This project examined the effectiveness of an automated telephone-based counseling tool for patients. The tool (Telephone Linked Care or TLC) is designed to assist patients in changing risky health behaviors. The study evaluated the ability of primary care practices to integrate a system of this nature into routine patient care and the ability of the TLC to guide patients in the selection of a behavioral change activity.
Our specific aims were:
This project was conducted from July 1, 2005 to June 30, 2007.
This project is closed. Please see below for Key Findings and Publications.
The project demonstrated that linking all four risky behaviors (tobacco use, lack of physical activity, unhealthy diet, and risky alcohol consumption) into one system was overwhelming for many patients and likely required greater individual support around the behavioral change selection process. The four designated health risk appraisal instruments selected by the Prescription for Health program office were too long for combined use – at least over an interactive voice response system. Patients who were able to engage with a behavioral change activity liked the system and were able to make changes. From this study, the AAFP NRN is exploring other interactive technology-based behavior change approaches with America on the Move and the Center for Human Nutrition at the University of Colorado Denver.
Start-Up and Incremental Practice Expenses for Behavior Change Interventions in Primary Care. Dodoo MS, Krist AH, Cifuentes M, Green LA. American Journal of Preventive Medicine 2008;35(5S):S423-S430. PMID: 18929990
Redesigning Primary Care Practice to Incorporate Health Behavior Change. Green LA, Cifuentes M, Glasgow RE, Stange KC. American Journal of Preventive Medicine 2008;35(5S):S347-S349. PMID: 18929980
For additional information about this study, please contact:
Brian Manning, MPH, CHES
Associate Research Director
AAFP National Research Network
This project is funded by grants from Robert Wood Johnson Foundation and the Agency for Healthcare Research and Quality (Grant number 53771).