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Erschienen in: Translational Behavioral Medicine 1/2011

01.03.2011

Optimizing eHealth breast cancer interventions: which types of eHealth services are effective?

verfasst von: Timothy B Baker, Ph.D., Robert Hawkins, Ph.D., Suzanne Pingree, Ph.D., Linda J Roberts, Ph.D., Helene E McDowell, M.S., Bret R Shaw, Ph.D., Ron Serlin, Ph.D., Lisa Dillenburg, M.S.W., Christopher M Swoboda, M.S., Jeong-Yeob Han, Ph.D., James A Stewart, M.D., Cindy L Carmack-Taylor, Ph.D., Andrew Salner, M.D., Tanya R Schlam, Ph.D., Fiona McTavish, M.S., David H Gustafson, Ph.D.

Erschienen in: Translational Behavioral Medicine | Ausgabe 1/2011

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Abstract

Little is known about the effective elements of Interactive Cancer Communication Systems (ICCSs). A randomized trial explored which types of services of a multifaceted ICCS benefited patients and the nature of the benefit. Women with breast cancer (N = 450) were randomized to different types of ICCS services or to a control condition that provided internet access. The Comprehensive Health Enhancement Support System (CHESS), served as the ICCS. ICCS services providing information and support, but not coaching such as cognitive behavior therapy, produced significant benefits in health information competence and emotional processing. Provision of Information and Support ICCS services significantly benefited women with breast cancer. More complex and interactive services designed to train the user had negligible effects.
Fußnoten
1
Two other measures were originally viewed as primary (a measure of health care utilization and marital satisfaction), but these are no longer viewed as primary due to limitations in the quality of the utilization measure and changes in the development of the relationship intervention.
 
2
All randomized subjects with data at a follow-up time point were included in analyses. Also, data were gathered at 12 months post-treatment but are not reported. We did not expect significant treatment effects to persist for 12 months [8], and they did not. In fact, as will be apparent from the data to be presented, the significant effects tended to occur early in the course of treatment.
 
