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A GRS reflects the professional opinion of the examiner once they have completed the item score list. This list represents what they have observed or marked during the scenario. In most cases, a 5 or 6 item Likert scale is used ranging from 0 = Fail; 1 = Borderline; 2 = Pass; 3 = Good to 4 = Excellent.
The Global Rating of Change (GRoC) is a scale that assesses whether the patient condition has gotten worse, better, or stayed the same and to quantify the magnitude of that change, typically following treatment.
There are 15 points of GRC on a 7 to +7 scale; 0 is no change, 7 is a very great deal worse, and +7 is a very great deal better [46] . Regarding responsiveness, GRC has shown a moderate correlation between NDI change scores (r = 0.46, p-value 0.001) [32].
The GRCQ is a validated questionnaire consisting of 10 questions that provides a global measure to confirm, interpret and generalize findings of health- related quality of life (HRQOL) instruments or outcomes.
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