Alexy B
Nurs Res. 1985 Sep-Oct;34(5):283-8.
The effectiveness of client participation in goal selection aimed at health risk reduction was compared with the effectiveness of provider-selected goals and of no goal setting. No difference in goal attainment was found between the two groups with goals. However, analyses of covariance for selected subsamples of individuals at risk revealed a significant difference between goal-setting groups for weight reduction, with the collaborative goal-setting group being more effective. Covariance analyses for other subsamples at risk showed significant differences between the goal-setting groups for current health age and potential for life expectancy increase; the provider goal-setting group proved to be more effective. Paired t tests within groups revealed that the provider goal-setting group made significant change in alcohol intake, seat belt use, and exercise as well as in global measures of current health age, estimated life expectancy, and potential for life expectancy increase. For the collaborative goal-setting group, significant change was found in weight reduction, exercise levels, and the global measures of estimated life expectancy and potential for life expectancy increase. The control group made a significant change in exercise, but not in any of the global measures of risk reduction.
将客户参与旨在降低健康风险的目标选择的有效性，与提供者选择的目标以及不设定目标的有效性进行了比较。在有目标的两组之间未发现目标达成方面的差异。然而，对处于风险中的个体的选定子样本进行的协方差分析显示，在减肥的目标设定组之间存在显著差异，其中协作目标设定组更有效。对其他处于风险中的子样本进行的协方差分析表明，在当前健康年龄和预期寿命增加潜力的目标设定组之间存在显著差异；事实证明，提供者目标设定组更有效。组内配对t检验显示，提供者目标设定组在酒精摄入量、安全带使用和运动以及当前健康年龄、估计预期寿命和预期寿命增加潜力的总体指标方面有显著变化。对于协作目标设定组，在减肥、运动水平以及估计预期寿命和预期寿命增加潜力的总体指标方面发现了显著变化。对照组在运动方面有显著变化，但在任何降低风险的总体指标方面均无变化。
