Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
J Neurosci Nurs. 2009 Dec;41(6):312-21. doi: 10.1097/jnn.0b013e3181b6bec5.
Goals are presented in the chronic illness literature as effective strategies to help people adopt self-management behaviors; however, not much is known about the types and characteristics of individuals' goals. The purpose of this study was to examine goal setting among people with epilepsy who participated in the WebEase program. WebEase is an Internet-based, theory-driven, self-management program with modules on medication adherence, stress management, and sleep habits. Participants had the opportunity to create and evaluate goals over the course of 6 weeks, with 2 weeks for each module. The goals were analyzed using three dimensions: content, specificity, and proximity. Most participants in the sample wrote goals for each week of the program. Several main content areas emerged within the modules. Goal quality, measured by specificity and proximity, did not differ according to readiness for behavior change. Readiness to change did not differ between those who wrote a goal and those who did not. The diversity of goal content and quality indicates that individuals should be supported in goal development and encouraged to set their own self-management goals, regardless of their readiness for behavior change.
目标在慢性病文献中被提出作为帮助人们采取自我管理行为的有效策略;然而,对于个体目标的类型和特征,人们了解得并不多。本研究的目的是检验参与 WebEase 计划的癫痫患者的目标设定情况。WebEase 是一个基于互联网的、基于理论的、自我管理的项目,有关于药物依从性、压力管理和睡眠习惯的模块。参与者有机会在 6 周的时间里为每个模块创建和评估目标,每个模块各 2 周。目标是根据内容、具体性和接近度三个维度进行分析的。样本中的大多数参与者为项目的每一周都写了目标。在各个模块中出现了几个主要的内容领域。目标质量,以具体性和接近度来衡量,与行为改变的准备程度无关。有意愿改变的人与没有意愿改变的人之间的准备程度没有差异。目标内容和质量的多样性表明,无论行为改变的准备程度如何,都应该支持个人进行目标开发,并鼓励他们设定自己的自我管理目标。
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