RT Journal Article
SR Electronic
T1 Frequency and Prioritization of Patient Health Risks from a Structured Health Risk Assessment
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 505
OP 513
DO 10.1370/afm.1717
VO 12
IS 6
A1 Siobhan M. Phillips
A1 Russell E. Glasgow
A1 Ghalib Bello
A1 Marcia G. Ory
A1 Beth A. Glenn
A1 Sherri N. Sheinfeld-Gorin
A1 Roy T. Sabo
A1 Suzanne Heurtin-Roberts
A1 Sallie Beth Johnson
A1 Alex H. Krist
YR 2014
UL http://www.annfammed.org/content/12/6/505.abstract
AB PURPOSE To describe the frequency and patient-reported readiness to change, desire to discuss, and perceived importance of 13 health risk factors in a diverse range of primary care practices. METHODS Patients (n = 1,707) in 9 primary care practices in the My Own Health Report (MOHR) trial reported general, behavioral, and psychosocial risk factors (body mass index [BMI], health status, diet, physical activity, sleep, drug use, stress, anxiety or worry, and depression). We classified responses as “at risk” or “healthy” for each factor, and patients indicated their readiness to change and/or desire to discuss identified risk factors with providers. Patients also selected 1 of the factors they were ready to change as most important. We then calculated frequencies within and across these factors and examined variation by patient characteristics and across practices. RESULTS On average, patients had 5.8 (SD = 2.12; range, 0–13) unhealthy behaviors and mental health risk factors. About 55% of patients had more than 6 risk factors. On average, patients wanted to change 1.2 and discuss 0.7 risks. The most common risks were inadequate fruit/vegetable consumption (84.5%) and overweight/obesity (79.6%). Patients were most ready to change BMI (33.3%) and depression (30.7%), and most wanted to discuss depression (41.9%) and anxiety or worry (35.2%). Overall, patients rated health status as most important. CONCLUSIONS Implementing routine comprehensive health risk assessments in primary care will likely identify a high number of behavioral and psychosocial health risks. By soliciting patient priorities, providers and patients can better manage counseling and behavior change.