BMC Med Inform Decis Mak - Integrating an internet-mediated walking program into family medicine clinical practice: a pilot feasibility study.

Tópicos

{ survey(1388) particip(1329) question(1065) }
{ patient(2837) hospit(1953) medic(668) }
{ activ(1452) weight(1219) physic(1104) }
{ care(1570) inform(1187) nurs(1089) }
{ can(774) often(719) complex(702) }
{ visual(1396) interact(850) tool(830) }
{ patient(2315) diseas(1263) diabet(1191) }
{ design(1359) user(1324) use(1319) }
{ patient(1821) servic(1111) care(1106) }
{ clinic(1479) use(1117) guidelin(835) }
{ intervent(3218) particip(2042) group(1664) }
{ system(1050) medic(1026) inform(1018) }
{ monitor(1329) mobil(1314) devic(1160) }
{ first(2504) two(1366) second(1323) }
{ use(976) code(926) identifi(902) }
{ process(1125) use(805) approach(778) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ health(1844) social(1437) communiti(874) }
{ model(3404) distribut(989) bayesian(671) }
{ inform(2794) health(2639) internet(1427) }
{ problem(2511) optim(1539) algorithm(950) }
{ extract(1171) text(1153) clinic(932) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ cost(1906) reduc(1198) effect(832) }
{ time(1939) patient(1703) rate(768) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ system(1976) rule(880) can(841) }
{ method(1219) similar(1157) match(930) }
{ studi(2440) review(1878) systemat(933) }
{ error(1145) method(1030) estim(1020) }
{ studi(1410) differ(1259) use(1210) }
{ record(1888) medic(1808) patient(1693) }
{ signal(2180) analysi(812) frequenc(800) }
{ analysi(2126) use(1163) compon(1037) }
{ implement(1333) system(1263) develop(1122) }
{ decis(3086) make(1611) patient(1517) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ age(1611) year(1155) adult(843) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Regular participation in physical activity can prevent many chronic health conditions. Computerized self-management programs are effective clinical tools to support patient participation in physical activity. This pilot study sought to develop and evaluate an online interface for primary care providers to refer patients to an Internet-mediated walking program called Stepping Up to Health (SUH) and to monitor participant progress in the program.METHODS: In Phase I of the study, we recruited six pairs of physicians and medical assistants from two family practice clinics to assist with the design of a clinical interface. During Phase II, providers used the developed interface to refer patients to a six-week pilot intervention. Provider perspectives were assessed regarding the feasibility of integrating the program into routine care. Assessment tools included quantitative and qualitative data gathered from semi-structured interviews, surveys, and online usage logs.RESULTS: In Phase I, 13 providers used SUH and participated in two interviews. Providers emphasized the need for alerts flagging patients who were not doing well and the ability to review participant progress. Additionally, providers asked for summary views of data across all enrolled clinic patients as well as advertising materials for intervention recruitment. In response to this input, an interface was developed containing three pages: 1) a recruitment page, 2) a summary page, and 3) a detailed patient page. In Phase II, providers used the interface to refer 139 patients to SUH and 37 (27%) enrolled in the intervention. Providers rarely used the interface to monitor enrolled patients. Barriers to regular use of the intervention included lack of integration with the medical record system, competing priorities, patient disinterest, and physician unease with exercise referrals. Intention-to-treat analyses showed that patients increased walking by an average of 1493 steps/day from pre- to post-intervention (t = (36) = 4.13, p < 0.01).CONCLUSIONS: Providers successfully referred patients using the SUH provider interface, but were less willing to monitor patient compliance in the program. Patients who completed the program significantly increased their step counts. Future research is needed to test the effectiveness of integrating SUH with clinical information systems over a longer evaluation period.

