TY - JOUR KW - Adult KW - Counseling/utilization KW - Family Practice/education/organization & administration KW - Female KW - Follow-Up Studies KW - Guideline Adherence/statistics & numerical data KW - Health Promotion/organization & administration/utilization KW - Health Services Research KW - Humans KW - Internship and Residency/statistics & numerical data KW - Male KW - Management Information Systems KW - Mass Screening/utilization KW - Middle Aged KW - Minnesota KW - Physician's Practice Patterns/statistics & numerical data KW - Practice Guidelines as Topic KW - Preventive Health Services/organization & administration/utilization KW - Program Evaluation KW - United States AU - M. W. Yeazel AU - S. H. Bunner AU - P. M. Kofron AU - P. J. Weiss A1 - AB - BACKGROUND AND OBJECTIVES: The Put Prevention Into Practice (PPIP) office system is a set of office tools designed to address physician, patient, and system barriers to the provision of clinical preventive services. This study evaluated the effect of using PPIP on the delivery of clinical preventive services at two family practice residency sites. METHODS: After a careful planning process at each clinic, a 1-year trial was conducted with implementation of PPIP at two residency sites compared to two control residency sites. The subjects included adults age 19 and older Data were collected via chart extraction on 300 randomly selected patients per clinic for the following three outcomes: health risk factor assessment (for limited physical activity, poor nutrition habits, and tobacco use), health promotion/counseling (for nutrition, physical activity, and tobacco use), and screening rates (clinical breast exam, cholesterol, fecal occult blood test, mammography, and Pap smear). RESULTS: Only inconsistent or sporadic differences in risk factor assessment, health promotion counseling, and screening were seen when comparing implementation and control sites. CONCLUSIONS: PPIP had little effect on the delivery of clinical preventive services. Future research should include a careful analysis of the users of PPIP and the environments in which they practice. BT - Family medicine C5 - HIT & Telehealth CP - 1 CY - United States IS - 1 JF - Family medicine N2 - BACKGROUND AND OBJECTIVES: The Put Prevention Into Practice (PPIP) office system is a set of office tools designed to address physician, patient, and system barriers to the provision of clinical preventive services. This study evaluated the effect of using PPIP on the delivery of clinical preventive services at two family practice residency sites. METHODS: After a careful planning process at each clinic, a 1-year trial was conducted with implementation of PPIP at two residency sites compared to two control residency sites. The subjects included adults age 19 and older Data were collected via chart extraction on 300 randomly selected patients per clinic for the following three outcomes: health risk factor assessment (for limited physical activity, poor nutrition habits, and tobacco use), health promotion/counseling (for nutrition, physical activity, and tobacco use), and screening rates (clinical breast exam, cholesterol, fecal occult blood test, mammography, and Pap smear). RESULTS: Only inconsistent or sporadic differences in risk factor assessment, health promotion counseling, and screening were seen when comparing implementation and control sites. CONCLUSIONS: PPIP had little effect on the delivery of clinical preventive services. Future research should include a careful analysis of the users of PPIP and the environments in which they practice. PP - United States PY - 2002 SN - 0742-3225; 0742-3225 SP - 17 EP - 22 EP - T1 - Put prevention into practice (PPIP): evaluating PPIP in two family practice residency sites T2 - Family medicine TI - Put prevention into practice (PPIP): evaluating PPIP in two family practice residency sites U1 - HIT & Telehealth U2 - 11838522 VL - 34 VO - 0742-3225; 0742-3225 Y1 - 2002 ER -