title: TLC: an informatics approach to enable patients to initiate tailored lifestyle conversations with providers at the point of care.
abstract: Chronic illness including cardiovascular disease (CVD) is a major burden on the healthcare system. Behavioral and lifestyle changes could significantly reduce the burden of CVD, but provider counseling for behavior change is a very challenging, and often ineffective task. We have developed a patient-centric decision support tool to be incorporated into an Electronic Health Record system (EHR). The tool provides tailored feedback on behavioral risk, readiness and confidence in an effort to empower patients to make decisions about improving health behaviors. In turn, the tool will facilitate an informed and balanced discussion between patients and their providers about behavioral changes, incorporating both the clinical view and the individual's preferences for choosing among multiple behavior change goals based on their psychosocial characteristics, and evaluation of benefits and barriers.
authors.affiliation: Department of Biomedical Informatics, Columbia University, New York, NY, USA.
authors.forename: Jianhua
authors.initials: J
authors.lastname: Li
authors.forename: Sharib A
authors.initials: SA
authors.lastname: Khan
authors.forename: Jessica
authors.initials: J
authors.lastname: Mark
authors.forename: Phani K
authors.initials: PK
authors.lastname: Nivarthi
authors.forename: Rupa
authors.initials: R
authors.lastname: Misra
authors.forename: Connie
authors.initials: C
authors.lastname: Chan
authors.forename: David
authors.initials: D
authors.lastname: Kaufman
authors.forename: Rita
authors.initials: R
authors.lastname: Kukafka
mesh_terms: D002318:Cardiovascular Diseases; D003376:Counseling; D003661:Decision Support Techniques; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D016347:Medical Records Systems, Computerized