Facilitating Diabetes Self-Management Goal Setting in a Real-World Primary Care Center

Abstract

Self-management goal setting can be implemented in primary care settings in an efficient and economical manner.

Exploring interventions to increase primary care providers’ use of self-management goals

“…Had more time been available, the lack of provider use of the specified EHR section could have been addressed more directly in communications. Similar to findings in the literature, 8,15 the health center is very busy and healthcare provider time is primarily committed to direct patient care.…”

“…Descriptions of SMG data collection instruments from the literature guided the data collection process. 8,15 The chart review data extraction form included: presence of a SMG (yes/no), if so, was it patientcentered (yes/no) and how many of the SMART criteria did it meet (1-5). Each individual SMG was evaluated by the presence of the SMART goal characteristics (Specific, Measurable, Achievable, Result-Oriented and Time-Sensitive).…”

What is agenda setting in the clinical encounter? Consensus from literature review and expert consultation

“…However in stripping this construct back to its core elements we have described a communication strategy that others might recognize using different terminology. In particular, there is considerable overlap between these ideas and the literature on goal setting [86][87][88][89]. We propose that the distinction between these constructs is that agenda mapping lacks the future, actionorientated perspective that is implicit in goal setting.…”

Cost-effectiveness of Diabetes Self-management Programs in Community Primary Care Settings

“…The programs and their achievements are described in detail on the Diabetes Initiative Web site (http://diabetesinitiative.org) and in numerous journal articles, [10][11][12][13][14][15][16] including a special supplement to The Diabetes Educator. [17][18][19][20][21][22][23][24][25][26][27][28][29][30] Six of the 14 projects funded through this initiative focused on improving self-management supports in primary care settings. Their projects began with a 15-month planning phase, during which they tested innovative approaches to reaching and engaging their respective patient populations in self-management.…”