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Research ArticleOriginal Research

Adoption, Reach, Implementation, and Maintenance of a Behavioral and Mental Health Assessment in Primary Care

Alex H. Krist, Siobhan M. Phillips, Roy T. Sabo, Bijal A. Balasubramanian, Suzanne Heurtin-Roberts, Marcia G. Ory, Sallie Beth Johnson, Sherri N. Sheinfeld-Gorin, Paul A. Estabrooks, Debra P. Ritzwoller and Russell E. Glasgow
The Annals of Family Medicine November 2014, 12 (6) 525-533; DOI: https://doi.org/10.1370/afm.1710
Alex H. Krist
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
MD, MPH
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  • For correspondence: ahkrist@vcu.edu
Siobhan M. Phillips
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
PhD, MPH
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Roy T. Sabo
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
PhD
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Bijal A. Balasubramanian
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
MBBS, PhD
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Suzanne Heurtin-Roberts
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
MA, PhD, MSW
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Marcia G. Ory
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
PhD, MPH
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Sallie Beth Johnson
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
MPH, CHES
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Sherri N. Sheinfeld-Gorin
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
PhD
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Paul A. Estabrooks
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
PhD
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Debra P. Ritzwoller
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
PhD
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Russell E. Glasgow
Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
PhD
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Article Information

vol. 12 no. 6 525-533
DOI 
https://doi.org/10.1370/afm.1710
PubMed 
25384814

Published By 
The Annals of Family Medicine
Print ISSN 
1544-1709
Online ISSN 
1544-1717
History 
  • Received for publication March 26, 2014
  • Revision received August 1, 2014
  • Accepted for publication August 19, 2014
  • Published online November 10, 2014.

Copyright & Usage 
© 2014 Annals of Family Medicine, Inc.

Author Information

  1. Alex H. Krist, MD, MPH⇑,
  2. Siobhan M. Phillips, PhD, MPH,
  3. Roy T. Sabo, PhD,
  4. Bijal A. Balasubramanian, MBBS, PhD,
  5. Suzanne Heurtin-Roberts, MA, PhD, MSW,
  6. Marcia G. Ory, PhD, MPH,
  7. Sallie Beth Johnson, MPH, CHES,
  8. Sherri N. Sheinfeld-Gorin, PhD,
  9. Paul A. Estabrooks, PhD,
  10. Debra P. Ritzwoller, PhD and
  11. Russell E. Glasgow, PhD
  12. For the MOHR Study Group
  1. Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.)
  1. CORRESPONDING AUTHOR: Alex H. Krist, MD, MPH, PO Box 980101, Richmond, VA 23298, ahkrist{at}vcu.edu

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The Annals of Family Medicine: 12 (6)
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Vol. 12, Issue 6
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Adoption, Reach, Implementation, and Maintenance of a Behavioral and Mental Health Assessment in Primary Care
Alex H. Krist, Siobhan M. Phillips, Roy T. Sabo, Bijal A. Balasubramanian, Suzanne Heurtin-Roberts, Marcia G. Ory, Sallie Beth Johnson, Sherri N. Sheinfeld-Gorin, Paul A. Estabrooks, Debra P. Ritzwoller, Russell E. Glasgow
The Annals of Family Medicine Nov 2014, 12 (6) 525-533; DOI: 10.1370/afm.1710

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Adoption, Reach, Implementation, and Maintenance of a Behavioral and Mental Health Assessment in Primary Care
Alex H. Krist, Siobhan M. Phillips, Roy T. Sabo, Bijal A. Balasubramanian, Suzanne Heurtin-Roberts, Marcia G. Ory, Sallie Beth Johnson, Sherri N. Sheinfeld-Gorin, Paul A. Estabrooks, Debra P. Ritzwoller, Russell E. Glasgow
The Annals of Family Medicine Nov 2014, 12 (6) 525-533; DOI: 10.1370/afm.1710
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