Authors: (including presenting author): :
Chiu CCC(1), Kee PL(2), Leung WS(3), Li CF(4), Sum KL(4), Wong LK(4), Chan SL(1), Wong TKD(1), Ng SF(1), Wan YT(1), Leung YSD(1), Hung SY(1), Lam YFD(4), Ng MLB(4), Wu MY(3), Li HLF(1), Leung WMW(1), Wong MYM(1), Wong MSM(1)
Affiliation: :
(1)Family Medicine and Primary Healthcare, Hong Kong East Cluster, (2)Clinical Oncology Department, Pamela Youde Nethersole Eastern Hospital, (3) Specialist Outpatient Department, Pamela Youde Nethersole Eastern Hospital, (4) Department of Medicine, Pamela Youde Nethersole Eastern Hospital
Keyword 1: :
patient-centered
Keyword 2: :
goal setting
Keyword 3: :
behavior therapy
Keyword 4: :
lifestyle modification
Keyword 5: :
preventive care
Keyword 6: :
primary health care
Introduction: :
As a preventive care service, assisting clients in improving health behaviors is crucial. Studies suggest collaborative goal setting and Brief Action Planning from Dr. Steven Cole are more effective than traditional advice for promoting behavior change. This empowering approach is supported by Dr. Dorothea Elizabeth Orem’s self-care deficit theory. By employing the Goal Attainment Scaling (GAS) from Thomas Kiresuk and Robert Sherman, we can assess the model’s efficacy in promoting healthy lifestyle modifications within our clinic, thereby contributing to the enhancement of individual well-being and the quality of nurse-clinic services.
Objectives: :
To evaluate the impact of Client-Led Action Plan (CLAP) on an individual’s health-related behavioral change in preventive care clinic
Methodology: :
Clients in intervention group attended a 20–30-minute face-to-face assessment and action plan discussion with nurses. Nurses facilitated goal-setting discussions and helped clients implement lifestyle modifications using a validated action plan form. Behavioral change was evaluated using GAS at three-month follow up. Clients prior to the intervention period served as the historical control group. They received standard care during regular consultations with nurses and refrained from participating in action plan discussions aimed at lifestyle modifications. Behavioral changes achieved through their own were evaluated at the three-month follow up time.
Result & Outcome: :
The results showed that the intervention group (N=52) achieved greater median change scores than control group (N=51), particularly in physical activity and diet modification domains. Its statistical significance was confirmed with Mann-Whitney U test, with p < 0.001, r >0.5 shown. The treatment effect was also clinically meaningful with NNT 2, [95% CI (3,2)], indicating that CLAP can prevent one failure in goal attainment if every two clients are treated. This study proves CLAP discussions can be effectively used by nurses to facilitate behavior change among preventive care clients in a time-constrained setting.
