Proactive multipurpose health risk screening in health care settings: Methods, design, and reach.
Adolescent
Adult
Age Factors
Alcoholism
/ diagnosis
Algorithms
Ambulatory Care
/ methods
Depression
/ diagnosis
Diagnosis, Computer-Assisted
/ methods
Diet
/ psychology
Female
Humans
Male
Mass Screening
/ methods
Middle Aged
Overweight
/ diagnosis
Patient Acceptance of Health Care
/ statistics & numerical data
Risk Factors
Sedentary Behavior
Sex Factors
Smoking
/ epidemiology
Young Adult
health care
health risk factor
proactive
recruitment strategy
screening and brief intervention
Journal
International journal of methods in psychiatric research
ISSN: 1557-0657
Titre abrégé: Int J Methods Psychiatr Res
Pays: United States
ID NLM: 9111433
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
30
08
2018
revised:
08
11
2018
accepted:
23
11
2018
pubmed:
8
1
2019
medline:
16
1
2020
entrez:
8
1
2019
Statut:
ppublish
Résumé
Real world implementation of proactive screening and brief intervention in health care is threatened by high cost. Using e-health interventions and screening for multiple health risk factors may provide more efficiency. We describe methodological details of a proactive multipurpose health risk screening in health care settings and report on participation rates, participants' characteristics, and participation factors. Patients between 18 and 64 years from ambulatory practices and hospitals were proactively approached by study assistants at three sites for a computerized screening on harmful alcohol and tobacco consumption, depressive symptoms, insufficient fruit/vegetable consumption, physical inactivity and overweight. On the basis of their health risk pattern, a computerized algorithm allocated patients to one of five studies each of them addressing a psychiatric research question. Among all eligible patients, 13,763 (86.5%) were screened. Younger age and being female predicted screening participation. Of those with complete data (n = 12,828), 82.9% reported at least two health risks and 34.0% were eligible for a study. Study participation ranged between 35.2% and 50.8%, and was associated with socio-demographics and problem severity. This study supports the use of systematic proactive screening for multiple health risks in health care settings as it is more resource-saving than single focused screening.
Identifiants
pubmed: 30614134
doi: 10.1002/mpr.1760
pmc: PMC6877248
doi:
Banques de données
DRKS
['DRKS0001163', 'DRKS00011637', 'DRKS00013057']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1760Informations de copyright
© 2019 John Wiley & Sons, Ltd.
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