Engaging Patients in Mutual Goal-Setting in Hospitalized Patients

Mutual goal setting and action planning in patients with long-term conditions in outpatient settings is associated with favorable effects on measures of physical health, psychological health, subjective health status, self-management self-efficacy levels, activation levels, and perceived empowerment. The purpose of this study is to examine the impact of an educational intervention delivered to the staff nurses of two surgical units on how to engage patients in mutual goal-setting in the acute care setting. Staff nurses from two 32-bed surgical units will be scheduled to attend an hour-long educational intervention. A total of 630 chart audits will be conducted one month prior and one and three months following the intervention per unit, to examine the number of patients with a daily goal recorded in the prior 24 hours and the quality of the recorded goal using the SMART-GEM. The self-efficacy of engaging in mutual goal-setting with patients will be examined by asking nurses to complete the Appraisal Inventory Tool (AIT) prior to and immediately following the intervention. The patient experience of engaging in mutual goal-setting will be examined by having a total of 165 patients complete the Patient Experience of Mutual Goal-Setting Tool (PEMGST) one month prior to the intervention and one and three months following the intervention on each of the two units.

Study Overview

• Status: Recruiting
• Conditions: Goals
• Intervention / Treatment: Other: Mutual Goal-Setting Education

• Study Type: Interventional
• Enrollment (Anticipated): 500
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Teresa A Jerofke-Owen, PhD; Phone Number: 2624423696; Email: teresa.jerofke@marquette.edu

Study Locations

• United States
  • Wisconsin
    • Milwaukee, Wisconsin, United States, 53226
      • Recruiting
      • Froedtert Memorial Hospital
      • Contact: Kristi Opper, MSN; Phone Number: 414-454-7357
      • Principal Investigator: Teresa Jerofke-Owen, PhD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria

• At least 18 years of age or older
• Must be alert and oriented to person, place, and time
• Inpatient on one of two included units

Exclusion Criteria

• Less than 24 hour length of stay
• Non English-speaking

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: No Intervention; Patients receiving usual care
Experimental: Intervention; Patient's receiving care following nurse education on mutual goal-setting	Other: Mutual Goal-Setting Education; Nurses will receive both written and verbal instruction on mutual goal-setting with patients using SMART methodology

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in percentage of charts reviewed with an individualized goal recorded in the electronic health record	percentage of charts reviewed with individualized goals recorded in their electronic health record	Over the course of one month before delivery of education intervention and one and three months post delivery of intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in quality of goals as measured by the SMART-GEM.	Quality of charted individualized goals using talhe SMART-GEM tool. The SMART-GEM (Bowman, Mogensen, Marsland, & Lannin, 2015) is an objective tool that can be used to score the quality of a SMART goal. The interrater agreement on total scores was very good (ICC=.0895, 95% CI = .743 to .986, p=.001) with excellent internal consistency (alpha = .995).	Over the course of one month before delivery of education intervention and one and three months post delivery of intervention
Change in patient experience with mutual goal-setting using the Patient Experience of Mutual Goal-Setting Tool.	Patient experience with mutual goal setting using the Patient Experience of Mutual Goal-Setting Tool, a 5-item survey created by PI to measure the patient experience of mutual goal-setting (involvement, satisfaction, knowledge, feeling heard, achievement of goals). Questions are on a 6-point Likert scale, with higher scores indicating a more favorable experience.	Over the course of one month before delivery of educational intervention and one and three months post delivery of intervention
Change in nurse self-efficacy participating in mutual goal-setting with patients pre and post-intervention using the Appraisal Inventory Tool.	Nurse self-efficacy participating in mutual goal-setting with patients. The Appraisal Inventory Tool is a 5-item survey created by PI to measure nurse self-efficacy for mutual goal-setting using Bandura's (2006) guidelines. The items use an 11-point Likert scale, and higher scores indicate a higher self-efficacy score	Immediately before starting the educational intervention and immediately following the conclusion of the educational intervention

Collaborators and Investigators

• Sponsor: Marquette University
• Collaborators: Froedtert Hospital

Study record dates

Study Major Dates

• Study Start (Actual): May 19, 2022
• Primary Completion (Anticipated): December 30, 2022
• Study Completion (Anticipated): March 30, 2023

Study Registration Dates

• First Submitted: June 22, 2021
• First Submitted That Met QC Criteria: July 14, 2021
• First Posted (Actual): July 26, 2021

Study Record Updates

• Last Update Posted (Actual): May 26, 2022
• Last Update Submitted That Met QC Criteria: May 19, 2022
• Last Verified: May 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: HR-3725

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No