Project Overview +

The All About You is a comprehensive health risk appraisal and tailored booklet for patients of the University of Michigan M-CARE health maintenance organization.

Aims +

Aim 1. Design a series of health risk appraisal instruments to measure risk factors, life style behaviors, barriers to change, and readiness to change.

Aim 2. Develop a 12-page tailored health report identifying an individual's health risks and strategies for behavior change to improve risk.

Aim 3. Develop a tailored report for clinicians outlining member-specific risk data, including positive health behaviors, high risk behaviors, member perceptions of risk as well as interest, motivation, and readiness to make behavior changes.

Participants +

Members of M-CARE HMO.

Intervention +

The M-CARE HRA consists of a survey, data processing, a tailoring engine for creating individualized messages based on member characteristics, several electronic data files, a customizable health magazine layout, and a summary letter to providers.

Members complete a print survey that is mailed to them, return mail it to CHCR, and then receive a 12 page tailored print magazine with their results within two weeks of mailing in their survey. The member's physician receives a summary report on their members who complete the HRA.

The survey provides raw data on which steering decisions may be made. In other words, the data identify people who:

  • have a personal history of asthma, congestive heart failure, angina/heart attack, other heart disease, and diabetes
  • have a family history of congestive heart failure, angina/heart attack, other heart disease, and diabetes
  • have potential problems with alcohol
  • have symptoms of depression (and are not currently being treated)

By providing tailored feedback, our program directly serves people for whom at least one of the following apply:

  • do not eat enough fruits and vegetables and/or eat too much fat
  • do not engage in adequate physical activity (150 minutes per week)use tobacco
  • do not adequately protect their skin from the sun
  • do not wear bicycle helmets (every time they ride a bike)
  • do not use seat belts (all of the time)
  • drive drunk
  • ride with drunk drivers
  • have potential problems with alcohol
  • have symptoms of depression

If at least one of the previous applies to the individual, they also get feedback if any of the following apply:

  • are planning a pregnancy within 3 years
  • do not use effective birth control methods
  • are trying to lose weight
  • are candidates for hormone replacement therapy
  • need cholesterol tests
  • need a mammogram
  • need a Pap smear
  • need a fecal occult blood test (FOBT) or sigmoidoscopy

Messages aim to increase the actual utilization of, increase readiness to utilize, or reduce barriers to utilizing the following preventive services, as appropriate:

  • breast cancer screening
  • cervical cancer screening
  • cholesterol screening
  • hypertension screening
  • colorectal cancer screening
  • pre-conception planning
  • effective birth control methods
  • hormone replacement therapy

The appraisal also aims to create an actual change in, increase readiness to change, or reduce barriers to changing the following:

  • tobacco use
  • problem alcohol use
  • drinking and driving
  • riding with a drunk driver
  • unhealthy weight loss
  • symptoms of depression
  • skin protection habits
  • physical inactivity
  • inadequate nutrition
  • seat belt use
  • bicycle helmet use

Findings +

Not applicable. All About You was not part of a study, but a service provided to MCARE.

All About You

05/01/1997 - 04/30/1998

Sponsor(s)

M-Care

Principal Investigator:

Victor J. Strecher, PhD, MPH