ArticleJournal of comorbidity2016
A qualitative interpretation of challenges associated with helping patients with multiple chronic diseases identify their goals.
Article in Journal of comorbidity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review.The Cochrane database of systematic reviews · 2021Pooled it
- Goals should be defined as CLEVER before specifying them into SMART goals: A phenomenological hermeneutical study to facilitate the implementation of goal-oriented care in primary care.The British journal of occupational therapy · 2025Article
- Exploring readiness for implementing goal-oriented care in primary care using normalization process theory.Primary health care research & development · 2023Article
- Implementing personalised care planning for older people with frailty: a process evaluation of the PROSPER feasibility trial.BMC geriatrics · 2022Article
- Goal-oriented care for patients with chronic conditions or multimorbidity in primary care: A scoping review and concept analysis.PloS one · 2022Article
- Positive Beliefs and the Likelihood of Successful Community Discharge From Skilled Nursing Facilities.Archives of physical medicine and rehabilitation · 2021Article
- Sharing responsibility: municipal health professionals' approaches to goal setting with older patients with multi-morbidity - a grounded theory study.BMC health services research · 2020Article
- Article
- TheJournal of comorbidity · 2017Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with multiple chronic diseases are usually treated according to disease-specific guidelines, with outcome measurements focusing mostly on biomedical indicators (e.g. blood sugar levels or lung function). However, for multimorbidity, a goal-oriented approach focusing on the goals defined by the individual patient, may be more suitable. Despite the clear theoretical and conceptual advantages of including patient-defined goals in clinical decision-making for multimorbidity, it is not clear how patients define their goals and which aspects play a role in the process of defining them.
objectiveTo explore goal-setting in patients with multimorbidity.
designQualitative analysis of interviews with 19 patients diagnosed with chronic obstructive pulmonary disease and comorbidities.
resultsPatients do not naturally present their goals. Their goals are difficult to elicit, even when different interviewing techniques are used. Four underlying hypotheses which may explain this finding were identified from the interviews: (1) patients cannot identify with the concept of goal-setting; (2) goal-setting is reduced due to acceptation; (3) actual stressors predominate over personal goal-setting; and (4) patients may consider personal goals as selfish.
conclusionsOur findings advocate for specific attention to provider skills and strategies that help patients identify their personal goals. The hypotheses on why patients may struggle with defining goals may be useful to prompt patients in this process and support the development of a clinical method for goal-oriented care.
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