Factors influencing implementation of personalized prevention plans among annual wellness visit patients using the theory of planned behavior: A quantitative study

The Affordable Care Act provides Medicare Part B beneficiaries access to cost-free Annual Wellness Visits (AWVs). Patients receive health behavior recommendations from a Personalized Prevention Plan (PPP) during AWV encounters. To identify factors clinical pharmacists can use to influence adoption o...

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Veröffentlicht in:	Research in social and administrative pharmacy 2021-09, Vol.17 (9), p.1636-1644
Hauptverfasser:	Malcolm, O'Neal, Nelson, Anna, Modeste, Naomi N., Gavaza, Paul
Format:	Artikel
Sprache:	eng
Schlagworte:	Annual wellness visits Chronic care management Clinical pharmacists Decision support Disease prevention Geriatric Health behaviors Health education Health promotion Personalized prevention plan Primary care practices Quality improvement Theory of planned behavior
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Beschreibung
Zusammenfassung:	The Affordable Care Act provides Medicare Part B beneficiaries access to cost-free Annual Wellness Visits (AWVs). Patients receive health behavior recommendations from a Personalized Prevention Plan (PPP) during AWV encounters. To identify factors clinical pharmacists can use to influence adoption of PPPs in primary care practices. Utilizing a cross-sectional design, 77 Medicare patients (mean age 74.05 ± 8.04 years) presenting for subsequent AWV completed a theory of planned behavior (TPB) based questionnaire at two primary care practices. 66.2% reported they were in the process of implementing PPPs and 51.9% reported implementing recommendations in the previous 12 months. TPB constructs accounted for 35.8% (p
ISSN:	1551-7411 1934-8150
DOI:	10.1016/j.sapharm.2021.01.002