Completed Research

Understanding Patient Preferences for Informed Decision-Making
Principal Investigator: Steven Woolf, M.D, M.P.H.
Sponsor: Patient Centered Outcomes Research Institute (PCORI)
Project Dates: October 2012 – December 2014

Description: To explore patients’ preferred approach to cancer screening using an interactive website about informed decision-making (IDM) preferences, then to study the assistance offered by clinicians, its congruence with the patient’s preferences, and the effect of website exposure on the conversation and decision outcomes.

 

My Own Health Report: Primary Care based Support for Patient-Reported Health Behavior and Psychosocial Issues
Principal Investigator: Alex Krist, M.D, M.P.H.
Sponsor: National Cancer Institute, Agency for Healthcare Research and Quality, Office of Behavioral and Social Science Research
Project Dates: June 2012 – April 2014

Description: To evaluate an 18-item patient tool designed to assess critical patient behavioral and psychosocial measures and to identify where, when, and how this tool can be integrated into primary care workflow.

 

Use of an Integrated Person Health Record for Prevention
Principal Investigator: Alex Krist, M.D, M.P.H.
Sponsor: Agency for Healthcare Research and Quality
Project Dates: June 2010 – June 2010 and September 2009 – August 2011 and September 2007 – April 2011

Description: Three separate studies were conducted focused on prevention utilizing an interactive preventive health record (IPHR).  The first study was a randomized controlled trial to test the effectiveness of sharing personalized prevention recommendations and educational material with patients. The second study assessed the feasibility of practice wide use of the IPHR, including the Reach, Implementation, Maintenance, and factors associated with successful use of the system.  The final study, evaluated whether the IPHR could be disseminated to a range of small to medium sized practices in Virginia.

 

BreathEasy: A Personal Health Record for Adults Living with Asthma and Depression
Principal Investigator:
Stephen Rothemich, M.D., M.S.
Sponsor: Robert Wood Johnson Foundation
Project Dates: December 2009 – May 2012

Description: To develop, field, and test a personal health record application that builds on the latest clinical guidelines for treatment and self-monitoring for individuals with asthma, and draws on research indicating increased physical activity may be beneficial for asthma as well as depression and anxiety.

 

Increasing Preventive Services Delivery by Electronic Medical Record Use Modification to Promote Team-Based Care
Principal Investigator: Alex Krist, M.D., M.P.H.
Sponsor: American Academy of Family Physicians
Project Dates: September 2007 – August 2008

Description: To conduct a 12-month pre/post feasibility study of the systematic creation of patient Health Management Plans (HMPs) to promote increased use of recommended preventive services. The project aims to redefine the role of “rooming staff” to include collection of preventive care information and creating HMPs.

 

Defining Barriers and Potential Solutions for Collecting and Reporting Quality Performance Measures in Primary Care Offices
Principal Investigator:
Daniel Longo, Sc.D.
Sponsor: Agency for Healthcare Research and Quality
Project Dates: June 2006 – May 2008

Description: To define the barriers and investigate potential solutions for primary care offices to collect and report performance measures and to develop an electronic web-based tool to help primary care practices prepare for these activities.

 

Timing of Repeat Colonoscopy:  Disparity Between Guidelines and Endoscopists’ Recommendation
Principal Investigator: Alex Krist, M.D., M.P.H.
Sponsor: Virginia Commonwealth University
Project Dates: March 2006 – March 2007

Description: To assess the extent endoscopists’ recommendations regarding repeat colonoscopies are concordant with the most current guidelines on post-polypectomy surveillance and screening.

 

A Comprehensive Practice Friendly Model for Promoting Healthy Behaviors
Principal Investigator: Steven Woolf, M.D., M.P.H.
Sponsor: Robert Wood Johnson Foundation
Project Dates: September 2005 – August 2007

Description: To test the effectiveness and implementation of an innovative “packaged” intervention to help primary care practices support efforts by patients to address tobacco use, diet, exercise, and problem drinking.  The intervention included prompts generated by a customized electronic medical record and referrals to a range of community resources that offered more intensive counseling.

 

QuitLink: A Leveraging Solution to Tobacco Counseling
Principal Investigator: Stephen Rothemich, M.D., M.S.
Sponsor: Robert Wood Johnson Foundation
Project Dates: September 2001 – August 2004

Descripion: A practice-level randomized control trial testing if providing practices with a system for routinely identifying smokers interested in making a quit attempt in the next month and referring them to a cessation counseling quitline can increase provider cessation counseling in primary care practices.

 

Internet-Based Patient Education as a Tool to Increase Patient Involvement in the Shared Decision-Making Process for Prostate Cancer Screening
Principal Investigator:
Alex Krist, M.D., M.P.H.
Sponsor: American Academy of Family Physicians
Project Dates: January 2002 – January 2003

Description: A randomized controlled trial to compare how patients make decisions for prostate cancer screening after viewing a web-based educational tool versus after viewing a paper-based educational tool versus no pre-visit education.