Ignite Creation Date:
2024-05-05 @ 4:36 PM
Last Modification Date:
2024-10-26 @ 9:22 AM
Study NCT ID:
NCT00273806
Status:
COMPLETED
Last Update Posted:
2008-08-27
First Post:
2006-01-04
Brief Title:
A Medical Assistant-Based Program to Promote Healthy Behaviors in Primary Care
Sponsor:
The University of Texas Health Science Center at San Antonio
Organization:
The University of Texas Health Science Center at San Antonio
Study Overview
Official Title:
Engaging the Team A Multilevel Program to Promote Healthy Behaviors
Status:
COMPLETED
Status Verified Date:
2008-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of the study is to determine whether a program of screening and intervention for four health risk behaviors smoking problem drinking sedentary lifestyle unhealthy diet carried out by medical assistants in primary care practices can help patients improve their behaviors The hypothesis is that patients who receive the intervention will demonstrate higher rates of health behavior change than patients who receive usual care
Detailed Description:
Unhealthy behaviors are the most common actual causes of death in the United States The high prevalence of behavioral risk factors in primary care calls for a response of appropriate scale One strategy to achieve a greater scale of delivering interventions is to relieve the bottleneck of physician assessment and management Creating a system that engages other members of the primary care team to link patients who are ready to change with practice health system and community resources is a mechanism to amplify the practices impact and thus achieve the necessary scale
The project evaluates a model of primary care that manages population risk with appropriate expertise at the necessary scale We test the effectiveness of a medical assistant-based program to link patients with behavioral risk factors to interventions at the practice health system and community levels We hypothesize that intervention-group patients will achieve higher rates of behavior change than control patients
The study is a controlled trial in the PRENSA network which includes six urban practices serving a disadvantaged Latino population Using data from a health risk assessment HRA routinely collected in PRENSA practices medical assistants will assess 4500 patients behavioral risks and apply behavior-specific assess-advise-agree-assist-arrange algorithms to engage behavioral interventions in the practices health system and local public health department Outcomes data will be collected at 6-9 month follow-up with repeated completion of a standardized health risk assessment The primary analyses will compare outcome measures for smoking problem drinking sedentary lifestyle and unhealthy diet in intervention and control patients
We anticipate the study will show a medical assistant-based program to address smoking risky drinking sedentary living and unhealthy diet in primary care to be feasible and effective We will evaluate program effectiveness by assessing the number of patients reached interventions requested and completed impact on medical assistant workflow and satisfaction costs to the practices and impact on health behaviors
The project evaluates a model of primary care that manages population risk with appropriate expertise at the necessary scale We test the effectiveness of a medical assistant-based program to link patients with behavioral risk factors to interventions at the practice health system and community levels We hypothesize that intervention-group patients will achieve higher rates of behavior change than control patients
The study is a controlled trial in the PRENSA network which includes six urban practices serving a disadvantaged Latino population Using data from a health risk assessment HRA routinely collected in PRENSA practices medical assistants will assess 4500 patients behavioral risks and apply behavior-specific assess-advise-agree-assist-arrange algorithms to engage behavioral interventions in the practices health system and local public health department Outcomes data will be collected at 6-9 month follow-up with repeated completion of a standardized health risk assessment The primary analyses will compare outcome measures for smoking problem drinking sedentary lifestyle and unhealthy diet in intervention and control patients
We anticipate the study will show a medical assistant-based program to address smoking risky drinking sedentary living and unhealthy diet in primary care to be feasible and effective We will evaluate program effectiveness by assessing the number of patients reached interventions requested and completed impact on medical assistant workflow and satisfaction costs to the practices and impact on health behaviors
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None