title: Feasibility of chronic disease patient navigation in an urban primary care practice.
abstract: The purpose of this study was to evaluate the feasibility of incorporating chronic disease navigation using lay health care workers trained in motivational interviewing (MI) into an existing mammography navigation program. Primary-care patient navigators implemented MI-based telephone conversations around mammography, smoking, depression, and obesity. We conducted a small-scale demonstration, using mixed methods to assess patient outcomes and provider satisfaction. One hundred nine patients participated. Ninety-four percent scheduled and 73% completed a mammography appointment. Seventy-one percent agreed to schedule a primary care appointment and 54% completed that appointment. Patients and providers responded positively. Incorporating telephone-based chronic disease navigation supported by MI into existing disease-specific navigation is efficacious and acceptable to those enrolled.
authors.affiliation: Women's Health Unit, Section of General Internal Medicine, Evans Department of Medicine and Women's Health Interdisciplinary Research Center, Boston University School of Medicine, Boston, MA 02118, USA. Tracy.Battaglia@bmc.org
authors.forename: Tracy A
authors.initials: TA
authors.lastname: Battaglia
authors.forename: Lois
authors.initials: L
authors.lastname: McCloskey
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Caron
authors.forename: Samantha S
authors.initials: SS
authors.lastname: Murrell
authors.forename: Edward
authors.initials: E
authors.lastname: Bernstein
authors.forename: Ariel
authors.initials: A
authors.lastname: Childs
authors.forename: Hannah
authors.initials: H
authors.lastname: Jong
authors.forename: Kelly
authors.initials: K
authors.lastname: Walker
authors.forename: Judith
authors.initials: J
authors.lastname: Bernstein
mesh_terms: D000368:Aged; D002908:Chronic Disease; D003150:Community Health Workers; D037001:Directive Counseling; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D011320:Primary Health Care; D011369:Professional-Patient Relations; D011795:Surveys and Questionnaires; D019037:Urban Health Services