J. Med. Internet Res. - Supporting self-care for families of children with eczema with a Web-based intervention plus health care professional support: pilot randomized controlled trial.


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


CKGROUND: Childhood eczema, or childhood atopic dermatitis, causes significant distress to children and their families through sleep disturbance and itch. The main cause of treatment failure is nonuse of prescribed treatments.OBJECTIVE: The objective of this study was to develop and test a Web-based intervention to support families of children with eczema, and to explore whether support from a health care professional (HCP) is necessary to engage participants with the intervention.METHODS: We followed the PRECEDE-PROCEED model: regular emollient use was the target behavior we were seeking to promote and we identified potential techniques to influence this. LifeGuide software was used to write the intervention website. Carers of children with eczema were invited through primary care mail-out and randomized to 3 groups: (1) website only, (2) website plus HCP support, or (3) usual care. Patient-Oriented Eczema Measure (POEM) scores were measured online by carer report at baseline and at 12 weeks. Qualitative interviews were carried out with 13 HCPs (primarily practice nurses) and 26 participants to explore their experiences of taking part in the study.RESULTS: A total of 143 carers were recruited through 31 practices. We found a decrease of =2 in follow-up compared with baseline POEM score in 23 of 42 (55%) participants in the website only group, 16 of 49 (33%) in the usual care group, and 18 of 47 (38%) in the website plus HCP group. Website use data showed that 75 of 93 (81%) participants allocated to the website groups completed the core modules, but less than half used other key components (videos: 35%; regular text reminders: 39%). There were no consistent differences in website use between the website only or the website plus HCP groups. Qualitative feedback showed that most HCPs had initial concerns about providing support for eczema self-care because this was not a condition that they felt expert in. However, HCPs reported productive consultations and that they found it helpful to use the website in consultations, while observing that some participants seemed to need more support than others. Qualitative interviews with participants suggested that HCP support was valued highly only by a minority, generally those who were less confident in their management of eczema or less confident using the Internet.CONCLUSIONS: Our pilot trial demonstrated the potential for greater improvements in POEM scores in both website intervention groups and that a full-scale trial is feasible. Such a trial would quantify the effectiveness and cost-effectiveness of this intervention to determine whether it should be widely promoted to families of children with newly diagnosed eczema. In this study population, HCP support was not strongly valued by participants and did not lead to better outcomes or website use than use of the Web-based intervention alone.TRIAL REGISTRATION: International Standard Randomized Controlled Trial Number (ISRCTN): 98560867; http://www.controlled-trials.com/ISRCTN98560867 (Archived by WebCite at http://www.webcitation.org/6NcxvMtgN).

Resumo Limpo

ckground childhood eczema childhood atop dermat caus signific distress children famili sleep disturb itch main caus treatment failur nonus prescrib treatmentsobject object studi develop test webbas intervent support famili children eczema explor whether support health care profession hcp necessari engag particip interventionmethod follow precedeproce model regular emolli use target behavior seek promot identifi potenti techniqu influenc lifeguid softwar use write intervent websit carer children eczema invit primari care mailout random group websit websit plus hcp support usual care patientori eczema measur poem score measur onlin carer report baselin week qualit interview carri hcps primarili practic nurs particip explor experi take part studyresult total carer recruit practic found decreas followup compar baselin poem score particip websit group usual care group websit plus hcp group websit use data show particip alloc websit group complet core modul less half use key compon video regular text remind consist differ websit use websit websit plus hcp group qualit feedback show