Proactive multipurpose health risk screening in health care settings: Methods, design, and reach

Diana Guertler*, Anne Moehring, Kristian Krause, Sandra Eck, Anil Batra, Jean François Chenot, Jennis Freyer-Adam, Sabina Ulbricht, Hans Jürgen Rumpf, Gallus Bischof, Ulrich John, Christian Meyer

*Korrespondierende/r Autor/-in für diese Arbeit
5 Zitate (Scopus)


Objectives: Real world implementation of proactive screening and brief intervention in health care is threatened by high cost. Using e-health interventions and screening for multiple health risk factors may provide more efficiency. We describe methodological details of a proactive multipurpose health risk screening in health care settings and report on participation rates, participants' characteristics, and participation factors. Methods: Patients between 18 and 64 years from ambulatory practices and hospitals were proactively approached by study assistants at three sites for a computerized screening on harmful alcohol and tobacco consumption, depressive symptoms, insufficient fruit/vegetable consumption, physical inactivity and overweight. On the basis of their health risk pattern, a computerized algorithm allocated patients to one of five studies each of them addressing a psychiatric research question. Results: Among all eligible patients, 13,763 (86.5%) were screened. Younger age and being female predicted screening participation. Of those with complete data (n = 12,828), 82.9% reported at least two health risks and 34.0% were eligible for a study. Study participation ranged between 35.2% and 50.8%, and was associated with socio-demographics and problem severity. Conclusions: This study supports the use of systematic proactive screening for multiple health risks in health care settings as it is more resource-saving than single focused screening.

ZeitschriftInternational Journal of Methods in Psychiatric Research
PublikationsstatusVeröffentlicht - 03.2019

Strategische Forschungsbereiche und Zentren

  • Forschungsschwerpunkt: Gehirn, Hormone, Verhalten - Center for Brain, Behavior and Metabolism (CBBM)


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