Trial reportPatient education and counseling2017
Decision-making and goal-setting in chronic disease management: Baseline findings of a randomized controlled trial.
Trial report in Patient education and counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Effectiveness of self-management interventions for long-term conditions in people experiencing socio-economic deprivation in high-income countries: a systematic review and meta-analysis.Journal of public health (Oxford, England) · 2023Pooled it
- Effectiveness of system navigation programs linking primary care with community-based health and social services: a systematic review.BMC health services research · 2023Pooled it
- Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis.BMC primary care · 2022Pooled it
- Interventions for involving older patients with multi-morbidity in decision-making during primary care consultations.The Cochrane database of systematic reviews · 2019Pooled it
- Why Effective Interventions Do Not Work for All Patients: Exploring Variation in Response to a Chronic Disease Management Intervention.Medical care · 2018Trial
- Community Health Worker Support for Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial.American journal of public health · 2017Trial
- Racial and Ethnic Differences in Shared Decision Making Among Patients With Hypertension: Results From the RICH LIFE Project.Journal of the American Heart Association · 2025Article
- Living with Multimorbidity through Time: A Meta-Synthesis of Qualitative Longitudinal Evidence.Healthcare (Basel, Switzerland) · 2024Review
- Current Trends and Future Directions in Urban Social Prescribing.Current environmental health reports · 2023Review
- Managing With Atrial Fibrillation: An Exploratory Model-Based Cluster Analysis of Clinical and Personal Patient Characteristics.CJC open · 2023Article
- Feasibility of Goal Attainment Scaling as a patient-reported outcome measure for older patients in primary care.Journal of patient-reported outcomes · 2023Article
- Goal-oriented care for patients with chronic conditions or multimorbidity in primary care: A scoping review and concept analysis.PloS one · 2022Article
- Community-engaged healthcare model for currently under-served individuals involved in the healthcare system.SSM - population health · 2021Review
- Setting goals with patients living with multimorbidity: qualitative analysis of general practice consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Economics of Community Health Workers for Chronic Disease: Findings From Community Guide Systematic Reviews.American journal of preventive medicine · 2019Article
- Is Theory Guiding Our Work? A Scoping Review on the Use of Implementation Theories, Frameworks, and Models to Bring Community Health Workers into Health Care Settings.Journal of public health management and practice : JPHMPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveGrowing interest in collaborative goal-setting has raised questions. First, are patients making the 'right choices' from a biomedical perspective? Second, are patients and providers setting goals of appropriate difficulty? Finally, what types of support will patients need to accomplish their goals? We analyzed goals and action plans from a trial of collaborative goal-setting among 302 residents of a high-poverty urban region who had multiple chronic conditions.
methodsPatients used a low-literacy aid to prioritize one of their chronic conditions and then set a goal for that condition with their primary care provider. Patients created patient-driven action plans for reaching these goals.
resultsPatients chose to focus on conditions that were in poor control and set ambitious chronic disease management goals. The mean goal weight loss -16.8lbs (SD 19.5), goal HbA1C reduction was -1.3% (SD 1.7%) and goal blood pressure reduction was -9.8mmHg (SD 19.2mmHg). Patient-driven action plans spanned domains including health behavior (58.9%) and psychosocial (23.5%).
conclusionsHigh-risk, low-SES patients identified high priority conditions, set ambitious goals and generate individualized action plans for chronic disease management. PRACTICE IMPLICATIONS: Practices may require flexible personnel who can support patients using a blend of coaching, social support and navigation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.