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CHERL, Connecting Primary Care Patients With Community Resources to Facilitate Behavior Change

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ClinicalTrials.gov Identifier: NCT00269009
Recruitment Status : Unknown
Verified September 2006 by Great Lakes Research Into Practice Network.
Recruitment status was:  Recruiting
First Posted : December 23, 2005
Last Update Posted : January 11, 2007
Sponsor:
Collaborators:
Robert Wood Johnson Foundation
Agency for Healthcare Research and Quality (AHRQ)
Michigan Department of Community Health
Marquette General Health System
Upper Peninsula Health Education Corporation;
Grand Rapids Medical Education and Research Center for Health Professions
Greater Flint Health Coalition
Genesee Health Plan
Genesys Health System
Information provided by:
Great Lakes Research Into Practice Network

December 22, 2005
December 23, 2005
January 11, 2007
January 2006
Not Provided
The primary outcome of interest is the referral rate for any unhealthy behavior to the CHERL with the predictor variable being referral-only versus consultant-enhanced practices.
The primary outcome of interest is the referral rate for any unhealthy behavior to the CHERL with the predictor variable being referral-only versus ocnsultant-enhanced practices.
Complete list of historical versions of study NCT00269009 on ClinicalTrials.gov Archive Site
Aim 2 of the study is to determine if the patients referred to the CHERL demonstrate health behavior improvements.
Aim 2 of the study is to determine if the patients referred to the CHERL demonstrate health behavior improvements
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CHERL, Connecting Primary Care Patients With Community Resources to Facilitate Behavior Change
CHERL, Connecting Primary Care Patients With Community Resources to Facilitate Behavior Change
The investigators want to find out if providing a Community Health Educator Referral Liaison (CHERL) helps practices help their patients change risky behaviors (tobacco use, physical inactivity, unhealthy diet, and risky drinking) by connecting patients to available services in the community or directly providing behavior change support.

What is this about? Prescription for Health (P4H) is a national initiative funded by the Robert Wood Johnson Foundation. Nine projects have been funded nationally in this second round to advance the goals of improving health behavior identification and delivery in primary care practice. Each project is conducted through a practice-based research network (PBRN). In Michigan, our PBRN is called the Great Lakes Research In Practice Network (GRIN).

What is the purpose of the CHERL project? In our study, we want to find out if providing a Community Health Educator Referral Liaison (CHERL) helps practices help their patients change risky behaviors (tobacco use, physical inactivity, unhealthy diet, and risky drinking) by connecting patients to available services in the community or directly providing behavior change support.

Primary care providers play a key roll in encouraging patients to choose healthy behaviors. However, effective behavior change requires long term follow up and support that may not be readily available within the office practice. CHERL can help provide or link to those services thus helping the healthy message promoted by the clinician to have a more powerful and lasting effect.

What is the CHERL intervention? With this funding, we will hire and train a CHERL to work with practices. The purpose of the CHERL is for him/her to help secure behavior change support for your patients either by referring to an available resource within the community or directly providing the service. This service is available to patients with or without chronic disease diagnoses (i.e, patients with diabetes, heart disease, hypertension, obesity, back pain, lung disease, or generally healthy with opportunities to change unhealthy habits).

Patients are referred to the CHERL and he/she will determine an appropriate next step for your patient – either referral to a community program or the CHERL will provide brief telephone counseling. The health care provider will receive feedback specifically on each patient referred.

In addition, some practices (consultant-enhanced) will receive additional assistance from the CHERL, as he/she serves as a consultant to the practice, helping the practice to identify systematic mechanisms for identification and referral of at risk patients to the CHERL.

Interventional
Phase 1
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double
Primary Purpose: Educational/Counseling/Training
  • Tobacco Use Disorder
  • Alcohol Abuse
  • Lack of Physical Activity
  • Poor Diet
Behavioral: CHERL
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Unknown status
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February 2007
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Inclusion Criteria:

  • Patients, clinicians, and their staff participating in this GRIN study.

Exclusion Criteria:

  • Patients, clinicians, and their staff who are not participating in this GRIN study.
Sexes Eligible for Study: All
18 Years and older   (Adult, Older Adult)
No
Contact information is only displayed when the study is recruiting subjects
United States
 
 
NCT00269009
61-9165
Not Provided
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Great Lakes Research Into Practice Network
  • Robert Wood Johnson Foundation
  • Agency for Healthcare Research and Quality (AHRQ)
  • Michigan Department of Community Health
  • Marquette General Health System
  • Upper Peninsula Health Education Corporation;
  • Grand Rapids Medical Education and Research Center for Health Professions
  • Greater Flint Health Coalition
  • Genesee Health Plan
  • Genesys Health System
Principal Investigator: Jodi Holtrop, PhD Michigan State University
Great Lakes Research Into Practice Network
September 2006

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP