Evidence map›Paper›PMID 39676251›Full record

Trial reportJournal of primary care & community health

Patient Preferences for Addressing Unhealthy Behaviors, Mental Health Challenges, and Social Needs in Primary Care.

Jennifer L Gilbert, Edward Marshall Brooks, Adam Funk, Benjamin Webel, Jacqueline Britz, Cameron Kelly, Jacqueline Wilson, Jong Hyung Lee, Roy T Sabo, Amy Huebschmann and 2 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Jennifer L GilbertVirginia Commonwealth University, Richmond, VA, USA.ORCID 0000-0003-4369-026X
Edward Marshall BrooksVirginia Commonwealth University, Richmond, VA, USA.
Adam FunkVirginia Commonwealth University, Richmond, VA, USA.
Benjamin WebelVirginia Commonwealth University, Richmond, VA, USA.
Jacqueline BritzVirginia Commonwealth University, Richmond, VA, USA.
Cameron KellyVirginia Commonwealth University, Richmond, VA, USA.
Jacqueline WilsonVirginia Commonwealth University, Richmond, VA, USA.
Jong Hyung LeeVirginia Commonwealth University, Richmond, VA, USA.
Roy T SaboVirginia Commonwealth University, Richmond, VA, USA.
Amy HuebschmannUniversity of Colorado, Aurora, CO, USA.
Russell E GlasglowUniversity of Colorado, Aurora, CO, USA.
Alex H KristVirginia Commonwealth University, Richmond, VA, USA.ORCID 0000-0003-4060-9155

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
AHRQ HHS R01 HS026223NCATS NIH HHS UL1 TR002649
6 · The paper itself

Abstract

objectivesGuidelines recommend addressing health behaviors, mental health, and social needs in primary care. However, it is unclear how often patients want support to address these risks. As part of a randomized trial comparing enhanced care planning versus usual care, we evaluated what risks patients wanted to address.

methodsAll patients with multiple chronic conditions, 1 or more of which was uncontrolled, from 81 clinicians in 30 primary care practices. Using My Own Health Report (MOHR), patients identified and prioritized their health risks to create a care plan.

resultsAll patients had at least 1 unhealthy behavior (100%) and most had a mental health risk (66.8%) and a social need (51.3%). Participants more often chose to create care plans addressing unhealthy behaviors (92.5%) rather than mental health (23.2%), or social needs (12.5%). The most frequently created care plans were for exercise (65.1%), weight loss (37.2%), and nutrition (36.2%).

conclusionAll patients had 1 or more unhealthy behaviors, mental health risks, or social needs, and were more likely to address health behaviors. We need to better understand these patient choices, and change the culture to normalize the integration of mental health and social care into primary care.

Indexed as

Health BehaviorMental HealthPatient PreferencePrimary Health CareAdultAgedChronic DiseaseFemaleHumansMaleMental DisordersMiddle AgedSocial Supportcare planningchronic diseasepatient navigationpatient preferencesprimary care

Identifiers

PMID39676251
PMCPMC11648023

What OpenQuestion holds

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LicenceCC BY-NC
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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.