Development of a Clinically Feasible Process for Identifying Individual Health Priorities

Journal of the American Geriatrics Society

Volumn 66, Issue 10, 2018, Pages 1872-1879

  Naik, Aanand D ^a,b   Dindo, Lilian N ^a,b   Van Liew, Julia R ^c   Hundt, Natalie E ^a,b   Vo, Lauren ^d   Hernandez Bigos, Kizzy ^d   Esterson, Jessica ^e   Geda, Mary ^e   Rosen, Jonathan ^d   Blaum, Caroline S ^f   Tinetti, Mary E ^e,g  

^a MICHAEL E DEBAKEY VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b BAYLOR COLLEGE OF MEDICINE   (United States)

^c Veterans Affairs Central Iowa Healthcare System   (United States)

^d Connecticut Center for Primary Care ^*  (United States)

^e YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^f NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

^g YALE UNIVERSITY   (United States)

Author keywords

goal; goal setting; multimorbidity; older adults; patient priorities; preferences

Indexed keywords

AGED; CLINICAL DECISION MAKING; CONNECTICUT; DECISION SUPPORT SYSTEM; EVALUATION STUDY; FEASIBILITY STUDY; FEMALE; GERIATRIC ASSESSMENT; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HUMAN; MALE; PRIMARY HEALTH CARE; PROCEDURES; PROSPECTIVE STUDY; QUALITATIVE RESEARCH; VERY ELDERLY;

AGED; AGED, 80 AND OVER; CLINICAL DECISION-MAKING; CONNECTICUT; DECISION SUPPORT TECHNIQUES; FEASIBILITY STUDIES; FEMALE; GERIATRIC ASSESSMENT; HEALTH PRIORITIES; HUMANS; MALE; PRIMARY HEALTH CARE; PROCESS ASSESSMENT (HEALTH CARE); PROSPECTIVE STUDIES; QUALITATIVE RESEARCH;

EID: 85052600124     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/jgs.15437     Document Type: Article

References (50)

