Health-Related Goal Setting and Achievement Among Veterans with High Technology Adoption.
J Gen Intern Med
; 36(11): 3337-3345, 2021 11.
Article
em En
| MEDLINE
| ID: mdl-33963510
ABSTRACT
BACKGROUND:
There 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.OBJECTIVE:
To 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.DESIGN:
Cross-sectional survey.PARTICIPANTS:
Veterans who receive Veterans Health Administration (VA) healthcare and are users of VA patient-facing technology. MAINMEASURES:
Veteran demographics, goal-related behaviors, and goal achievement.METHODS:
Veterans 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. KEYRESULTS:
Among 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.CONCLUSIONS:
Efforts 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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Veteranos
/
Aplicativos Móveis
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Gen Intern Med
Assunto da revista:
MEDICINA INTERNA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos