1. J Neurosci Nurs. 2009 Dec;41(6):312-21.

Content and characteristics of goals created during a self-management
intervention for people with epilepsy.

Walker ER(1), Wexler B, Dilorio C, Escoffery C, McCarty F, Yeager KA.

Author information: 
(1)Department of Behavioral Sciences and Health Education, Rollins School of
Public Health, Emory University, Atlanta, GA, USA. ereisin@emory.edu

Goals are presented in the chronic illness literature as effective strategies to 
help people adopt self-management behaviors; however, not much is known about the
types and characteristics of individuals' goals. The purpose of this study was to
examine goal setting among people with epilepsy who participated in the WebEase
program. WebEase is an Internet-based, theory-driven, self-management program
with modules on medication adherence, stress management, and sleep habits.
Participants had the opportunity to create and evaluate goals over the course of 
6 weeks, with 2 weeks for each module. The goals were analyzed using three
dimensions: content, specificity, and proximity. Most participants in the sample 
wrote goals for each week of the program. Several main content areas emerged
within the modules. Goal quality, measured by specificity and proximity, did not 
differ according to readiness for behavior change. Readiness to change did not
differ between those who wrote a goal and those who did not. The diversity of
goal content and quality indicates that individuals should be supported in goal
development and encouraged to set their own self-management goals, regardless of 
their readiness for behavior change.

PMID: 19998682  [Indexed for MEDLINE]