The view that goal setting should be a fundamental part of most health care encounters is gaining ground. Progress has been made in some specific disease areas on how to quantify goal setting and goal attainment. But there is much less progress on how to efficiently measure whether efforts are made to elicit and clarify goals in a generic way, and across different health conditions. Researchers at the Dartmouth Institute aim to develop a patient-reported measure of goal setting that is both valid for research efforts and brief enough for use for quality improvement.
Dartmouth Institute researchers have conducted semi-structured interviews with patients and other stakeholders with chronic conditions to explore their views and understanding of the measure we have developed. We identified themes in the interview transcripts and subsequently used the findings to refine measure structure, question phrasing, and response choices. We are now testing the acceptability of the measure with patients and clinicians in the Dartmouth-Hitchcock Cystic Fibrosis Program and Inflammatory Bowel Disease Center.