ArticleAnnals of family medicine
Prescription for health: changing primary care practice to foster healthy behaviors.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cardiovascular health disparities: a systematic review of health care interventions.Medical care research and review : MCRR · 2007Pooled it
- Improved delivery of cardiovascular care (IDOCC) through outreach facilitation: study protocol and implementation details of a cluster randomized controlled trial in primary care.Implementation science : IS · 2011Trial
- Heart Healthy and Ethnically Relevant (HHER) Lifestyle trial for improving diet and physical activity in underserved African American women.Contemporary clinical trials · 2010Trial
- A medical assistant-based program to promote healthy behaviors in primary care.Annals of family medicineTrial
- Effectiveness of 2 methods of promoting physical activity, healthy eating, and emotional well-being with the americans in motion--healthy interventions approach.Annals of family medicineTrial
- Assessing efficacy of a web-based smoking cessation tool - QuitAdvisorMD: Protocol for a practice-based, clustered, randomized control trial.Contemporary clinical trials communications · 2024Article
- Adolescent cancer prevention in rural, pediatric primary care settings in the United States: A scoping review.Preventive medicine reports · 2023Article
- The Role of Internal Medicine-Pediatric Programs and Transition Champions in Graduate Medical Trainee Health Care Transition Development.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Building a practice-based research network for healthcare integration: a protocol paper for a mixed-method project.BMJ open · 2022Article
- Collaborative modeling of an implementation strategy: a case study to integrate health promotion in primary and community care.BMC research notes · 2017Article
- Healthy Team Healthy U: A Prospective Validation of an Evidence-Based Worksite Health Promotion and Wellness Platform.Frontiers in public health · 2015Article
- Quality of cardiovascular disease care in Ontario, Canada: missed opportunities for prevention - a cross sectional study.BMC cardiovascular disorders · 2012Article
- Characteristics and lessons learned from practice-based research networks (PBRNs) in the United States.Journal of healthcare leadership · 2012Article
- Linkages between clinical practices and community organizations for prevention: a literature review and environmental scan.American journal of public health · 2012Review
- Clinical preventive services for older adults: the interface between personal health care and public health services.American journal of public health · 2012Article
- Health promotion in primary care: how should we intervene? A qualitative study involving both physicians and patients.BMC health services research · 2011Article
- Adoption and implementation of physical activity and dietary counseling by community health center providers and nurses.Journal of physical activity & health · 2010Article
- The covariation of multiple risk factors in primary care: a latent class analysis.Journal of behavioral medicine · 2008Article
- Is integration of healthy lifestyle promotion into primary care feasible? Discussion and consensus sessions between clinicians and researchers.BMC health services research · 2008Article
- Clinician reflections on promotion of healthy behaviors in primary care practice.Health policy (Amsterdam, Netherlands) · 2007Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe leading causes of premature death in the United States are linked to 4 behaviors: smoking, unhealthy diet, physical inactivity, and risky alcohol use. We report lessons from 17 exploratory projects funded under Prescription for Health that tested the feasibility of innovative behavior change strategies for at least 2 of these behaviors in primary care practices.
methodsSeventeen practice-based research networks (PBRNs) implemented and evaluated tools, cues, and techniques in 120 family medicine, internal medicine, pediatric, and nursing practices across an ethnically diverse sample of adults, children, and adolescents in rural and urban settings. We reviewed progress reports and notes from site visits and 3 meetings to generate overarching lessons.
resultsPBRNs successfully implemented their projects in diverse practices despite reported logistical challenges and practice constraints. The networks showed that distributing the effort across the care team and throughout the practice and community is possible. Although each behavior required specific attention, each did not require its own separate staff and system. Three models emerged as helpful guides for the comprehensive redesign of health behavior counseling, but they require adaptation for use in real-world primary care settings. Traditional methods of collaboration yielded mixed results, making obvious a need for dedicated collaboration funds and a better framework to identify and align high-yield opportunities.
conclusionsThese projects confirm the feasibility of health behavior counseling in primary care practice. They also highlight the need for substantive practice redesign, and the value of models and frameworks to guide redesign and collaborative efforts.
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