J. Med. Internet Res. - Impact of patient access to Internet health records on glaucoma medication: randomized controlled trial.

Tópicos

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

Resumo

CKGROUND: Glaucoma is one of the leading causes of blindness. Reduction of intraocular pressure is the only proven way to prevent progression of glaucomatous optic neuropathy. The majority of glaucoma patients need to use antiglaucoma ophthalmic solutions over the course of their life. Thus, good adherence and persistency of glaucoma treatment are important factors for better glaucoma care.OBJECTIVE: The purpose of this study was to investigate the impact of an Internet-based glaucoma care support system on glaucoma medication use.METHODS: Patients were randomly divided into two groups. The non-Internet access (NIA) group consisted of patients who had access to the Internet-based glaucoma care support system during the 4-year period only when they were examined by ophthalmologists. The Internet access (IA) group consisted of patients who had the same Internet-based glaucoma care support system access as the NIA group for the first 2 years following enrollment but who were also given free access to the glaucoma care support system for the remaining 2 years. Changes in glaucoma medication use were investigated.RESULTS: In total, 81 patients in the IA group and 90 patients in the NIA group satisfied the study protocol. The number of antiglaucoma ophthalmic solutions used during the study period significantly increased in the NIA group (P<.03) but not in the IA group. The percentages of patients with unchanged, increased, and decreased antiglaucoma ophthalmic solution use during the study period were 61.1% (55/90), 17.8% (16/90), and 3.3% (3/90), respectively, in the NIA group, and 56.8% (46/81), 8.6% (7/81), and 13.6% (11/81), respectively, in the IA group (P<.001). Internet access significantly shifted from an increasing intraocular pressure trend to a decreasing trend in the IA group (P=.002) among the patients who did not have any medication changes.CONCLUSIONS: Allowing patients to browse their medical data may reduce the use and improve the effectiveness of glaucoma medication.TRIAL REGISTRATION: UMIN-CTR Clinical Trial Number: UMIN000006982; https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr.cgi?function=brows&action=brows&type=summary&recptno=R000008238&language=E (Archived by WebCite at http://www.webcitation.org/6MRPQeEAv).

Resumo Limpo

ckground glaucoma one lead caus blind reduct intraocular pressur proven way prevent progress glaucomat optic neuropathi major glaucoma patient need use antiglaucoma ophthalm solut cours life thus good adher persist glaucoma treatment import factor better glaucoma careobject purpos studi investig impact internetbas glaucoma care support system glaucoma medic usemethod patient random divid two group noninternet access nia group consist patient access internetbas glaucoma care support system year period examin ophthalmologist internet access ia group consist patient internetbas glaucoma care support system access nia group first year follow enrol also given free access glaucoma care support system remain year chang glaucoma medic use investigatedresult total patient ia group patient nia group satisfi studi protocol number antiglaucoma ophthalm solut use studi period signific increas nia group p ia group percentag patient unchang increas decreas antiglaucoma ophthalm solut use studi period respect nia group respect ia group p internet access signific shift increas intraocular pressur trend decreas trend ia group p among patient medic changesconclus allow patient brows medic data may reduc use improv effect glaucoma medicationtri registr uminctr clinic trial number umin httpsuploaduminacjpcgiopenbinctrctrcgifunctionbrowsactionbrowstypesummaryrecptnorlanguage archiv webcit httpwwwwebcitationorgmrpqeeav

