Disentangling self-management goal setting and action planning: A scoping review

Lenzen, Stephanie Anna; Daniëls, Ramon; Bokhoven, Marloes Amantia van; Weijden, Trudy van der; Beurskens, Anna

doi:10.1371/journal.pone.0188822

Cited by 78 publications

(63 citation statements)

References 104 publications

(270 reference statements)

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“…With decision making and goal setting being the foci of recent research, a variety of strategies have been studied to guide the individual-provider dyad through the process from preparing to set a goal to following up on goal attainment. 43 This study has several strengths and limitations. First, this study was a secondary analysis; thus, the questionnaire items were selected to address the aims of the original study.…”

Section: Discussionmentioning

confidence: 99%

Help-seeking behavior among community-dwelling adults with chronic pain

Mann

VanDenKerkhof

Johnson

et al. 2019

Canadian Journal of Pain

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Background: Some individuals with chronic pain do not seek care. This decision may be due to characteristics of the individual, pain, and/or their health professional(s). Aims: This study aimed to identify and compare features of individuals with chronic pain, their pain and general health, and their health care professional between community-dwelling adults who did and did not seek care. Methods: Randomly selected adults were mailed a study questionnaire that screened for chronic pain (pain persisting ≥3 months) and asked about their general well-being (Short Form [SF]-36), pain location (body diagram), pain intensity and characteristics (Leeds Assessment of Neuropathic Symptoms and Signs), experiences with health care professionals (Chronic Illness Resources Survey), and visits made to health professionals over the past year. Respondents were categorized as help-seeking (≥1 visit in the past year) and non-help-seeking (zero visits in the past year). Results: Six percent of respondents (44/696) were non-help-seeking. These respondents differed in individual, pain, and health care professional characteristics when compared to those who did seek care. Specifically, when other variables were controlled, non-helpseeking individuals were less likely to be male (relative risk [RR] = 0.39, 95% confidence interval [CI], 0.18-0.86), report comorbid conditions (RR = 0.46, 95% CI, 0.22-0.98), report being treated as an equal partner in decision making (RR = 0.40, 95% CI, 0.18-0.93), and rate their health care professional as important to their pain management (RR = 0.39, 95% CI, 0.18-0.85). They were more likely to use over-the-counter medication to manage their pain (RR = 2.52, 95% CI, 1.14-5.58). Conclusions: Experiences with health professionals play a role in determining whether an individual manages his or her pain independently. Future research should explore the safety of those who do not seek care. RÉSUMÉ Contexte: Certaines personnes souffrant de douleur chronique ne se font pas soigner. Cette décision peut être attribuable aux caractéristiques des individus, de leur douleur ou de leur(s) professionel(s) de la santé. But: Cette étude avait pour but de répertorier et de comparer les caractéristiques de personnes souffrant de douleur chronique, de leur douleur et de leur état de santé général, ainsi que de leur professionnel de la santé, chez des adultes vivant dans la collectivité qui se sont fait soigner et ne se sont pas fait soigner. Méthodes: Un questionnaire d'étude a été expédié par la poste à des adultes sélectionnés de manière aléatoire. Ce questionnaire cherchait à dépister la douleur chronique (douleur persistant ≥ 3 mois) et comprenait des questions sur leur bien-être général (SF-36), sur l'emplacement de leur douleur (diagramme du corps, intensité et caractéristiques de la douleur (Leeds Assessment of Neuropathic Symptoms and Signs) sur leurs expériences passées avec des professionnls de la santé (Chronic Illness Resources Survey), et sur leurs consultations auprès de professionnels de la santé au cours...

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Section: Discussionmentioning

confidence: 99%

Help-seeking behavior among community-dwelling adults with chronic pain

Mann

VanDenKerkhof

Johnson

et al. 2019

Canadian Journal of Pain

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“…In order to resolve discrepancies between the opinions of patients and those of health professionals regarding health care delivery, it is recommended in national clinical guidelines for people with multi-morbidity that they should have the opportunity to collaborate with health professionals to formulate goals for own care [11,12]. However, little is known about how health professionals initiate and practice collaborative goal setting with patients with multi-morbidity [13,14].…”

Section: Introductionmentioning

confidence: 99%

“…To overcome such difficulties, a specific form of collaborative goal setting has been suggested in order to attend to patients' preferences and needs in the co-production of service delivery. Collaborative goal setting is 'a process by which health professionals and patients agree on a health-related goal' ( [13], [20], p., 2). A health professional asks the patient to express needs and goals for care delivery according to the patient's own definition of health.…”

Section: Introductionmentioning

confidence: 99%

“…There is limited research on goal setting for patients with multi-morbidity across settings [13,14]. Previously, goal setting has been studied within neurological, rehabilitation, and in-patient settings [8,9,13,26]. According to integrated care models, many Norwegian municipalities are implementing a procedure of goal setting in health care delivery for older patients [12].…”

