{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T09:29:55Z","timestamp":1788946195648,"version":"build-2803163510"},"reference-count":56,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,7]],"date-time":"2019-01-07T00:00:00Z","timestamp":1546819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01EE1406E"],"award-info":[{"award-number":["01EE1406E"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01EE1406F"],"award-info":[{"award-number":["01EE1406F"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01EE1406H"],"award-info":[{"award-number":["01EE1406H"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Methods Psych Res"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Real world implementation of proactive screening and brief intervention in health care is threatened by high cost. Using e\u2010health interventions and screening for multiple health risk factors may provide more efficiency. We describe methodological details of a proactive multipurpose health risk screening in health care settings and report on participation rates, participants' characteristics, and participation factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients between 18 and 64\u00a0years from ambulatory practices and hospitals were proactively approached by study assistants at three sites for a computerized screening on harmful alcohol and tobacco consumption, depressive symptoms, insufficient fruit\/vegetable consumption, physical inactivity and overweight. On the basis of their health risk pattern, a computerized algorithm allocated patients to one of five studies each of them addressing a psychiatric research question.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among all eligible patients, 13,763 (86.5%) were screened. Younger age and being female predicted screening participation. Of those with complete data (<jats:italic>n<\/jats:italic>\u00a0=\u00a012,828), 82.9% reported at least two health risks and 34.0% were eligible for a study. Study participation ranged between 35.2% and 50.8%, and was associated with socio\u2010demographics and problem severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study supports the use of systematic proactive screening for multiple health risks in health care settings as it is more resource\u2010saving than single focused screening.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mpr.1760","type":"journal-article","created":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T15:29:13Z","timestamp":1546961353000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Proactive multipurpose health risk screening in health care settings: Methods, design, and reach"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2533-5347","authenticated-orcid":false,"given":"Diana","family":"Guertler","sequence":"first","affiliation":[{"name":"Institute of Social Medicine and Prevention University Medicine Greifswald  Greifswald Germany"},{"name":"DZHK (German Center for Cardiovascular Research), Partner Site Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Moehring","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine and Prevention University Medicine Greifswald  Greifswald Germany"},{"name":"DZHK (German Center for Cardiovascular Research), Partner Site Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristian","family":"Krause","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine and Prevention University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Eck","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital of T\u00fcbingen  T\u00fcbingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Batra","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital of T\u00fcbingen  T\u00fcbingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Fran\u00e7ois","family":"Chenot","sequence":"additional","affiliation":[{"name":"Institute for Community Medicine, Section Family Medicine University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennis","family":"Freyer\u2010Adam","sequence":"additional","affiliation":[{"name":"DZHK (German Center for Cardiovascular Research), Partner Site Greifswald  Greifswald Germany"},{"name":"Institute for Medical Psychology University Medicine Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabina","family":"Ulbricht","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine and Prevention University Medicine Greifswald  Greifswald Germany"},{"name":"DZHK (German Center for Cardiovascular Research), Partner Site Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans\u2010J\u00fcrgen","family":"Rumpf","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Research Group S:TEP University of L\u00fcbeck  L\u00fcbeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gallus","family":"Bischof","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Research Group S:TEP University of L\u00fcbeck  L\u00fcbeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"John","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine and Prevention University Medicine Greifswald  Greifswald Germany"},{"name":"DZHK (German Center for Cardiovascular Research), Partner Site Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Meyer","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine and Prevention University Medicine Greifswald  Greifswald Germany"},{"name":"DZHK (German Center for Cardiovascular Research), Partner Site Greifswald  Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2008.08.015"},{"issue":"4","key":"e_1_2_10_3_1","first-page":"S555","article-title":"Time to first cigarette in the morning as an index of ability to quit smoking: Implications for nicotine dependence","volume":"9","author":"Baker T. B.","year":"2007","journal-title":"Nicotine & Tobacco Research"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1614.2006.01741.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487312472076"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2005.09.008"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmp037"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0135338"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2006.01606.