Patient and Primary Care Provider Experience Using a Family Health History Collection, Risk Stratification, and Clinical Decision Support Tool: a Type 2 Hybrid Controlled Implementation-effectiveness Trial
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Vincent C. Henrich, Professor (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
Abstract: Background: Family health history (FHH) is the single strongest predictor of disease risk and yet is significantly underutilized in primary care. We developed a patient facing FHH collection tool, MeTree©, that uses risk stratification to generate clinical decision support for breast cancer, colorectal cancer, ovarian cancer, hereditary cancer syndromes, and thrombosis. Here we present data on the experience of patients and providers after integration of MeTree© into 2 primary care practices.Methods: This was a Type 2 hybrid controlled implementation-effectiveness study in 3 community-based primary care clinics in Greensboro, NC. All non-adopted adult English speaking patients with upcoming routine appointments were invited. Patients were recruited from December 2009 to the present and followed for one year. Ease of integration of MeTree© into clinical practice at the two intervention clinics was evaluated through patient surveys after their appointment and at 3 months post-visit, and physician surveys 3 months after tool integration.Results: Total enrollment =1,184. Average time to complete MeTree©?=?27 minutes. Patients found MeTree©: easy to use (93%), easy to understand (97%), useful (98%), raised awareness of disease risk (85%), and changed how they think about their health (86%). Of the 26% (N?=?311) asking for assistance to complete the tool, age (65 sd 9.4 vs. 57 sd 11.8, p-value?
Patient and Primary Care Provider Experience Using a Family Health History Collection, Risk Stratification, and Clinical Decision Support Tool: a Type 2 Hybrid Controlled Implementation-effectiveness Trial
PDF (Portable Document Format)
261 KB
Created on 12/11/2014
Views: 934
Additional Information
- Publication
- BMC Family Practice, Volume 14, Article Number 111
- Language: English
- Date: 2013
- Keywords
- Family health history, Cancer screening, Clinical decision support, Health services