Evidence map›Paper›PMID 33963510›Full record

ArticleJournal of general internal medicine2021

Health-Related Goal Setting and Achievement Among Veterans with High Technology Adoption.

Rachael N Martinez, Bridget M Smith, Bella Etingen, Thomas K Houston, Stephanie L Shimada, Daniel J Amante, Angela Patterson, Lorilei M Richardson, Gerrit Vandenberg, Sarah L Cutrona and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

13 authors at 7 institutions in 2 countries.

Rachael N MartinezeHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Bridget M SmitheHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Bella EtingeneHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Thomas K HoustoneHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Stephanie L ShimadaeHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Daniel J AmanteeHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Angela PattersoneHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Lorilei M RichardsoneHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Gerrit VandenbergeHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Sarah L CutronaeHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Lisa M QuintilianieHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Kathleen L FrisbeeeHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA.
Timothy P HoganeHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA. timothy.hogan@va.gov.ORCID 0000-0002-6888-0927
Boston University · USUniversity of Massachusetts Chan Medical School · USEdith Nourse Rogers Memorial Veterans Hospital · USEdward Hines, Jr. VA Hospital · USNorthwestern University · USUnited States Department of Veterans Affairs · USVA New England Healthcare System · US

Funding

University of Massachusetts Center for Clinical and Translational ScienceKL2TR001455 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2015 to 2024
$5.0M
NCATS NIH HHS KL2 TR001455VA PEC 15-470
6 · The paper itself

Abstract

backgroundThere is increasing recognition of the importance of supporting patients in their health-related goals. Patient-provider discussions and health-related mobile applications (apps) can support patients to pursue health goals; however, their impact on patient goal setting and achievement is not well understood.

objectiveTo examine the relationships between the following: (1) patient demographics, patient-provider discussions, and health-related goal setting and achievement, and (2) patient mobile health app use and goal achievement.

designCross-sectional survey.

participantsVeterans who receive Veterans Health Administration (VA) healthcare and are users of VA patient-facing technology. MAIN MEASURES: Veteran demographics, goal-related behaviors, and goal achievement.

methodsVeterans were invited to participate in a telephone survey. VA administrative data were linked to survey data for additional health and demographic information. Logistic regression models were run to identify factors that predict health-related goal setting and achievement. KEY

resultsAmong respondents (n=2552), 75% of patients indicated having set health goals in the preceding 6 months and approximately 42% reported achieving their goal. Men (vs. women) had lower odds of setting goals (OR: 0.71; CI95: 0.53-0.97), as did individuals with worse (vs. better) health (OR: 0.18; CI95: 0.04-0.88). Individuals with advanced education-some college/college degrees, and post-college degrees (vs. no college education)-demonstrated higher odds of setting goals (OR: 1.35; CI95: 1.01-1.79; OR: 1.71; CI95: 1.28-2.28, respectively). Those who reported having discussed their goals with their providers were more likely to set goals (OR: 3.60; CI95: 2.97-4.35). Patient mobile health app use was not statistically associated with goal achievement.

conclusionsEfforts to further promote patient-led goal setting should leverage the influence of patient-provider conversations. Use of patient-facing technologies, specifically mobile health apps, may facilitate goal-oriented care, but further work is needed to examine the potential benefits of apps to support patient goals, particularly if providers discuss and endorse use of those apps with patients.

Indexed as

Mobile ApplicationsVeteransCross-Sectional StudiesFemaleGoalsHumansMaleTechnologygoal settingmobile health appspatient engagementtechnologyVeterans

Identifiers

PMID33963510
PMCPMC8606471
OpenAlexW3158132123

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.