Current Workshop Session I—Healthier Practices
(A2) Promoting Healthy Behaviors in Clinical Practice:
Lessons Learned From Practice-Based Research and Education
Monday, October 24, 10:30
a.m.-noon
Prescription for Health: Promoting Healthy Behaviors in
Primary Care Practice
A Multi-Component Systems Approach for Promoting Healthy
Behaviors in Primary Care
Authors
H. Burstin1; K.C. Stange2.
1Agency for Healthcare Research and Quality, Rockville,
MD;
2Case Western Reserve University, Cleveland, OH.
Background
While health promotion is a critically important
area of clinical prevention, there are limited evidence-based
strategies for primary care providers to successfully address
the greatest health challenges facing this nation. Emerging
information from practice-based research efforts and educational
innovations should help inform how to best promote healthy
behaviors in clinical practice. There is also increasing
recognition of the importance of the provider as a catalyst to
community health resources. This session will feature the joint
initiative of the Robert Wood Johnson Foundation (RWJF) and the
Agency for Healthcare Research and Quality (AHRQ) entitled
Prescription for Health: Promoting Health Behaviors in Primary
Care Research Networks. The program is aimed at developing
effective, practical strategies for changing Americans´
unhealthy behaviors through primary care. Through the
Prescription for Health program, primary care practices are
concentrating on four leading health risk factors. The projects
are conducted by practice-based research networks (PBRNs)—groups
of medical practices that work together to investigate a variety
of questions about how health care is managed or delivered. Dr.
Stange will present key insights from the first round of the
projects about the role of primary care practice, as well as the
role of primary care practice-based research networks. Dr. Woolf,
a Prescription for Health grantee, will discuss a specific
approach, under study in Virginia, in which an electronic health
record is serving as a platform for integrating brief advice in
the office with more intensive behavioral assistance outside the
office (telephone counseling, e-counseling, a resource website,
and group classes). Dr. Reigelman will discuss the health
professions education perspective by presenting the new Clinical
Prevention and Population Health Curriculum Framework that was
developed by the Healthy People Curriculum Task Force convened
by the Association of Teachers of Preventive Medicine and the
Association of Academic Health Centers.
Methods
N/A
Results
N/A
Discussion
N/A
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Educating for Practicing Prevention: The Clinical
Prevention and Population Health Curriculum Framework
Author
R. Riegelman, The George Washington University School of Public
Health and Health Services, Washington, DC.
Background
The Clinical Prevention and Population Health
Curriculum Framework was developed by the Healthy People
Curriculum Task Force convened by the Association of Teachers of
Preventive Medicine and the Association of Academic Health
Centers. The Task Force includes representatives of seven health
professional education associations representing allopathic and
osteopathic medicine, nursing and nurse practitioners,
dentistry, pharmacy, and physician assistants. Its mission is to
accomplish the Healthy People 2010 objective of increasing the
extent to which content in health promotion and disease
prevention is included in health professional education.
Methods
The Curriculum Framework was developed and unanimously
approved after web-based feedback from a broad range of
constituencies. The framework provides a structure for
organizing curriculum, monitoring curriculum, and communicating
within and between professions. The Curriculum Framework is
designed to provide guidelines for student education in the
clinical health professions represented on the Healthy People
Curriculum Task Force. The Framework consists of four
components: Evidence Base for Practice; Clinical Preventive
Services - Health Promotion; Health Systems and Health Policy;
Community Aspects of Practice. The name Clinical Prevention and
Population Health was chosen to include both
individually-oriented, plus population-oriented preventive
efforts. All participating clinical health professions are
encouraged to utilize the title Clinical Prevention and
Population Health when referring to this area of curriculum.
Results
The Curriculum Framework has been endorsed and/or
disseminated by all participating health professional
organizations. The Association of Academic Health Centers
featured the Curriculum Framework in its 12 Annual Congress of
Health Professions Educators and a proceeding will be widely
distributed to Deans and faculty.
Discussion
Data collection is aimed at fulfilling the
expectations of Healthy People 2010 and integrating the
Curriculum Framework into the Healthy People 2020 process.
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