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dc.contributor.authorFranklin, M
dc.contributor.authorWillis, K
dc.contributor.authorLewis, S
dc.contributor.authorRogers, A
dc.contributor.authorVenville, A
dc.contributor.authorSmith, L
dc.date.accessioned2020-02-10T00:44:36Z
dc.date.available2020-02-10T00:44:36Z
dc.date.issued2019
dc.identifier.citationFranklin, M., Lewis, S., Willis, K., Rogers, A., Venville, A., & Smith, L. (2019). Controlled, Constrained, or Flexible? How Self-Management Goals Are Shaped By Patient–Provider Interactions. Qualitative Health Research, 29(4), 557–567. https://doi.org/10.1177/1049732318774324en_AU
dc.identifier.urihttps://hdl.handle.net/2123/21819
dc.description.abstractA person-centered approach to goal-setting, involving collaboration between patients and health professionals, is advocated in policy to support self-management. However, this is difficult to achieve in practice, reducing the potential effectiveness of self-management support. Drawing on observations of consultations between patients and health professionals, we examined how goal-setting is shaped in patient-provider interactions. Analysis revealed three distinct interactional styles. In controlled interactions, health professionals determine patients' goals based on biomedical reference points and present these goals as something patients should do. In constrained interactions, patients are invited to present goals, yet health professionals' language and questions orientate goals toward biomedical issues. In flexible interactions, patients and professionals both contribute to goal-setting, as health professionals use less directive language, create openings, and allow patients to decide on their goals. Findings suggest that interactional style of health professionals could be the focus of interventions when aiming to increase the effectiveness of goal-setting.en_AU
dc.description.sponsorshipThis research was funded by the Australian Research Council (DP150101406) and Dr. Sophie Lewis's research is funded by the Australian Research Council (DE170100440).en_AU
dc.language.isoen_AUen_AU
dc.publisherSAGEen_AU
dc.relationThis research was funded by the Australian Research Council (DP150101406) and Dr. Sophie Lewis's research is funded by the Australian Research Council (DE170100440).en_AU
dc.subjectChronic conditionsen_AU
dc.subjectpatient professional interactionsen_AU
dc.subjectself managementen_AU
dc.subjectself management supporten_AU
dc.subjectgoal settingen_AU
dc.subjectobservationsen_AU
dc.subjectqualitative researchen_AU
dc.subjectpatient centred careen_AU
dc.titleControlled, Constrained, or Flexible? How Self-Management Goals Are Shaped By Patient–Provider Interactionsen_AU
dc.typeArticleen_AU
dc.subject.asrcHealthen_AU
dc.identifier.doihttps://doi.org/10.1177/1049732318774324
dc.type.pubtypePost-printen_AU


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