Hawkes Rhiannon E, Warren Leah, Cameron Elaine, French David P
Manchester Centre of Health Psychology, Division of Psychology and Mental Health, University of Manchester, Manchester, UK.
Division of Psychology, University of Stirling, Stirling, UK.
Psychol Health. 2022 Feb;37(2):131-150. doi: 10.1080/08870446.2021.1872790. Epub 2021 Feb 1.
We know little about how goal setting is actually delivered in routine practice. The National Health Service Diabetes Prevention Programme (NHS-DPP) is a behavioural intervention aiming to prevent progression to Type 2 diabetes in those at risk. It has been delivered across England by four commercial providers. This study aimed to establish whether goal setting in the NHS-DPP was delivered in line with the current evidence base. Observational study and document review. One-hundred-and-eighteen NHS-DPP sessions with 419 people were observed at eight sites (two sites per provider). Multiple characteristics of goal setting were reliably coded from each providers' programme plans (intended goal setting) and from audio-recorded NHS-DPP sessions (actual goal setting). Providers intended to deliver goal setting in 88.3% of sessions, though goal setting was delivered in only 52.5% of sessions. During delivery, the observed goals set across providers were generally specific (62.5%), set privately (53.1%), with goal difficulty rarely mentioned (3.1%). Goal setting in the NHS-DPP is being under-delivered, and not in line with the evidence base for promoting behavioural change. Goal setting in national behaviour change programmes should be optimised and training provided specifically for goal setting.
我们对目标设定在日常实践中实际如何实施知之甚少。国民保健服务糖尿病预防计划（NHS-DPP）是一项行为干预措施，旨在预防有风险的人群发展为2型糖尿病。该计划已由四家商业供应商在英格兰各地实施。本研究旨在确定NHS-DPP中的目标设定是否符合当前的证据基础。观察性研究和文件审查。在八个地点（每个供应商两个地点）观察了118次NHS-DPP课程，涉及419人。从每个供应商的项目计划（预期目标设定）和NHS-DPP课程录音（实际目标设定）中可靠地编码了目标设定的多个特征。供应商打算在88.3%的课程中进行目标设定，但实际仅在52.5%的课程中进行了目标设定。在实施过程中，各供应商设定的观察到的目标通常是具体的（62.5%），私下设定的（53.1%），很少提及目标难度（3.1%）。NHS-DPP中的目标设定实施不足，不符合促进行为改变的证据基础。国家行为改变计划中的目标设定应加以优化，并专门提供目标设定方面的培训。
