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Annals of Family Medicine 7:504-512 (2009)
© 2009 Annals of Family Medicine, Inc.
doi: 10.1370/afm.1059
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A Medical Assistant–Based Program to Promote Healthy Behaviors in Primary Care

Robert L. Ferrer, MD, MPH1, Priti Mody-Bailey, MD, MA1,2, Carlos Roberto Jaén, MD, PhD1, Sherrie Gott, PhD1 and Sara Araujo, BA3

1 Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas
2 Community Medicine Associates, San Antonio, Texas
3 University of New Mexico School of Public Health, Albuquerque, New Mexico


Figure 1
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  		Figure 1. Algorithm for medical assistants’ risk behavior assessment and management.

Note: After the health risk assessment, the medical assistant and patient discuss type of referral for smoking, low physical activity, and unhealthy diet. For risky drinking, the medical assistant informs the patient’s clinician and the clinician assesses the need for referral program.

F=female; LCDC=substance abuse clinic; M=male; SALSA=low-impact aerobics, dancing class; SAMHD=San Antonio Metropolitan Health District; Walk San Antonio = community-based walking program at multiple sites.

 

Figure 2
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  		Figure 2. Patient flow diagram for randomized trial.

No. with behavior = number of patients with a specified behavioral risk factor. Patients with multiple risk behaviors are counted in more than 1 category. No. choosing = number of patients who chose a specified risk factor as their priority for intervention. Patients could be counted in only 1 category. N/A = patients in the control arm did not choose a priority risk factor for intervention. No. with data at follow-up = number of patients who responded to follow-up questionnaire and who had complete data at baseline and follow-up for the specified risk factor. Intervention patients were counted only in 1 category. Control patients were counted in each category in which they had the specified risk.

 




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