Resumos Similares

J. Med. Internet Res. - Usage and effectiveness of a fully automated, open-access, Spanish Web-based smoking cessation program: randomized controlled trial. ( 0,712359920708203 )
J. Med. Internet Res. - A text messaging intervention to improve heart failure self-management after hospital discharge in a largely African-American population: before-after study. ( 0,704037208380433 )
J. Med. Internet Res. - Supervised patient self-testing of warfarin therapy using an online system. ( 0,703358516954178 )
Telemed J E Health - Emergency department physician telemedical triage. ( 0,702743516910705 )
J. Med. Internet Res. - Feasibility of an eHealth service to support collaborative depression care: results of a pilot study. ( 0,682710256953338 )
J. Med. Internet Res. - Attrition and adherence in a WEB-Based Distress Management Program for Implantable Cardioverter defibrillator Patients (WEBCARE): randomized controlled trial. ( 0,677674375227287 )
Appl Clin Inform - Evaluation of the pressure ulcer prevention clinical decision report for bedside nurses in acute care hospitals. ( 0,671086440247839 )
J Telemed Telecare - Effects of tooth scaling reminders for dental outpatients. ( 0,666018368233788 )
Int J Med Inform - Implementation and evaluation of an integrated computerized asthma management system in a pediatric emergency department: a randomized clinical trial. ( 0,665891611243673 )
J Med Syst - A randomized trial of population-based clinical decision support to manage health and resource use for Medicaid beneficiaries. ( 0,661164282434847 )
Int J Med Inform - Using EHR data to predict hospital-acquired pressure ulcers: a prospective study of a Bayesian Network model. ( 0,660668500247162 )
Telemed J E Health - A mobile phone short message service improves perceived control of asthma: a randomized controlled trial. ( 0,656736921001498 )
J. Med. Internet Res. - The Sexunzipped trial: optimizing the design of online randomized controlled trials. ( 0,655351481989549 )
Appl Clin Inform - Use of clinical decision support to improve the quality of care provided to older hospitalized patients. ( 0,651747284492616 )
Methods Inf Med - Interventions to increase physician efficiency and comfort with an electronic health record system. ( 0,6500507392349 )
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. ( 0,64951891937669 )
J Telemed Telecare - The effect of real-time teleconsultations between hospital-based nurses and patients with severe COPD discharged after an exacerbation. ( 0,64679918441759 )
J Clin Monit Comput - Differential effects of propofol and sevoflurane on QT interval during anesthetic induction. ( 0,646472093582814 )
Telemed J E Health - Effectiveness of home telehealth in comorbid diabetes and hypertension: a randomized, controlled trial. ( 0,646397081642093 )
J Telemed Telecare - Home telemental health implementation and outcomes using electronic messaging. ( 0,641763234159247 )
J Telemed Telecare - Electronic follow-up of facial lacerations in the emergency department. ( 0,641759339025183 )
J Telemed Telecare - A randomised trial of telemedicine-based treatment versus conventional hospitalisation in patients with severe COPD and exacerbation - effect on self-reported outcome. ( 0,640916379664348 )
J. Med. Internet Res. - Text messaging data collection for monitoring an infant feeding intervention program in rural China: feasibility study. ( 0,63771896464993 )
J Telemed Telecare - Evaluation of a tele-education programme in Brazil. ( 0,635566077126255 )
Int J Med Inform - Effects of laboratory data exchange in the care of patients with HIV. ( 0,635426070088208 )
J. Med. Internet Res. - Surviving and thriving with cancer using a Web-based health behavior change intervention: randomized controlled trial. ( 0,626744171435083 )
J. Med. Internet Res. - An internet-based virtual coach to promote physical activity adherence in overweight adults: randomized controlled trial. ( 0,625796494521884 )
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. ( 0,623789145467215 )
J Clin Monit Comput - Early goal-directed therapy based on endotracheal bioimpedance cardiography: a prospective, randomized controlled study in coronary surgery. ( 0,622835205319246 )
Telemed J E Health - Randomized trial of a smartphone mobile application compared to text messaging to support smoking cessation. ( 0,62200317955375 )
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. ( 0,621919614602167 )
J Am Med Inform Assoc - Evaluating adherence to the International Committee of Medical Journal Editors' policy of mandatory, timely clinical trial registration. ( 0,620367149382535 )
J. Med. Internet Res. - Short-term effects of a smoking prevention website in American Indian youth. ( 0,620192049464374 )
J Am Med Inform Assoc - Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. ( 0,620071973402401 )
J. Med. Internet Res. - Web-based cognitive behavioral self-help intervention to reduce cocaine consumption in problematic cocaine users: randomized controlled trial. ( 0,617998950880652 )