hcps initi concern provid support eczema selfcar condit felt expert howev hcps report product consult found help use websit consult observ particip seem need support other qualit interview particip suggest hcp support valu high minor general less confid manag eczema less confid use internetconclus pilot trial demonstr potenti greater improv poem score websit intervent group fullscal trial feasibl trial quantifi effect costeffect intervent determin whether wide promot famili children newli diagnos eczema studi popul hcp support strong valu particip lead better outcom websit use use webbas intervent alonetri registr intern standard random control trial number isrctn httpwwwcontrolledtrialscomisrctn archiv webcit httpwwwwebcitationorgncxvmtgn

Resumos Similares

J. Med. Internet Res. - Engagement and retention: measuring breadth and depth of participant use of an online intervention. ( 0,88066457668474 )
J. Med. Internet Res. - The effectiveness of a Web-based personalized feedback and social norms alcohol intervention on United Kingdom university students: randomized controlled trial. ( 0,876825879834493 )
J. Med. Internet Res. - Internet-based recruitment to a depression prevention intervention: lessons from the Mood Memos study. ( 0,870194346443671 )
Int J Med Inform - Engagement in My Child's Asthma, an interactive web-based pediatric asthma management intervention. ( 0,869532731632476 )
J. Med. Internet Res. - Evaluation of a Web-based intervention to promote hand hygiene: exploratory randomized controlled trial. ( 0,869183877924609 )
J. Med. Internet Res. - Effectiveness of different Web-based interventions to prepare co-smokers of cigarettes and cannabis for double cessation: a three-arm randomized controlled trial. ( 0,868881414828 )
J. Med. Internet Res. - A smartphone-based intervention with diaries and therapist feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain. part 2: 11-month follow-up results of a randomized trial. ( 0,864674497562968 )
J. Med. Internet Res. - Internal versus external motivation in referral of primary care patients with depression to an internet support group: randomized controlled trial. ( 0,855726716788388 )
J. Med. Internet Res. - The effects of combining Web-based eHealth with telephone nurse case management for pediatric asthma control: a randomized controlled trial. ( 0,854880900689105 )
J. Med. Internet Res. - Periodic email prompts to re-use an internet-delivered computer-tailored lifestyle program: influence of prompt content and timing. ( 0,853060769321984 )
J. Med. Internet Res. - A text messaging-based smoking cessation program for adult smokers: randomized controlled trial. ( 0,852483764683255 )
J. Med. Internet Res. - Development and preliminary evaluation of an internet-based healthy eating program: randomized controlled trial. ( 0,851846180014149 )
J. Med. Internet Res. - Influence of delivery strategy on message-processing mechanisms and future adherence to a Dutch computer-tailored smoking cessation intervention. ( 0,849671098534208 )
J. Med. Internet Res. - A web-based program improves physical activity outcomes in a primary care angina population: randomized controlled trial. ( 0,849504333459148 )
J. Med. Internet Res. - Efficacy of a text message-based smoking cessation intervention for young people: a cluster randomized controlled trial. ( 0,846807333411166 )
J. Med. Internet Res. - Impact of seasonality on recruitment, retention, adherence, and outcomes in a web-based smoking cessation intervention: randomized controlled trial. ( 0,845119890986472 )
Telemed J E Health - Effectiveness of healthy relationships video-group-A videoconferencing group intervention for women living with HIV: preliminary findings from a randomized controlled trial. ( 0,844720616695079 )
J Telemed Telecare - A pilot programme using mobile phones for HIV prevention. ( 0,844662895966253 )
J. Med. Internet Res. - Prevention of generalized anxiety disorder using a web intervention, iChill: randomized controlled trial. ( 0,84422468701941 )
J. Med. Internet Res. - Effect of tailoring in an internet-based intervention for smoking cessation: randomized controlled trial. ( 0,844124077340097 )
J. Med. Internet Res. - Effectiveness of a Web-based tailored intervention (E-health4Uth) and consultation to promote adolescents' health: randomized controlled trial. ( 0,842972481868047 )
J. Med. Internet Res. - Preventing smoking relapse via Web-based computer-tailored feedback: a randomized controlled trial. ( 0,841940274726178 )
AMIA Annu Symp Proc - Using a resource effect study pre-pilot to inform a large randomized trial: the Decide2Quit.Org Web-assisted tobacco intervention. ( 0,841807778308503 )
J. Med. Internet Res. - Motivational interviewing in a Web-based physical activity intervention with an avatar: randomized controlled trial. ( 0,841727273970628 )
Int J Med Inform - Results of a randomized controlled trial to assess the effects of a mobile SMS-based intervention on treatment adherence in HIV/AIDS-infected Brazilian women and impressions and satisfaction with respect to incoming messages. ( 0,84099670704138 )
J. Med. Internet Res. - Demographic, behavioral, and psychosocial correlates of using the website component of a worksite physical activity and healthy nutrition promotion program: a longitudinal study. ( 0,839910577358396 )
J. Med. Internet Res. - Efficacy of a Web-based computer-tailored smoking prevention intervention for Dutch adolescents: randomized controlled trial. ( 0,837247389729631 )
J. Med. Internet Res. - Two fully automated web-based interventions for risky alcohol use: randomized controlled trial. ( 0,83701841488351 )
J. Med. Internet Res. - Effects of a Web-based tailored intervention to reduce alcohol consumption in adults: randomized controlled trial. ( 0,835319581863801 )
J. Med. Internet Res. - Effectiveness of a Web-based multiple tailored smoking cessation program: a randomized controlled trial among Dutch adult smokers. ( 0,834071722665588 )
J. Med. Internet Res. - Effectiveness of a web-based brief alcohol intervention and added value of normative feedback in reducing underage drinking: a randomized controlled trial. ( 0,832976013577727 )
J. Med. Internet Res. - Exploring patients' views of a cognitive behavioral therapy-based website for the self-management of irritable bowel syndrome symptoms. ( 0,832685130459045 )
J. Med. Internet Res. - Understanding usage of a hybrid website and smartphone app for weight management: a mixed-methods study. ( 0,832154723476582 )
Telemed J E Health - Can an evidence-based book club intervention delivered via a tablet computer improve physical activity in middle-aged women? ( 0,831825342450727 )
J. Med. Internet Res. - Interpreting the outcomes of automated internet-based randomized trials: example of an International Smoking Cessation Study. ( 0,831093602164699 )
BMC Med Inform Decis Mak - Process evaluation of a web-based intervention aimed at empowerment of disability benefit claimants. ( 0,830846993978992 )
J. Med. Internet Res. - Engagement in a diabetes self-management website: usage patterns and generalizability of program use. ( 0,830190042099093 )
Inform Health Soc Care - Experiences with using information and communication technology to build a multi-municipal support network for informal carers. ( 0,829928397673344 )
J Telemed Telecare - The effect of psychosocial interventions delivered by telephone and videophone on quality of life in early-stage breast cancer survivors and their supportive partners. ( 0,829417993998849 )
J. Med. Internet Res. - Adherence to a smartphone application for weight loss compared to website and paper diary: pilot randomized controlled trial. ( 0,828816087983676 )
J. Med. Internet Res. - Effectiveness of a proactive mail-based alcohol Internet intervention for university students: dismantling the assessment and feedback components in a randomized controlled trial. ( 0,825970996925516 )
J. Med. Internet Res. - Using ecological momentary assessment to test the effectiveness of a web-based brief alcohol intervention over time among heavy-drinking students: randomized controlled trial. ( 0,825124612715416 )
J. Med. Internet Res. - Enhancing retention of an Internet-based cohort study of men who have sex with men (MSM) via text messaging: randomized controlled trial. ( 0,823985927908099 )
J. Med. Internet Res. - The ins and outs of an online bipolar education program: a study of program attrition. ( 0,822902113132424 )
J. Med. Internet Res. - Internet-based brief personalized feedback intervention in a non-treatment-seeking population of adult heavy drinkers: a randomized controlled trial. ( 0,822452253554943 )
J. Med. Internet Res. - Use of email and telephone prompts to increase self-monitoring in a Web-based intervention: randomized controlled trial. ( 0,821794177757463 )
