Table 1.

Description of Interventions for Prescription for Health Projects, Round 1

ProjectIntervention Description
MI = motivational interviewing; PDA = personal digital assistant; 5 A’s = ask, advise, agree, assist, arrange.
1Prescription pad to trigger clinician referral to established wellness program that provided telephone support (physical activity and smoking cessation).
2Interactive educational program based on MI; practice member screened and identified eligible patients; patients selected intervention intensity (written material, Web site, telephone counseling).
3Standardized paper-based practice assessments; patients received pedometers, nutrition and activity logs, referral to a walking club, and coaching.
4PDA-guided clinical assessment of patients’ eating and smoking behaviors using a 5 A’s model; patient referral to a health coach for support.
5Health system nurse-consultant facilitated quality improvement effort to enhance delivery and documentation of 5 A’s.
6Tailored practice improvement to increase pediatrician counseling on diet and physical activity. Practices selected options of proven prevention strategies.
7PDA risk survey for teens; triggers clinicians to initiate MI and action plan; follow-up e-mail support.
8Wireless Web tablet used to assess patients’ concerns (diet and activity); triggers discussion; patients offered group counseling.
9Practice protocol to identify overweight and obesity; referral to a health coach for MI-based program.
10Comparative 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.
11Stage-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).
12Practice members engaged in a personal behavior change for improving diet and physical activity; offer same intervention (goal-setting, pedometers, telephone follow-up) to patients.
13Searchable 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.
14Goal 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.
15PDA-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.
16Tested penetration of 3 different brief intervention models (clinician, specialist, health educator) for smoking and risky drinking; practice-tailored assessment tools; clinician training.
17Clinicians integrated behavior change action plans into routine visits; research staff members assisted with patient recruitment, follow-up calls, and record reviews.