Frequency and prioritization of patient health risks from a structured health risk assessment

Siobhan M. Phillips*, Russell E. Glasgow, Ghalib Bello, Marcia G. Ory, Beth A. Glenn, Sherri N. Sheinfeld-Gorin, Roy T. Sabo, Suzanne Heurtin-Roberts, Sallie Beth Johnson, Alex H. Krist

*Corresponding author for this work

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

PURPOSE To 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.

METHODS Patients (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.

RESULTS On average, patients had 5.8 (SD = 2.12; range, 0-13) unhealthy behaviours 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.

CONCLUSIONS Implementing 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.

Original languageEnglish (US)
Pages (from-to)505-513
Number of pages9
JournalAnnals of family medicine
Volume12
Issue number6
DOIs
StatePublished - Nov 1 2014

Fingerprint

Health
Primary Health Care
Depression
Health Status
Body Mass Index
Anxiety
Vegetables
Counseling
Fruit
Mental Health
Sleep
Obesity
Exercise
Psychology
Diet
Pharmaceutical Preparations

Keywords

  • Health risk appraisal
  • Patient-centered care
  • Primary care

ASJC Scopus subject areas

  • Family Practice

Cite this

Phillips, S. M., Glasgow, R. E., Bello, G., Ory, M. G., Glenn, B. A., Sheinfeld-Gorin, S. N., ... Krist, A. H. (2014). Frequency and prioritization of patient health risks from a structured health risk assessment. Annals of family medicine, 12(6), 505-513. https://doi.org/10.1370/afm.1717
Phillips, Siobhan M. ; Glasgow, Russell E. ; Bello, Ghalib ; Ory, Marcia G. ; Glenn, Beth A. ; Sheinfeld-Gorin, Sherri N. ; Sabo, Roy T. ; Heurtin-Roberts, Suzanne ; Johnson, Sallie Beth ; Krist, Alex H. / Frequency and prioritization of patient health risks from a structured health risk assessment. In: Annals of family medicine. 2014 ; Vol. 12, No. 6. pp. 505-513.
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Phillips, SM, Glasgow, RE, Bello, G, Ory, MG, Glenn, BA, Sheinfeld-Gorin, SN, Sabo, RT, Heurtin-Roberts, S, Johnson, SB & Krist, AH 2014, 'Frequency and prioritization of patient health risks from a structured health risk assessment', Annals of family medicine, vol. 12, no. 6, pp. 505-513. https://doi.org/10.1370/afm.1717

Frequency and prioritization of patient health risks from a structured health risk assessment. / Phillips, Siobhan M.; Glasgow, Russell E.; Bello, Ghalib; Ory, Marcia G.; Glenn, Beth A.; Sheinfeld-Gorin, Sherri N.; Sabo, Roy T.; Heurtin-Roberts, Suzanne; Johnson, Sallie Beth; Krist, Alex H.

In: Annals of family medicine, Vol. 12, No. 6, 01.11.2014, p. 505-513.

Research output: Contribution to journalArticle

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T1 - Frequency and prioritization of patient health risks from a structured health risk assessment

AU - Phillips, Siobhan M.

AU - Glasgow, Russell E.

AU - Bello, Ghalib

AU - Ory, Marcia G.

AU - Glenn, Beth A.

AU - Sheinfeld-Gorin, Sherri N.

AU - Sabo, Roy T.

AU - Heurtin-Roberts, Suzanne

AU - Johnson, Sallie Beth

AU - Krist, Alex H.

PY - 2014/11/1

Y1 - 2014/11/1

N2 - PURPOSE To 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.METHODS Patients (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.RESULTS On average, patients had 5.8 (SD = 2.12; range, 0-13) unhealthy behaviours 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.CONCLUSIONS Implementing 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.

AB - PURPOSE To 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.METHODS Patients (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.RESULTS On average, patients had 5.8 (SD = 2.12; range, 0-13) unhealthy behaviours 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.CONCLUSIONS Implementing 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.

KW - Health risk appraisal

KW - Patient-centered care

KW - Primary care

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