Computerized Risk Assessment in an Employee Population

描述（由申请人提供）：本研究的总体目标是测试基于理论的互动行为和健康风险评估系统的有效性，以改善大学健康中心员工为基础的成人多元文化成员提供的初级保健的心理和身体健康结果。新系统将包括(1)计算机行为和健康风险评估的管理，(2)计算每个患者参与者的个体化风险概况，(3)以风险概况为重点的个人患者计算机视频培训，(4)医生在患者-提供者互动、动机访谈和咨询方面的培训，以及以风险概况为重点的转诊和分诊。(5)制定患者与临床医师协商的后续护理计划。预期结果包括以下方面的变化：风险类别得分、利用模式、医疗保健服务成本和健康变化阶段指标。预期影响（中介变量）为：对建议的依从性、健康控制点、医患互动模式的差异以及医患满意度。如果成功，该方法将对健康促进目标做出重大贡献，并为行为和健康风险评估系统如何帮助减少多文化人群的种族健康差异提供急需的证据。这一建议响应了美国疾病控制与预防中心的《工作场所健康促进RFA》；它特别回应了对战略#6的要求：确定和评价公共卫生信息学和传播战略和工具，以改进雇员和雇主之间的卫生决策、卫生警报、卫生素养或健康评估

DESCRIPTION (provided by applicant): The overall goal of the proposed research is to test the effectiveness of a theoretically-based interactive behavioral and health risk assessment system to improve the mental and physical health outcomes of the primary care provided for the adult multicultural members of a university health center-employee-based practice. The new system will include (1) administration of a computerized behavioral and health risk assessment, (2) calculation of an individualized risk profile for each patient participant, (3) individual patient computerized video training in interaction focused on the risk profile, (4) physician training in patient-provider interaction, motivational interviewing and counseling, and in referral and triage focused on the risk profile, and (5) development of a negotiated care plan between patient and clinician for follow-up care. Expected outcomes include changes in: risk category scores, utilization patterns, costs for health care services, and health stage of change indicators. Expected impacts (mediating variables) are: compliance with recommendations, health locus of control, differences in patient-provider interaction patterns and patient and clinician satisfaction. If successful, this methodology would contribute significantly to the health promotion goals of Healthy People 2010 and provide much needed evidence of how a behavioral and health risk assessment system can help to reduce ethnic health disparities of multi-cultural populations. This proposal is responsive to CDC's RFA for Health Promotion in the Workplace; in particular it responds to requests for strategy #6: Identification and evaluation of public health informatics and communication strategies and tools to improve health decisions, health alerting, health literacy, or health assessment among employees and employers