J. Med. Internet Res. - Effectiveness of Web-based versus face-to-face delivery of education in prescription of falls-prevention exercise to health professionals: randomized trial. ( 0,820580572916795 )
J. Med. Internet Res. - Feasibility and effectiveness of a web-based positive psychology program for youth mental health: randomized controlled trial. ( 0,81954085920141 )
J. Med. Internet Res. - Improving adherence to antiretroviral therapy for youth living with HIV/AIDS: a pilot study using personalized, interactive, daily text message reminders. ( 0,818988199612869 )
J. Med. Internet Res. - Comparison of trial participants and open access users of a web-based physical activity intervention regarding adherence, attrition, and repeated participation. ( 0,818906284175775 )
J Telemed Telecare - Efficacy of a programme for workers with metabolic syndrome based on an e-health system in the workplace: a pilot study. ( 0,81777776396564 )
J. Med. Internet Res. - Web-enhanced tobacco tactics with telephone support versus 1-800-QUIT-NOW telephone line intervention for operating engineers: randomized controlled trial. ( 0,817160721744125 )
J Telemed Telecare - A review of the use of mobile phone text messaging in clinical and healthy behaviour interventions. ( 0,815748275998732 )
BMC Med Inform Decis Mak - A cohort study of a tailored web intervention for preconception care. ( 0,813199528030195 )
J. Med. Internet Res. - Effects of a guided web-based smoking cessation program with telephone counseling: a cluster randomized controlled trial. ( 0,813134958350898 )
BMC Med Inform Decis Mak - Effects of and satisfaction with short message service reminders for patient medication adherence: a randomized controlled study. ( 0,812875819587296 )
J. Med. Internet Res. - Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition. ( 0,811682643429204 )
J. Med. Internet Res. - Web-based cognitive behavioral self-help intervention to reduce cocaine consumption in problematic cocaine users: randomized controlled trial. ( 0,810474126881411 )
J. Med. Internet Res. - Engagement promotes abstinence in a web-based cessation intervention: cohort study. ( 0,809521856975758 )
J. Med. Internet Res. - A theory-based video messaging mobile phone intervention for smoking cessation: randomized controlled trial. ( 0,808685247385215 )
J. Med. Internet Res. - Partnership for health-2, a web-based versus print smoking cessation intervention for childhood and young adult cancer survivors: randomized comparative effectiveness study. ( 0,806635734396269 )
J. Med. Internet Res. - A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: randomized controlled trial. ( 0,805719203819735 )
J. Med. Internet Res. - Exploratory study of web-based planning and mobile text reminders in an overweight population. ( 0,805294599708806 )
J. Med. Internet Res. - Surviving and thriving with cancer using a Web-based health behavior change intervention: randomized controlled trial. ( 0,804680019949452 )
J. Med. Internet Res. - Do email and mobile phone prompts stimulate primary school children to reuse an Internet-delivered smoking prevention intervention? ( 0,804650773228704 )
J. Med. Internet Res. - Differences in reach and attrition between Web-based and print-delivered tailored interventions among adults over 50 years of age: clustered randomized trial. ( 0,80286167457533 )
J. Med. Internet Res. - Comparison of text and video computer-tailored interventions for smoking cessation: randomized controlled trial. ( 0,801398408099712 )
J. Med. Internet Res. - Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. ( 0,799772909093348 )
J. Med. Internet Res. - Does brief telephone support improve engagement with a web-based weight management intervention? Randomized controlled trial. ( 0,799228706788492 )
J. Med. Internet Res. - A web-based sexual violence bystander intervention for male college students: randomized controlled trial. ( 0,797311995690307 )
Int J Med Inform - Evaluation of mobile phone and Internet intervention on waist circumference and blood pressure in post-menopausal women with abdominal obesity. ( 0,796725430607319 )
J. Med. Internet Res. - MEMO--a mobile phone depression prevention intervention for adolescents: development process and postprogram findings on acceptability from a randomized controlled trial. ( 0,795925710013152 )
J. Med. Internet Res. - Development of web-based computer-tailored advice to promote physical activity among people older than 50 years. ( 0,793810978567079 )
