![]() |
Home
Search
Study Topics
Glossary
|
![]() |
![]() |
|
![]() |
|
![]() |
|
![]() |
![]() |
![]() |
|
![]() |
![]() |
Sponsors and Collaborators: |
Virginia Commonwealth University Robert Wood Johnson Foundation Agency for Healthcare Research and Quality (AHRQ) |
---|---|
Information provided by: | Virginia Commonwealth University |
ClinicalTrials.gov Identifier: | NCT00292968 |
Using an electronic health record to link the resources of primary care practices and community programs will help patients to improve their diet and exercise, quit smoking, and moderate their drinking.
Condition | Intervention |
---|---|
Unhealthy Diet, Exercise, Smoking, and Alcohol Use |
Behavioral: Computer based care Behavioral: Telephone counseling Behavioral: Group visits Behavioral: Usual care |
Study Type: | Interventional |
Study Design: | Prevention, Non-Randomized, Open Label, Parallel Assignment, Efficacy Study |
Official Title: | A Comprehensive Practice-Friendly Model for Promoting Healthy Behaviors |
Enrollment: | 5670 |
Study Start Date: | June 2006 |
Study Completion Date: | August 2007 |
Primary Completion Date: | February 2007 (Final data collection date for primary outcome measure) |
We posit that practice systems to promote healthy behaviors must combine five attributes to be effective and sustainable. They must be comprehensive (addressing multiple behaviors and the "5 As"), flexible (offering options), generalizable to ordinary practices, practice-friendly (limiting burden), and apply the Chronic Care Model. We will test the effectiveness and implementation of an innovative "packaged" intervention with these features. Six ACORN-affiliated practices will adopt a brief (3 minute) routine to deliver A1-3 (Ask, Advise, Agree) in the office and to offer patients four options for intensive assistance (Assist [A4], Arrange [A5]) outside the office. Patients can select 9 months of online, telephone, or group counseling; or usual care. An electronic health record (EHR) will expedite the in-office intervention and referrals. Outcome measures will include health behaviors (derived from 7200 surveys administered pre-intervention and 3 and 9 months post-exposure) and implementation (derived from EHR data, "counselee" surveys, and patient/staff interviews). We hypothesize that implementing this novel "package" of interventions will be associated with improved health behaviors (using the Common Measures for physical activity, diet, smoking, and alcohol use). EHR-captured data will measure RE-AIM parameters, including Reach (14 sub-measures), Adoption, and Maintenance. Surveys and qualitative analysis of semi-structured interviews with patients and office staff will explore Implementation issues and suggested improvements. We hope to demonstrate that this innovative intervention not only promotes healthy behaviors but is feasible and sustainable in primary care. Accomplishing these goals requires a delicate balancing act--deploying evidence-based strategies that are effective in lifestyle change but limit demands for new staff, training, or time. We strike this balance by harnessing effective technologies and tools and by leveraging resources outside the practice. If our intervention helps patients change unhealthy behaviors and is appealing to ordinary practices, we envision the potential for widespread adoption and substantial population health benefits.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
All individuals over the age of 8 years presenting for care in 9 primary care practices
Exclusion Criteria:
None
United States, Virginia | |
Riverside Physicians Associates | |
Newport News, Virginia, United States, 23666 |
Study Director: | Alex Krist, MD | Virginia Commonwealth University |
Responsible Party: | Virginia Commonwealth University, Department of Family Medicine ( Alex Krist MD MPH ) |
Study ID Numbers: | 6268 |
Study First Received: | February 15, 2006 |
Last Updated: | December 25, 2007 |
ClinicalTrials.gov Identifier: | NCT00292968 History of Changes |
Health Authority: | United States: Institutional Review Board |
Health Behavior Prevention Informatics Electronic Health Record |
Smoking Healthy Alcohol Drinking |