ABSTRACT This article is the second of a two-part series reporting on population-based study intended to use an eHealth system examine feasibility reaching underserved women with breast cancer (Gustafson, McTavish et al., Reducing digital divide for low-income cancer, 2004; Madison Center Health Systems Research and Analysis, University Wisconsin; Comprehensive Enhancement Support System [CHESS]) determine how they what impact it had them. Participants included recently diagnosed whose...

Opioid dependence has devastating and increasingly widespread consequences costs, the most common outcome of treatment is early relapse. People who inject opioids are also at disproportionate risk for contracting human immunodeficiency virus (HIV) hepatitis C (HCV). This study tests an approach that been shown to improve recovery rates: medication along with other supportive services (medication-assisted treatment, or MAT) against MAT combined a smartphone innovation called A-CHESS (MAT +...

Abstract A fundamental challenge to helping underserved women and their families cope with breast cancer is providing them easily accessible, reliable health care information support. This especially true for low-income living in rural areas where resources are few frequently distant as well urban access support can be complex overwhelming. The Internet one mechanism that has tremendous potential help these cancer. article describes a feasibility test of the National Cancer Institute's...

Online discussion forums allow those in addiction recovery to seek help through text-based messages, including when facing triggers drink or use drugs. Trained staff (or "moderators") may participate within these offer guidance and support participants are struggling but must expend considerable effort continually review new content. Demands on moderators limit the scalability of evidence-based digital health interventions.

<sec> <title>BACKGROUND</title> Smart displays and smart speakers offer ease of voice interaction, which may be more accessible appealing for older adults experiencing chronic pain with other multimorbid conditions. Previous ElderTree trials found the socio-emotional benefits (vs control) were stronger high rates primary care use multiple conditions, women than men. </sec> <title>OBJECTIVE</title> This study tested whether suffering from pain, in context would show ElderTree, a...

Background Multiple chronic conditions (MCCs) are common among older adults and expensive to manage. Two-thirds of Medicare beneficiaries have multiple (eg, diabetes osteoarthritis) account for more than 90% spending. Patients with MCCs also experience lower quality life worse medical psychiatric outcomes patients without MCCs. In primary care settings, where generally treated, often focuses on laboratory results medication management, not life, due in part time constraints. eHealth systems,...

Background The growing epidemic of opioid use disorder (OUD) and associated injection drug has resulted in a surge new hepatitis C virus (HCV) infections. Approximately half the people with HCV infection are unaware their status. Improving awareness increasing screening among OUD critical. Addiction-Comprehensive Health Enhancement Support System (A-CHESS) is an evidence-based, smartphone-delivered relapse prevention system that been implemented who receiving medications for addiction...

Objective: Medication for opioid use disorder (MOUD) improves treatment retention and reduces illicit use. A-CHESS is an evidence-based smartphone intervention shown to improve addiction-related behaviors. The authors tested the efficacy of MOUD alone versus plus determine whether combination further improved outcomes. Methods: In unblinded parallel-group randomized controlled trial, 414 participants recruited from outpatient programs were assigned in a 1:1 ratio receive either or...

What models can effectively guide the creation of eHealth and mHealth technologies? This paper describes use NIATx model as a framework for user-centered design new technology older adults. The is simple process improvement based on following principles derived from an analysis decades research various industries about why some projects fail others succeed: (1) Understand involve customer; (2) fix key problems; (3) pick influential change leader; (4) get ideas outside field; (5) rapid-cycle...

<sec> <title>BACKGROUND</title> Over 60% of US adults age 65 and older have multiple chronic health conditions, with consequences that include reduced quality life, increasingly complex but less person-centered treatment, higher healthcare costs. A previous trial ElderTree, an eHealth intervention for adults, found socio-emotional benefits those high rates primary care use. </sec> <title>OBJECTIVE</title> This study tested the efficacy ElderTree designed specifically patients conditions to...

Maintaining functional health, or the ability to live independently, is a primary goal of individuals as they age, but most older adults develop chronic conditions that threaten this goal. Physical activity key aspect self-care can improve and digital interventions offering guidance in appropriate exercise help. However, with multiple morbidities may be unable use laptop smartphone-based eHealth because poor vision, dexterity, mobility, other physical challenges make typing touch navigation...

