Rachael N Martinez1,2, Bridget M Smith1,2,3, Bella Etingen1,2, Thomas K Houston1,4, Stephanie L Shimada1,5,6,7, Daniel J Amante1,7, Angela Patterson1,7, Lorilei M Richardson1,5, Gerrit Vandenberg1,6, Sarah L Cutrona1,5,7, Lisa M Quintiliani1,8, Kathleen L Frisbee1,9, Timothy P Hogan10,11,12. 1. eHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA. 2. Center of Innovation for Complex Chronic Healthcare (CINCCH), Hines VA Hospital, Hines, IL, USA. 3. Northwestern University Feinberg School of Medicine, Chicago, IL, USA. 4. Learning Health Systems, Department of Medicine, Wake Forest University, Winston-Salem, NC, USA. 5. Center for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers Memorial Veterans Hospital, VA Bedford Healthcare System, Bedford, MA, USA. 6. Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA, USA. 7. Division of Health Informatics and Implementation Science, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA. 8. Section of General Internal Medicine, Boston University School of Medicine, Boston, MA, USA. 9. Office of Connected Care, Veterans Health Administration, U.S. Department of Veterans Affairs, Washington, DC, USA. 10. eHealth Partnered Evaluation Initiative, VA Bedford Healthcare System, Bedford, MA, USA. timothy.hogan@va.gov. 11. Center for Healthcare Organization and Implementation Research (CHOIR), Edith Nourse Rogers Memorial Veterans Hospital, VA Bedford Healthcare System, Bedford, MA, USA. timothy.hogan@va.gov. 12. Department of Population and Data Sciences, UT Southwestern Medical Center, Dallas, TX, USA. timothy.hogan@va.gov.
Abstract
BACKGROUND: There is increasing recognition of the importance of supporting patients in their health-related goals. Patient-provider discussions and health-related mobile applications (apps) can support patients to pursue health goals; however, their impact on patient goal setting and achievement is not well understood. OBJECTIVE: To examine the relationships between the following: (1) patient demographics, patient-provider discussions, and health-related goal setting and achievement, and (2) patient mobile health app use and goal achievement. DESIGN: Cross-sectional survey. PARTICIPANTS: Veterans who receive Veterans Health Administration (VA) healthcare and are users of VA patient-facing technology. MAIN MEASURES: Veteran demographics, goal-related behaviors, and goal achievement. METHODS: Veterans were invited to participate in a telephone survey. VA administrative data were linked to survey data for additional health and demographic information. Logistic regression models were run to identify factors that predict health-related goal setting and achievement. KEY RESULTS: Among respondents (n=2552), 75% of patients indicated having set health goals in the preceding 6 months and approximately 42% reported achieving their goal. Men (vs. women) had lower odds of setting goals (OR: 0.71; CI95: 0.53-0.97), as did individuals with worse (vs. better) health (OR: 0.18; CI95: 0.04-0.88). Individuals with advanced education-some college/college degrees, and post-college degrees (vs. no college education)-demonstrated higher odds of setting goals (OR: 1.35; CI95: 1.01-1.79; OR: 1.71; CI95: 1.28-2.28, respectively). Those who reported having discussed their goals with their providers were more likely to set goals (OR: 3.60; CI95: 2.97-4.35). Patient mobile health app use was not statistically associated with goal achievement. CONCLUSIONS: Efforts to further promote patient-led goal setting should leverage the influence of patient-provider conversations. Use of patient-facing technologies, specifically mobile health apps, may facilitate goal-oriented care, but further work is needed to examine the potential benefits of apps to support patient goals, particularly if providers discuss and endorse use of those apps with patients.
BACKGROUND: There is increasing recognition of the importance of supporting patients in their health-related goals. Patient-provider discussions and health-related mobile applications (apps) can support patients to pursue health goals; however, their impact on patient goal setting and achievement is not well understood. OBJECTIVE: To examine the relationships between the following: (1) patient demographics, patient-provider discussions, and health-related goal setting and achievement, and (2) patient mobile health app use and goal achievement. DESIGN: Cross-sectional survey. PARTICIPANTS: Veterans who receive Veterans Health Administration (VA) healthcare and are users of VA patient-facing technology. MAIN MEASURES: Veteran demographics, goal-related behaviors, and goal achievement. METHODS: Veterans were invited to participate in a telephone survey. VA administrative data were linked to survey data for additional health and demographic information. Logistic regression models were run to identify factors that predict health-related goal setting and achievement. KEY RESULTS: Among respondents (n=2552), 75% of patients indicated having set health goals in the preceding 6 months and approximately 42% reported achieving their goal. Men (vs. women) had lower odds of setting goals (OR: 0.71; CI95: 0.53-0.97), as did individuals with worse (vs. better) health (OR: 0.18; CI95: 0.04-0.88). Individuals with advanced education-some college/college degrees, and post-college degrees (vs. no college education)-demonstrated higher odds of setting goals (OR: 1.35; CI95: 1.01-1.79; OR: 1.71; CI95: 1.28-2.28, respectively). Those who reported having discussed their goals with their providers were more likely to set goals (OR: 3.60; CI95: 2.97-4.35). Patient mobile health app use was not statistically associated with goal achievement. CONCLUSIONS: Efforts to further promote patient-led goal setting should leverage the influence of patient-provider conversations. Use of patient-facing technologies, specifically mobile health apps, may facilitate goal-oriented care, but further work is needed to examine the potential benefits of apps to support patient goals, particularly if providers discuss and endorse use of those apps with patients.
Authors: Robert O Morgan; Laura A Petersen; Jennifer C Hasche; Jessica A Davila; Margaret M Byrne; Nora I Osemene; Iris I Wei; Michael L Johnson Journal: Am J Manag Care Date: 2009-03-16 Impact factor: 2.229
Authors: Christina Korownyk; James McCormack; Michael R Kolber; Scott Garrison; G Michael Allan Journal: Can Fam Physician Date: 2017-09 Impact factor: 3.275
Authors: Melissa M Jenkins; Peter J Colvonen; Sonya B Norman; Niloofar Afari; Carolyn B Allard; Sean P A Drummond Journal: Sleep Date: 2015-10-01 Impact factor: 5.849
Authors: Tania Gardner; Kathryn Refshauge; James McAuley; Stephen Goodall; Markus Hübscher; Lorraine Smith Journal: Spine (Phila Pa 1976) Date: 2016-09-15 Impact factor: 3.468
Authors: Gregory C Pope; John Kautter; Randall P Ellis; Arlene S Ash; John Z Ayanian; Lisa I Lezzoni; Melvin J Ingber; Jesse M Levy; John Robst Journal: Health Care Financ Rev Date: 2004
Authors: Stephanie L Shimada; Jeroan J Allison; Amy K Rosen; Hua Feng; Thomas K Houston Journal: J Med Internet Res Date: 2016-07-01 Impact factor: 5.428
Authors: Jessica Lipschitz; Christopher J Miller; Timothy P Hogan; Katherine E Burdick; Rachel Lippin-Foster; Steven R Simon; James Burgess Journal: JMIR Ment Health Date: 2019-01-25
Authors: Derek D Satre; Meredith C Meacham; Lauren D Asarnow; Weston S Fisher; Lisa R Fortuna; Esti Iturralde Journal: Am J Health Promot Date: 2021-10-15