Translational behavioral medicine · 2016
The impact of behavioral and mental health risk assessments on goal setting in primary care.
СтатьяРандомизированное исследованиеПоддержка NIH: внешняя программаПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
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Krist Alex H, Glasgow Russell E, Heurtin-Roberts Suzanne, Sabo Roy T, Roby Dylan H, Gorin Sherri N Sheinfeld, Balasubramanian Bijal A, Estabrooks Paul A, Ory Marcia G, Glenn Beth A, Phillips Siobhan M, Kessler Rodger, Johnson Sallie Beth, Rohweder Catherine L, Fernandez Maria E, MOHR Study Group
Аннотация
Patient-centered health risk assessments (HRAs) that screen for unhealthy behaviors, prioritize concerns, and provide feedback may improve counseling, goal setting, and health. To evaluate the effectiveness of routinely administering a patient-centered HRA, My Own Health Report, for diet, exercise, smoking, alcohol, drug use, stress, depression, anxiety, and sleep, 18 primary care practices were randomized to ask patients to complete My Own Health Report (MOHR) before an office visit (intervention) or continue usual care (control). Intervention practice patients were more likely than control practice patients to be asked about each of eight risks (range of differences 5.3-15.8 %, p < 0.001), set goals for six risks (range of differences 3.8-16.6 %, p < 0.01), and improve five risks (range of differences 5.4-13.6 %, p < 0.01). Compared to controls, intervention patients felt clinicians cared more for them and showed more interest in their concerns. Patient-centered health risk assessments improve screening and goal setting.Trial RegistrationClinicaltrials.gov identifier: NCT01825746.