Goal-setting for behavior change in primary care: an exploration and status report.

OBJECTIVE: This paper explores the behavior change method of goal-setting and reviews the literature on goal-setting in primary care for patients with chronic conditions. METHODS: A literature search was conducted resulting in eight articles meeting the criteria of goal-setting interventions in prim...

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Publicado en:Patient Education & Counseling Vol. 76; no. 2; pp. 174 - 181
Autores principales: Bodenheimer T, Handley MA
Formato: research Journal Article
Publicado: Elsevier B.V. Aug2009
Acceso en línea:Ver este registro en EBSCOhost
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        07383991
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      dt: Aug2009
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      pub: Elsevier B.V.
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        105221755
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        2010348775
        10.1016/j.pec.2009.06.001
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        atl: Goal-setting for behavior change in primary care: an exploration and status report.
      aug:
        au:
          Bodenheimer T
          Handley MA
        affil: University of California at San Francisco, School of Medicine, San Francisco, CA 94110, USA. tbodie@earthlink.net
      sug:
        subj:
          Goals and Objectives
          Health Behavior
          Health Promotion
          Nursing Care Plans
          Primary Health Care
          Human
          Patient Education
      ab: OBJECTIVE: This paper explores the behavior change method of goal-setting and reviews the literature on goal-setting in primary care for patients with chronic conditions. METHODS: A literature search was conducted resulting in eight articles meeting the criteria of goal-setting interventions in primary care for adults or adolescents with chronic conditions. RESULTS: Hypotheses are advanced that goal-setting is generally conducted by collaboratively working with patients to set short-term and specific goals, with follow-up to provide feedback to patients. The articles reviewed generally confirmed these hypotheses. This review did not focus on clinical outcomes, but on the processes of engaging patients in goal-setting discussions. CONCLUSION: Evidence that goal-setting is superior to other behavior change methods has not been shown. Since goal-setting is being utilized as a behavior change technique in many primary care sites, primary care practices can benefit from information on how best to implement this innovation. PRACTICE IMPLICATIONS: Generally, clinicians are minimally involved in goal-setting discussions with their patients. Engaging patients in goal-setting can be done with interactive computer programs and non-clinical members of the primary care team.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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