Online Program

Development and validation of an instrument to measure collaborative goal setting in the care of patients with diabetes

Tuesday, November 3, 2015 : 8:45 a.m. - 9:00 a.m.

Heather Morris, Ph.D., Department of Health Outcomes and Policy, University of Florida, Gainesville, FL
Jennifer Elston Lafata, PhD, Social and Behavioral Health Department, Virginia Commonwealth University, Richmond, VA
Levent Dumenci, PhD, Department of Social and Behavioral Health, Virginia Commonwealth University, Richmond, VA
Objective: Despite known benefits of patient-perceived collaborative goal setting, we have limited ability to monitor this process in practice. We developed the Patient Measure of Collaborative Goal Setting (PM-CGS) to evaluate the use of collaborative goal setting from the patient’s perspective.

Research Design and Methods: A random sample of 400 patients aged 40 years or older, receiving diabetes care from the Virginia Commonwealth University Health System between  8/2012 – 8/2013 were mailed a survey containing potential PM-CGS items (n=41) as well as measures of patient demographics, self-efficacy, trust in their physician, and self-management behaviors. Confirmatory factor analysis was used to evaluate instrument construct validity. External validity was evaluated via a structural equation model (SEM) that tested the association of the PM-CGS with self-management behaviors.  The direct and two mediated (via trust and self efficacy) pathways were tested.  .


Results: A total of 259 patients responded to the survey (64% response rate), of whom 192 were eligible for inclusion. Results from the factor analysis supported a 37-item measure of patient-perceived CGS spanning five domains: listen and learn; share ideas; caring relationship; measurable objective and goal achievement support (χ = 4366.13, p<.001; RMSEA = .08). Results from the SEM confirmed a relationship between the CGS measure and self-management (p<.001), which was partially mediated by self-efficacy (p<.05).


Conclusions: Collaborative goal setting can be validly measured by the 37-item PM-CGS. Use of the PM-CGS can help illustrate actionable deficits in goal setting discussions.

Learning Areas:

Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe and define a measure developed to evaluate collaborative goal setting.

Keyword(s): Diabetes, Patient-Centered Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a principal investigator on an NIH funded project focused on defining collaborative goal setting, and developing a measure to assess this process.
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.