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Original Research |
From the Department of Family and Community Medicine (MH, KM, CS, SW, TB), University of California at San Francisco, San Francisco, CA
Division of General Internal Medicine (DS), University of California at San Francisco, San Francisco, CA
Correspondence: Corresponding author: Thomas Bodenheimer, MD, Building 80-83, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110 (E-mail: tbodenheimer{at}fcm.ucsf.edu)
Purpose: An action plan is an agreement between clinician and patient that the patient will make a specific behavior change. The goals of this study are to: determine whether it is feasible for patients to make action plans in the primary care visit; determine whether patients report carrying out their action plans; and describe the action plans patients choose.
Methods: Forty-three clinicians in 8 primary care sites were recruited to hold action-plan discussions with patients. Research assistants contacted patients by telephone 3 weeks later to assess whether patients had conducted their action plans.
Results: Eighty-three percent of enrolled patients (228) made an action plan during a primary care visit. Of the 79% who recalled making the action plan when interviewed by telephone 3 weeks later, 56% recalled the details of their action plan, and an additional 33% recalled the general nature of the action plan. At least 53% of patients making an action plan reported making a behavior change consistent with that action plan.
Conclusions: Most patients reported making a behavior change based on an action plan, suggesting that action plans may be a useful strategy to encourage behavior change for patients seen in primary care.
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M. M. Funnell, T. L. Brown, B. P. Childs, L. B. Haas, G. M. Hosey, B. Jensen, M. Maryniuk, M. Peyrot, J. D. Piette, D. Reader, et al. National Standards for Diabetes Self-Management Education Diabetes Care, June 1, 2007; 30(6): 1630 - 1637. [Full Text] [PDF]
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