Building an understanding of goal-oriented care through the experiences of people living with chronic conditions

Primary Care Academy; Dagje Boeykens; Lara Decoster; Dorine Lenoir; An De Sutter; Reini Haverals; Lies Lahousse; Peter Pype; Dominique Van de Velde; Pauline Boeckxstaens; Patricia De Vriendt

doi:10.1016/j.pec.2022.11.009

Building an understanding of goal-oriented care through the experiences of people living with chronic conditions

Primary Care Academy, Dagje Boeykens, Lara Decoster, Dorine Lenoir, An De Sutter, Reini Haverals, Lies Lahousse, Peter Pype, Dominique Van de Velde, Pauline Boeckxstaens, Patricia De Vriendt

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

11 Downloads (Pure)

Abstract

OBJECTIVE: To understand the concept of goal-oriented care (GOC) through the experiences of people with chronic conditions.

METHOD: Interviews with people living with chronic conditions (n = 50) were analyzed in two ways. A deductive approach based on GOC attributes generated in a concept analysis on GOC: goal-elicitation, goal-setting, goal-evaluation, patients' context, and patients' needs and preferences. An inductive approach based on a thematic analysis using descriptive phenomenology.

RESULTS: The phase of goal-elicitation was recognized by the participants, whereas goal-setting and goal-evaluation were experienced to a lesser extent. Regarding the underpinning attributes, mixed feelings were reported concerning the integration of the patient's context and the presence of their needs and preferences throughout the care process. The inductive analysis revealed specific attention to informing patients about their condition and treatment options and discussing goals in interprofessional collaboration.

CONCLUSION: Goal-elicitation was already present and seems to be a good foundation for GOC. More attention should be given to goal-setting and goal-evaluation.

PRACTICE IMPLICATIONS: Developing guidance by means of a workflow, tools, or questions might support people with chronic conditions and providers to underpin the entire care process with patients' personal goals.

Original language	English
Article number	107567
Number of pages	5
Journal	Patient Education and Counseling
Volume	107
Early online date	12 Nov 2022
DOIs	https://doi.org/10.1016/j.pec.2022.11.009
Publication status	Published - Feb 2023

Bibliographical note

Funding Information:
This work was supported by the King Baudouin Foundation (grant number: 2019-J5170820–211588 ).

Publisher Copyright:
© 2022 Elsevier B.V.

Copyright:
Copyright 2022 Elsevier B.V., All rights reserved.

Keywords

Chronic
Chronic care
Conditions
Goal-oriented care
Patients' goals
Person-centered care
Primary care
Qualitative research

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10.1016/j.pec.2022.11.009

PatiëntAccepted author manuscript, 307 KBLicence: CC BY-NC-ND

Cite this

Primary Care Academy, Boeykens, D., Decoster, L., Lenoir, D., De Sutter, A., Haverals, R., Lahousse, L., Pype, P., Van de Velde, D., Boeckxstaens, P., & De Vriendt, P. (2023). Building an understanding of goal-oriented care through the experiences of people living with chronic conditions. Patient Education and Counseling, 107, [107567]. https://doi.org/10.1016/j.pec.2022.11.009

Primary Care Academy ; Boeykens, Dagje ; Decoster, Lara ; Lenoir, Dorine ; De Sutter, An ; Haverals, Reini ; Lahousse, Lies ; Pype, Peter ; Van de Velde, Dominique ; Boeckxstaens, Pauline ; De Vriendt, Patricia. / Building an understanding of goal-oriented care through the experiences of people living with chronic conditions. In: Patient Education and Counseling. 2023 ; Vol. 107.

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title = "Building an understanding of goal-oriented care through the experiences of people living with chronic conditions",

abstract = "OBJECTIVE: To understand the concept of goal-oriented care (GOC) through the experiences of people with chronic conditions.METHOD: Interviews with people living with chronic conditions (n = 50) were analyzed in two ways. A deductive approach based on GOC attributes generated in a concept analysis on GOC: goal-elicitation, goal-setting, goal-evaluation, patients' context, and patients' needs and preferences. An inductive approach based on a thematic analysis using descriptive phenomenology.RESULTS: The phase of goal-elicitation was recognized by the participants, whereas goal-setting and goal-evaluation were experienced to a lesser extent. Regarding the underpinning attributes, mixed feelings were reported concerning the integration of the patient's context and the presence of their needs and preferences throughout the care process. The inductive analysis revealed specific attention to informing patients about their condition and treatment options and discussing goals in interprofessional collaboration.CONCLUSION: Goal-elicitation was already present and seems to be a good foundation for GOC. More attention should be given to goal-setting and goal-evaluation.PRACTICE IMPLICATIONS: Developing guidance by means of a workflow, tools, or questions might support people with chronic conditions and providers to underpin the entire care process with patients' personal goals.",

keywords = "Chronic, Chronic care, Conditions, Goal-oriented care, Patients' goals, Person-centered care, Primary care, Qualitative research",

