Implementation of collaborative goal setting for diabetes in community primary care

Andrea S Wallace; Yelena Perkhounkova; Andrew L Sussman; Maria Hein; Sophia Jihey Chung; Toni Tripp-Reimer

doi:10.1007/s13142-016-0389-5

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Implementation of collaborative goal setting for diabetes in community primary care

Journal article

Open access

Implementation of collaborative goal setting for diabetes in community primary care

Andrea S Wallace, Yelena Perkhounkova, Andrew L Sussman, Maria Hein, Sophia Jihey Chung and Toni Tripp-Reimer

Translational behavioral medicine, Vol.6(2), pp.202-211

06/2016

DOI: 10.1007/s13142-016-0389-5

PMCID: PMC4927452

PMID: 27356990

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Abstract

Collaborative goal setting (CGS) is a cornerstone of diabetes self-management support, but little is known about its feasibility and effectiveness during routine care. The aim of this study was to evaluate the implementation of an existing CGS intervention when integrated by primary care staff. Using a mixed-methods approach guided by the RE-AIM framework, intervention adoption, implementation, reach, and effectiveness were evaluated over 12 months. Three of four sites adopted the CGS intervention, in which 521 patients with type 2 diabetes (9-29 % of those targeted) received CGS. For those with suboptimal glycemic control (A1C ≥ 7.5 %), %A1C decreased by 1.1 for those receiving CGS (n = 204, p < 0.001) compared to 0.4 for a group who did not (n = 41, p = 0.23). Practice characteristics influenced adoption and implementation, while isolation of CGS from the remainder of clinical care likely influenced reach and effectiveness. CGS may benefit patients with diabetes, but a lack of integration by practice staff is a key barrier to overcome during implementation.

Primary Health Care - manpower

Self Efficacy

Blood Glucose - analysis

Humans

Diabetes Mellitus, Type 2 - therapy

Cooperative Behavior

Female

Male

Diabetes Mellitus, Type 2 - metabolism

Program Evaluation

Self Care

Details

Title: Subtitle: Implementation of collaborative goal setting for diabetes in community primary care
Creators: Andrea S Wallace - The University of Iowa College of Nursing, 324 CNB, 50 Newton Road, Iowa City, IA, 52242, USA. andrea-wallace@uiowa.edu
Yelena Perkhounkova - The University of Iowa College of Nursing, 324 CNB, 50 Newton Road, Iowa City, IA, 52242, USA
Andrew L Sussman - The University of New Mexico School of Medicine, Albuquerque, NM, 87131, USA
Maria Hein - The University of Iowa College of Nursing, 324 CNB, 50 Newton Road, Iowa City, IA, 52242, USA
Sophia Jihey Chung - Department of Nursing, University of Ulsan, Daehakro 93, Nam-Gu, Ulsan, 44610, South Korea
Toni Tripp-Reimer - The University of Iowa College of Nursing, 324 CNB, 50 Newton Road, Iowa City, IA, 52242, USA
Resource Type: Journal article
Publication Details: Translational behavioral medicine, Vol.6(2), pp.202-211
Publisher: England
DOI: 10.1007/s13142-016-0389-5
PMID: 27356990
PMCID: PMC4927452
ISSN: 1869-6716
eISSN: 1613-9860
Grant note: UL1 RR024979 / NCRR NIH HHS U54 TR001356 / NCATS NIH HHS
Language: English
Date published: 06/2016
Academic Unit: Nursing; Research Dept
Record Identifier: 9984064276002771

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