<h3>Importance</h3> Patients leaving residential treatment for alcohol use disorders are not typically offered evidence-based continuing care, although research suggests that care is associated with better outcomes. A smartphone-based application could provide effective care. <h3>Objective</h3> To determine whether patients a smartphone to support recovery have fewer risky drinking days than control patients. <h3>Design, Setting, and Participants</h3> An unmasked randomized clinical trial...

Quality improvement collaboratives are increasingly being used in many countries to achieve rapid improvements health care. However, there is little independent evidence that they more cost effective than other methods, and knowledge about how could be made effective. A number of systematic evaluations performed by researchers North America, the UK, Sweden. This paper presents shared ideas from two meetings these researchers. The date some have stimulated patient care organisational...

We evaluated the helpfulness of informational, emotional, and decision-making support received by women newly diagnosed with breast cancer from their family, friends, health care providers. Data were collected at two time points via patient surveys: baseline on an average 2 months post-diagnosis follow-up 5 post-baseline. In period closer to diagnosis, majority helpful informational providers (84.0%); emotional family (85%), friends (80.4%), (67.1%); (75.2%) (71.0%). Emotional 5-month...

Background: eHealth interventions appear and change so quickly that they challenge the way we conduct research. By time a randomized trial of new intervention is published, technological improvements clinical discoveries may make dated unappealing. This spate health-related apps websites lead consumers, patients, caregivers to use lack evidence efficacy.

Information and communication technologies may help reduce health disparities through their potential for promoting health, preventing disease, supporting clinical care all. Unfortunately, those who have preventable problems lack insurance coverage are the least likely to access such technologies. Barriers include cost, geographic location, illiteracy, disability, factors related capacity of people use these appropriately effectively. A goal universal information support is proposed augment...

Objective. To test the effectiveness of a Bayesian model employing subjective probability estimates for predicting success and failure health care improvement projects. Data Sources. Experts' assessment data development independent retrospective on 221 healthcare projects in United States, Canada, Netherlands collected between 1996 2000 validation. Methods. A panel theoretical practical experts literature organizational change were used to identify factors outcome efforts. was developed...

BACKGROUND Studies that prospectively and simultaneously evaluate, within the first year of diagnosis, impact surgery chemotherapy on quality life (QOL) younger women (60 years or younger) with early stage breast carcinoma are limited. METHODS Quality 103 who had (lumpectomy, 49; mastectomy, 54) approximately 1 month before start study was evaluated at baseline again after 5 months. Thirty-two received during study. RESULTS Over time, subjects reported improvement in body image physical,...

To establish the feasibility of using computers to interview suicidal patients, authors developed a computer program, mathematical prediction model, and "subjective" data base; interviews were then administered 22 patients. The obtained summary clinical state each patient as well whether he would make suicide attempt or not. They found that patients preferred talking physician. In separate retrospective study, was more accurate than clinicians in predicting attempts.

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...

The goal of the current study was to examine how social support and coping strategies are related in predicting emotional well-being women with breast cancer. In achieving this goal, we examined two hypothesized models: (1) a moderation model where interact each other affecting psychological well-being; (2) mediation level influences choices between self-blame positive reframing. general, data from were more consistent than model.

Abstract Written expression about emotionally traumatic events is associated with physical and mental health benefits, this study examines how insightful disclosure within a computer-mediated support group for women breast cancer affects cancer-related concerns, emotional well-being, self-reported well-being. Using word counting program that notes the percentage of words related to various linguistic dimensions, research specifically examined effects written these groups. Surveys were...

To compare the benefits of Internet generally versus a focused system services, 257 breast cancer patients were randomly assigned to control group, access with links high-quality sites, or an eHealth (Comprehensive Health Enhancement Support System, CHESS) that integrated information, support, and decision analysis tools. The intervention lasted 5 months, self-report data on quality life, health-care competence, social support collected at pretest 2-, 4-, 9-month posttests. CHESS subjects...

Informal caregivers (family and friends) of people with cancer are often unprepared for their caregiving role, leading to increased burden or distress. Comprehensive Health Enhancement Support System (CHESS) is a Web-based lung information, communication, coaching system caregivers. This randomized trial reports the impact on caregiver burden, disruptiveness, mood providing access CHESS versus Internet list recommended websites.A total 285 informal patients advanced nonsmall cell were...

Abstract Objective : To better understand the process and effect of social support exchanges within computer‐mediated (CMSS) groups for breast cancer patients, this study examines (1) dynamic interplay between emotional giving receiving (2) relative effects on patients' psychosocial health outcomes. Methods Data was collected from 177 patients who participated in online Comprehensive Health Enhancement Support System (CHESS) during 4‐month intervention. included pretest and/or post‐test...

OBJECTIVE: Mobile technology has the potential to radically improve addiction treatment and continuing care by offering emotional instrumental support anywhere just in time. This is particularly important because timing critical preventing relapse. Although most experts consider alcoholism be a chronic disease, providers do not typically offer ongoing for relapse prevention after patients complete treatment, even though central characteristic of other addictive behaviors their chronically...

Improvement collaboratives consisting of various components are used throughout health care to improve quality, but no study has identified which work best. This tested the effectiveness different in addiction treatment services, hypothesizing that a combination all would be most effective.An unblinded cluster-randomized trial assigned clinics one four groups: interest circle calls (group teleconferences), clinic-level coaching, learning sessions (large face-to-face meetings) and three....