Research Topics
| Alex H KristSummaryAffiliation: Virginia Commonwealth University Country: USA Publications
Research Grants
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Detail Information
Publications
Interactive preventive health record to enhance delivery of recommended care: a randomized trialAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA 23298 0251, USA
Ann Fam Med 10:312-9. 2012....- How physicians approach prostate cancer screening before and after losing a lawsuitAlex H Krist
Department of Family Medicine, Fairfax Family Practice Residency, Virginia Commonwealth University, Fairfax, VA 22033, USA
Ann Fam Med 5:120-5. 2007..A natural experiment (a study assessing shared decision making under way at the practice that was sued) enabled us to evaluate whether physicians changed their prostate cancer screening behavior after the lawsuit... 
An electronic linkage system for health behavior counseling effect on delivery of the 5A'sAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, Virginia 23298 0251, USA
Am J Prev Med 35:S350-8. 2008..A system that could increase referrals through an efficient collaborative partnership between community programs and clinicians could have major public health implications; such was the subject of this feasibility evaluation...
Timing of repeat colonoscopy: disparity between guidelines and endoscopists' recommendationAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, USA
Am J Prev Med 33:471-8. 2007..The study objective was to examine whether endoscopists' recommendations for repeat colonoscopy, as communicated to primary care clinicians after the procedure, adhered to published guidelines...- Patient education on prostate cancer screening and involvement in decision makingAlex H Krist
Department of Family Medicine, Fairfax Family Practice Residency, Virginia Commonwealth University, Fairfax, VA 22033, USA
Ann Fam Med 5:112-9. 2007..Many clinicians lack resources to engage patients in shared decision making for prostate cancer screening. We sought to evaluate whether previsit educational decision aids facilitate shared decision making... - Patient costs as a barrier to intensive health behavior counselingAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA 23298 0251, USA
Am J Prev Med 38:344-8. 2010..Although intensive health behavior counseling has been demonstrated to help patients lose weight and quit smoking, many payers offer limited coverage for such counseling... - Measuring primary care expensesAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA 23298 0251, USA
J Am Board Fam Med 23:376-83. 2010..Practical tools are needed to allow for systematic assessment of practice expenses. We report here a field trial of a standardized expenditure data collection instrument... - It takes a partnership: the value of collaboration in developing and promoting a Web site for primary care patientsAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Fairfax, USA
Ann Fam Med 3:S47-9. 2005 - Designing a patient-centered personal health record to promote preventive careAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA, USA
BMC Med Inform Decis Mak 11:73. 2011.... - Evidence-based medicine: how it becomes a 4-letter wordAlex Krist
Department of Family Medicine, Virginia Commonwealth University, 3825 Charles Stewart Drive, Fairfax, VA 22033, USA
J Fam Pract 54:604-6. 2005 - Title VII funding and physician practice in rural or low-income areasAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA, USA
J Rural Health 21:3-11. 2005..Whether Title VII funding enhances physician supply in underserved areas has not clearly been established... - Unwanted control: how patients in the primary care setting decide about screening for prostate cancerSteven H Woolf
Department of Family Practice, Virginia Commonwealth University, 3712 Charles Stewart Drive, Fairfax, VA 22033, USA
Patient Educ Couns 56:116-24. 2005..Further research is needed to understand this phenomenon and to better accommodate patients' desire for shared decision-making... - A practice-sponsored Web site to help patients pursue healthy behaviors: an ACORN studySteven H Woolf
Departments of Family Medicine, Epidemiology, and Community Health, Virginia Commonwealth University, Richmond, VA, USA corrected
Ann Fam Med 4:148-52. 2006..We tested whether patients are more likely to pursue healthy behaviors (eg, physical activity, smoking cessation) if referred to a tailored Web site that provides valuable information for behavior change... - Patient weight counseling choices and outcomes following a primary care and community collaborative interventionDiane B Wilson
Department of Internal Medicine and Massey Cancer Center, Virginia Commonwealth University, Richmond, VA, USA
Patient Educ Couns 79:338-43. 2010..We tested a clinician-delivered intervention that utilized community resources for in-depth counseling for unhealthy behaviors including overweight... - The relative importance of patient-reported barriers to colorectal cancer screeningResa M Jones
Department of Epidemiology and Community Health, School of Medicine, Virginia Commonwealth University, Richmond, Virginia 23298 0212, USA
Am J Prev Med 38:499-507. 2010..Colorectal cancer (CRC) screening rates are suboptimal. The most important barriers identified by patients are poorly understood. A comprehensive assessment of barriers to all recommended modalities is needed... - Patient perceptions of how physicians communicate during prostate cancer screening discussions: a comparison of residents and facultyJ William Kerns
Department of Family Medicine, Virginia Commonwealth University, Virginia, USA
Fam Med 40:181-7. 2008..National organizations recommend shared decision making (SDM) in these discussions... - Improving multiple health risk behaviors in primary care: lessons from the Prescription for Health Common Measures, Better Outcomes (COMBO) studyDouglas H Fernald
Department of Family Medicine, University of Colorado, Aurora, CO, USA
J Am Board Fam Med 25:701-11. 2012.... - Promoting informed choice: transforming health care to dispense knowledge for decision makingSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, West Hospital, Richmond, Virginia 23298 0251, USA
Ann Intern Med 143:293-300. 2005..Today's health care system is unprepared for the convergence of these 2 burgeoning domains, and the need to address systemic deficiencies will grow more urgent over time... - Putting it together: finding success in behavior change through integration of servicesSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, Richmond 22033, USA
Ann Fam Med 3:S20-7. 2005..The purpose of this analysis and commentary was to explore the rationale for an integrated approach, within and outside the office, to help patients pursue healthy behaviors... - Comparison between US Preventive Services Task Force recommendations and Medicare coverageLenard I Lesser
Department of Family Medicine, University of California, Los Angeles, CA, USA
Ann Fam Med 9:44-9. 2011..The purpose of this study was to evaluate the alignment of Medicare preventive services coverage with the recommendations of the USPSTF before implementation of health reform... - Clinical inquiries. Is osteoporosis screening in postmenopausal women effective?John Phillips
Fairfax Family Practice Residency, Virginia Commonwealth University, Fairfax, USA
J Fam Pract 52:331-3; discussion 333. 2003 - Does magnesium therapy early in acute MI reduce mortality?John Phillips
Virginia Commonwealth University, Fairfax Family Practice Residency, VA, USA
J Fam Pract 52:195, 199. 2003..There is no reason to give intravenous magnesium unless patients have other indications for repletion, such as a low magnesium level or arrhythmia responsive to magnesium therapy... - Reader response to colonoscopy versus sigmoidoscopySteven M Woolf
Fam Med 38:311-2; author reply 312-3. 2006
Research Grants
- An Interactive Preventive Health Record (IPHR) to Promote Patient-Centered CareALEXANDER KRIST; Fiscal Year: 2007..An aggressive dissemination plan using a range of venues is envisioned to extend the use of the IPHR to other settings and to other EMRs. ..