Table 1.

My Own Health Report measures for adult primary care

	Domain	Number of items and final measure (source)
F	Eating patterns	3 items: modified from Starting the Conversation (Adapted from Paxton AE, et al. Am J Prev Med 2011;40(1):67–71)
F	Physical activity	2 items: the Exercise Vital Sign (Sallis R. Br J Sports Med 2011;45(6):473–4)
F	Sleep	2 items: a. Adapted from BRFSS b. Neuro-QOL (Item PQSLP04)
F	Smoking/tobacco use	2 items: Tobacco Use Screener (Adapted from YRBSS Questionnaire)
SA	Risky drinking	1 item: Alcohol Use Screener (Smith PC, et al. J Gen Int Med 2009;24(7):783–8)
SA	Substance abuse	1 item: NIDA Quick Screen (Smith PC, et al. Arch Int Med 2010;170(13):1155–60)
MH	Stress	1 item: Distress Thermometer (Roth AJ, et al. Cancer 1998;15(82):1904–8)
MH	Anxiety and depression	4 items: Patient Health Questionnaire—Depression and Anxiety (Kroenke K, et al. Psychosomatics 2009;50(6):613–21)
G	Overall health status	1 item: BRFSS Questionnaire
G	Demographics

BRFSS, Behavioral Risk Factor Surveillance System; F, Framingham health behaviors; G, general; MH, mental health; NIDA, National Institute on Drug Abuse; QOL, quality of life; SA, substance abuse; YRBSS, Youth Risk Behavior Surveillance System