Description of Interventions for Prescription for Health Projects, Round 1
| 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. |