Resumo Limpo

ckground regular particip physic activ can prevent mani chronic health condit computer selfmanag program effect clinic tool support patient particip physic activ pilot studi sought develop evalu onlin interfac primari care provid refer patient internetmedi walk program call step health suh monitor particip progress programmethod phase studi recruit six pair physician medic assist two famili practic clinic assist design clinic interfac phase ii provid use develop interfac refer patient sixweek pilot intervent provid perspect assess regard feasibl integr program routin care assess tool includ quantit qualit data gather semistructur interview survey onlin usag logsresult phase provid use suh particip two interview provid emphas need alert flag patient well abil review particip progress addit provid ask summari view data across enrol clinic patient well advertis materi intervent recruit respons input interfac develop contain three page recruit page summari page detail patient page phase ii provid use interfac refer patient suh enrol intervent provid rare use interfac monitor enrol patient barrier regular use intervent includ lack integr medic record system compet prioriti patient disinterest physician uneas exercis referr intentiontotreat analys show patient increas walk averag stepsday pre postintervent t p conclus provid success refer patient use suh provid interfac less will monitor patient complianc program patient complet program signific increas step count futur research need test effect integr suh clinic inform system longer evalu period

Resumos Similares

Int J Med Inform - Evaluation of the effect of information integration in displays for ICU nurses on situation awareness and task completion time: A prospective randomized controlled study. ( 0,703030880436529 )
BMC Med Inform Decis Mak - The usability and preliminary effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis. ( 0,685824845604691 )
J. Med. Internet Res. - Improving diabetes care for young people with type 1 diabetes through visual learning on mobile phones: mixed-methods study. ( 0,677307091692265 )
BMC Med Inform Decis Mak - Technical support and delegation to practice staff - status quo and (possible) future perspectives for primary health care in Germany. ( 0,665436865708993 )
J Telemed Telecare - A pilot study of a tool to stimulate physical activity in patients with COPD or type 2 diabetes in primary care. ( 0,639512647318175 )
Int J Med Inform - Hospital readiness for health information exchange: development of metrics associated with successful collaboration for quality improvement. ( 0,638197257141529 )
Telemed J E Health - Barriers to telemedicine: survey of current users in acute care units. ( 0,628548893133951 )
J Am Med Inform Assoc - Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. ( 0,628475180554221 )
Int J Med Inform - Qualitative and quantitative evaluation of EHR-integrated mobile patient questionnaires regarding usability and cost-efficiency. ( 0,624045184480581 )
Comput Methods Programs Biomed - Gquest: modeling patient questionnaires and administering them through a mobile platform application. ( 0,620871120585301 )
J. Med. Internet Res. - Improving diabetes management with a patient portal: a qualitative study of diabetes self-management portal. ( 0,619016853811654 )
Appl Clin Inform - Adoption of health information exchange by emergency physicians at three urban academic medical centers. ( 0,613056000956073 )
J. Med. Internet Res. - Tablet, web-based, or paper questionnaires for measuring anxiety in patients suspected of breast cancer: patients' preferences and quality of collected data. ( 0,609875291012502 )
J. Med. Internet Res. - Designing for psychological change: individuals' reward and cost valuations in weight management. ( 0,609781436970264 )
Int J Med Inform - Beyond the basics: refills by electronic prescribing. ( 0,6079408980991 )
J. Med. Internet Res. - The impact of an incentive on the use of an online self-directed wellness and self-management program. ( 0,607135093885386 )
J. Med. Internet Res. - Mindless eating challenge: retention, weight outcomes, and barriers for changes in a public web-based healthy eating and weight loss program. ( 0,603244086495929 )
BMC Med Inform Decis Mak - Patient access to complex chronic disease records on the Internet. ( 0,599716503119909 )
J. Med. Internet Res. - Web-based, computer-tailored, pedometer-based physical activity advice: development, dissemination through general practice, acceptability, and preliminary efficacy in a randomized controlled trial. ( 0,599549222401814 )
BMC Med Inform Decis Mak - The anxious wait: assessing the impact of patient accessible EHRs for breast cancer patients. ( 0,598609573220762 )
Telemed J E Health - Patient and phaRmacist telephonic encounters (PARTE) in an underserved rural patient population with asthma: results of a pilot study. ( 0,597494716354658 )
AMIA Annu Symp Proc - Family physicians' completion of scoring criteria in Virtual Patient encounters. ( 0,595192769674726 )
J. Med. Internet Res. - Real-time social support through a mobile virtual community to improve healthy behavior in overweight and sedentary adults: a focus group analysis. ( 0,59378814013849 )
J Med Syst - Performance evaluation of medical records departments by analytical hierarchy process (AHP) approach in the selected hospitals in Isfahan : medical records dep. & AHP. ( 0,591518398973015 )
