The Use of Goal Setting by Physicians in the Treatment of Diabetes

Abstract

Although physicians commonly report that they use goals in intro ducing diabetic regimens, little is known about exactly which aspects of established goal-setting techniques are used. This explor atory study sought to ascertain if and how medical doctors employ goal setting in presenting regimens to their patients. Six physicians (second-year metab olism fellows or endocrinologists) were asked to describe their treatment of a "typical" diabetic patient. The responses were analyzed for use of the elements of systematic goal setting. The results indicated that while the physicians had target outcomes in mind they made little use of the key elements of established goal- setting techniques.

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References

Latham GP , Yukl GA A review of research on the application of goal setting in organizations. Acad Manage 1975; 18:824-45.

Steers RM , Porter LW The role of task-goal attributes in employee performance. Psychol Bull 1974;81:434-52.

Locke EA , Shaw KN , Saari LM , Latham GP Goal setting and task performance: 1969-1980. Psychol Bull 1981;90:125-52.

Bandura A. , Simon KM The role of proximal intentions in self-regulation of refractory behavior . Cogn Ther Res 1977;1:177-93.

Dubbert PM , Wilson GT Goal-setting and spouse involvement in the treatment of obesity. Behav Res Ther 1984;22:227-42.

Hart RR Therapeutic effectiveness of setting and monitoring goals. J Consult Clin Psychol 1978;46:1242-45.

Schafer LC , Glasgow RE , McCaul KD Increasing the adherence of diabetic adolescents. J Behav Med 1982;5:353-62.

Wing RR , Epstein LH , Norwalk MP , Koeske R. , Hagg S. Behavior change, weight loss, and physiological improvements in type II diabetic patients. J Consult Clin Psychol 1985;53:111-22.

Surwit RS , Feinglos MN , Scovern AW Diabetes and behavior: a paradigm for health psychology. Am Psychol 1983;38:255-62.

10.

Glasgow RE , Wilson W. , McCaul KD Regimen adherence: a problematic construct in diabetes research [Editorial] . Diabetes Care 1985;8:300-1.

11.

Hulka BS , Cassel JC , Kupper LL , Burdette JA Communication, compliance, and concordance between physicians and patients with prescribed medications. Am J Public Health 1976;66:847-53.

12.

Rosenstock IM Understanding and enhancing patient compliance with diabetic regimens. Diabetes Care 1985 ;8:610-16.

13.

House WC , Pendleton L. , Parker L. Patients' versus physicians' attributions of reasons for diabetic patients' noncompliance with diet [Letter]. Diabetes Care 1985;9:434.