J. Med. Internet Res. - Cost-effectiveness and cost-utility of Internet-based computer tailoring for smoking cessation. ( 0,793781239855536 )
Healthc (Amst) - Paying physician group practices for quality: A statewide quasi-experiment. ( 0,793372056845251 )
J. Med. Internet Res. - Effects of internet-based tailored advice on the use of cholesterol-lowering interventions: a randomized controlled trial. ( 0,79305239649757 )
J. Med. Internet Res. - Overcoming Addictions, a Web-based application, and SMART Recovery, an online and in-person mutual help group for problem drinkers, part 1: three-month outcomes of a randomized controlled trial. ( 0,792667887082726 )
J Telemed Telecare - Use of mobile phone text messaging to deliver an individualized smoking behaviour intervention in Chinese adolescents. ( 0,792579672699257 )
J. Med. Internet Res. - Changes in depressive symptoms, social support, and loneliness over 1 year after a minimum 3-month videoconference program for older nursing home residents. ( 0,792256488553168 )
J. Med. Internet Res. - Effectiveness of a Web-based intervention aimed at healthy dietary and physical activity behavior: a randomized controlled trial about users and usage. ( 0,790976751768317 )
J. Med. Internet Res. - A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression. ( 0,789362090165754 )
J. Med. Internet Res. - The potential of Web-based interventions for heart disease self-management: a mixed methods investigation. ( 0,788322831651523 )
J. Med. Internet Res. - Participants, usage, and use patterns of a web-based intervention for the prevention of depression within a randomized controlled trial. ( 0,788164703314007 )
J. Med. Internet Res. - Attrition revisited: adherence and retention in a web-based alcohol trial. ( 0,786955273170914 )
J. Med. Internet Res. - A pre-post study on the appropriateness and effectiveness of a Web- and text messaging-based intervention to reduce problem drinking in emerging adults. ( 0,786905580680066 )
J Am Med Inform Assoc - The Diabetes Telemonitoring Study Extension: an exploratory randomized comparison of alternative interventions to maintain glycemic control after withdrawal of diabetes home telemonitoring. ( 0,785997584114991 )
Med Decis Making - Participation in cancer clinical trials: why are patients not participating? ( 0,785332886691733 )
J. Med. Internet Res. - Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial. ( 0,783951789187594 )
J. Med. Internet Res. - Effectiveness of web-based self-disclosure peer-to-peer support for weight loss: randomized controlled trial. ( 0,782755807196702 )
Telemed J E Health - TEAhM-Technologies for Enhancing Access to Health Management: a pilot study of community-based telehealth. ( 0,781681149681719 )
Telemed J E Health - Increasing access to chronic disease self-management programs in rural and remote communities using telehealth. ( 0,780966155785857 )
J. Med. Internet Res. - Providing web-based feedback and social norms information to reduce student alcohol intake: a multisite investigation. ( 0,780542733813439 )
J. Med. Internet Res. - The effect of program design on engagement with an internet-based smoking intervention: randomized factorial trial. ( 0,778584232166568 )
J. Med. Internet Res. - Effect of a Web-based intervention to promote physical activity and improve health among physically inactive adults: a population-based randomized controlled trial. ( 0,778146177257009 )
J. Med. Internet Res. - Daily text messaging for weight control among racial and ethnic minority women: randomized controlled pilot study. ( 0,775861056093405 )
J Telemed Telecare - A brief self-guided telehealth intervention for post-traumatic stress disorder in combat veterans: a pilot study. ( 0,772766459584454 )
J. Med. Internet Res. - Understanding messaging preferences to inform development of mobile goal-directed behavioral interventions. ( 0,77196065643535 )
J. Med. Internet Res. - Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. ( 0,771539332501712 )
J. Med. Internet Res. - Use of a text message program to raise type 2 diabetes risk awareness and promote health behavior change (part I): assessment of participant reach and adoption. ( 0,769008211572482 )
J. Med. Internet Res. - Usage of a generic web-based self-management intervention for breast cancer survivors: substudy analysis of the BREATH trial. ( 0,766283900579178 )