Measuring the quality of Patients’ goals and action plans: development and validation of a novel tool

BMC Medical Informatics and Decision Making

Research Article

Cayla R Teal¹  Ajay S Balasubramanyam²  Elisa Rodriguez²  Aanand D Naik³  Paul Haidet⁴ 

[1] Department of Medicine, Section of General Medicine, and the Office of Undergraduate Medical Education, Baylor College of Medicine, Houston, TX, USA;Houston VA HSR&D Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA;Houston VA HSR&D Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA;Department of Medicine, Section of Health Services Research, Baylor College of Medicine, MEDVAMC HSR&D Center of Excellence, 2002 Holcombe Blvd. (152), 77030, Houston, TX, USA;The Office of Medical Education and the Departments of Medicine and Humanities, The Pennsylvania State University College of Medicine, Hershey, PA, USA;

关键词: Goal-setting;    Diabetes;    Self-management;    Goals;    Action plans;    Measurement;   

DOI  :  10.1186/1472-6947-12-152

 received in 2012-05-22, accepted in 2012-12-12,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe purpose of this study is to develop and test reliability, validity, and utility of the Goal-Setting Evaluation Tool for Diabetes (GET-D). The effectiveness of diabetes self-management is predicated on goal-setting and action planning strategies. Evaluation of self-management interventions is hampered by the absence of tools to assess quality of goals and action plans. To address this gap, we developed the GET-D, a criteria-based, observer rating scale that measures the quality of patients’ diabetes goals and action plans.MethodsWe conducted 3-stage development of GET-D, including identification of criteria for observer ratings of goals and action plans, rater training and pilot testing; and then performed psychometric testing of the GET-D.ResultsTrained raters could effectively rate the quality of patient-generated goals and action plans using the GET-D. Ratings performed by trained evaluators demonstrated good raw agreement (94.4%) and inter-rater reliability (Kappa = 0.66). Scores on the GET-D correlated well with measures theoretically associated with goal-setting, including patient activation (r=.252, P<.05), diabetes specific self-efficacy (r=.376, P<.001) and inverse relationship with depression (r= −.376, P<.01). Significant between group differences (P<.01) in GET-D scores between goal-setting intervention (mean = 7.33, standard deviation = 4.4) and education groups (mean = 4.93, standard deviation = 3.9) confirmed construct validity of the GET-D.ConclusionsThe GET-D can reliably and validly rate the quality of goals and action plans. It holds promise as a measure of intervention fidelity for clinical interventions that promote diabetes self-management behaviors to improve clinical outcomes.Trial registrationClinicaltrials.gov Identifier: NCT00481286

【 授权许可】

Unknown   
© Teal et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.