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Office system interventions supporting primary care-based health behavior change counseling
L L Dickey1, D H Gemson, P Carney
1Department of Health Services, State of California, University of California, San Francisco, USA. ldickey@dhs.ca.gov
American Journal of Preventive Medicine
|December 22, 1999
Summary
Office system interventions using tools and teamwork significantly improve behavior-change counseling in primary care. Combining different approaches enhances counseling and patient behavior-change rates, though more research is needed for specific tools.
Area of Science:
- Primary Care Research
- Behavioral Science
- Health Services Research
Background:
- Office system interventions aim to enhance behavior-change counseling in primary care.
- These interventions integrate tools (e.g., questionnaires, reminders) and teamwork (task coordination).
Purpose of the Study:
- To review the literature on the effectiveness of office system interventions for behavior-change counseling.
- To identify key components and their impact on counseling rates and effectiveness.
Main Methods:
- Literature review of clinical trials, focusing on smoking cessation interventions.
- Analysis of the roles of tools and teamwork in primary care settings.
Main Results:
- Tools and teamwork effectively increase counseling rates and effectiveness, particularly in smoking cessation.
- Combined approaches yield additive improvements in counseling and patient behavior change.
- Effectiveness varies by practice, provider, and patient characteristics.
Conclusions:
- Office system interventions, combining tools and teamwork, are effective for improving counseling.
- Further research is needed on health risk assessment tools and electronic reminders for broader implementation.
- Tailoring interventions to specific contexts is crucial for maximizing impact.