PURPOSE. We generated a clinically useful data collection form for the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. This data collection form is designed to aid in measuring change and goal setting.

METHOD. Rasch analysis was used to generate three data collection forms for constructs on the DASH (gross motor, fine motor, and symptoms; N = 960). A form was completed to represent the findings from 1 study participant. Admission and discharge data were illustrated for one of the three sections (gross motor activity). Possible goals were indicated on the admission form. The discharge form illustrates whether these goals have been achieved.

RESULTS. Figures illustrate the utility of the forms in observing functional change from admission to discharge and how the forms aid in goal setting.

CONCLUSION. Use of the data collection form has many positive implications. This type of form could aid in goal setting and treatment planning.

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