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dat063"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2004.04.017"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2012.04.016"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckv238"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2007.03.013"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9.2.e11"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.89.9.1322"},{"key":"e_1_2_10_17_1","first-page":"18","article-title":"Commentary\u2014The Godin\u2010Shepard leisure\u2010time physical activity questionnaire","volume":"4","author":"Godin G.","year":"2011","journal-title":"Health & Fitness Journal of Canada"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2004.04.023"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-016-9584-5"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1991.tb01879.x"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2006.05.008"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmn015"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15050873"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-7435(03)00149-X"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004148.pub4"},{"key":"e_1_2_10_26_1","unstructured":"Krause K. Guertler D. Moehring A. Batra A. Rumpf H. J. Bischof G. \u2026Meyer C.(in preparation).A computer based expert system targeting harzrdous alcohol consumption and depressive symptoms\u2014Results of a pilot study."},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2010.06.004"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02895958"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1710"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2008.06.026"},{"key":"e_1_2_10_31_1","unstructured":"L\u00f6we B. Spitzer R. L. Zipfel S. &Herzog W.(2002).PHQ\u2010D manual Pfizer. Retrieved from https:\/\/www.klinikum.uni\u2010heidelberg.de\/fileadmin\/Psychosomatische_Klinik\/download\/PHQ_Manual1.pdf."},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4201"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199303000-00006"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2017.01.032"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780195035681.003.0004"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2011.08.019"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11553-007-0092-y"},{"key":"e_1_2_10_38_1","unstructured":"National Institute of Alcohol Abuse and Alcoholism. (2012).Drinking levels defined. Retrieved fromhttps:\/\/www.niaaa.nih.gov\/alcohol\u2010health\/overview\u2010alcohol\u2010consumption\/moderate\u2010binge\u2010drinking"},{"key":"e_1_2_10_39_1","first-page":"115","article-title":"Effective recruitment strategies in primary care research: A systematic review","volume":"20","author":"Ngune I.","year":"2012","journal-title":"Quality in Primary Care"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/1559827610391883"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2008.01.015"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.5867\/medwave.2018.01.7148"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1993.tb02093.x"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-721"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2002.1064"},{"key":"e_1_2_10_46_1","volume-title":"Electronic handbook of assessment instruments in substance use (EHES). (Version 4.00)","author":"Schumann A.","year":"2010"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.18.1737"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyt104"},{"key":"e_1_2_10_49_1","first-page":"174","article-title":"Using the transtheoretical model for population\u2010based approaches to health promotion and disease prevention","volume":"40","author":"Velicer W. F.","year":"2000","journal-title":"Homeostasis in Health and Disease"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g4490"},{"key":"e_1_2_10_51_1","volume-title":"SF\u201036 health survey manual and interpretation guide","author":"Ware J.","year":"1993"},{"key":"e_1_2_10_52_1","unstructured":"WHO. (2010).Global recommendations on physical activity for health. Retrieved fromhttp:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/44399\/9789241599979_eng.pdf;jsessionid=DE68057A309C8B10C0F4259D8BEF1DC5?sequence=1"},{"key":"e_1_2_10_53_1","unstructured":"WHO. (2018).Fact sheet Obesity and overweight. Retrieved fromhttp:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/obesity\u2010and\u2010overweight"},{"key":"e_1_2_10_54_1","unstructured":"WHO. (n.d.).The WHO STEPwise approach to noncommunicable disease risk factor surveillance (STEPS) Intrument. Retrieved fromhttp:\/\/www.who.int\/chp\/steps\/instrument\/STEPS_Instrument_V3.1.pdf?ua=1"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2011.06.014"},{"key":"e_1_2_10_56_1","volume-title":"Munich composite international diagnostic interview (M\u2010CIDI)","author":"Wittchen H.","year":"1995"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2007.05.015"}],"container-title":["International Journal of Methods in Psychiatric Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmpr.1760","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mpr.1760","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T11:42:54Z","timestamp":1694691774000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mpr.1760"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,7]]},"references-count":56,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1002\/mpr.1760"],"URL":"https:\/\/doi.org\/10.1002\/mpr.1760","archive":["Portico"],"relation":{},"ISSN":["1049-8931","1557-0657"],"issn-type":[{"value":"1049-8931","type":"print"},{"value":"1557-0657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,7]]},"assertion":[{"value":"2018-08-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e1760"}}