Understanding Patient Experiences With Goal Setting for Diabetes Self-management After Diabetes Education

Abstract

Diabetes educators need to understand self-care experiences of patients with diabetes in the early stage after diagnosis and education. A survey assessed patient-generated measures of experiences with goals (self-care behaviors) after diabetes education among patients with type 2 diabetes (N = 97) between 6 months and 1.5 years since diagnosis. Most patients set goals during diabetes education and thought that the goals were useful. There is evidence suggesting that patients experiencing difficulty with traditional self-care behaviors may use approaches to evaluate their diabetes control that are not encouraged in diabetes education, such as monitoring their physical and emotional feelings. Implications for diabetes education and counseling practices are suggested.

Goal Setting Using Telemedicine in Rural Underserved Older Adults with Diabetes: Experiences from the Informatics for Diabetes Education and Telemedicine Project

“…The link between goal setting and adherence to diabetes self-care is not always explicit and needs to be strengthened. 23 While research suggests that goal setting is strongly associated with overall adherence to diabetes self-care, patients (and providers) may not give sufficient attention to this important relationship. The use of telemedicine to facilitate diabetes selfmanagement training including individual goal setting, particularly in underserved populations, will be important to investigate further in future studies.…”

Conceptualisation of the ‘good’ self-manager: A qualitative investigation of stakeholder views on the self-management of long-term health conditions

“…49 The political focus on SM has emerged, in part, as a response to growing demands placed on 50 healthcare services, which have occurred due to people living longer and with an increased number 51 of long-term health conditions (LTC) (Sprague et al, 2006). In England fifteen million people live with 52 a LTC (NHS England, 2015).…”

An evaluation of a self-management package for people with diabetes at risk of chronic kidney disease

“…Standards 7-10 are concerned with patient aspects, most importantly individualised assessment, goal setting and effectiveness of the programme. Goal setting in diabetes education often relates to Social Cognitive Theory (Baranowski et al, 2002) and includes the process of identifying behaviours (self-control), greater confidence to perform behaviours (self-efficacy; Krichbaum et al, 2003), positive reinforcement and other constructs presumed to maximise goal (behaviour) attainment (Sprague et al, 2006). The Department of Health published findings of a longitudinal study on public attitudes towards self-care in 2008 (Department of Health, 2008).…”