Evidence map›Paper›PMID 30564435›Full record

ArticlePilot and feasibility studies2018

Feasibility study of goal setting discussions between older adults and volunteers facilitated by an eHealth application: development of the Health TAPESTRY approach.

Dena Javadi, Larkin Lamarche, Ernie Avilla, Raied Siddiqui, Jessica Gaber, Mehreen Bhamani, Doug Oliver, Laura Cleghorn, Dee Mangin, Lisa Dolovich

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Combining volunteers and primary care teamwork to support health goals and needs of older adults: a pragmatic randomized controlled trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dena Javadi1McMaster University, DFM DBHSC, 5th Floor 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.
Larkin Lamarche1McMaster University, DFM DBHSC, 5th Floor 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.
Ernie Avilla1McMaster University, DFM DBHSC, 5th Floor 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.
Raied Siddiqui1McMaster University, DFM DBHSC, 5th Floor 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.
Jessica Gaber1McMaster University, DFM DBHSC, 5th Floor 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.
Mehreen Bhamani1McMaster University, DFM DBHSC, 5th Floor 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.
Doug Oliver2McMaster University, DFM DBHSC, 3rd Floor, 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.
Laura Cleghorn1McMaster University, DFM DBHSC, 5th Floor 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.
Dee Mangin1McMaster University, DFM DBHSC, 5th Floor 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.
Lisa Dolovich1McMaster University, DFM DBHSC, 5th Floor 100 Main St West, Hamilton, Ontario L8P 1H6 Canada.ORCID 0000-0002-0061-6783

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn keeping with the changing needs of the Canadian population, primary care systems need to become more person-focused in providing quality care to older adults. As part of Health TAPESTRY, a complex intervention to strengthen primary care for older adults, a goal setting exercise was developed and tested in an initial feasibility study, intended to foster collaboration between patients and providers.

methodsParticipants-clinic clients-were recruited from the McMaster Family Health Team in Hamilton, Ontario. Five participants took part in the goal setting feasibility study phase I, which tested the functionality of a technology-enabled goal setting exercise between older adults and volunteers. Based on observations and feedback from volunteers, interprofessional team members, and older adults, the exercise was refined to include a guided survey and goals report. The goal setting survey is a list of probing questions designed based on SMART (specific, measurable, attainable, relevant, timely) goal setting strategies and goal attainment scaling (GAS). This was used in phase II, carried out with 16 participants, where the feasibility of goal setting and goal attainment with support from volunteers and interprofessional teams was tested. Volunteers carried out the goal setting survey via a tablet computer, a report of client goals was generated and sent to interprofessional teams, and client goals were discussed during clinic huddles. At 6 months of follow-up, clients self-evaluated their progress using GAS. RESULTS AND DISCUSSION: The goal setting exercise in phase I took an average of 24:45 (SD 11:42) minutes and yielded a diverse set of life and health goals. Goals identified by older adults were primarily focused on the

conclusionGoal setting as part of the Health TAPESTRY approach was feasible and provided interprofessional teams with client narratives that helped improve care management for older adults. The overall intervention-including the refined goal setting component-is being scaled and evaluated in a pragmatic randomized controlled trial.

Identifiers

PMID30564435
PMCPMC6292127

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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.