Perepezko Kate, Toto Pamela, Hitchcock Mary, Fields Beth
National Center on Family Support, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Innov Aging. 2023 Dec 22;8(1):igad135. doi: 10.1093/geroni/igad135. eCollection 2024.
Evidence demonstrates that goal-setting and care partner support help aging adults improve their health. Less is known about how aging adults and care partners collaboratively participate in goal setting, revealing a potential gap in care delivery processes. The current review describes the scope of the literature on this topic.
A search was conducted in several relevant databases and 1,231 articles were screened for the following inclusion criteria: (a) participants included aging adults (50+ years) and care partners, (b) goal setting was conducted, and (c) articles were in English.
Common goals reported by aging adults were independence, improving or maintaining functioning, addressing symptoms, and remaining socially active. Care partners listed similar goals but also identified accessing services and supports as important. The level of care partner involvement varied across articles, with some care partners serving in a supportive role, some setting goals concurrently with the aging adult, and others setting goals on behalf of the aging adult.
This review revealed concordant and discordant prioritization of goals within dyads. These findings illustrate the importance and potential complexity of including care partners in the goal-setting process. We also found that collaborative goal-setting and care partner-directed goals are scarce, indicating the need for additional work in this area. Collaborative goal setting aligns with person and family-centered care approaches and can contribute to better care plans that meet the needs of aging adults and their care partners.
有证据表明，设定目标和护理伙伴的支持有助于老年人改善健康状况。关于老年人与护理伙伴如何共同参与目标设定的了解较少，这揭示了护理提供过程中可能存在的差距。本综述描述了关于该主题的文献范围。
在多个相关数据库中进行了检索，并筛选了1231篇文章以符合以下纳入标准：（a）参与者包括老年人（50岁及以上）和护理伙伴，（b）进行了目标设定，（c）文章为英文。
老年人报告的常见目标包括独立性、改善或维持功能、解决症状以及保持社交活跃。护理伙伴列出了类似的目标，但也将获得服务和支持视为重要目标。护理伙伴的参与程度在各文章中有所不同，一些护理伙伴发挥支持作用，一些与老年人同时设定目标，还有一些代表老年人设定目标。
本综述揭示了二元组内目标优先级的一致性和不一致性。这些发现说明了在目标设定过程中纳入护理伙伴的重要性和潜在复杂性。我们还发现协作式目标设定和由护理伙伴主导的目标很少见，这表明该领域需要更多的研究工作。协作式目标设定符合以个人和家庭为中心的护理方法，有助于制定更好的护理计划，以满足老年人及其护理伙伴的需求。
