SMART GOAL SETTING IN CURRENT DIETETIC PRACTICE IN PRIMARY CARE IN THE NETHERLANDS:
Preliminary Observations of the Dieet Study
RATIONALE: Current developments drive dieticians in the primary care setting to demonstrate their effectiveness to both patients and stakeholders. Working with SMART (Specific, Measurable, Attainable, Realistic, Time-bound) goal setting may increase effectiveness. This study describes the current dietetic practice in the primary care setting in The Netherlands with regard to goal setting.
This observational study was part of the DIEET study (DIEtetics: Effective and Towards a sustainable profession).Trained students performed structured observations during first dietetic consultations of patients with overweight (BMI 25 kg/m2) (38%), diabetes mellitus type 2 (35%), hypercholesterolemia (15%), hypertension (2%), or malnutrition (9%) in the primary care setting. Amongst numerous other factors, observations focused on (SMART) goal setting and nutritional assessment (NA). Chi-square tests were used to express associations between treatment goals and NA.
54 observations were performed in 17 male (32%) and 37 female patients (56.1±16.0 y) visiting 54 dieticians (44.5±10.8 y). In 40 (74%) consultations treatment goals were defined [specific (n = 38), measurable (n = 28), attainable (n = 31), realistic (n = 23), time-bound (n = 13)], of which 12 (22%) were SMART. In 40 (74%) consultations NA was performed, including measurements of weight (74%), height (20%), BIA (32%) and waist circumference (11%). Goal setting in general was related to performing NA (83%, p = 0.02), but SMART goal setting was only related to performing BIA measurement (41%, p = 0.02).
These preliminary results indicate that, incurrent practice, primary care dieticians define treatment goals in 74% of first consultations, but only 22% of dieticians set SMART goals. The DIEET study will further explore whether SMART goal setting during the first consultation will result in higher effectiveness.
Leistra, E., Hospes, E. C., Ozturk, H., Tump, A. C., Bliekendaal, S., & Weijs, P. J. (2014). PP196-MON: Smart Goal Setting in Current Dietetic Practice in Primary Care in the Netherlands: Preliminary Observations of the Dieet Study. Clinical Nutrition, 33, S202