Computerized Risk Assessment in an Employee Population

描述(由申请人提供)：拟议研究的总体目标是测试基于理论的交互式行为和健康风险评估系统的有效性，以改善为大学健康中心-以员工为基础的实践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)管理计算机化的行为和健康风险评估，(2)为每个患者参与者计算个性化的风险描述，(3)针对风险描述的互动中的个别患者的计算机化视频培训，(4)在患者与提供者的互动、激励性面谈和咨询以及侧重于风险描述的转介和分诊方面的医生培训，以及(5)在患者和临床医生之间为后续护理制定协商的护理计划。预期结果包括以下方面的变化：风险类别得分、利用模式、卫生保健服务成本和健康阶段变化指标。预期影响(中介变量)是：对建议的遵从性、健康控制点、患者-提供者交互模式的差异以及患者和临床医生的满意度。如果成功，这一方法将大大促进2010年健康人的健康促进目标，并提供亟需的证据，说明行为和健康风险评估系统如何有助于缩小多文化人口的种族健康差距。这项建议是对疾控中心工作场所健康促进的RFA的响应；特别是它响应了战略#6的请求：确定和评估公共卫生信息学和沟通战略和工具，以改进员工和雇主的健康决策、健康警报、健康素养或健康评估

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