Trial reportBMJ open2019
Can goal-setting for patients with multimorbidity improve outcomes in primary care? Cluster randomised feasibility trial.
Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 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
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Models of comprehensive care for older persons with chronic diseases: a systematic review with a focus on effectiveness.BMJ open · 2022Pooled it
- Effects of goal-oriented care for adults with multimorbidity: A systematic review and meta-analysis.Journal of evaluation in clinical practice · 2022Pooled it
- Goals of Frail Older People Living With Chronic Kidney Disease: A Mixed Methods Study.Journal of the American Geriatrics Society · 2025Trial
- HbA1c as a shared treatment goal in type 2 diabetes? A secondary analysis of the DEBATE trial.BMC primary care · 2023Trial
- Patient-centred innovation for multimorbidity care: a mixed-methods, randomised trial and qualitative study of the patients' experience.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Trial
- Trial
- Patient-Centered Measures of Goal Concordance in Geriatrics and Palliative Care: A Scoping Review.JAMA network open · 2025Article
- A self-management package for pulmonary fibrosis: A feasibility study.PEC innovation · 2024Article
- Evaluation of daily eating patterns on overall diet quality using decision tree analyses.The American journal of clinical nutrition · 2024Article
- Patient Priorities-Aligned Care for Older Adults With Multiple Conditions: A Nonrandomized Controlled Trial.JAMA network open · 2024Article
- Feasibility of Goal Attainment Scaling as a patient-reported outcome measure for older patients in primary care.Journal of patient-reported outcomes · 2023Article
- The Influence of Transaction Process With Doctors on Patient Satisfaction, Self-Rating Anxiety and Self-Efficacy Among International Students in China.Frontiers in public health · 2021Article
- Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS.International journal of environmental research and public health · 2020Article
- The "unknown territory" of goal-setting: Negotiating a novel interactional activity within primary care doctor-patient consultations for patients with multiple chronic conditions.Social science & medicine (1982) · 2020Article
- Facilitators and barriers of managing patients with multiple chronic conditions in the community: a qualitative study.BMC public health · 2020Article
- 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
- Evaluation of the Impact of a Coordinated Intervention Model for Complex Older Patients with Dementia.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors at 2 institutions in 1 country.
Funding
Abstract
introductionGoal-setting is recommended for patients with multimorbidity, but there is little evidence to support its use in general practice.
objectiveTo assess the feasibility of goal-setting for patients with multimorbidity, before undertaking a definitive trial. DESIGN AND
settingCluster-randomised controlled feasibility trial of goal-setting compared with control in six general practices.
participantsAdults with two or more long term health conditions and at risk of unplanned hospital admission.
interventionsGeneral practitioners (GPs) underwent training and patients were asked to consider goals before an initial goal-setting consultation and a follow-up consultation 6 months later. The control group received usual care planning. OUTCOME MEASURES: Health-related quality of life (EQ-5D-5L), capability (ICEpop CAPability measure for Older people), Patient Assessment of Chronic Illness Care and healthcare use. All consultations were video-recorded or audio-recorded, and focus groups were held with participating GPs and patients.
resultsFifty-two participants were recruited with a response rate of 12%. Full follow-up data were available for 41. In the goal-setting group, mean age was 80.4 years, 54% were female and the median number of prescribed medications was 13, compared with 77.2 years, 39% female and 11.5 medications in the control group. The mean initial consultation time was 23.0 min in the goal-setting group and 19.2 in the control group. Overall 28% of patient participants had no cognitive impairment. Participants set between one and three goals on a wide range of subjects, such as chronic disease management, walking, maintaining social and leisure interests, and weight management. Patient participants found goal-setting acceptable and would have liked more frequent follow-up. GPs unanimously liked goal-setting and felt it delivered more patient-centred care, and they highlighted the importance of training.
conclusionsThis goal-setting intervention was feasible to deliver in general practice. A larger, definitive study is needed to test its effectiveness. TRIAL REGISTRATION NUMBER: ISRCTN13248305; Post-results.
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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.