Field of Work: Testing the use of evidence-based models in primary care to counsel patients to change their unhealthy behaviors.
Problem Synopsis: Four unhealthy behaviors—tobacco use, unhealthy diet, physical inactivity and excessive alcohol consumption—are the leading causes of preventable disease, disability and premature death in the United States each year. What's more, the Big Four occur in clusters: using data from the National Health Interview Survey for 2001, researchers found that a majority of adults reported two or more of these risk factors.
Failure to address these behaviors is costly: spending on heart disease, diabetes and other chronic conditions linked to the behaviors accounts for up to 70 percent of U.S. health care costs, according to the Centers for Disease Control and Prevention (CDC). Even modest reductions in behavior-related risks could improve Americans' health and reduce health care costs.
Synopsis of the Work: Prescription for Health: Promoting Healthy Behaviors in Primary Care Research Networks—a national program of the Robert Wood Johnson Foundation (RWJF)—tested the use of evidence-based models and innovative tools in primary care to counsel patients to change the four unhealthy behaviors.
Launched in August 2002, Prescription for Health targeted "the largest single platform of health care delivery—the offices of primary care clinicians—to discover what it actually takes to help individuals make and sustain healthier choices," according to the National Program Director. Prescription for Health funded 22 practice-based research networks (PBRNs).