Achievement and Adherence to Behavioral Health Goals in the Setting of Patient-Directed Goal Choice
Trial Parameters
Brief Summary
Health care decisions should include patients' health outcome goals and care preferences so as to enable a unified set of individualized patient outcome goals, rather than disparate disease-specific goals that do not reflect patient choice and commitment. This study utilizes a skilled professional interview and a simple tablet-based tool to enable patient choice of health behavior goals. The tool guides the patient to choose a specific, measurable, attainable, realistic and time-based (SMART) goal. The hypothesis of this study is that the implementation this patient choice tool will increase the likelihood of patient adherence to the goal and increase patient self efficacy.
Eligibility Criteria
Inclusion Criteria: * females age 18-90 * who fall into one of the following categories: * undergone cardiovascular event (myocardial infarction, percutaneous coronary intervention, or stroke,) or * who have an active cardiac symptom (e.g. chest pain or arrhythmia) or * have three or more active risk factors (i.e. diabetes, hypertension, hyperlipidemia, peripheral artery disease, current smoker, family history of premature coronary disease, gestational diabetes, pregnancy-induced hypertension/pre-eclampsia, or obesity). Exclusion Criteria: * pregnancy * type 1 diabetes * a psychiatric diagnosis that precludes participation * dementia * under the care of another multi-disciplinary clinic.