Global Rating of Change Scale

The Global Rating of Change (GRC) Scale is a single-item, self-report outcome measure that asks patients to rate the overall change in their condition since baseline assessment. Developed by Jaeschke, Singer, and Guyatt in 1989 and published in Controlled Clinical Trials, the GRC Scale has become a fundamental method for anchor-based interpretation of change scores on clinical outcome measures, enabling clinicians and researchers to determine the minimal clinically important difference (MCID) in standardized scales.