Dataset Information

Impact of a Low-Intensity Resource Referral Intervention on Patients' Knowledge, Beliefs, and Use of Community Resources: Results from the CommunityRx Trial.

ABSTRACT:

Background

Connecting patients to community-based resources is now a cornerstone of modern healthcare that supports self-management of health. The mechanisms that link resource information to behavior change, however, remain poorly understood.

Objective

To evaluate the impact of CommunityRx, an automated, low-intensity resource referral intervention, on patients' knowledge, beliefs, and use of community resources.

Design

Real-world controlled clinical trial at an urban academic medical center in 2015-2016; participants were assigned by alternating week to receive the CommunityRx intervention or usual care. Surveys were administered at baseline, 1 week, 1 month, and 3 months.

Participants

Publicly insured adults, ages 45-74 years.

Intervention

CommunityRx generated an automated, personalized list of resources, known as HealtheRx, near each participant's home using condition-specific, evidence-based algorithms. Algorithms used patient demographic and health characteristics documented in the electronic health record to identify relevant resources from a comprehensive, regularly updated database of health-related resources in the study area.

Main measures

Using intent-to-treat analysis, we examined the impact of HealtheRx referrals on (1) knowledge of the most commonly referred resource types, including healthy eating classes, individual counseling, mortgage assistance, smoking cessation, stress management, and weight loss classes or groups, and (2) beliefs about having resources in the community to manage health.

Key results

In a real-world controlled trial of 374 adults, intervention recipients improved knowledge (AOR?=?2.15; 95% CI, 1.29-3.58) and beliefs (AOR?=?1.68; 95% CI, 1.07-2.64) about common resources in the community to manage health, specifically gaining knowledge about smoking cessation (AOR?=?2.76; 95% CI, 1.07-7.12) and weight loss resources (AOR?=?2.26; 95% CI 1.05-4.84). Positive changes in both knowledge and beliefs about community resources were associated with higher resource use (P?=?0.02).

Conclusions

In a middle-age and older population with high morbidity, a low-intensity health IT intervention to deliver resource referrals promoted behavior change by increasing knowledge and positive beliefs about community resources for self-management of health.

Nih trial registry

NCT02435511.

SUBMITTER: Tung EL

PROVIDER: S-EPMC7080911 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Impact of a Low-Intensity Resource Referral Intervention on Patients' Knowledge, Beliefs, and Use of Community Resources: Results from the CommunityRx Trial.

Tung Elizabeth L EL Abramsohn Emily M EM Boyd Kelly K Makelarski Jennifer A JA Beiser David G DG Chou Chiahung C Huang Elbert S ES Ozik Jonathan J Kaligotla Chaitanya C Lindau Stacy Tessler ST

Journal of general internal medicine 20191120 3

<h4>Background</h4>Connecting patients to community-based resources is now a cornerstone of modern healthcare that supports self-management of health. The mechanisms that link resource information to behavior change, however, remain poorly understood.<h4>Objective</h4>To evaluate the impact of CommunityRx, an automated, low-intensity resource referral intervention, on patients' knowledge, beliefs, and use of community resources.<h4>Design</h4>Real-world controlled clinical trial at an urban acad ...[more]

PMID: 31749028

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Dataset Information

Impact of a Low-Intensity Resource Referral Intervention on Patients' Knowledge, Beliefs, and Use of Community Resources: Results from the CommunityRx Trial.

Background

Objective

Design

Participants

Intervention

Main measures

Key results

Conclusions

Nih trial registry

Publications

Impact of a Low-Intensity Resource Referral Intervention on Patients' Knowledge, Beliefs, and Use of Community Resources: Results from the CommunityRx Trial.

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