ArticleAnnals of family medicine
Frequency and prioritization of patient health risks from a structured health risk assessment.
Registry-linked trialOpen 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. It is linked to trial NCT03023813 (Individualizing Disease Prevention for Middle-Aged Adults), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.
0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
What it found
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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.
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.
Individualizing Disease Prevention for Middle-Aged Adults
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Effect Sizes and Primary Outcomes in Large-Budget, Cardiovascular-Related Behavioral Randomized Controlled Trials Funded by NIH Since 1980.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016Pooled it
- The impact of behavioral and mental health risk assessments on goal setting in primary care.Translational behavioral medicine · 2016Trial
- An explainable predictive model for anxiety symptoms risk among Chinese older adults with abdominal obesity using a machine learning and SHapley Additive exPlanations approach.Frontiers in psychiatry · 2024Article
- Barriers to and facilitators of using evidence-based, cognitive-behavioral anxiety interventions in integrated primary care practice.Psychological services · 2023Article
- Reach Outcomes and Costs of Different Physician Referral Strategies for a Weight Management Program Among Rural Primary Care Patients: Type 3 Hybrid Effectiveness-Implementation Trial.JMIR formative research · 2021Article
- Examining the feasibility and characteristics of realistic weight management support for patients: Focus groups with rural, micropolitan, and metropolitan primary care providers.Preventive medicine reports · 2021Article
- Article
- Can the Routine Use of Patient-Reported Outcome Measures Improve the Delivery of Person-Centered Diabetes Care? A Review of Recent Developments and a Case Study.Current diabetes reports · 2019Review
- Behavioral and mental health risk factor profiles among diverse primary care patients.Preventive medicine · 2018Article
- A Quasi-Experiment to Assess the Impact of a Scalable, Community-Based Weight Loss Program: Combining Reach, Effectiveness, and Cost.Journal of general internal medicine · 2017Article
- Practical Opportunities for Healthy Diet and Physical Activity: Relationship to Intentions, Behaviors, and Body Mass Index.Annals of family medicine · 2016Article
- Obesity, physical activity, and dietary behaviors in an ethnically-diverse sample of cancer survivors with early onset disease.Journal of psychosocial oncologyArticle
- Factors Related to Implementation and Reach of a Pragmatic Multisite Trial: The My Own Health Report (MOHR) Study.Journal of the American Board of Family Medicine : JABFMArticle
- Exploring the Relationship Between Community Program Location and Community Needs.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 1 country.
Siobhan M PhillipsImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.). smphillips@northwestern.edu.
Russell E GlasgowImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
Ghalib BelloImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
Marcia G OryImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
Beth A GlennImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
Sherri N Sheinfeld-GorinImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
Roy T SaboImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
Suzanne Heurtin-RobertsImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
Sallie Beth JohnsonImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
Alex H KristImplementation Sciences Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P., R.E.G., S. H-R.); Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (S.M.P.); Colorado Health Outcomes Program, University of Colorado; Aurora, Colorado (R.E.G.); Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia (G.B., R.T.S.); Health Promotion & Community Health Sciences, Health Science Center, Texas A&M University, Round Rock, Texas (M.G.O.); Department of Health Policy & Management, Fielding School of Public Health, UCLA, Los Angeles, California (B.A.G.); Leidos Biomedical Research, Inc, Division of Cancer Control and Population Sciences of the National Cancer Institute, New York Physicians Against Cancer (NYPAC), Herbert Irving Comprehensive Cancer Center, New York, New York (S.N.S-G.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J.); Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, Virginia (S.B.J.); Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.).
MOHR Study Group
Herbert Irving Comprehensive Cancer CenterThe Medical Center of Aurora · USUCLA Health · USNational Cancer Institute · USNorthwestern University · USTexas A&M Health Science Center · USVirginia Tech · US
Funding
PHS HHS ULTR00058
Abstract
purposeTo 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.
methodsPatients (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.
resultsOn 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.
conclusionsImplementing 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.
Indexed as
CommunicationHealth BehaviorAdultAgedAlcohol DrinkingAnxietyBody Mass IndexDepressionDietFemaleHealth StatusHumansMaleMiddle AgedMotor ActivityPatient Acceptance of Health Carehealth risk appraisalpatient-centered careprimary care
Identifiers
What OpenQuestion holds
Textmetadata
Read underepoch 390
Registered trials
NCT03023813ClinicalTrials.gov
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.