The goal of this project was to improve the quality of preventive health care and to increase recruitment in research trials, especially African-Americans, by using a computerized screening tool. By linking patient report information to medical records data, computerized technology was used to enhance the potential for identifying women eligible for research trials and of obtaining initial consent to contact. Patients received a personalized print out with advice on their preventive health needs and a report was generated for the patient chart. In addition, the patient and clinician were alerted to potential research projects for which the patient may be eligible. Qualitative interviews and chart reviews were used to evaluate the impact of the screening, including acceptability to patients and clinic staff, impact on referrals/provision of preventive health care, and impact on research recruitment. The use of the computerized intake method increased assessment completion, identified more positives (particularly in the areas of intimate partner violence and depression), and increased provider response with counseling and referrals. Smoking and drug use were not as significantly affected by use of the computer except for counseling in pregnant women and written information to gynecology patients. The computerized intake process shows promise for supporting more complete assessments, identifying positive risk behaviors with increased counseling and referrals.
PIC ID: 8241; Agency Sponsor: OPHS-OWH, Office of Women’s Health; Federal Contact: Newman, Eileen P., 301-443-1393; Performer: Magee-Women’s Hospital, NCE Women’s Health, Pittsburgh, PA