May 1, 2006The Journal of the American Board of Family MedicineOpen Access

Behavior-Change Action Plans in Primary Care: A Feasibility Study of Clinicians

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Coronary heart disease risk factors (n=274). Intervention: Collaborative goal-setting and action planning vs. Previous behavior-change discussions. Primary outcome: Proportion of patient encounters resulting in a behavior-change action plan.

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Key result

Collaborative goal-setting between primary care clinicians and patients with CHD risk factors was feasible, with 83% of encounters resulting in a behavior-change action plan.

Population

43 primary care clinicians and 274 adult patients with coronary heart disease risk factors, mean age 52.3…

Design

Other

Follow-up

within 6 weeks of study conclusion

Authors

KMK. MacGregorCentre for Family Medicine MHMargaret A. HandleyUniversity of California, San Francisco SWStephanie E. WongUniversity of California, San Francisco

Discussion

Member takes

Implication

Collaborative goal-setting appears feasible in primary care; leaves open whether it improves CHD risk factor control.

Study Design

Type

Observational (n=274)

Multicenter

Yes

Structured PICO

Population

274 adult patients with coronary heart disease risk factors and 43 primary care clinicians participated in a feasibility study of collaborative goal-setting during primary care visits.

Intervention

Collaborative goal-setting and concrete action planning for behavior change during the primary care visit.

Outcome

Feasibility of clinicians engaging in action plan discussions (measured by completion rate of action plans, time required, and clinician satisfaction).

Collaborative goal-setting and action planning for behavior change is feasible and viewed favorably by primary care clinicians, though time constraints remain a significant barrier.

Limitations

Participating practices and clinicians were self-selected and possibly more inclined to engage in a collaborative paradigm.
The research protocol encouraged clinicians to hold goal-setting discussions with patients enrolled in the study rather than naturally occurring patients.
Preintervention knowledge of, attitudes toward, or experience with shared decision making were not assessed.
Few patients per clinician were enrolled, so clinicians may not have achieved mastery of the new skill.
Participating practices and clinicians were self-selected and possibly more inclined to engage in a collaborative paradigm
Research protocol encouraged clinicians to hold discussions with study patients rather than those for whom behavior change was naturally an important issue
Few patients per clinician were enrolled, which may have limited mastery of the new skill
Did not assess preintervention knowledge of, attitudes toward, or experience with shared decision making

Cite This Study

MacGregor et al. (2006) conducted an observational in Coronary heart disease risk factors (n=274). Collaborative goal-setting and action planning vs. Previous behavior-change discussions was evaluated on Proportion of patient encounters resulting in a behavior-change action plan. Collaborative goal-setting between primary care clinicians and patients with CHD risk factors was feasible, with 83% of encounters resulting in a behavior-change action plan.

synapsesocial.com/papers/6a85a01c7fcf0fdb395e2654 https://doi.org/10.3122/jabfm.19.3.215

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Behavior-Change Action Plans in Primary Care: A Feasibility Study of Clinicians

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Behavior-Change Action Plans in Primary Care: A Feasibility Study of Clinicians

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider