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Patient Educ Couns. 2013 Jul;92(1):94-9. doi: 10.1016/j.pec.2013.01.016. Epub 2013 Feb 19.

Patient-reported use of collaborative goal setting and glycemic control among patients with diabetes.

Author information

1
Social and Behavioral Health, School of Medicine, Virginia Commonwealth University, Richmond, USA. jelstonlafat@vcu.edu

Abstract

OBJECTIVE:

Little is known about how patient-clinician communication leads to better outcomes. Among patients with diabetes, we describe patient-reported use of collaborative goal setting and evaluate whether perceived competency and physician trust mediate the association between collaborative goal setting and glycemic control.

METHODS:

Data from a patient survey administered in 2008 to a cohort of insured patients aged 18+ years with diabetes who initiated oral mono-therapy between 2000 and 2005 were joined with pharmaceutical claims data for the prior 12 months and laboratory data for the prior and subsequent 12 months (N=1065). A structural equation model (SEM) was used to test mediation models controlling for baseline HbA1c.

RESULTS:

The hypothesized mediation model was supported. Patient-reported use of more collaborative goal setting was associated with greater perceived self-management competency and increased level of trust in the physician (p<0.05). In turn, both greater perceived competence and increased trust were associated with increased control (p<0.05).

CONCLUSIONS:

Findings indicate that engaging patients in collaborative goal setting during clinical encounters has potential to foster a trusting patient-clinician relationship as well as enhance patient perceived competence, thereby improving clinical control.

PRACTICE IMPLICATIONS:

Fostering collaborative goal setting may yield payoffs in improved clinical outcomes among patients with diabetes.

PMID:
23433777
PMCID:
PMC4301400
DOI:
10.1016/j.pec.2013.01.016
[Indexed for MEDLINE]
Free PMC Article
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