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Learning Objective 1: 1. The learner will be able to identify facilitators to implementing goal setting during routine office visits in an urban primary care setting.
Learning Objective 2: 2. The learner will be able to discuss barriers to implementing research in an underserved area with vulnerable populations.
Chronic diseases are the leading causes of death and disability in the United States today. According to the CDC (2004) these health care costs amounted to almost 75% of the nation’s healthcare budget. Modifiable risk factors like obesity, physical inactivity and smoking all contribute to the higher incidence of chronic disease among Hispanic populations. There is a growing body of literature that suggests goal setting as part of self-management of specific health behaviors can improve outcomes. While goal setting and goal revisions have been integrated into various intervention programs, it has not been done routinely as part of the primary care patient visit. Many programs have required extensive time commitments and additional funding not available in many community settings that serve these populations. These issues have affected the sustainability of the interventions over time. This research aims to implement a more practical intervention that may influence chronic disease management among Hispanic populations. Goal setting incorporated as part of a routine follow-up visit will be targeted as the intervention that could be easily implemented into the patient flow and not cost the sites additional monies in staff or resources.
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