author = "{Primary Care Academy} and Dagje Boeykens and Lara Decoster and Dorine Lenoir and {De Sutter}, An and Reini Haverals and Lies Lahousse and Peter Pype and {Van de Velde}, Dominique and Pauline Boeckxstaens and {De Vriendt}, Patricia",

note = "Funding Information: This work was supported by the King Baudouin Foundation (grant number: 2019-J5170820–211588 ). Publisher Copyright: {\textcopyright} 2022 Elsevier B.V. Copyright: Copyright 2022 Elsevier B.V., All rights reserved.",

year = "2023",

month = feb,

doi = "10.1016/j.pec.2022.11.009",

language = "English",

volume = "107",

journal = "Patient Education and Counseling",

issn = "0738-3991",

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Primary Care Academy, Boeykens, D, Decoster, L, Lenoir, D, De Sutter, A, Haverals, R, Lahousse, L, Pype, P, Van de Velde, D, Boeckxstaens, P & De Vriendt, P 2023, 'Building an understanding of goal-oriented care through the experiences of people living with chronic conditions', Patient Education and Counseling, vol. 107, 107567. https://doi.org/10.1016/j.pec.2022.11.009

Building an understanding of goal-oriented care through the experiences of people living with chronic conditions. / Primary Care Academy; Boeykens, Dagje; Decoster, Lara; Lenoir, Dorine; De Sutter, An; Haverals, Reini; Lahousse, Lies; Pype, Peter; Van de Velde, Dominique; Boeckxstaens, Pauline; De Vriendt, Patricia.

In: Patient Education and Counseling, Vol. 107, 107567, 02.2023.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Building an understanding of goal-oriented care through the experiences of people living with chronic conditions

AU - Primary Care Academy

AU - Boeykens, Dagje

AU - Decoster, Lara

AU - Lenoir, Dorine

AU - De Sutter, An

AU - Haverals, Reini

AU - Lahousse, Lies

AU - Pype, Peter

AU - Van de Velde, Dominique

AU - Boeckxstaens, Pauline

AU - De Vriendt, Patricia

N1 - Funding Information: This work was supported by the King Baudouin Foundation (grant number: 2019-J5170820–211588 ). Publisher Copyright: © 2022 Elsevier B.V. Copyright: Copyright 2022 Elsevier B.V., All rights reserved.

PY - 2023/2

Y1 - 2023/2

N2 - OBJECTIVE: To understand the concept of goal-oriented care (GOC) through the experiences of people with chronic conditions.METHOD: Interviews with people living with chronic conditions (n = 50) were analyzed in two ways. A deductive approach based on GOC attributes generated in a concept analysis on GOC: goal-elicitation, goal-setting, goal-evaluation, patients' context, and patients' needs and preferences. An inductive approach based on a thematic analysis using descriptive phenomenology.RESULTS: The phase of goal-elicitation was recognized by the participants, whereas goal-setting and goal-evaluation were experienced to a lesser extent. Regarding the underpinning attributes, mixed feelings were reported concerning the integration of the patient's context and the presence of their needs and preferences throughout the care process. The inductive analysis revealed specific attention to informing patients about their condition and treatment options and discussing goals in interprofessional collaboration.CONCLUSION: Goal-elicitation was already present and seems to be a good foundation for GOC. More attention should be given to goal-setting and goal-evaluation.PRACTICE IMPLICATIONS: Developing guidance by means of a workflow, tools, or questions might support people with chronic conditions and providers to underpin the entire care process with patients' personal goals.

AB - OBJECTIVE: To understand the concept of goal-oriented care (GOC) through the experiences of people with chronic conditions.METHOD: Interviews with people living with chronic conditions (n = 50) were analyzed in two ways. A deductive approach based on GOC attributes generated in a concept analysis on GOC: goal-elicitation, goal-setting, goal-evaluation, patients' context, and patients' needs and preferences. An inductive approach based on a thematic analysis using descriptive phenomenology.RESULTS: The phase of goal-elicitation was recognized by the participants, whereas goal-setting and goal-evaluation were experienced to a lesser extent. Regarding the underpinning attributes, mixed feelings were reported concerning the integration of the patient's context and the presence of their needs and preferences throughout the care process. The inductive analysis revealed specific attention to informing patients about their condition and treatment options and discussing goals in interprofessional collaboration.CONCLUSION: Goal-elicitation was already present and seems to be a good foundation for GOC. More attention should be given to goal-setting and goal-evaluation.PRACTICE IMPLICATIONS: Developing guidance by means of a workflow, tools, or questions might support people with chronic conditions and providers to underpin the entire care process with patients' personal goals.

KW - Chronic

KW - Chronic care

KW - Conditions

KW - Goal-oriented care

KW - Patients' goals

KW - Person-centered care

KW - Primary care

KW - Qualitative research

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U2 - 10.1016/j.pec.2022.11.009

DO - 10.1016/j.pec.2022.11.009

M3 - Article

C2 - 36379862

VL - 107

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

M1 - 107567

ER -

Building an understanding of goal-oriented care through the experiences of people living with chronic conditions

Abstract

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Keywords

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