Fifteen Federation Networks included in Robert Wood Johnson Foundation "Prescription for Health" awards.

September 2003

Fifteen FPBRN member networks are among the 17 funded networks in the first round of the Robert Wood Johnson's "Prescription for Health" initiative. This initiative seeks to identify "cues, tools, techniques and incentives that can help primary care clinicians aid their patients in addressing at least two of the four identified risk behaviors: sedentary lifestyle, unhealthy diet, tobacco use and addiction, and risky use of alcohol."

The FPBRN member networks that received funding include:

Testing PDA-Based Interventions for Smoking and Unhealthy Diet
Alabama Practice Based Research Network (APBRN)
Principal Investigator: Myra Crawford, PhD
Two evidence-based, best practice protocols mounted on PDAs will be used to guide patient interventions around smoking and diet. Community health advisors will be used to promote and support patients attempting change.

Healthy Teen Project
Center to Enhance Child Health Network (CECH)
Principal Investigator: Ardis Olson, MD
Collaborative team approach using enhanced counseling model (rapid cycles of testing & evaluation). A PDA mounted assessment tool will assist teen advisement about risky behaviors with follow-up e-mail support.

Leaders for Effective Activity Planning (LEAP)
Colorado Research Network (CaReNet)
Principal Investigator: Wilson Pace, MD
Creation of an office culture that promotes/supports wellness to encourage/enhance the uptake of effective behavior change interventions among its staff that are, in turn, modeled and translated to patients.

Office Practice Changes to Improve Health Behaviors
Dartmouth COOP Project
Principal Investigator: John Wasson, MD
Assess cost-effectiveness of practice changes to improve health behaviors through web-based assessment tool, practice training/support to improve office efficiency, and community resources to which interventions are linked.

Testing a Consultation Model of Support in GRIN Practices
Great Lakes Research into Practice Network (GRIN)
Principal Investigator: Jodi Summers Holtrop, PhD
Consult model using the 5As assessment that trains quality assurance nurses to provide practice consultation services that lead to system improvements that encourage preventive service delivery to patients.

Prescription for Health
Kentucky Ambulatory Network (KAN)
Principal Investigator: Thomas Armsey, MD
Evidence-based program designed to offer clinicians expanded tangible community resources to put prevention into practice. Telephonic counseling will be provided patients at their determined stage of adaptation.

Motivating Healthy Habits
Minnesota Academy of Family Physicians Research Network (MAFPRN)
Principal Investigator: Kevin Peterson, MD, MPH
Intensive interactive patient education program designed to enhance utilization and success of established behavior specific programs, using trained motivational counselors. Patients choose the intensity of their interventions.

Reducing Tobacco Use and Risky Drinking in Underserved Populations
New England Clinicians Forum (NECF)
Principal Investigator: Jennifer Granger, MPH
Implement/evaluate integrated screening and brief interventions (SBI) for smoking and risky drinking using two different models of SBI delivery in four community-based primary care centers that serve disadvantaged populations.

Goal Setting to Improve Healthy Lifestyle Behaviors
Northwest Ohio Primary Care Research Network (NOPCRN)
Principal Investigator: Sandra Puczynski, PhD
Randomized, crossover trial to increase physical activity and promote healthy eating in 80 sedentary, overweight patients with impaired fasting glucose that uses PDA screening tool, patient goal-setting and nurse surveillance.

Systematic Nutritional Assessment in Pediatric Practice
Pediatric Practice Research Group (PPRG)
Principal Investigator: Helen Binns, MD, MPH
Systematic nutritional assessment to increase pediatric counseling around improved diet and increased physical activity through medical record review, visual aids, handouts, improved charting, and practice change evaluation.

Promoting Healthy Behaviors in Primary Care
Pennsylvania State Ambulatory Research Network (PSARN)
Principal Investigator: Alan Adelman, MD, MS
Integrated model (motivational/focused educational materials, telephone follow-up, community resource link, longitudinal database) used for patients with BMI >30 who are referred to behavior change facilitators.

A Tailored Intervention to Link Primary Care Practices with Community Health Resources
Research Association of Practices (RAP)
Principal Investigator: Susan Flocke, PhD
Tailored intervention to link patients wishing to make behavior changes to an existing web-based resource that provides local support and educational materials. Patients will be directed to this resource via a health promotion Rx.

Using Behavior-change Action Plans during the Primary Care Visit
UCSF/Stanford Collaborative Research Network (CRN)
Principal Investigator: Tomas Bodenheimer, MD
Incorporate behavior change action plans into routine visits and follow with six-month patient self-assessment questionnaire and clinician action plan assessment questionnaire.

Web-based Portal to Healthy Behavior
Virginia Ambulatory Care Outcomes Research Network (ACORN)
Principal Investigator: Steven Woolf, MD
Website that hosts a stage-based portal to direct patients to resources best suited for them and their stage of readiness to change—data compared with four months of control group data that had no access.

Modular Lifestyle Intervention Tool (MLIT)
Virginia Practice Support and Research Network (VaPSRN)
Principal Investigator: Steven Heim, MD, MSPH
A handheld clinical decision support tool to assist clinicians in providing patient-tailored counseling at the point of care. Practices will adopt smoking and BMI as vital signs, which cue the clinician to address the target behavior and use the software.