Article Figures & Data
Figures
- Figure 1.
RWJF Prescription for Health evaluation plan.
Tables
Project Intervention Description MI = motivational interviewing; PDA = personal digital assistant; 5 A’s = ask, advise, agree, assist, arrange. 1 Prescription pad to trigger clinician referral to established wellness program that provided telephone support (physical activity and smoking cessation). 2 Interactive educational program based on MI; practice member screened and identified eligible patients; patients selected intervention intensity (written material, Web site, telephone counseling). 3 Standardized paper-based practice assessments; patients received pedometers, nutrition and activity logs, referral to a walking club, and coaching. 4 PDA-guided clinical assessment of patients’ eating and smoking behaviors using a 5 A’s model; patient referral to a health coach for support. 5 Health system nurse-consultant facilitated quality improvement effort to enhance delivery and documentation of 5 A’s. 6 Tailored practice improvement to increase pediatrician counseling on diet and physical activity. Practices selected options of proven prevention strategies. 7 PDA risk survey for teens; triggers clinicians to initiate MI and action plan; follow-up e-mail support. 8 Wireless Web tablet used to assess patients’ concerns (diet and activity); triggers discussion; patients offered group counseling. 9 Practice protocol to identify overweight and obesity; referral to a health coach for MI-based program. 10 Comparative analysis of (1) using innovative Web-based patient activation tool, (2) using Web tool plus linkages to a practice improvement approach, (3) using Web tool and linkages to the practice improvement approach plus practice linkages to community resources. 11 Stage-based Web portal for patients to access evidence-based resources on health behaviors (tools to facilitate change, community services information, assistance in arranging help from practices). 12 Practice members engaged in a personal behavior change for improving diet and physical activity; offer same intervention (goal-setting, pedometers, telephone follow-up) to patients. 13 Searchable Web-based Community Health Promotion Resource; assessed impact of this tool on clinician discussions of health behavior change, patient’s readiness to change, and actual change. 14 Goal setting with patients who were overweight and at risk for diabetes; practice protocol developed to identify eligible patients; patients received pedometer and were monitored by nurse surveillance. 15 PDA-based decision support tool to improve clinicians’ ability to provide patient-tailored counseling (tobacco, diet) at point of care; practice-developed clinician trigger for PDA use. 16 Tested penetration of 3 different brief intervention models (clinician, specialist, health educator) for smoking and risky drinking; practice-tailored assessment tools; clinician training. 17 Clinicians integrated behavior change action plans into routine visits; research staff members assisted with patient recruitment, follow-up calls, and record reviews.