Section: Introductionmentioning

confidence: 99%

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Sharing responsibility: municipal health professionals’ approaches to goal setting with older patients with multi-morbidity – a grounded theory study

Oksavik

Kirchhoff

Sogstad

et al. 2020

BMC Health Serv Res

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Background: Recent health policy promoting integrated care emphasizes to increase patients' health, experience of quality of care and reduce care utilization. Thus, health service delivery should be co-produced by health professionals and individual patients with multiple diseases and complex needs. Collaborative goal setting is a new procedure for older patients with multi-morbidity. The aim is to explore municipal health professionals' experiences of collaborative goal setting with patients with multi-morbidity aged 80 and above. Methods: A qualitative study with a constructivist grounded theory approach. In total twenty-four health professionals from several health care services in four municipalities, participated in four focus group discussions. Results: Health professionals took four approaches to goal setting with older patients with multi-morbidity: motivating for goals, vicariously setting goals, negotiating goals, and specifying goals. When 'motivating for goals', they educated reluctant patients to set goals. Patients' capacity or willingness to set goals could be reduced, due to old age, illness or less knowledge about the health system. Health professionals were 'vicariously setting goals' when patients did not express or take responsibility for goals due to adaptation processes to disease, or symptoms as cognitive impairment or exhaustion. By 'Negotiating goals', health professionals handled disagreements with patients, and often relatives, who expected to receive more services than usual care. They perceived some patients as passive or having unrealistic goals to improve health. 'Specifying goals' was a collaboration. Patients currently treated for one condition, set sub-goals to increase health. Patients with complex diseases prioritized one goal to maintain health. These approaches constitute a conceptual model of how health professionals, to varying extents, share responsibility for goal setting with patients. Conclusions: Goal setting for patients with multi-morbidity were carried out in an interplay between patients' varying levels of engagement and health professionals' attitudes regarding to what extents patients should be responsible for pursuing the integrated health services' objectives. Even though goal setting seeks to involve patients in co-production of their health service delivery, the health services´aims and context could restrict this co-production.

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“…33 Anaphylaxis self-management plans have also been found to vary in quality and clinicianuptake. [40][41][42] Evidence from paediatric settings has found that staff led AAI training for parents and children can be effective in increasing adherence when it considers complex psychosocial factors which may be barriers to self-care behaviours, such as the attitudes of family members and carers to anaphylaxis and AAI use, and patients risk perceptions. 36,43 Behavioural science theories can improve the design of behaviour change interventions.…”

Section: Introductionmentioning

confidence: 99%

Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals

Mahoney

Walklet

Bradley

et al. 2019

Immunity Inflam & Disease

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Background Clinicians draw on instructional approaches when training patients with anaphylaxis to use adrenaline autoinjectors, but patient use is poor. Psychological barriers to these behaviours exist but are not considered routinely when training patients to use autoinjectors. Health Psychology principles suggest exploring these factors with patients could improve their autoinjector use. Objective To evaluate the impact of a 90‐minute workshop training clinicians in strategies and techniques for exploring and responding to psychological barriers to autoinjector use with patients. Attendees’ knowledge, confidence and likelihood of using the strategies were expected to improve. Methods Impact was evaluated using a longitudinal mixed‐method design. Twenty‐nine clinicians (general and specialist nurses, general practitioners, and pharmacists) supporting patients with anaphylaxis in UK hospitals and general practice attended. Self‐rated knowledge, confidence, and likelihood of using the strategies taught were evaluated online 1 week before, 1 to 3, and 6 to 8 weeks after the workshop. Clinicians were invited for telephone interview after attending to explore qualitatively the workshop impact. Results χ2 analyses were significant in most cases (P < .05), with sustained (6‐8 weeks) improvements in knowledge, confidence, and likelihood of using the strategies taught. Thematic analysis of interview data showed the workshop enhanced attendees’ knowledge of the care pathway, understanding of patient's experience of anaphylaxis as psychological not purely physical, and altered their communication with this and other patient groups. However, interviewees perceived lack of time and organisational factors as barriers to using the strategies and techniques taught in clinical contexts. Conclusion Training clinicians in psychologically informed strategies produce sustained improvements in their confidence and knowledge around patient autoinjector education, and their likelihood of using strategies in clinical practice. Clinical Relevance Exploring psychological barriers should be part of training patients with anaphylaxis in autoinjector use.

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Disentangling self-management goal setting and action planning: A scoping review

Cited by 78 publications

References 104 publications

Help-seeking behavior among community-dwelling adults with chronic pain

Help-seeking behavior among community-dwelling adults with chronic pain

Sharing responsibility: municipal health professionals’ approaches to goal setting with older patients with multi-morbidity – a grounded theory study

Improving adrenaline autoinjector adherence: A psychologically informed training for healthcare professionals

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