Abstract
Objectives:
Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this.
Methods:
Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals.
Results:
Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals.
Discussion:
Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.
Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this.
Methods:
Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals.
Results:
Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals.
Discussion:
Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.
| Original language | English |
|---|---|
| Pages (from-to) | 482-492 |
| Journal | Journal of Aging and Health |
| Volume | 33 |
| Issue number | 7-8 |
| DOIs | |
| Publication status | Published - Aug 2021 |
Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by Innovation fund of Friesland Care Insurance (In Dutch: Innovatiefonds De Friesland Zorgverzekeraar), Leeuwarden, the Netherlands, (0710-14,599/ DS44).