||This measure calculates the proportion of eligible patients who received referrals to a CHERL by a clinician if the patient was identified by the clinician as needing improvement in one or more of the four unhealthy behaviors.
||Electronic health/medical record. A computerized support system was developed to collect patient data; track patient calls, dates of service, and clinician feedback; and guide the counseling. Patient-specific health behavior and demographic information was entered by the CHERL based on self-report by the patients.
|Preventive service/ USPSTF:
||Alcohol Misuse Counseling; Healthy Diet Counseling; Obesity Screening and Counseling—Adults; Tobacco Use Counseling and Interventions—Non-Pregnant
||Primary Care—Family Practice; Primary Care—Internal Medicine
||Number of eligible patients (those identified by the clinician as needing improvement in one or more unhealthy behaviors): Patients eligible for improvement were those who had smoked one puff or more in the past 7 days; had drunk two alcoholic drinks per one occasion most days in the past month; did not eat a low-fat diet or at least five total fruits and/or vegetables per day; and/or did not participate in moderate exercise at least 5 days per week, or vigorously at least 3 days per week.
||This was an accounting of the number of faxes received for each CHERL (the practices faxed referrals to the CHERL)
|Development & testing:
||The Reach, Efficacy/Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) model provided the framework for the analysis of study results.
|Past or validated application:
||Adult patients at fifteen practices selected for convenience in three Michigan communities were eligible for CHERL referral if a patient was identified by the clinician as needing improvement in one or more of the four unhealthy behaviors.
||Holtrop JS, Dosh SA, Torres T, Thum YM. The community health educator referral liaison (CHERL): A primary care practice role for promoting healthy behaviors. American Journal of Preventive Medicine (2008) 35:S365-S372.