Individualizing Disease Prevention for Middle-Aged Adults

Not Applicable

Terminated

Conditions: Primary Health Care

Interventions: Other: Intervention

Registration Number: NCT03023813

Lead Sponsor: Glen Taksler

Brief Summary: The primary objective of this study is to help patients compare the benefits of various preventive care services, based on their individual risk factors (such as smoking status, obesity, high blood pressure, high cholesterol, etc.). A tailored decision tool will be provided to each participant during primary care appointments to facilitate discussion between the participant and his/her provider regarding prioritizing preventive service recommendations.

Detailed Description: Not available

Recruitment & Eligibility

Status: TERMINATED

Sex: All

Target Recruitment: 104

Inclusion Criteria

Scheduled for an appointment with primary care provider during study period
Two or more of the following risk factors:
Tobacco use
Overweight/obese
Hypertension
Hyperlipidemia
Diabetes
Alcohol Misuse
Depression
History of Sexually Transmitted Infection
Being overdue for the following screenings: Colorectal, cervical, breast, lung

Exclusion Criteria

Severely limited life expectancy (cancer, congestive heart failure, chronic obstructive pulmonary disease, end stage renal disease)

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Intervention	Individualized preventive care recommendations will be distributed to subjects.
Development Phase	Intervention	Non-randomized receipt of individualized preventive care recommendations

Primary Outcome Measures

Name	Time	Method
Interest in Individualized Preventive Care Recommendations.	Within 3 days of index primary care appointment.	Measured by individualized preventive service recommendations, tailored to patient's specific medical conditions. Measured by surveys. Survey question: "In the future, would you like to see updated written materials (handouts)?" Ten point scale (minimum 1, maximum 10, higher score is better outcome)

Secondary Outcome Measures

Name	Time	Method
Decisional Comfort.	Within 3 days of index primary care appointment.	Measured by surveys. Survey metric: Decisional Conflict Scale (validated scale), converted to 100 point denominator 100 point scale (minimum 1, maximum 100, higher score is better outcome)
Preventive Care Outcomes for Patients.	Within 1 year of index primary care appointment.	Number of participants with at least 1 follow-up encounter during the 1 year after an index encounter.
Use of Shared Decision Making.	Within 3 days of index primary care appointment.	Measured by surveys. Survey metric: Shared Decision Making (SDM)-Q-9 validated scale, converted to 100 point denominator 100 point scale (minimum 1, maximum 100, higher score is better outcome)
Patient Readiness to Change Health Behaviors.	Within 3 days of index primary care appointment	Measured by surveys Proportion of bottom-3 individualized preventive service recommendations ready to change over next 1 month Numerator: Number of bottom-3-ranked recommendations with score \>=6 out of 7 on Likert scale for readiness to change over next 1 month (minimum=1, maximum=7, higher score was better) Denominator: The number of individualized preventive service recommendations provided to a patient or 3, whichever was lower
Patient Readiness to Change Health Behaviors	Within 3 days of index primary care appointment	Measured by surveys. Proportion of bottom-3 individualized preventive service recommendations ready to change over next 2-6 months Numerator: Number of bottom-3-ranked recommendations with score \>=6 out of 7 on Likert scale for readiness to change over next 2-6 months (minimum=1, maximum=7, higher score was better) Denominator: The number of individualized preventive service recommendations provided to a patient or 3, whichever was lower