Literatur
1.
Zurück zum Zitat Baker, T. B., McFall, R. M., & Shoham, V. (2009). Current status and future prospects of clinical psychology: toward a scientifically principled approach to mental and behavioral health care. Psychol Sci Public Interest, 9(2), 67–103.PubMed Baker, T. B., McFall, R. M., & Shoham, V. (2009). Current status and future prospects of clinical psychology: toward a scientifically principled approach to mental and behavioral health care. Psychol Sci Public Interest, 9(2), 67–103.PubMed
2.
Zurück zum Zitat Bright, M. A., Fleisher, L., Thomsen, C., Morra, M. E., Marcus, A., & Gehring, W. (2005). Exploring e-Health usage and interest among cancer information service users: the need for personalized interactions and multiple channels remains. J Health Commun, 10(Suppl 1), 35–52.PubMedCrossRef Bright, M. A., Fleisher, L., Thomsen, C., Morra, M. E., Marcus, A., & Gehring, W. (2005). Exploring e-Health usage and interest among cancer information service users: the need for personalized interactions and multiple channels remains. J Health Commun, 10(Suppl 1), 35–52.PubMedCrossRef
3.
Zurück zum Zitat Butler, L. H., & Correia, C. J. (2009). Brief alcohol intervention with college student drinkers: face-to-face versus computerized feedback. Psychol Addict Behav, 23(1), 163–167.PubMedCrossRef Butler, L. H., & Correia, C. J. (2009). Brief alcohol intervention with college student drinkers: face-to-face versus computerized feedback. Psychol Addict Behav, 23(1), 163–167.PubMedCrossRef
4.
Zurück zum Zitat Cartreine, J. A., Ahern, D. K., & Locke, S. E. (2010). A roadmap to computer-based psychotherapy in the United States. Harv Rev Psychiatry, 18(2), 80–95.PubMedCrossRef Cartreine, J. A., Ahern, D. K., & Locke, S. E. (2010). A roadmap to computer-based psychotherapy in the United States. Harv Rev Psychiatry, 18(2), 80–95.PubMedCrossRef
5.
Zurück zum Zitat Carver, S. J. (1997). You want to measure coping but your protocol is too long: consider the Brief COPE. Int J Behav Med, 4, 92–100.PubMedCrossRef Carver, S. J. (1997). You want to measure coping but your protocol is too long: consider the Brief COPE. Int J Behav Med, 4, 92–100.PubMedCrossRef
6.
Zurück zum Zitat Cella, D. F., Tulsky, D. S., Gray, G., et al. (1993). The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol, 11(3), 570–579.PubMed Cella, D. F., Tulsky, D. S., Gray, G., et al. (1993). The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol, 11(3), 570–579.PubMed
7.
Zurück zum Zitat Danaher, B. G., & Seeley, J. R. (2009). Methodological issues in research on web-based behavioral interventions. Ann Behav Med, 38(1), 28–39.PubMedCrossRef Danaher, B. G., & Seeley, J. R. (2009). Methodological issues in research on web-based behavioral interventions. Ann Behav Med, 38(1), 28–39.PubMedCrossRef
8.
Zurück zum Zitat Glasgow, R. E., Nelson, C. C., Kearney, K. A., et al. (2007). Reach, engagement, and retention in an Internet-based weight loss program in a multi-site randomized controlled trial. J Med Internet Res, 9(2), e11.PubMedCrossRef Glasgow, R. E., Nelson, C. C., Kearney, K. A., et al. (2007). Reach, engagement, and retention in an Internet-based weight loss program in a multi-site randomized controlled trial. J Med Internet Res, 9(2), e11.PubMedCrossRef
9.
Zurück zum Zitat Gustafson, D. H., Hawkins, R., Boberg, E., et al. (1999). Impact of a patient-centered, computer-based health information/support system. Am J Prev Med, 16(1), 1–9.PubMedCrossRef Gustafson, D. H., Hawkins, R., Boberg, E., et al. (1999). Impact of a patient-centered, computer-based health information/support system. Am J Prev Med, 16(1), 1–9.PubMedCrossRef
10.
Zurück zum Zitat Gustafson, D. H., McTavish, F. M., Boberg, E., et al. (1999). Empowering patients using computer based health support systems. Qual Health Care, 8(1), 49–56.PubMedCrossRef Gustafson, D. H., McTavish, F. M., Boberg, E., et al. (1999). Empowering patients using computer based health support systems. Qual Health Care, 8(1), 49–56.PubMedCrossRef
11.
Zurück zum Zitat Gustafson, D. H., Hawkins, R. P., Boberg, E. W., et al. (2001). CHESS: ten years of research and development in consumer health informatics for broad populations, including the underserved. Stud Health Technol Inform, 84(Pt 2), 1459–1563.PubMed Gustafson, D. H., Hawkins, R. P., Boberg, E. W., et al. (2001). CHESS: ten years of research and development in consumer health informatics for broad populations, including the underserved. Stud Health Technol Inform, 84(Pt 2), 1459–1563.PubMed
12.
Zurück zum Zitat Gustafson, D. H., Hawkins, R., Pingree, S., et al. (2001). Effect of computer support on younger women with breast cancer. J Gen Intern Med, 16(7), 435–445.PubMedCrossRef Gustafson, D. H., Hawkins, R., Pingree, S., et al. (2001). Effect of computer support on younger women with breast cancer. J Gen Intern Med, 16(7), 435–445.PubMedCrossRef
13.
Zurück zum Zitat Gustafson, D. H., Hawkins, R., McTavish, F., et al. (2008). Internet-based interactive support for cancer patients: are integrated systems better? J Commun, 58(2), 238–257.CrossRef Gustafson, D. H., Hawkins, R., McTavish, F., et al. (2008). Internet-based interactive support for cancer patients: are integrated systems better? J Commun, 58(2), 238–257.CrossRef
14.
Zurück zum Zitat Gysels, M., & Higginson, I. J. (2007). Interactive technologies and videotapes for patient education in cancer care: systematic review and meta-analysis of randomised trials. Support Care Cancer, 15(1), 7–20.PubMedCrossRef Gysels, M., & Higginson, I. J. (2007). Interactive technologies and videotapes for patient education in cancer care: systematic review and meta-analysis of randomised trials. Support Care Cancer, 15(1), 7–20.PubMedCrossRef
15.
