ArticleFamily practice2016
What does it take to set goals for self-management in primary care? A qualitative study.
Article in Family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 24 citations in OpenAlex.
- Feasibility of diabetes self-management coaching program for individuals with type 2 diabetes in the Ethiopian primary care setting: a protocol for a feasibility mixed-methods parallel-group randomized controlled trial.Pilot and feasibility studies · 2024Article
- Personal Goals, Barriers to Self-Management and Desired mHealth Application Features to Improve Self-Care in Multi-Ethnic Asian Patients with Type 2 Diabetes: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Self-management support in flemish primary care practice: the development of a preliminary conceptual model using a qualitative approach.BMC primary care · 2022Article
- Development and usability of a feedback tool, "My Personal Brain Health Dashboard", to improve setting of self-management goals among people living with HIV in Canada.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Effects of a multi-faceted education and support programme on anxiety symptoms among people with systemic sclerosis and anxiety during COVID-19 (SPIN-CHAT): a two-arm parallel, partially nested, randomised, controlled trial.The Lancet. Rheumatology · 2021Article
- Goal-setting program improves nutrition and physical activity among Supplemental Nutrition Assistance Program eligible adults.Public health nutrition · 2020Article
- Sharing responsibility: municipal health professionals' approaches to goal setting with older patients with multi-morbidity - a grounded theory study.BMC health services research · 2020Article
- Development of a conversation approach for practice nurses aimed at making shared decisions on goals and action plans with primary care patients.BMC health services research · 2018Article
- Patient influence in home-based reablement for older persons: qualitative research.BMC health services research · 2017Article
- Interprofessional primary care team meetings: a qualitative approach comparing observations with personal opinions.Family practice · 2017Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is an increasing number of patients with a chronic illness demanding primary care services. This demands for effective self-management support, including collaborative goal setting. Despite the fact that primary care professionals seem to have difficulties implementing goal setting, little information is available about the factors influencing the complexity of this process in primary care.
objectiveThe aim of this study was to contribute to an understanding of the complexity of self-management goal setting in primary care by exploring experts' and primary care professionals' experiences with self-management goal setting and viewpoints regarding influencing factors.
methodsA descriptive qualitative research methodology was adopted. Two focus groups and three individual interviews were conducted (total participants n = 17). Thematic content analysis was used to analyse the data.
resultsThe findings were categorized into four main themes with subordinated subthemes. The themes focus around the complexity of setting non-medical goals and around professionals' skills and attitudes to negotiate and decide about goals with patients. Furthermore, patients' skills and attitudes for goal setting and the integration of goal setting in the time available were formulated as themes.
conclusionsSetting self-management goals in primary care, especially in family medicine, might require a shift from a medical perspective to a biopsychosocial perspective, with an increasing role set aside for the professional to coach the patient in expressing his self-management goals and to take responsibility for these goals.
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