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. ( 0,616104478115499 )
J. Med. Internet Res. - The effect of program design on engagement with an internet-based smoking intervention: randomized factorial trial. ( 0,614041030848857 )
J Telemed Telecare - Telerehabilitation for people with chronic obstructive pulmonary disease: feasibility of a simple, real time model of supervised exercise training. ( 0,613925527923403 )
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. ( 0,613586560602571 )
BMC Med Inform Decis Mak - Effectiveness of a novel and scalable clinical decision support intervention to improve venous thromboembolism prophylaxis: a quasi-experimental study. ( 0,612790806239698 )
BMC Med Inform Decis Mak - Phase 1 pilot study of e-mail support for people with long term conditions using the Internet. ( 0,61241919406667 )
J Telemed Telecare - Automated home telephone self-monitoring reduces hospitalization in patients with advanced heart failure. ( 0,612300295976188 )
Telemed J E Health - Computer-based recovery support for patients receiving residential treatment for alcohol/drug dependence: relationship between program use and outcomes. ( 0,61212999916671 )
J. Med. Internet Res. - A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression. ( 0,611687224401919 )
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. ( 0,610965933126826 )
Med Decis Making - Participation in cancer clinical trials: why are patients not participating? ( 0,610943553891914 )
J. Med. Internet Res. - Acceptability of online self-help to people with depression: users' views of MoodGYM versus informational websites. ( 0,610179298362277 )
J. Med. Internet Res. - Motivators and motivations to persist with online psychological interventions: a qualitative study of treatment completers. ( 0,607956635297975 )
J Telemed Telecare - Telehealth for improved glycaemic control in patients with poorly controlled diabetes after acute hospitalization - a preliminary study in Singapore. ( 0,607655099315115 )
BMC Med Inform Decis Mak - High acceptability for cell phone text messages to improve communication of laboratory results with HIV-infected patients in rural Uganda: a cross-sectional survey study. ( 0,606343482999532 )
J Am Med Inform Assoc - Automated detection of physiologic deterioration in hospitalized patients. ( 0,60615166664279 )
Int J Med Inform - Use of web-based patient education sessions on psychiatric wards. ( 0,605554711405108 )
J. Med. Internet Res. - Two fully automated web-based interventions for risky alcohol use: randomized controlled trial. ( 0,605134264948409 )
J. Med. Internet Res. - Effects of a guided web-based smoking cessation program with telephone counseling: a cluster randomized controlled trial. ( 0,604741041969565 )
Health Informatics J - Effects of electronic emergency-department whiteboards on clinicians' time distribution and mental workload. ( 0,603771041223079 )
J. Med. Internet Res. - Use of home telemonitoring to support multidisciplinary care of heart failure patients in Finland: randomized controlled trial. ( 0,601604964072296 )
Int J Med Inform - Is email an effective method for hospital discharge communication? A randomized controlled trial to examine delivery of computer-generated discharge summaries by email, fax, post and patient hand delivery. ( 0,598727770904337 )
J. Med. Internet Res. - Assessing adolescent asthma symptoms and adherence using mobile phones. ( 0,596788831698282 )
J Am Med Inform Assoc - A centralized research data repository enhances retrospective outcomes research capacity: a case report. ( 0,595311899224369 )
J. Med. Internet Res. - Participant profiles according to recruitment source in a large Web-based prospective study: experience from the Nutrinet-Sant? study. ( 0,59431757522842 )
J. Med. Internet Res. - Use of email and telephone prompts to increase self-monitoring in a Web-based intervention: randomized controlled trial. ( 0,593818944780109 )
J. Med. Internet Res. - Participants, usage, and use patterns of a web-based intervention for the prevention of depression within a randomized controlled trial. ( 0,593722758881288 )
J. Med. Internet Res. - Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial. ( 0,593574013920159 )
Appl Clin Inform - Case report: patient portal versus telephone recruitment for a surgical research study. ( 0,59337214440061 )
J. Med. Internet Res. - Periodic email prompts to re-use an internet-delivered computer-tailored lifestyle program: influence of prompt content and timing. ( 0,593007239802233 )
J. Med. Internet Res. - Effect of tailoring in an internet-based intervention for smoking cessation: randomized controlled trial. ( 0,592751074448562 )
J. Med. Internet Res. - Reducing suicidal ideation: cost-effectiveness analysis of a randomized controlled trial of unguided web-based self-help. ( 0,592668420493373 )
