Patients’ goals were the primary sources of motivation
to promote adherence to therapies and behavioral change.
Although approaches to achieve these goals were based on
patients’ and caregivers’ identification of strategies that
worked best for them, all patient teaching was audiotaped
with tapes and recorders left for patients and caregivers to
review throughout the intervention period. If applicable,
videocassette recorder tapes featuring management of
common comorbid conditions (e.g., diabetes mellitus) were
also left with patients and caregivers to review. At the
conclusion of the intervention, APNs provided patients,
caregivers, physicians, and other providers with summaries
of goal progression, unresolved issues, and recommendations