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Practice-, Provider-, and Patient-level interventions to improve preventive care: Development of the P3 Model.
Prev Med Rep 2018; 11:131-138PM

Abstract

For adequate provision of preventive services, there is an interplay between activities at the healthcare practice, healthcare provider, and patient levels of the clinical encounter. Commonly used health promotion and behavior theoretical models address some of these three levels, but none fully account for all three. Building off of key components of many existing theoretical models, including the Health Belief Model, Theory of Planned Behavior/Theory of Reasoned Action, Social Cognitive Theory, Social Ecological Model, and the Systems Model of Clinical Preventive Care, we describe the development of the P3 (Practice-, Provider-, and Patient-level) Model for preventive care interventions. The P3 Model accounts for all three levels of the clinical encounter, and the factors that impact these levels, concurrently. This yields a model for preventive care that is applicable and adaptable to different settings, and that provides a framework for the development, implementation, and evaluation of preventive care promotion interventions. The applicability of the P3 Model is shown through two exemplar preventive care programs - immunization and colorectal cancer screening. The P3 Model allows interventions to be developed and evaluated in a modular approach, to allow more practical refinement and optimization of the intervention.

Authors+Show Affiliations

Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States of America. Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States of America. Cancer Prevention and Control Program, Winship Cancer Institute, Emory University, Atlanta, GA, United States of America. Emory Vaccine Center, Emory University, Atlanta, GA, United States of America.Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States of America.Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States of America.Institute for Vaccine Safety, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States of America.Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States of America. Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States of America. Emory Vaccine Center, Emory University, Atlanta, GA, United States of America. Department of Pediatrics, School of Medicine, Emory University, Atlanta, GA, United States of America.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30003011

Citation

Bednarczyk, Robert A., et al. "Practice-, Provider-, and Patient-level Interventions to Improve Preventive Care: Development of the P3 Model." Preventive Medicine Reports, vol. 11, 2018, pp. 131-138.
Bednarczyk RA, Chamberlain A, Mathewson K, et al. Practice-, Provider-, and Patient-level interventions to improve preventive care: Development of the P3 Model. Prev Med Rep. 2018;11:131-138.
Bednarczyk, R. A., Chamberlain, A., Mathewson, K., Salmon, D. A., & Omer, S. B. (2018). Practice-, Provider-, and Patient-level interventions to improve preventive care: Development of the P3 Model. Preventive Medicine Reports, 11, pp. 131-138. doi:10.1016/j.pmedr.2018.06.009.
Bednarczyk RA, et al. Practice-, Provider-, and Patient-level Interventions to Improve Preventive Care: Development of the P3 Model. Prev Med Rep. 2018;11:131-138. PubMed PMID: 30003011.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Practice-, Provider-, and Patient-level interventions to improve preventive care: Development of the P3 Model. AU - Bednarczyk,Robert A, AU - Chamberlain,Allison, AU - Mathewson,Kara, AU - Salmon,Daniel A, AU - Omer,Saad B, Y1 - 2018/06/18/ PY - 2018/02/22/received PY - 2018/05/28/revised PY - 2018/06/14/accepted PY - 2018/7/14/entrez PY - 2018/7/14/pubmed PY - 2018/7/14/medline KW - Behavior change KW - Behavior change theory KW - Cancer prevention and control KW - Health promotion KW - Immunization SP - 131 EP - 138 JF - Preventive medicine reports JO - Prev Med Rep VL - 11 N2 - For adequate provision of preventive services, there is an interplay between activities at the healthcare practice, healthcare provider, and patient levels of the clinical encounter. Commonly used health promotion and behavior theoretical models address some of these three levels, but none fully account for all three. Building off of key components of many existing theoretical models, including the Health Belief Model, Theory of Planned Behavior/Theory of Reasoned Action, Social Cognitive Theory, Social Ecological Model, and the Systems Model of Clinical Preventive Care, we describe the development of the P3 (Practice-, Provider-, and Patient-level) Model for preventive care interventions. The P3 Model accounts for all three levels of the clinical encounter, and the factors that impact these levels, concurrently. This yields a model for preventive care that is applicable and adaptable to different settings, and that provides a framework for the development, implementation, and evaluation of preventive care promotion interventions. The applicability of the P3 Model is shown through two exemplar preventive care programs - immunization and colorectal cancer screening. The P3 Model allows interventions to be developed and evaluated in a modular approach, to allow more practical refinement and optimization of the intervention. SN - 2211-3355 UR - https://www.unboundmedicine.com/medline/citation/30003011/Practice-,_Provider-,_and_Patient-level_interventions_to_improve_preventive_care:_Development_of_the_P3_Model L2 - https://linkinghub.elsevier.com/retrieve/pii/S2211-3355(18)30105-0 DB - PRIME DP - Unbound Medicine ER -