Development of a Collaborative Goal Setting Measure for Patients with Diabetes

描述（由申请人提供）：美国糖尿病协会已认识到患者及其临床医生之间的合作目标设定是高质量糖尿病护理的关键组成部分。尽管这一建议，以及理论支持，以及协作目标设定的好处的经验证据，很少有人知道什么是从病人的角度协作目标设定。拟议的论文研究的重点是从患者的角度来定义协作的目标设定，并制定一个患者报告的措施，以评估协作的目标设定在临床设置。两 将采用定性和定量方法来制定衡量标准。本研究的具体目的是（1）使用患者焦点小组的结果和专家小组的输入，生成可能包含在协作目标设定措施中的调查项目列表，以及（2）将协作目标设定措施管理到糖尿病患者的不同样本中，并测试该措施的心理测量特性。定性分析的病人焦点小组的结果结合专家小组的投入，将确定合作的目标设定的相关组成部分，并作为基础的调查项目的发展，可能包括在措施。然后将对400名糖尿病患者进行结构化调查。调查的答复将被用来测试的心理测量特性的合作目标设定措施，同时也阐明了合作目标设定和自我管理技能之间的关系。将使用结构方程模型估计预测有效性系数。从拟议的研究结果将提供一个基础上，从患者的角度来衡量协作目标设定的组成部分，以及促进其在临床环境中的使用。

DESCRIPTION (provided by applicant): The American Diabetes Association has recognized collaborative goal setting between patients and their clinicians as a critical component of high quality diabetes care. Despite this recommendation, and theoretical support as well as empirical evidence of the benefits of collaborative goal setting, little is known about what constitutes collaborative goal setting from perspective of patients. The focus of the proposed dissertation research is to define collaborative goal setting from the patient's perspective and develop a patient-reported measure for assessing collaborative goal setting within the clinical setting. Both qualitative and quantitative methods will be used to develop the measure. The specific aims of the study are to (1) generate a list of survey items for possible inclusion in a measure of collaborative goal setting, using results from patient focus groups and input from an expert panel, and (2) administer the collaborative goal setting measure to a diverse sample of patients with diabetes and test the psychometric properties of the measure. Qualitative analyses of patient focus group results combined with input from an expert panel will identify the relevant components of collaborative goal setting and serve as the basis for the development of survey items for possible inclusion in the measure. A structured survey will then be administered to a sample of 400 patients with diabetes. Survey responses will be used to test the psychometric properties of the collaborative goal setting measure while also elucidating the relationship between collaborative goal setting and self-management skills. Structural equation modeling will be used to estimate the predictive validity coefficients. Results from the proposed study will provide a foundation upon which to measure the components of collaborative goal setting from the perspective of patients as well as foster its use in the clinical setting.