Health-Related Goal Setting and Achievement Among Veterans with High Technology Adoption
Authors
Martinez, Rachael N.Smith, Bridget M.
Etingen, Bella
Houston, Thomas K.
Shimada, Stephanie L
Amante, Daniel J
Patterson, Angela
Richardson, Lorilei M.
Vandenberg, Gerrit
Cutrona, Sarah L.
Quintiliani, Lisa M.
Frisbee, Kathleen L.
Hogan, Timothy P.
UMass Chan Affiliations
Division of Health Informatics and Implementation Science, Department of Population and Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
2021-05-07Keywords
Veteransgoal setting
mobile health apps
patient engagement
technology
Epidemiology
Health Communication
Health Information Technology
Health Services Administration
Health Services Research
Military and Veterans Studies
UMCCTS funding
Metadata
Show full item recordAbstract
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.Source
Martinez RN, Smith BM, Etingen B, Houston TK, Shimada SL, Amante DJ, Patterson A, Richardson LM, Vandenberg G, Cutrona SL, Quintiliani LM, Frisbee KL, Hogan TP. Health-Related Goal Setting and Achievement Among Veterans with High Technology Adoption. J Gen Intern Med. 2021 May 7. doi: 10.1007/s11606-021-06779-5. Epub ahead of print. PMID: 33963510. Link to article on publisher's site
DOI
10.1007/s11606-021-06779-5Permanent Link to this Item
http://hdl.handle.net/20.500.14038/46958PubMed ID
33963510Related Resources
Rights
© This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2021ae974a485f413a2113503eed53cd6c53
10.1007/s11606-021-06779-5
Scopus Count
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