting and assessment across European regions. ICF assists in understanding these discrepancies and in guiding improved health-care for the future.

中文翻译：

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根据功能，残疾和健康的国际分类，在现实世界中设定目标和使用结果指标：欧洲多发性硬化症物理治疗实践调查。

目标设定是多发性硬化症（MS）物理治疗的核心组成部分。尚不清楚是否在国际功能，残疾与健康分类（ICF）的不同级别上设定了目标，以及在何种程度上设定了目标，以及在现实生活中是否以及在何种情况下使用了标准化结果衡量标准来在不同ICF级别上进行评估。我们的目的是描述欧洲目标设定和结果度量在现实世界中的使用。进行了一项在线横断面调查，该调查由来自26个欧洲国家的212名专门从事MS的物理治疗师（PT）完成。分析了欧洲地区之间的差异以及目标和评估之间的关系。 PT定期设定目标，但并不总是应用特定，可衡量，可实现，现实，定时（SMART）标准。各地区在评估活动的范围方面没有差异，但在设定的目标（例如，西部和北部地区设定了更多有关休闲和工作的目标）和使用的成果指标（例如，在北部地区更频繁地使用伯格平衡量表） 。尽管生活质量被视为重要的治疗目标，但并未进行常规评估。 欧洲地区在目标设定和评估上均存在差异。ICF有助于理解这些差异，并为将来改善医疗保健提供指导。