BMC Med Inform Decis Mak - Measuring the quality of patients' goals and action plans: development and validation of a novel tool.

Tópicos

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Resumo

CKGROUND: The 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.METHODS: We 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.RESULTS: Trained 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.CONCLUSIONS: The 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 REGISTRATION: Clinicaltrials.gov Identifier: NCT00481286.

Resumo Limpo

ckground purpos studi develop test reliabl valid util goalset evalu tool diabet getd effect diabet selfmanag predic goalset action plan strategi evalu selfmanag intervent hamper absenc tool assess qualiti goal action plan address gap develop getd criteriabas observ rate scale measur qualiti patient diabet goal action plansmethod conduct stage develop getd includ identif criteria observ rate goal action plan rater train pilot test perform psychometr test getdresult train rater effect rate qualiti patientgener goal action plan use getd rate perform train evalu demonstr good raw agreement interrat reliabl kappa score getd correl well measur theoret associ goalset includ patient activ r p diabet specif selfefficaci r p invers relationship depress r p signific group differ p getd score goalset intervent mean standard deviat educ group mean standard deviat confirm construct valid getdconclus getd can reliabl valid rate qualiti goal action plan hold promis measur intervent fidel clinic intervent promot diabet selfmanag behavior improv clinic outcomestri registr clinicaltrialsgov identifi nct

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