RESULTS	At six month follow-up , participants in the HARP program had a significantly greater improvement in patient activation than those in usual care ( 7.7 % relative improvement vs. 5.7 % decline , p = 0.03 for group * time interaction ) , and in rates of having one or more primary care visit ( 68.4 % vs. 51.9 % with one or more visit , p = 0.046 for group * time interaction ) .\