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Development of the PRACTIC Goal Setting Interview (PGSI) for Frail Community-Dwelling Patients. Feasibility,
Anette Væringstad1,2, Øyvind Kirkevold1,2,3, Ellen Thea Gjelseth Dalbak1,2
1The Research Centre for Age-Related Functional Decline and Disease, Innlandet Hospital Trust, Ottestad, Norway.
Patient Preference and Adherence
|December 22, 2025
Summary
The PRACTIC Goal Setting Interview (PGSI) is a feasible and valid tool for enhancing patient engagement and goal attainment in home care. This study confirmed its content validity and interrater reliability for improved patient outcomes.
Area of Science:
- Gerontology
- Health Services Research
- Psychometrics
Background:
- Goal-setting interviews, like the Bangor Goal-Setting Interview (BGSI), offer personalized outcomes for participants in randomized controlled trials (RCTs).
- The PRACTIC RCT evaluates a biopsychosocial intervention for frail community-dwelling patients, using the adapted PRACTIC Goal Setting Interview (PGSI) as its primary outcome.
- The PGSI focuses on individual goal attainment and readiness to change, reflecting unique patient needs.
Purpose of the Study:
- To translate and develop the PGSI from the BGSI for use in the PRACTIC RCT.
- To explore the feasibility, content validity, and interrater reliability of the PGSI in a home care setting.
Main Methods:
- A convergent mixed-method design was employed, integrating quantitative and qualitative data.
- Substudy 1 involved translation and development using field notes from municipal staff meetings (n=7).
- Substudy 2 assessed feasibility, content validity, and interrater reliability using data from 28 municipalities, including patients (n=126), next of kin (n=72), staff (n=13), data collectors (n=5), and individual interviews (n=12).
Main Results:
- The PGSI was well-received in home care, enhancing patient involvement despite challenges like time pressure.
- Participants with high motivation showed a significant increase in PGSI scores after 12 weeks (p=0.010).
- Strong positive correlations were found between patient and staff assessments of goal attainment (Spearman's ρ = 0.87-0.92, p < 0.001), indicating high interrater reliability.
Conclusions:
- The PGSI is a useful and feasible tool for goal setting in home care services.
- The PGSI strengthens patient engagement and goal attainment.
- The tool demonstrates high content validity and interrater reliability, supporting its use in improving patient care.
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