Evidence map›Paper›PMID 21911759›Full record

ArticleAnnals of family medicine

Coordination of health behavior counseling in primary care.

Deborah J Cohen, Bijal A Balasubramanian, Nicole F Isaacson, Elizabeth C Clark, Rebecca S Etz, Benjamin F Crabtree

Open access · diamondAbstract read
In one paragraph

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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
9.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 49 citations in OpenAlex.

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  11. Exercise is Medicine as a Vital Sign: Challenges and Opportunities.Translational journal of the American College of Sports Medicine · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Deborah J CohenDepartment of Family Medicine, Oregon Health & Sciences University, Portland, Oregon 97239, USA. cohendj@ohsu.edu
Bijal A Balasubramanian
Nicole F Isaacson
Elizabeth C Clark
Rebecca S Etz
Benjamin F Crabtree
Somerset Medical Center · USOregon Health & Science University · US

Funding

Integrating Practice & Community Cancer ControlK05CA140237 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI CRABTREE, BENJAMIN F · 2009 to 2013
$851k
NCI NIH HHS K05 CA140237
6 · The paper itself

Abstract

purposeWe wanted to examine how coordinated care is implemented in primary care practices to address patients' health behavior change needs.

methodsSite visit notes, documents, interviews, and online implementation diaries were collected from July 2005 to September 2007 from practice-based research networks (PBRNs) participating in Prescription for Health: Promoting Healthy Behaviors in Primary Care Research Networks (P4H). An iterative group process was used to conduct a cross-case comparative analysis of 9 interventions. Published patient outcomes reports from P4H interventions were referenced to provide information on intervention effectiveness.

resultsIn-practice health risk assessment (HRA) and brief counseling, coupled with referral and outreach to a valued and known counseling resource, emerged as the best way to consistently coordinate and encourage follow-through for health behavior counseling. Findings from published P4H outcomes suggest that this approach led to improvement in health behaviors. Automated prompts and decision support tools for HRA, brief counseling and referral, training in brief counseling strategies, and co-location of referral with outreach facilitated implementation. Interventions that attempted to minimize practice or clinician burden through telephone and Web-based counseling systems or by expanding the medical assistant role in coordination of health behavior counseling experienced difficulties in implementation and require more study to determine how to optimize integration in practices.

conclusionsEasy-to-use system-level solutions that have point-of-delivery reminders and decision support facilitate coordination of health behavior counseling for primary care patients. Infrastructure is needed if broader integration of health behavior counseling is to be achieved in primary care.

Indexed as

Health BehaviorAdolescentChild, PreschoolDirective CounselingFemaleHealth PromotionHealth Services AccessibilityHumansMaleMiddle AgedPrimary Health CareReferral and ConsultationRisk AssessmentUnited States

Identifiers

PMID21911759
PMCPMC3185477
OpenAlexW2158072874

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.