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Translational Behavioral Medicine
Published in: Translational Behavioral Medicine 2/2016

01-06-2016 | Original Research

Implementation of collaborative goal setting for diabetes in community primary care

Authors: Andrea S. Wallace, PhD, RN, Yelena Perkhounkova, PhD, Andrew L. Sussman, PhD, MCRP, Maria Hein, MSW, Sophia Jihey Chung, PhD, RN, Toni Tripp-Reimer, PhD, RN, FAAN

Published in: Translational Behavioral Medicine | Issue 2/2016

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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.
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Metadata
Title
Implementation of collaborative goal setting for diabetes in community primary care
Authors
Andrea S. Wallace, PhD, RN
Yelena Perkhounkova, PhD
Andrew L. Sussman, PhD, MCRP
Maria Hein, MSW
Sophia Jihey Chung, PhD, RN
Toni Tripp-Reimer, PhD, RN, FAAN
Publication date
01-06-2016
Publisher
Springer US
Published in
Translational Behavioral Medicine / Issue 2/2016
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-016-0389-5

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