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Not all trials used the same scale, with 24% varying from the traditional five-point scale. Outcome attainment was scored in various manners (self-report 21%; observed 26%; both self-report and observed 8%; and not reported 45%), and the calculation of GAS scores differed between trials (raw score 21%; T score 47%; other 21%; and not reported 66%). GAS has been used as an outcome measure across a wide range of disciplines and trial settings. However, there are inadequacies and inconsistencies in how it has been applied and implemented.
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