Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

VA Health Systems Research

Go to the VA ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Management of chronic hypertension in older men: an exploration of patient goal-setting.

Brown VA, Bartholomew LK, Naik AD. Management of chronic hypertension in older men: an exploration of patient goal-setting. Patient education and counseling. 2007 Dec 1; 69(1-3):93-9.

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
   Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions


OBJECTIVE: Goal-setting is an approach to collaborative chronic care that involves clinicians and patients working together to set goals and to initiate and maintain specific self-care behaviors. Using patients' own perspectives, this study describes how goals for the self-management of hypertension are developed and whether or not they conform to the characteristics of effective goal-setting. METHODS: Qualitative methodology was used to explore the process of setting self-management goals for hypertensive patients. Thirty patients participated in semi-structured interviews that ascertained the detail and specificity of self-care goals, timing and quality of feedback for setting and monitoring goals and the role of family members and caregivers in setting goals. RESULTS: Patients understood the risks associated with hypertension, had intentions to control their disease, reported conducting at least one self-care task and set informal goals for themselves; however, these goals lacked the characteristics needed to initiate and maintain behavior change. CONCLUSION: Patient goal-setting is underdeveloped and poorly supported in chronic hypertension care. Future studies need to examine ways to support effective goal-setting. PRACTICE IMPLICATIONS: As part of chronic hypertension care, health care providers should incorporate time and support for dedicated goal-setting to improve the effectiveness of self-management behaviors.

Questions about the HSR website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.