title: An evidence-based decision aid to help patients set priorities for selecting among multiple health behaviors.
abstract: To explore how patients and providers respond to Tailored Lifestyle Conversations (TLC), an evidence-based decision aid to help patients set priorities for selecting among multiple health behavior change goals, we conducted a study utilizing key informant interviews. Based on patient level assessment data, TLC presents tailored outputs that include 1) behavioral and clinical risk; 2) readiness and confidence scores for changing each of four behaviors; and 3) qualitative equations to elicit patient priorities for change. Patient priorities are documented in an action plan to be discussed with their provider during a clinical encounter. Interview questions probed how patients and providers responded to this output, and how heavily they valued the chance of success versus health benefit in deciding which behavior to work on first. The interviews also revealed how TLC might mediate the conversation around behavior change between patients and providers. TLC has potential to drive a more evidence based and patient centric approach to behavioral counseling in clinical settings.
authors.affiliation: Department of Biomedical Informatics, Columbia University, New York, NY, USA.
authors.forename: Rita
authors.initials: R
authors.lastname: Kukafka
authors.forename: Sharib A
authors.initials: SA
authors.lastname: Khan
authors.forename: David
authors.initials: D
authors.lastname: Kaufman
authors.forename: Jessica
authors.initials: J
authors.lastname: Mark
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003376:Counseling; D003657:Decision Making; D003661:Decision Support Techniques; D019317:Evidence-Based Medicine; D015438:Health Behavior; D006801:Humans; D007407:Interviews as Topic; D010820:Physicians / Q000523:psychology; D040242:Risk Reduction Behavior