Top

Journal of Clinical Psychology in Medical Settings

Published in:

01-03-2014

Health-Related Outcomes Associated with Patterns of Risk Factors in Primary Care Patients

Authors: Jennifer S. Funderburk, Stephen A. Maisto, Allison K. Labbe

Published in: Journal of Clinical Psychology in Medical Settings | Issue 1/2014

Abstract

It is important to find ways to identify prevalent co-occurring health risk factors to help facilitate treatment programming. One method is to use electronic medical record (EMR) data. Funderburk et al. (J Behav Med 31:525–535, 2008) used such data and latent class analysis to identify three classes of individuals based on standard health screens administered in Veterans Affairs primary care clinics. The present study extended these results by examining the health-related outcomes for each of these identified classes. Follow-up data were collected from a subgroup of the original sample (N = 4,132). Analyses showed that class assignment predicted number of diagnoses associated with the diseases that the health screens target and number of primary care behavioral health, and emergency room encounters. The findings illustrate one way an EMR can be used to identify clusters of individuals presenting with multiple health risk factors and where the healthcare system comes in contact with them.

Agha, Z., Lofgren, R. P., VanRuiswyk, J. V., & Layde, P. M. (2000). Are patients at Veterans Affairs Medical Centers sicker? A comparative analysis of health status and medical resource use. Journal of the American Medical Association, 160, 3252–3257.

An, L. C., Zhu, S. H., Nelson, D. B., Arikian, N. J., Nugent, S., Partin, M. R., et al. (2006). Benefits of telephone care over primary care for smoking cessation: A randomized trial. Archives of Internal Medicine, 166, 536–542.PubMedCrossRef

Berrigan, D., Dodd, K., Troiano, R. P., Krebs-Smith, S. M., & Barbash, R. B. (2003). Patterns of health behavior in U.S. adults. Preventive Medicine, 36, 615–623.PubMedCrossRef

Bliese, P. D., Wright, K. M., Adler, A. B., Cabrera, O., Castro, C. A., & Hoge, C. W. (2008). Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat. Journal of Consulting and Clinical Psychology, 76, 272–281.PubMedCrossRef

Bush, K., Kivlahan, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Archives of Internal Medicine, 158, 1789–1795.PubMedCrossRef

Calfas, K. J., Long, B. J., Sallis, J. F., Wooten, W. J., Pratt, M., & Patrick, K. (1996). A controlled trial of physician counseling to promote the adoption of physical activity. Preventive Medicine, 25, 225–233.PubMedCrossRef

Coups, E. J., Gaba, A., & Orleans, T. (2004). Physician screening for multiple behavioral health risk factors. American Journal of Preventive Medicine, 27, 34–41.PubMedCrossRef

Critchley, J. A., & Capewell, S. (2003). Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: A systematic review. Journal of the American Medical Association, 290, 86–97.PubMedCrossRef

Dhaliwal, S. S., & Welborn, T. A. (2009). Central obesity and cigarette smoking are key determinants of cardiovascular disease deaths in Australia: A public health perspective. Preventive Medicine, 49, 153–157.PubMedCrossRef

Ely, A. C., Banitt, A., Befort, C., Hou, Q., Rhode, P. C., Grund, C., … Ellerbeck, E. (2008). Kansas primary care weighs in: A pilot randomized trial of a chronic care model program for obesity in 3 rural Kansas primary care practices. Journal of Rural Health, 24, 125–132.

Fine, L. J., Philogene, G. S., Gramling, R., Coups, E. J., & Sinha, S. (2004). Prevalence of multiple chronic disease risk factors: 2001 National Health Interview survey. American Journal of Preventive Medicine, 27, 14–18.CrossRef

Fuchs, F. D., Chambless, L. E., Whelton, P. K., Nieto, F. J., & Heiss, G. (2001). Alcohol consumption and the incidence of hypertension: The Atherosclerosis Risk in Communities study. Hypertension, 37, 1242–1250.PubMedCrossRef

Funderburk, J. S., Maisto, S. A., Sugarman, D. E., & Wade, M. (2008). The covariation of multiple risk factors in primary care: A latent class analysis. Journal of Behavioral Medicine, 31, 525–535.PubMedCrossRef

Goldberg, D. P., Gater, R., Sartorius, N., Ustun, T. B., Piccinelli, M., Gureje, O., et al. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine, 27, 191–197.PubMedCrossRef

Goldberg, D. P., & Williams, P. (1978). A user’s guide to the General Health Questionnaire. Windsor, UK: NFER-Nelson.

Goldstein, M. G., Whitlock, E. P., & DePue, J. (2004). Multiple behavioral risk factor interventions in primary care: Summary of research evidence. American Journal of Preventive Medicine, 27, 61–79.PubMedCrossRef

Haapanen, N., Miilunpalo, S., Vuori, I., Oja, P., & Pasanen, M. (1997). Association of leisure time physical activity with the risk of coronary heart disease, hypertension, and diabetes in middle-aged men and women. International Journal of Epidemiology, 26, 739–747.PubMedCrossRef

Hyman, D. J., Pavlik, V. N., Taylor, W. C., Goodrick, G. K., & Moye, L. (2007). Simultaneous vs. sequential counseling for multiple behavior change. Archives of Internal Medicine, 167, 1152–1158.PubMedCrossRef

Institute for Clinical Systems Improvement. (2006). Prevention and management of obesity (mature adolescents and adults). Bloomington, MN: Institute for Clinical Systems Improvement.

Institute of Medicine. (1990). Alcohol problems: Broadening the base of treatment. Washington, DC: National Academy Press.

