Clinical trial NCT00153335: Computerized Risk Assessment in an Employee Population
Official title: Computerized Risk Assessment in an Employee Population
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy
Keywords: Health Risk Assessment
Behavior Change
Patient-Provider Interaction
Employee Health
Absenteeism
Tobacco Use
Substance Use
Diet
Exercise
Medication Adherence
Lead sponsor: Centers for Disease Control and Prevention
Sponsor class: FED
Collaborators: name: University of New Mexico
First posted: 2005-09-12
Enrollment: 300
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP

Brief summary: This is a study to determine whether a computerized risk assessment and focused patient provider interaction can improve health outcomes in an employee population.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* Employees who use University of New Mexico providers for medical care

Primary outcomes:
measure: Satisfaction at time of visit
measure: Utilization of health services at one year
measure: Health outcome at one year
Secondary outcomes:
measure: Stage of change for health behaviors at one year
measure: Quality of life at one year
measure: Work performance at one year
Other outcomes:
Locations:
city: Albuquerque
country: United States
facility: University of New Mexico Health Sciences Center
state: New Mexico
Study officials:
affiliation: University of New Mexico
name: Deborah L. Helitzer, ScD
role: PRINCIPAL_INVESTIGATOR
References: