Study to determine whether a computerized risk assessment and focused patient provider interaction can improve health outcomes in an employee population.

Condition	Intervention
Tobacco Use Substance Use Diet Exercise Medication Adherence	Behavior: patient-provider interaction

Further Study Details: 

Primary Outcomes: Satisfaction at time of visit; Utilization of health services at one year; Health outcome at one year
Secondary Outcomes: Stage of change for health behaviors at one year; Quality of life at one year; Work performance at one year
Expected Total Enrollment:  300

The overall goal of the proposed research is to test the effectiveness of a theoretically-based interactive behavioral and health risk assessment system to improve the mental and physical health outcomes of the primary care provided for the adult multicultural members of a university health center-employee-based practice. The new system will include (1) administration of a computerized behavioral and health risk assessment, (2) calculation of an individualized risk profile for each patient participant, (3) individual patient computerized video training in interaction focused on the risk profile, (4) physician training in patient-provider interaction, motivational interviewing and counseling, and in referral and triage focused on the risk profile, and (5) development of a negotiated care plan between patient and clinician for follow-up care. Expected outcomes include changes in: risk category scores, utilization patterns, costs for health care services, and health stage of change indicators. Expected impacts (mediating variables) are: compliance with recommendations, health locus of control, differences in patient-provider interaction patterns and patient and clinician satisfaction. If successful, this methodology would contribute significantly to the health promotion goals of Healthy People 2010 and provide much needed evidence of how a behavioral and health risk assessment system can help to reduce ethnic health disparities of multi-cultural populations. This proposal is responsive to CDC''''s RFA for Health Promotion in the Workplace; in particular it responds to requests for strategy #6: Identification and evaluation of public health informatics and communication strategies and tools to improve health decisions, health alerting, health literacy, or health assessment among employees and employer.

Ages Eligible for Study:  18 Years and above,  Genders Eligible for Study:  Both

Accepts Healthy Volunteers

Criteria

Inclusion Criteria:

• Employees who use U. of New Mexico providers for medical care

Exclusion Criteria:

• None

Please refer to this study by ClinicalTrials.gov identifier  NCT00153335

Brisa Urquieta, BA      505-272-1533    burquieta@salud.unm.edu

New Mexico
      University of New Mexico Health Sciences Center, Albuquerque,  New Mexico,  87131,  United States

Study chairs or principal investigators

Deborah L. Helitzer, ScD,  Principal Investigator,  University of New Mexico   

Study ID Numbers:  CDC-OPHR-R01CD000122; R01 CD 000122
Last Updated:  September 9, 2005
Record first received:  September 7, 2005
ClinicalTrials.gov Identifier:  NCT00153335
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2005-09-13