J. Med. Internet Res. - Effectiveness of a self-guided web-based cannabis treatment program: randomized controlled trial. ( 0,592033522976644 )
J Am Med Inform Assoc - Increasing the response rate of text messaging data collection: a delayed randomized controlled trial. ( 0,591164363800239 )
J Telemed Telecare - Utilization of home telemonitoring in patients 75 years of age and over with complex heart failure. ( 0,590721904591877 )
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. ( 0,590440179703956 )
J. Med. Internet Res. - From online randomized controlled trials to participant preference studies: morphing the San Francisco Stop Smoking site into a worldwide smoking cessation resource. ( 0,590328352773325 )
J. Med. Internet Res. - Effects of a web-based patient activation intervention to overcome clinical inertia on blood pressure control: cluster randomized controlled trial. ( 0,590221812264844 )
Telemed J E Health - Evaluating opportunities for text message communication: a survey of parents and teens. ( 0,590181494767393 )
J Am Med Inform Assoc - Impact of an electronic medication management system on hospital doctors' and nurses' work: a controlled pre-post, time and motion study. ( 0,590108398032256 )
J. Med. Internet Res. - Impact of length or relevance of questionnaires on attrition in online trials: randomized controlled trial. ( 0,589979296763699 )
J. Med. Internet Res. - A text messaging-based smoking cessation program for adult smokers: randomized controlled trial. ( 0,589872153695676 )
J. Med. Internet Res. - Reducing alcohol use during pregnancy via health counseling by midwives and internet-based computer-tailored feedback: a cluster randomized trial. ( 0,588805963553192 )
J Telemed Telecare - User engagement with and attitudes towards an interactive SMS reminder system for patients with tuberculosis. ( 0,588315516743986 )
Telemed J E Health - Effect of home telemonitoring on glycemic and blood pressure control in primary care clinic patients with diabetes. ( 0,588076933432051 )
J. Med. Internet Res. - Providing web-based feedback and social norms information to reduce student alcohol intake: a multisite investigation. ( 0,587635444013089 )
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. ( 0,587426377101582 )
J. Med. Internet Res. - Long-term outcomes of internet-based self-management support in adults with asthma: randomized controlled trial. ( 0,586217013499344 )
J Am Med Inform Assoc - Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. ( 0,585801202348638 )
J. Med. Internet Res. - Skin self-examination education for early detection of melanoma: a randomized controlled trial of Internet, workbook, and in-person interventions. ( 0,585375636194068 )
J. Med. Internet Res. - Effects of a Web-based tailored intervention to reduce alcohol consumption in adults: randomized controlled trial. ( 0,585134813105801 )
J. Med. Internet Res. - Using multiple imputations to accommodate time-outs in online interventions. ( 0,585118254461517 )
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. ( 0,584581720783292 )
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. ( 0,583926956874329 )
Telemed J E Health - Physician impressions of using text message technology to increase vaccination compliance. ( 0,581270367906562 )
BMC Med Inform Decis Mak - e-Monitoring of Asthma Therapy to Improve Compliance in children using a real-time medication monitoring system (RTMM): the e-MATIC study protocol. ( 0,580354942537609 )
J. Med. Internet Res. - Feasibility and effectiveness of a web-based positive psychology program for youth mental health: randomized controlled trial. ( 0,580263807448454 )
J. Med. Internet Res. - Impact of seasonality on recruitment, retention, adherence, and outcomes in a web-based smoking cessation intervention: randomized controlled trial. ( 0,579523911468547 )
Int J Med Inform - One-year outcome of an interactive internet-based physical activity intervention among university students. ( 0,579467778783751 )
Med Decis Making - Longitudinal changes in patient distress following interactive decision aid use among BRCA1/2 carriers: a randomized trial. ( 0,579174414756085 )
J. Med. Internet Res. - Evaluating self-management behaviors of diabetic patients in a telehealthcare program: longitudinal study over 18 months. ( 0,578730209564038 )
J. Med. Internet Res. - eHealth program to empower patients in returning to normal activities and work after gynecological surgery: intervention mapping as a useful method for development. ( 0,576351607785399 )
BMC Med Inform Decis Mak - Protocol for population testing of an Internet-based Personalised Decision Support system for colorectal cancer screening. ( 0,576329066264286 )
Telemed J E Health - Patient and phaRmacist telephonic encounters (PARTE) in an underserved rural patient population with asthma: results of a pilot study. ( 0,575712836494579 )
J. Med. Internet Res. - Curbing alcohol use in male adults through computer generated personalized advice: randomized controlled trial. ( 0,575624228830395 )