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Pilot Testing of the Treatment Burden Screening in Diabetes Tool in Primary Care [Multimorbidity]

Annals of Family Medicine

Context: Nearly all patients with type 2 diabetes have comorbid chronic conditions, adding complexity to self-management. The TBSD incited action in the majority of encounters (64%), with clinicians modifying treatment regimens, placing referrals, scheduling appointments, and documenting in the chart.

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A Multi-Sector Pilot Design in the Northeast Ohio QI Hub: Engaging Community Based Organizations to Advance Diabetes Equity [Health care disparities]

Annals of Family Medicine

Instrument: The discussion guide included questions on 1) identifying shared social care priorities across the three groups, and 2) describing best practices, facilitators, and barriers around screening and referral for social needs learned from existing and past collaborative models.

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Substance Use Disorder Screening in Adolescent Patients in Primary Care: Findings, Challenges, Lessons Learned [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

SUD screening is not universally done in primary care (PC). In our institution, screenings are completed for patients ≥15 years during well visits; those not presenting for well visits and under 15 may represent missed opportunities. A score ≥2 constitutes a positive screen for possible substance misuse.

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Addressing diabetes management in the context of social needs: a qualitative study of primary care providers [Diabetes and endocrine disease]

Annals of Family Medicine

Context: Diabetes management (DM) for patients with Type 2 Diabetes (T2D) can be hindered by non-medical, health-related social needs. Conclusions: Common barriers to providing DM in the context of social needs focused on limitations related to addressing the social needs themselves rather than adjusting diabetes management strategy.

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Family-Based Interventions to Promote Weight Management in Adults: Results From a Cluster Randomized Controlled Trial in India [Original Research]

Annals of Family Medicine

BACKGROUND We evaluated the effectiveness of a structured family-based cardiovascular health promotion intervention model in improving weight management among adults. Weight, body mass index (BMI), and waist circumference were measured at baseline, 1 year, and 2 years to assess the intervention’s effect on weight management.

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Multisector Health Equity Coordination in a Midwestern Primary Care Practice, 2022-2023 [Social determinants and vulnerable populations]

Annals of Family Medicine

Context: The rise in social needs screening in primary care settings has led to questions about program design and implementation strategies. Multisector coordination is critical for effective screening and referral initiatives.

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Agile Implementation of a Digital Cognitive Assessment for Dementia in Primary Care [Original Research]

Annals of Family Medicine

A brain health navigator role was established to support patients with positive or borderline screenings, and assist primary care clinicians with follow-up assessment. DCA screening was completed in 1,808 (10.8%) of 16,708 eligible visits. Screening workflows were tailored to each clinic.