Jonas, B. S., Franks, P., & Ingram, D. D. (1997). Are symptoms of anxiety and depression risk factors for hypertension?: Longitudinal evidence from the National Health and Nutrition Examination survey I epidemiologic follow-up study. Archives of Family Medicine, 6, 43–49.PubMedCrossRef

Katon, W., Fan, M., Unützer, J., Taylor, J., Pincus, H., & Schoenbaum, M. (2008). Depression and diabetes: A potentially lethal combination. Journal of General Internal Medicine, 23, 1571–1575.PubMedCentralPubMedCrossRef

Kisinger, L. S., Jones, K. R., Kahwati, L., Harvey, R., Burdick, M., Zele, V., et al. (2009). Design and dissemination of the MOVE!^® Weight Management Program for Veterans. Preventing Chronic Disease, 6, 1–6.

Klatsky, A. L. (1996). Alcohol and hypertension. Clinica Chimica Acta, 246, 91–105.CrossRef

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2003). The PHQ-2. Medical Care, 41, 1284–1294.PubMedCrossRef

Lloyd-Jones, D., Adams, R., Carnethon, M., De Simone, G., Ferguson, T. B., Flegal, K., et al. (2009). A report from the American Heart Association Statistics Subcommittee and Stroke Statistics Subcommittee. Circulation, 119, 480–486.PubMedCrossRef

McGinnis, J. M., & Foege, W. H. (1993). Actual causes of death in the United States. Journal of the American Medical Association, 270, 2207–2212.PubMedCrossRef

National Institute on Drug Abuse. (2006). Tobacco addiction (No. NIH Publication No. 06-4342). Rockville, MD: National Institute on Drug Abuse.

Ockene, J. K., Adams, A., Hurley, T. G., Wheeler, E. V., & Hebert, J. R. (1999). Brief physician and nurse practitioner-delivered counseling for high-risk drinkers: Does it work? Archives of Internal Medicine, 159, 2198–2205.PubMedCrossRef

Office of Policy and Planning. National Center for Veterans Analysis and Statistics. (2009). Analysis of unique veterans utilization of VA benefits & services. http://www.va.gov/vetdata/Report.asp. Accessed 12 July 2012.

Prins, A., Ouimette, P., Kimerling, R., Cameron, R. P., Hugelshofer, D. S., Shaw-Hegwer, J., … Sheikh, J. I. (2003). The primary care PTSD screen (PC-PTSD): Development and operating characteristics. Primary Care Psychiatry, 9, 9–14.

Prochaska, J. O. (2008). Multiple health behavior research represents the future of preventive medicine. Preventive Medicine, 46, 281–285.PubMedCrossRef

Pronk, N. P., Anderson, L. H., Crain, A. L., Martinson, B. C., O’Connor, P. J., Sherwood, N. E., … Whitebird, R.R. (2004). Meeting recommendations for multiple healthy lifestyle factors: Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. American Journal of Preventive Medicine, 27, 25–33.

Rehm, J., Gmel, G., Sempos, C. T., & Trevisan, M. (2002). Alcohol-related morbidity and mortality. Alcohol Research & Health, 27, 39–51.

Rehm, J., Room, R., Graham, K., Monteiro, M., Gmel, G., & Sempos, C. T. (2003). The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease: An overview. Addiction, 98, 1209–1228.PubMedCrossRef

Richardson, L. K., Egede, L. E., Mueller, M., Echols, C. L., & Gebregziabher, M. (2008). Longitudinal effects of depression on glycemic control in veterans with Type 2 diabetes. General Hospital Psychiatry, 30, 509–514.PubMedCrossRef

Smit, F., Beekman, A., Cuijpers, P., de Graaf, R., & Vollebergh, W. (2004). Selecting key variables for depression preventions: Results from a population-based prospective epidemiological study. Journal of Affective Disorders, 81, 241–249.PubMedCrossRef

Strik, J. J. M. H., Denollet, J., Lousberg, R., & Honig, A. (2003). Comparing symptoms of depression and anxiety as predictors of cardiac events and increased health care consumption after myocardial infarction. Journal of the American College of Cardiology, 42, 1801–1807.PubMedCrossRef

U.S. Department of Health and Human Services. (1989). Reducing the health consequences of smoking: 25 years of progress: A report of the surgeon general (DHHS Publication No. CDC 89-8411). Rockville, MD: Office on Smoking and Health.

U.S. Department of Health and Human Services. (2003). The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure (No. NIH Publication No. 03-5233).

World Health Organization Brief Intervention Study Group. (1996). A cross-national trial of brief interventions with heavy drinkers. American Journal of Public Health, 86, 948–955.CrossRef

Title: Health-Related Outcomes Associated with Patterns of Risk Factors in Primary Care Patients
Authors: Jennifer S. Funderburk
Stephen A. Maisto
Allison K. Labbe
Publication date: 01-03-2014
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 1/2014
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-013-9376-x

2024 ASCO Annual Meeting

Springer Medicine

Health-Related Outcomes Associated with Patterns of Risk Factors in Primary Care Patients

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2014

Psychologists’ Evaluation of Bariatric Surgery Candidates Influenced by Patients’ Attachment Representations and Symptoms of Depression and Anxiety

Illness Perception Differences Between Russian- and Hebrew-Speaking Israeli Oncology Patients

Personality and Illness Adaptation in Adults with Type 1 Diabetes: The Intervening Role of Illness Coping and Perceptions

Acute Stress, Depression, and Anxiety Symptoms Among English and Spanish Speaking Children with Recent Trauma Exposure

Motivational Interviewing Promotes Adherence and Improves Wellbeing in Pre-Dialysis Patients with Advanced Chronic Kidney Disease

Health Related Quality of Life and Social Support in Pediatric Patients with Pacemakers