Zurück zum Zitat Hawkins R. Integrating eHealth with human services for breast cancer patients. Patient Educ Couns. in press Hawkins R. Integrating eHealth with human services for breast cancer patients. Patient Educ Couns. in press
16.
Zurück zum Zitat Horrigan, J., & Raine, L. (2002). Counting on the internet. Washington, DC: Pew Internet and American Life Project. Horrigan, J., & Raine, L. (2002). Counting on the internet. Washington, DC: Pew Internet and American Life Project.
17.
Zurück zum Zitat Japuntich, S. J., Zehner, M. E., Smith, S. S., et al. (2006). Smoking cessation via the internet: a randomized clinical trial of an internet intervention as adjuvant treatment in a smoking cessation intervention. Nicotine Tob Res, 8(Suppl 1), S59–S67.PubMedCrossRef Japuntich, S. J., Zehner, M. E., Smith, S. S., et al. (2006). Smoking cessation via the internet: a randomized clinical trial of an internet intervention as adjuvant treatment in a smoking cessation intervention. Nicotine Tob Res, 8(Suppl 1), S59–S67.PubMedCrossRef
18.
Zurück zum Zitat Kay-Lambkin, F. J., Baker, A. L., Lewin, T. J., & Carr, V. J. (2009). Computer-based psychological treatment for comorbid depression and problematic alcohol and/or cannabis use: a randomized controlled trial of clinical efficacy. Addiction, 104(3), 378–388.PubMedCrossRef Kay-Lambkin, F. J., Baker, A. L., Lewin, T. J., & Carr, V. J. (2009). Computer-based psychological treatment for comorbid depression and problematic alcohol and/or cannabis use: a randomized controlled trial of clinical efficacy. Addiction, 104(3), 378–388.PubMedCrossRef
20.
Zurück zum Zitat Moher, D., Hopewell, S., Schulz, K. F., CONSORT, et al. (2010). Explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ, 340, c869.PubMedCrossRef Moher, D., Hopewell, S., Schulz, K. F., CONSORT, et al. (2010). Explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ, 340, c869.PubMedCrossRef
21.
Zurück zum Zitat Murray E, Burns J, See TS, Lai R, Nazareth I (2005) Interactive Health communication applications for people with chronic disease. Cochrane Database Syst Rev (4):CD004274 Murray E, Burns J, See TS, Lai R, Nazareth I (2005) Interactive Health communication applications for people with chronic disease. Cochrane Database Syst Rev (4):CD004274
22.
Zurück zum Zitat Reger, M. A., & Gahm, G. A. (2009). A meta-analysis of the effects of internet- and computer-based cognitive-behavioral treatments for anxiety. J Clin Psychol, 65(1), 53–75.PubMedCrossRef Reger, M. A., & Gahm, G. A. (2009). A meta-analysis of the effects of internet- and computer-based cognitive-behavioral treatments for anxiety. J Clin Psychol, 65(1), 53–75.PubMedCrossRef
23.
Zurück zum Zitat Serlin, R. C. (1993). Confidence intervals and the scientific method: a case for Holm on the range. J Exp Educ, 61, 350–360. Serlin, R. C. (1993). Confidence intervals and the scientific method: a case for Holm on the range. J Exp Educ, 61, 350–360.
24.
Zurück zum Zitat Shapiro, J. R., Reba-Harrelson, L., Dymek-Valentine, M., Woolson, S. L., Hamer, R. M., & Bulik, C. M. (2007). Feasibility and acceptability of CD-ROM-based cognitive–behavioural treatment for binge-eating disorder. Eur Eat Disord Rev, 15(3), 175–184.PubMedCrossRef Shapiro, J. R., Reba-Harrelson, L., Dymek-Valentine, M., Woolson, S. L., Hamer, R. M., & Bulik, C. M. (2007). Feasibility and acceptability of CD-ROM-based cognitive–behavioural treatment for binge-eating disorder. Eur Eat Disord Rev, 15(3), 175–184.PubMedCrossRef
25.
Zurück zum Zitat Smaglik, P., Hawkins, R. P., Pingree, S., Gustafson, D. H., Boberg, E., & Bricker, E. (1998). The quality of interactive computer use among HIV-infected individuals. J Health Commun, 3(1), 53–68.PubMedCrossRef Smaglik, P., Hawkins, R. P., Pingree, S., Gustafson, D. H., Boberg, E., & Bricker, E. (1998). The quality of interactive computer use among HIV-infected individuals. J Health Commun, 3(1), 53–68.PubMedCrossRef
26.
Zurück zum Zitat Spring, B., Pagoto, S., Knatterud, G., Kozak, A., & Hedeker, D. (2007). Examination of the analytic quality of behavioral health randomized clinical trials. J Clin Psychol, 63(1), 53–71.PubMedCrossRef Spring, B., Pagoto, S., Knatterud, G., Kozak, A., & Hedeker, D. (2007). Examination of the analytic quality of behavioral health randomized clinical trials. J Clin Psychol, 63(1), 53–71.PubMedCrossRef
27.
Zurück zum Zitat Strecher, V. (2007). Internet methods for delivering behavioral and health-related interventions (eHealth). Annu Rev Clin Psychol, 3, 53–76.PubMedCrossRef Strecher, V. (2007). Internet methods for delivering behavioral and health-related interventions (eHealth). Annu Rev Clin Psychol, 3, 53–76.PubMedCrossRef
28.
Zurück zum Zitat Tate, D. F., & Zabinski, M. F. (2004). Computer and Internet applications for psychological treatment: update for clinicians. J Clin Psychol, 60(2), 209–220.PubMedCrossRef Tate, D. F., & Zabinski, M. F. (2004). Computer and Internet applications for psychological treatment: update for clinicians. J Clin Psychol, 60(2), 209–220.PubMedCrossRef
Metadaten
Titel
Optimizing eHealth breast cancer interventions: which types of eHealth services are effective?
verfasst von
Timothy B Baker, Ph.D.
Robert Hawkins, Ph.D.
Suzanne Pingree, Ph.D.
Linda J Roberts, Ph.D.
Helene E McDowell, M.S.
Bret R Shaw, Ph.D.
Ron Serlin, Ph.D.
Lisa Dillenburg, M.S.W.
Christopher M Swoboda, M.S.
Jeong-Yeob Han, Ph.D.
James A Stewart, M.D.
Cindy L Carmack-Taylor, Ph.D.
Andrew Salner, M.D.
Tanya R Schlam, Ph.D.
Fiona McTavish, M.S.
David H Gustafson, Ph.D.
Publikationsdatum
01.03.2011
Verlag
Springer-Verlag
Erschienen in
Translational Behavioral Medicine / Ausgabe 1/2011
Print ISSN: 1869-6716
Elektronische ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-010-0004-0

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