1. Bayliss EA, Bonds DE, Boyd CM et al. Understanding the context of health for persons with multiple chronic conditions: Moving from what is the matter to what matters. Ann Fam Med 2014;12:260–269.
2. Case SM, O'Leary J, Kim N et al. Relationship between universal health outcome priorities and willingness to take medication for primary prevention of myocardial infarction. J Am Geriatr Soc 2014;62:1753–1758.
3. Fried TR, Tinetti ME, Iannone L et al. Health outcome prioritization as a tool for decision making among older persons with multiple chronic conditions. Arch Intern Med 2011;171:1856–1858.
4. Fried TR, McGraw S, Agostini JV et al. Views of older persons with multiple morbidities on competing outcomes and clinical decision-making. J Am Geriatr Soc 2008;56:1839–1844.
5. Karel MJ, Mulligan EA, Walder A, Martin LA, Moye J, Naik AD. Valued life abilities among veteran cancer survivors. Health Expect 2016;19:679–90.
6. Tinetti ME, Esterson J, Ferris R et al. Patient priority–directed decision making and care for older adults with multiple chronic conditions. Clin Geriatr Med 2016;32:261–275.
7. Boyd CM, Wolff JL, Giovannetti E et al. Health care task difficulty among older adults with multimorbidity. Med Care 2014;52:S118–S125.
8. Montori VM, Brito JP, Murad MH. The optimal practice of evidence-based medicine: Incorporating patient preferences in practice guidelines. JAMA 2013;310:2503–2504.
9. Tran V-T, Harrington M, Montori VM et al. Adaptation and validation of the Treatment Burden Questionnaire (TBQ) in English using an Internet platform. BMC Med 2014;12:1.
10. Eton DT, Ramalho de Oliveira D, Egginton JS et al. Building a measurement framework of burden of treatment in complex patients with chronic conditions: A qualitative study. Patient Relat Outcome Meas 2012;3:39–49.
11. Naik AD, McCullough LB. Health intuitions inform patient-centered care. Am J Bioethics 2014;14:1–3.
12. Tinetti ME, Naik AD, Dodson JA. Moving from disease-centered to patient goals–directed care for patients with multiple chronic conditions: Patient value-based care. JAMA Cardio 2016;1:9–10
13. Bernacki RE, Block SD. Communication about serious illness care goals: A review and synthesis of best practices. JAMA Intern Med 2014;174:1994–2003.
14. Kelley AS, Back AL, Arnold RM et al. Geritalk: Communication skills training for geriatric and palliative medicine fellows. J Am Geriatr Soc 2012;60:332–337.
15. Lakin JR, Koritsanszky LA, Cunningham R et al. A systematic intervention to improve serious illness communication in primary care. Health Aff (Millwood) 2017;36:1258–1264.
16. Case SM, Fried TR, O'Leary J. How to ask: Older adults' preferred tools in health outcome prioritization. Patient Educ Couns 2013;91:29–36.
17. Case SM, Towle VR, Fried TR. Considering the balance: Development of a scale to assess patient views on trade-offs in competing health outcomes. J Am Geriatr Soc 2013;61:1331–1336.
18. Rockwood K, Stadnyk K, Carver D et al. A clinimetric evaluation of specialized geriatric care for rural dwelling, frail older people. J Am Geriatr Soc 2000;48:1080–1085.
19. Rockwood K, Howlett S, Stadnyk K et al. Responsiveness of goal attainment scaling in a randomized controlled trial of comprehensive geriatric assessment. J Clin Epidemiol 2003;56:736–743.
20. Ottenbacher KJ, Cusick A. Discriminative versus evaluative assessment: Some observations on goal attainment scaling. Am J Occup Ther 1993;47:349–354.
21. Bodenheimer T, Handley MA. Goal-setting for behavior change in primary care: An exploration and status report. Patient Educ Couns 2009;76:174–180.
22. Coulter A, Entwistle VA, Eccles A et al. Personalised care planning for adults with chronic or long-term health conditions. Cochrane Database Syst Rev 2015;(3):CD010523.
23. Naik AD, Palmer N, Petersen NJ et al. Comparative effectiveness of goal setting in diabetes mellitus group clinics: Randomized clinical trial. Arch Intern Med 2011;171:453–459.
24. Naik AD, Martin LA, Moye J et al. Health values and treatment goals of older, multimorbid adults facing life-threatening illness. J Am Geriatr Soc 2016;64:625–631.
25. Damasio A. The neurobiological grounding of human values. In Changeux J-PP, Damasio A, Singer W, eds. Neurobiology of Human Values. Berlin, Heidelberg: Springer; 2005:47–56.
26. Graham J, Haidt J, Koleva S et al. Moral foundations theory: The pragmatic validity of moral pluralism. Adv Exp Soc Psychol 2013;47:55–122.
27. Paez-Blarrina M, Luciano C, Gutiérrez-Martínez O et al. The role of values with personal examples in altering the functions of pain: Comparison between acceptance-based and cognitive-control-based protocols. Behav Res Ther 2008;46:84–97.
28. Levin ME, Hildebrandt MJ, Lillis J et al. The impact of treatment components suggested by the psychological flexibility model: A meta-analysis of laboratory-based component studies. Behav Ther 2012;43:741–756.
29. Brown VA, Bartholomew LK, Naik AD. Management of chronic hypertension in older men: An exploration of patient goal-setting. Patient Educ Couns 2007;69:93–99.
30. Naik AD, Kallen MA, Walder A et al. Improving hypertension control in diabetes mellitus: The effects of collaborative and proactive health communication. Circulation 2008;117:1361–1368.
31. Cully JA, Breland JY, Robertson S et al. Behavioral health coaching for rural veterans with diabetes and depression: A patient randomized effectiveness implementation trial. BMC Health Serv Res 2014;14:1.
32. Khanna A, Bush AL, Swint JM et al. Hemoglobin A 1c improvements and better diabetes-specific quality of life among participants completing diabetes self-management programs: A nested cohort study. Health Qual Life Outcomes 2012;10:1.
33. Naik AD, Teal CR, Rodriguez E et al. Knowing the ABCs: A comparative effectiveness study of two methods of diabetes education. Patient Educ Couns 2011;85:383–389.
34. Naik AD, White CD, Robertson SM et al. Behavioral health coaching for rural-living older adults with diabetes and depression: An open pilot of the HOPE Study. BMC Geriatr 2012;12:1.
35. Tran V-T, Barnes C, Montori VM et al. Taxonomy of the burden of treatment: A multi-country web-based qualitative study of patients with chronic conditions. BMC Med 2015;13:1.
36. Brown T. Design thinking. Harvard Business Review 2008;86:84.
37. Ferris R, Blaum C, Kiwak E, Austin J, Esterson J, Harkless G, Oftedahl G, Parchman M, Van Ness PH, Tinetti ME. Perspectives of patients, clinicians, and health system leaders on changes needed to improve the health care and outcomes of older adults with multiple chronic conditions. J Aging Health. 2018;30(5):778–99.
38. Blaum C, Rosen J, Naik AD et al. Initial implementation of patient priorities-aligned care for patients with multiple chronic conditions. Submitted.
39. Dindo L, Van Liew J, Arch J. Acceptance and commitment therapy: A transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics 2017:14:546–553.
40. Dindo L, Turvey C, Marchman J, Recober A, O'Hara M. Depression and disability in migraine: The role of pain-acceptance and values-based living. Int J Behav Med 2015;22:109–117.
41. Bernard HR, Ryan GW. Analyzing Qualitative Data: Systematic Approaches. Thousand Oaks, California: SAGE Publications; 2009.
42. Cella D, Riley W, Stone A et al. The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008. J Clin Epidemiol 2010;63:1179–1194.
43. Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook. Thousand Oaks, California: Sage; 1994.
44. Hibbard JH, Mahoney E. Toward a theory of patient and consumer activation. Patient Educ Couns 2010;78:377–381.
45. Naik AD. On the road to patient centeredness. JAMA Intern Med 2013;173:218–219.
46. Woodard LD, Landrum CR, Amspoker AB et al. Interaction between functional health literacy, patient activation, and glycemic control. Patient Prefer Adherence 2014;8:1019–1024.
47. Lim CY, Berry ABL, Hirsch T et al. Understanding what is most important to individuals with multiple chronic conditions: A qualitative study of patients' perspectives. J Gen Intern Med 2017;32:1278–1284.
48. Counsell SR, Callahan CM, Clark DO et al. Geriatric case management for low-income seniors: A randomized controlled tri8al. JAMA 2007;298:2623–2633.
49. Boult C, Reider L, Leff B. et al. The effect of guided care teams on the use of health services: Results from a cluster-randomized trial. Arch Intern Med 2011;171:460–466.
50. Berwick DM. What ‘patient-centered’ should mean: Confessions of an extremist. Health Aff (Millwood) 2009;28:w555–w565.