Interventions to improving osteoporosis screening: an Iowa Research Network (IRENE) study.

Background: Primary care physicians often fail to diagnose low bone density. This pilot study assessed 2 interventions for their effect on bone mineral density testing.

Methods: Five practices in the Iowa Research Network were randomized: 2 to chart reminder alone (CR), 2 to chart reminder plus mailed patient education (CR+PtEd), and one to usual care.

Why hasn't this patient been screened for colon cancer? An Iowa Research Network study.

Background: Less than half of eligible Americans have been screened for colorectal cancer (CRC). The objective of this study was to describe physicians' reasons for screening or not screening specific patients for CRC and their approach to CRC testing discussions.

Methods: This study used mixed-methods.

The limited effect of screening for depressive symptoms with the PHQ-9 in rural family practices.

Context: Previous studies have found that routine screening for depression does not improve patient outcome unless it is combined with case management. However, these studies were conducted before the widespread use of SSRIs or in settings other than traditional primary care.

Purpose: This study investigated whether screening for depressive symptoms improves outcomes for depressed patients seen in rural fee-for-service primary care offices.