TY - JOUR
T1 - The impact of behavioral and mental health risk assessments on goal setting in primary care
AU - Krist, Alex H.
AU - Glasgow, Russell E.
AU - Heurtin-Roberts, Suzanne
AU - Sabo, Roy T.
AU - Roby, Dylan H.
AU - Gorin, Sherri N.Sheinfeld
AU - Balasubramanian, Bijal A.
AU - Estabrooks, Paul A.
AU - Ory, Marcia G.
AU - Glenn, Beth A.
AU - Phillips, Siobhan M.
AU - Kessler, Rodger
AU - Johnson, Sallie Beth
AU - Rohweder, Catherine L.
AU - Fernandez, Maria E.
N1 - Publisher Copyright:
© 2016, Society of Behavioral Medicine.
PY - 2016/6/1
Y1 - 2016/6/1
N2 - 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 Registration Clinicaltrials.gov
AB - 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 Registration Clinicaltrials.gov
KW - Health behaviors
KW - Health risk assessment
KW - Mental health
KW - Patient reported measures
KW - Pragmatic trial
KW - Primary care
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U2 - 10.1007/s13142-015-0384-2
DO - 10.1007/s13142-015-0384-2
M3 - Article
C2 - 27356991
AN - SCOPUS:84976561830
SN - 1869-6716
VL - 6
SP - 212
EP - 219
JO - Translational behavioral medicine
JF - Translational behavioral medicine
IS - 2
ER -