People who inject drugs are at a disproportionate risk for contracting hepatitis C virus (HCV). However, use of HCV prevention and treatment services remains suboptimal among people with substance disorders due to various health system, societal, individual barriers. Mobile applications offer promising strategies support in recovery from disorders. We sought determine whether the Addiction-Comprehensive Health Enhancement Support System (A-CHESS), an existing mobile application opioid...

Background In the United States, over 60% of adults aged 65 years or older have multiple chronic health conditions, with consequences that include reduced quality life, increasingly complex but less person-centered treatment, and higher care costs. A previous trial ElderTree, an eHealth intervention for adults, found socioemotional benefits those high rates primary use. Objective This study tested effectiveness ElderTree designed specifically patients conditions to determine whether...

Voice-controlled smart speakers and displays have a unique but unproven potential for delivering eHealth interventions. Many laptop- smartphone-based interventions been shown to improve multiple outcomes, voice-controlled platforms not tested in large-scale rigorous trials. Older adults with chronic health conditions, who need tools help their daily management, may be especially good candidates on devices because these patients often physical limitations, such as tremors or vision problems,...

Research was carried out on 74 hemodialysis patients to determine the frequency of anti-HCV antibodies; this done by means 1st and 2nd generation screening control tests. The tests showed 9 HCV-seropositive patients, while demonstrated 15 patients. It seems evident that are more sensitive than those 1st.

<sec> <title>BACKGROUND</title> Maintaining functional health, or the ability to live independently, is a primary goal of individuals as they age, but most older adults develop chronic conditions that threaten this goal. Physical activity key aspect self-care can improve and digital interventions offering guidance in appropriate exercise help. However, with multiple morbidities may be unable use laptop smartphone-based eHealth because poor vision, dexterity, mobility, other physical...

Background Older adults adopt and use eHealth systems to build autonomy, competence, relatedness engage in healthy behaviors. The motivational technology model posits that features, such as those on websites, smart displays, mobile phones, must allow for navigability, interactivity, customizability, which spur feelings of self-determination intrinsic motivation. We studied ElderTree, an online system older provides on-demand videos living content, self-monitoring, weekly researcher-hosted...

<sec> <title>BACKGROUND</title> Older adults adopt and use eHealth systems to build autonomy, competence, relatedness engage in healthy behaviors. The motivational technology model posits that features, such as those on websites, smart displays, mobile phones, must allow for navigability, interactivity, customizability, which spur feelings of self-determination intrinsic motivation. We studied ElderTree, an online system older provides on-demand videos living content, self-monitoring, weekly...

Opioid use disorders are increasingly driving new hepatitis C virus (HCV) infections. Mobile health applications delivered by smartphones represent a promising innovative strategy to promote HCV prevention and improve engagement in care for substance using populations. We analyzed preliminary data from randomized trial of mobile intervention designed retention medication-assisted treatment people with opioid disorder. Services help prevent infection were incorporated into an existing...

<sec> <title>BACKGROUND</title> Online discussion forums allow those in addiction recovery to seek help through text-based messages, including when facing triggers drink or use drugs. Trained staff (or “moderators”) may participate within these offer guidance and support participants are struggling but must expend considerable effort continually review new content. Demands on moderators limit the scalability of evidence-based digital health interventions. </sec> <title>OBJECTIVE</title>...

<sec> <title>BACKGROUND</title> People who inject opioids are at a disproportionate risk for contracting hepatitis C virus (HCV). However, use of HCV prevention and treatment services remains suboptimal among people with substance disorders due to various health system, societal, individual barriers. Incorporating HCV-specific resources into addiction services, such as mobile-health applications, may reduce the transmission improve screening rates opioid disorder. </sec>...

<sec> <title>BACKGROUND</title> Multiple chronic conditions (MCCs) are common among older adults and expensive to manage. Two-thirds of Medicare beneficiaries have multiple (eg, diabetes osteoarthritis) account for more than 90% spending. Patients with MCCs also experience lower quality life worse medical psychiatric outcomes patients without MCCs. In primary care settings, where generally treated, often focuses on laboratory results medication management, not life, due in part time...

<sec> <title>BACKGROUND</title> The growing epidemic of opioid use disorder (OUD) and associated injection drug has resulted in a surge new hepatitis C virus (HCV) infections. Approximately half the people with HCV infection are unaware their status. Improving awareness increasing screening among OUD critical. Addiction-Comprehensive Health Enhancement Support System (A-CHESS) is an evidence-based, smartphone-delivered relapse prevention system that been implemented who receiving medications...