Int J Med Inform - The utilization of poisons information resources in Australasia. ( 0,590672137036066 )
J Telemed Telecare - Home telemental health implementation and outcomes using electronic messaging. ( 0,589662668786162 )
Int J Med Inform - A feasibility study to investigate the acceptability and potential effectiveness of a telecare service for older people with chronic obstructive pulmonary disease. ( 0,583751331316409 )
J Am Med Inform Assoc - Design and implementation of an automated email notification system for results of tests pending at discharge. ( 0,581411557931806 )
Perspect Health Inf Manag - Survey of state health information exchanges regarding inclusion of Continuity of Care Documents for long-term post-acute care (LTPAC) patient assessment. ( 0,580557869267144 )
Int J Med Inform - Use of web-based patient education sessions on psychiatric wards. ( 0,579438755017418 )
J. Med. Internet Res. - Evaluating the interactive web-based program, activate your heart, for cardiac rehabilitation patients: a pilot study. ( 0,579227878447628 )
Inform Health Soc Care - A web-based intensive care clinical decision support system: from design to evaluation. ( 0,576855234324014 )
J. Med. Internet Res. - 3D visualization as a communicative aid in pharmaceutical advice-giving over distance. ( 0,574740613944463 )
Telemed J E Health - International telemedicine in pediatric cardiac critical care: a multicenter experience. ( 0,573987531315078 )
Int J Med Inform - Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study. ( 0,572821969678885 )
Int J Med Inform - Nursing informatics competencies required of nurses in Taiwan. ( 0,569646947351139 )
J. Med. Internet Res. - Measuring physical activity in a cardiac rehabilitation population using a smartphone-based questionnaire. ( 0,568849430229496 )
J Am Med Inform Assoc - Adoption of a wiki within a large internal medicine residency program: a 3-year experience. ( 0,568366987404669 )
Methods Inf Med - Adaptable healing patient room for stroke patients. A staff evaluation. ( 0,567169152671844 )
Int J Med Inform - The feasibility of using SMS as a health survey tool: an exploratory study in patients with rheumatoid arthritis. ( 0,561799164655542 )
J Telemed Telecare - Evaluation of a mobile phone-based diet game for weight control. ( 0,561138799261346 )
AMIA Annu Symp Proc - Could Patient Self-reported Health Data Complement EHR for Phenotyping? ( 0,555819768677065 )
J. Med. Internet Res. - A web-based computerized adaptive testing (CAT) to assess patient perception in hospitalization. ( 0,554916021433986 )
J. Med. Internet Res. - Multimodal guided self-help exercise program to prevent speech, swallowing, and shoulder problems among head and neck cancer patients: a feasibility study. ( 0,55297455669669 )
J Clin Monit Comput - Evaluation of an integrated intensive care unit monitoring display by critical care fellow physicians. ( 0,551798477822195 )
J. Med. Internet Res. - Using smartphone technology to monitor physical activity in the 10,000 Steps program: a matched case-control trial. ( 0,550258503372641 )
Telemed J E Health - Application of a smartphone nurse call system for nursing care. ( 0,550208870931156 )
J. Med. Internet Res. - Pain-QuILT: clinical feasibility of a web-based visual pain assessment tool in adults with chronic pain. ( 0,550088509255205 )
Telemed J E Health - Measurement adherence in the blood pressure self-measurement room. ( 0,548198273057982 )
J. Med. Internet Res. - Integrating patient reported outcomes with clinical cancer registry data: a feasibility study of the electronic Patient-Reported Outcomes From Cancer Survivors (ePOCS) system. ( 0,547877444097936 )
J Telemed Telecare - A study of online consultations for paediatric renal patients in Russia. ( 0,547433431743735 )
Healthc (Amst) - Evaluation of readiness to transfer to adult healthcare: What about the well adolescent? ( 0,545565656593557 )
AMIA Annu Symp Proc - Feasibility and potential benefit of collecting Complementary and Alternative Medicine data through a computerized patient interview. ( 0,545557629124373 )
J. Med. Internet Res. - Virtual reality for enhancing the cognitive behavioral treatment of obesity with binge eating disorder: randomized controlled study with one-year follow-up. ( 0,544807761602447 )
J. Med. Internet Res. - Emotional approach coping and the effects of online peer-led support group participation among patients with breast cancer: a longitudinal study. ( 0,544609309027556 )
Health Informatics J - Family perceptions of the usability and value of chronic disease web-based patient portals. ( 0,544334837681457 )
Med Decis Making - Qualitative and Quantitative Analysis of Interviewer Help Answering the Time Tradeoff. ( 0,543830602924719 )
Health Info Libr J - Human information behaviour and physiological measurements as a basis to tailor health information. An explorative study in a physical activity intervention among prediabetic individuals in Northern Finland. ( 0,543482900066551 )
Int J Med Inform - Technology-mediated awareness: facilitating the handling of (un)wanted interruptions in a hospital setting. ( 0,543433036428338 )
Med Decis Making - Choosing between hospitals: the influence of the experiences of other patients. ( 0,543164182897095 )
Telemed J E Health - The acceptance of e-health solutions among patients with chronic respiratory conditions. ( 0,54303937697737 )
