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Table 3 Comparison of the first ‘BETTER’ trial to ‘BETTER HEALTH: Durham’

From: BETTER HEALTH: Durham -- protocol for a cluster randomized trial of BETTER in community and public health settings

(in primary care practices)
Better Health: Durham
(community / public health setting)
Physical location of prevention practitioner (PP) In Family Health Team clinics Imbedded in Durham Region Health Department, for community outreach
Identification of participants From electronic medical record (EMR) Community-based recruitment strategies in low income areas
Informed consent For collection of personal health information, by prevention practitioner For collection of self-reported personal health information, by research assistant
Identification of completed and current behaviours and activities Abstraction from EMR, and from self-report in self-administered survey From self-report responses to survey administered by research assistant, in the community
Survey data collection Paper, by patient Electronic, self-report responses to survey administered by research assistant, in the community
Identification of risk factors Lab tests, survey, EMR From self-report, as above
Identification of eligible CDPS actions Prevention practitioner manually extracted and compiled Electronically identified and compiled from self-report, as above
Prevention meeting and goal-setting by participants By prevention practitioner in primary care team clinics By prevention practitioners at various community locations
Strategy to find primary care provider for participants who lack provider. Not applicable Prevention practitioners supported by primary care strategy engaging primary care providers near the participant.
Height, weight, waist circumference, blood pressure EMR entry or by prevention practitioner or primary care provider By prevention practitioner or primary care provider, self-report on baseline or 6 month survey
Specimen collection for laboratory-based screening In laboratories by requisition from primary care providers In laboratories by requisition from primary care providers or from nurse practitioner for participants without primary care provider
Facilitation of goal achievement Clinic staff, prevention practitioner, links, and self Prevention practitioners, links, and self
Followup of abnormal results By primary care physician By primary care providers, or by nurse practitioners engaged by study if prevention practitioners unable to link participant with primary care provider
Ascertainment of outcomes Abstraction from EMR and self-report responses at repeat self-administered survey by prevention practitioner Self-report responses to 6-month survey administered by research assistant
Primary outcome measure “composite index, expressed as the ratio (multiplied by 100) of the number of eligible CDPS (chronic disease prevention and screening) actions at baseline (denominator) that were subsequently met at follow-up (numerator), measured at the patient level.” (Grunfeld 2013)