Table 1.
Recommended Domains and Example Measures*
| Domain | Example measure(s) |
|---|---|
| Health behaviors | |
| Smoking/tobacco use | SRNT items; one Fagerstrom item for smokers |
| Physical activity | BRFSS, IPAQ or pedometer readings |
| Eating patterns | Starting the conversation or NCI fat and fruit/vegetable screeners |
| Risky drinking | 2 items from AUDIT or BRFSS |
| Medication taking | Hill-bone adherence scale |
| Optional items | Customized to site priorities—e.g., salt intake, sleep patterns |
| Psychosocial and patient/environmental characteristics | |
| Depression/anxiety | PHQ 2 or 4 |
| Quality of life | PROMIS questions |
| Stress/distress | Distress scale or distress thermometer |
| Health literacy/numeracy | Chin and Fagerlin health literacy and numeracy items |
| Patient goal(s) | Free text on specific measurable goal and goal attainment |
| Demographic characteristics | Race, ethnicity, zip code for GIS coding |
| Optional characteristics | Customized to setting: patient priorities and preferences (e.g., preferred level of participation in medical decision making; mode of contact-e-mail vs. phone) |
| Issue patient most wants to discuss during next contact: | |
*Note: We propose these specific measures to make clear that validated, practical measures to effect these recommendations exist. Final choice of measures will be determined by future review and rapid consensus methods.