Perspect Health Inf Manag - Incorporating patient perspectives into the personal health record: implications for care and caring. ( 0,541871575048615 )
Telemed J E Health - Challenges in implementing a pediatric cardiovascular home telehealth project. ( 0,538699794572138 )
J. Med. Internet Res. - Exploring the value of technology to stimulate interprofessional discussion and education: a needs assessment of emergency medicine professionals. ( 0,538493331433621 )
Inform Health Soc Care - Internet delivered question and answer column for patients with schizophrenia. ( 0,537926106281034 )
J Med Syst - Barriers to physical activity: a study of self-revelation in an online community. ( 0,536867399794503 )
Appl Clin Inform - A survey of nursing home physicians to determine laboratory monitoring adverse drug event alert preferences. ( 0,536661372492281 )
J. Med. Internet Res. - How accurate is web-based self-reported height, weight, and body mass index in young adults? ( 0,536196979481513 )
Telemed J E Health - Predictors of attrition in older users of a home-based monitoring and health information delivery system. ( 0,535834136091304 )
J Med Syst - Nurses' views on electronic medical records (EMR) in Turkey: an analysis according to use, quality and user satisfaction. ( 0,534538209967583 )
Inform Health Soc Care - Information exchange between registered nurses and district nurses during the discharge planning process: cross-sectional analysis of survey data. ( 0,534279111514803 )
J Telemed Telecare - Electronic follow-up of facial lacerations in the emergency department. ( 0,532453729466277 )
Int J Med Inform - Needs analysis and development of a tailored mobile message program linked with electronic health records for weight reduction. ( 0,532331256535154 )
J Clin Monit Comput - Airway management practices in adult intensive care units in Israel: a national survey. ( 0,530548116532798 )
J Telemed Telecare - Mobile computing and the quality of home care nursing practice. ( 0,529482853239067 )
J. Med. Internet Res. - Clinicians' perspectives on a Web-based system for routine outcome monitoring in old-age psychiatry in the Netherlands. ( 0,529431463725536 )
J. Med. Internet Res. - Development and testing of a multidimensional iPhone pain assessment application for adolescents with cancer. ( 0,528975572376061 )
BMC Med Inform Decis Mak - Designing privacy-friendly digital whiteboards for mediation of clinical progress. ( 0,527093871766112 )
Telemed J E Health - New models for medical education: Web-based conferencing to support HIV training in Sub-Saharan Africa. ( 0,526687813634941 )
Telemed J E Health - Clinical and economic impact of remote monitoring on the follow-up of patients with implantable electronic cardiovascular devices: an observational study. ( 0,525681062980419 )
Med Decis Making - Are waiting list prioritization guidelines being followed in Australia? ( 0,525248198642031 )
J. Med. Internet Res. - Improvement of Physical Activity by a Kiosk-based Electronic Screening and Brief Intervention in Routine Primary Health Care: Patient-Initiated Versus Staff-Referred. ( 0,525200370661549 )
J Am Med Inform Assoc - Resident physicians as human information systems: sources yet seekers. ( 0,524912368092184 )
J Med Syst - Intelligent analysis of acute bed overflow in a tertiary hospital in Singapore. ( 0,524737312995286 )
Int J Med Inform - Teleconsultation in geriatrics: impact on professional practice. ( 0,524015704535488 )
J Am Med Inform Assoc - Information needs of case managers caring for persons living with HIV. ( 0,523078598040839 )
Int J Med Inform - Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety. ( 0,522923429362624 )
J. Med. Internet Res. - Active-Q: validation of the web-based physical activity questionnaire using doubly labeled water. ( 0,522689577269646 )
Appl Clin Inform - Personal health records for patients with chronic disease: a major opportunity. ( 0,522474130007375 )
J. Med. Internet Res. - Longitudinal accuracy of web-based self-reported weights: results from the Hopkins POWER Trial. ( 0,522302951059386 )
J Telemed Telecare - Satisfaction with telemedicine for teaching listening and spoken language to children with hearing loss. ( 0,522133261004462 )
Telemed J E Health - Using nursing expertise and telemedicine to increase nursing collaboration and improve patient outcomes. ( 0,521705731817418 )
AMIA Annu Symp Proc - Providing hospital patients with access to their medical records. ( 0,521409120452398 )
J Am Med Inform Assoc - An assessment of pharmacists' readiness for paperless labeling: a national survey. ( 0,520586143552126 )
J. Med. Internet Res. - Healthy weight regulation and eating disorder prevention in high school students: a universal and targeted Web-based intervention. ( 0,51935088105074 )
Telemed J E Health - Physical activity behavior, barriers to activity, and opinions about a smartphone-based physical activity intervention among rural residents. ( 0,519314899014829 )
Comput Math Methods Med - Antibiotic use as a tragedy of the commons: a cross-sectional survey. ( 0,519300724915618 )
J Telemed Telecare - Home-based telemanagement in chronic heart failure: an 8-year single-site experience. ( 0,518421589305361 )
AMIA Annu Symp Proc - Designing a clinical dashboard to fill information gaps in the emergency department. ( 0,518013864830723 )
J Am Med Inform Assoc - Quantifying care coordination using natural language processing and domain-specific ontology. ( 0,517801403311245 )