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| ID | Type | Description | Link |
|---|---|---|---|
| HHSA290200710014 |
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| Name | Class |
|---|---|
| Agency for Healthcare Research and Quality (AHRQ) | FED |
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The purpose of this study is to evaluate the impact of strategies to develop and foster the relationship between primary care practices and community resources to address specific unhealthy behaviors (tobacco use, poor nutrition, and lack of physical activity).
Tobacco use, poor diet, and lack of physical activity are associated with the leading causes of significant morbidity and mortality, including coronary heart disease, hypertension, cancer, stroke, diabetes, and respiratory dysfunction. One solution to decreasing unhealthy behaviors would be to better integrate primary care providers with community resources, including community and public health organizations that already have the capacity and expertise to deliver effective interventions. This project is a randomized trial to evaluate different practice-level interventions to link practices to community resources to decrease unhealthy behaviors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active Intervention | Experimental | Direct referral to community organizations, with support for practices to do so. These include the North Carolina Tobacco Quitline, public health department dietitians, and the YMCA. |
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| Passive Intervention | Experimental | Provision of information about community organizations to patients as above. |
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| Usual Care | Placebo Comparator | Usual care |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Active Intervention | Other | Quality improvement activities, including monthly teleconferences and chart audit with feedback, to help practices refer to community resources |
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| Measure | Description | Time Frame |
|---|---|---|
| The number of referrals from the practices to the community resources | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of referrals received by each resource | 6 months | |
| The proportion of patients with unhealthy behaviors who were referred from the practices to community resources | 6 months | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alex R Kemper, MD, MPH, MS | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke Clinical Research Institute | Durham | North Carolina | 27715 | United States |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D005247 | Feeding Behavior |
| D020340 | Tobacco Use Cessation |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D001522 | Behavior, Animal |
| D015438 | Health Behavior |
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| Passive Intervention | Other | Provision of tools to help with referrals to community resources |
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| No intervention | Other | No intervention |
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| Practice attitudes and practice regarding referral to community resources |
| 6 months |