title: Use of a Tablet-Based Risk Assessment Program to Improve Health Counseling and Patient-Provider Relationships in a Federally Qualified Health Center.
abstract: This study evaluates the impact of an interactive, tablet-based lifestyle behavior questionnaire prior to a patient's primary care visit on counseling for health behaviors and patient-provider relationships. Using a quasi-experimental design at 2 federally qualified health centers, adults aged 18 to 35 years were asked to complete a tablet-based assessment about nutrition, physical activity, weight, smoking status, and alcohol use to identify unhealthy behaviors and their desire to discuss them with their provider. In the intervention group, participants were more likely to trust their providers (83% vs 71%, P = .0427) and feel that their provider cared about their health (80% vs 68%, P = .0468). Overweight/obese individuals were more likely to discuss weight loss with their doctor (59% vs 33%, P = .0088). Integrating information technology into primary care to encourage providers to discuss lifestyle issues and promote a positive patient-provider relationship may help improve the health promotion in primary care practices.
authors.affiliation: Medical University of South Carolina, Charleston, SC diazva@musc.edu.
authors.forename: Vanessa A
authors.initials: VA
authors.lastname: Diaz
authors.affiliation: University of Florida, Gainesville, FL.
authors.forename: Arch G
authors.initials: AG
authors.lastname: Mainous
authors.affiliation: Medical University of South Carolina, Charleston, SC.
authors.forename: Jennifer K
authors.initials: JK
authors.lastname: Gavin
authors.affiliation: Medical University of South Carolina, Charleston, SC.
authors.forename: Marty S
authors.initials: MS
authors.lastname: Player
authors.affiliation: Uniformed Services University of the Health Sciences, Bethesda, MD.
authors.forename: Robert U
authors.initials: RU
authors.lastname: Wright
mesh_terms: D000293:Adolescent; D000328:Adult; D034201:Computers, Handheld; D003376:Counseling / Q000379:methods* / Q000592:standards; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D010817:Physician-Patient Relations; D058996:Quality Improvement; D018570:Risk Assessment / Q000379:methods*; D035502:Trust; D055815:Young Adult
keywords: federally qualified health center; lifestyle behaviors; patient–provider relationship; tablet-based risk assessment; trust