142nd APHA Annual Meeting and Exposition

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Defining collaborative goal setting: Using patient perceptions in a population with diabetes

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Heather Morris, Ph.D. , Department of Health Outcomes and Policy, University of Florida, Gainesville, FL
Kellie Carlyle, Ph.D., M.P.H. , Department of Social and Behavioral Health, Virginia Commonwealth University, Richmond, VA
Jennifer Elston Lafata, PhD , Department of Social and Behavioral Health, Virginia Commonwealth University, Richmond, VA
Background: Collaborative goal setting is recognized as critical to high quality diabetes care. Despite the known benefits of patient-reported collaborative goal setting, there is a void in our understanding of what constitutes a collaboratively set goal from the patient’s perspective.

 

Methods: Four focus groups were moderated among 19 patients with diabetes. Groups were stratified by Hemoglobin (Hb) A1c control. Each group was moderated using a semi-structured focus group guide designed to elicit patient perceptions of what a collaborative goal means to them and what has to happen for a goal to be considered collaborative. Audio-recordings from each focus group were transcribed and coded for thematic content.

 

Results: Patients defined collaborative goal setting as a process occurring over two phases: (1) a goal discussion’ and (2) support for goal achievement. Within the first phase, patients identified four components: listen and learn from each other; share ideas honestly; take time to care; and agree on a measurable objective. Patients articulated patient and provider responsibilities within each phase, and individual components within phases.

 

Conclusion: Patients defined that collaborative goal setting as a process that occurred over time rather than an act that happened within a single visit. Furthermore, collaborative goal setting was described as not only including a goal discussion, but support for goal achievement as well.

Learning Areas:

Chronic disease management and prevention
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Demonstrate the need for patient perceptions of collaborative goal setting. Discuss findings from focus groups related to collaborative goal setting.

Keyword(s): Diabetes, Patient-Centered Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I personally conducted all of the research that is being presented. Not only did I moderate each focus group, but I also analyzed the data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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