Trial reportAnnals of family medicine
Adoption, reach, implementation, and maintenance of a behavioral and mental health assessment in primary care.
Abstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph
Trial report 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 31 papers.
0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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.
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.
Who cites it
31 citing papers in PubMed.
- Comparing different forms of structured follow-up support in the treatment of multiple health risks for chronic disease: a randomized controlled trial protocol.Implementation science : IS · 2026Trial
- Pilot implementation study of a web-based men's health screening app in primary care during COVID-19: a mixed-methods approach.BMC health services research · 2024Trial
- Tailored communications for obesity prevention in pediatric primary care: a feasibility study.Health education research · 2018Trial
- The impact of behavioral and mental health risk assessments on goal setting in primary care.Translational behavioral medicine · 2016Trial
- Scalable, context-sensitive psychiatric assessment with large language models and brief diaries.Psychological medicine · 2026Article
- Educating during the COVID-19 Pandemic: An Educator Perspective on Mental Health.Disaster medicine and public health preparedness · 2026Article
- Dementia prevention through the eyes of individuals at risk: insights from a satisfaction survey within the programme for dementia prevention in Luxembourg.Frontiers in aging · 2026Article
- "I wish they heard my story rather than my conditions." -A qualitative exploration of young people's experiences during mental health assessment in the UK.PLOS mental health · 2025Article
- Economical Impact of Integration of Mental Health Services to Primary Care - A Review.Journal of pharmacy & bioallied sciences · 2024Review
- Evaluating a New Digital App-Based Program for Heart Health: Feasibility and Acceptability Pilot Study.JMIR formative research · 2024Article
- Just as Essential: The Mental Health of Educators During the COVID-19 Pandemic.Disaster medicine and public health preparedness · 2024Article
- Surveillance system for Healthcare-associated endophthalmitis at state level in a middle-income country: preliminary results.Arquivos brasileiros de oftalmologia · 2022Article
- Illness perception and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention in Iran.BMC cardiovascular disorders · 2022Article
- Feasibility and Acceptability of a Digital Patient-Reported Outcome Tool in Routine Outpatient Diabetes Care: Mixed Methods Formative Pilot Study.JMIR formative research · 2021Article
- Implementation Strategies for Web-Based Apps for Screening: Scoping Review.Journal of medical Internet research · 2020Article
- Article
- The APEC Digital Hub-WONCA Collaborative Framework on Integration of Mental Health into Primary Care in the Asia Pacific.Journal of multidisciplinary healthcare · 2020Article
- 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
- Proactive multipurpose health risk screening in health care settings: Methods, design, and reach.International journal of methods in psychiatric research · 2019Article
- Sustaining alcohol and opioid use disorder treatment in primary care: a mixed methods study.Implementation science : IS · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Alex H KristDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.) ahkrist@vcu.edu.
Siobhan M PhillipsDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
Roy T SaboDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
Bijal A BalasubramanianDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
Suzanne Heurtin-RobertsDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
Marcia G OryDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
Sallie Beth JohnsonDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
Sherri N Sheinfeld-GorinDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
Paul A EstabrooksDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
Debra P RitzwollerDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
Russell E GlasgowDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (A.H.K.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.M.P.); Department of Biostatistics, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia (R.T.S.); Division of Epidemiology, Human Genetics, and Environmental Science, University of Texas, School of Public Health, Dallas, Texas (B.A.B.); Implementation Science Team, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland (S.H R.); Department of Health Promotion and Community Health Sciences, Texas A&M Health Sciences Center School of Public Health, College Station, Texas (M.G.O.); Department of Family and Community Medicine, Carilion Clinic, Roanoke, Virginia (S.B.J. & P.A.E.); 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 Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, Virignia (P.A.E.); Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (D.P.R.); Department of Family Medicine, University of Colorado School of Medicine, Denver, Colorado (R.E.G.).
MOHR Study Group
Funding
PHS HHS ULTR00058
Abstract
purposeGuidelines recommend screening patients for unhealthy behaviors and mental health concerns. Health risk assessments can systematically identify patient needs and trigger care. This study seeks to evaluate whether primary care practices can routinely implement such assessments into routine care.
methodsAs part of a cluster-randomized pragmatic trial, 9 diverse primary care practices implemented My Own Health Report (MOHR)-an electronic or paper-based health behavior and mental health assessment and feedback system paired with counseling and goal setting. We observed how practices integrated MOHR into their workflows, what additional practice staff time it required, and what percentage of patients completed a MOHR assessment (Reach).
resultsMost practices approached (60%) agreed to adopt MOHR. How they implemented MOHR depended on practice resources, informatics capacity, and patient characteristics. Three practices mailed patients invitations to complete MOHR on the Web, 1 called patients and completed MOHR over the telephone, 1 had patients complete MOHR on paper in the office, and 4 had staff help patients complete MOHR on the Web in the office. Overall, 3,591 patients were approached and 1,782 completed MOHR (Reach = 49.6%). Reach varied by implementation strategy with higher reach when MOHR was completed by staff than by patients (71.2% vs 30.2%, P <.001). No practices were able to sustain the complete MOHR assessment without adaptations after study completion. Fielding MOHR increased staff and clinician time an average of 28 minutes per visit.
conclusionsPrimary care practices can implement health behavior and mental health assessments, but counseling patients effectively requires effort. Practices will need more support to implement and sustain assessments.
Indexed as
Health BehaviorMental HealthFeasibility StudiesHumansInternetInterviews as TopicMental DisordersPrimary Health CareRisk AssessmentSurveys and Questionnaireshealth behaviorhealth risk appraisalmental healthpatient reported measurespragmatic clinical trialprimary health care
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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.