J. Med. Internet Res. - Acceptability and preliminary feasibility of an internet/CD-ROM-based education and decision program for early-stage prostate cancer patients: randomized pilot study.

Tópicos

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

Resumo

CKGROUND: Prostate cancer is the most common cancer affecting men in the United States. Management options for localized disease exist, yet an evidence-based criterion standard for treatment still has to emerge. Although 5-year survival rates approach 98%, all treatment options carry the possibility for significant side effects, such as erectile dysfunction and urinary incontinence. It is therefore recommended that patients be actively involved in the treatment decision process. We have developed an Internet/CD-ROM-based multimedia Prostate Interactive Educational System (PIES) to enhance patients' treatment decision making. PIES virtually mirrors a health center to provide patients with information about prostate cancer and its treatment through an intuitive interface, using videos, animations, graphics, and texts.OBJECTIVES: (1) To examine the acceptability and feasibility of the PIES intervention and to report preliminary outcomes of the program in a pilot trial among patients with a new prostate cancer diagnosis, and (2) to explore the potential impact of tailoring PIES treatment information to participants' information-seeking styles on study outcomes.METHODS: Participants (n = 72) were patients with newly diagnosed localized prostate cancer who had not made a treatment decision. Patients were randomly assigned to 3 experimental conditions: (1) control condition (providing information through standard National Cancer Institute brochures; 26%), and PIES (2) with tailoring (43%) and (3) without tailoring to a patient's information-seeking style (31%). Questionnaires were administrated before (t1) and immediately after the intervention (t2). Measurements include evaluation and acceptability of the PIES intervention, monitoring/blunting information-seeking style, psychological distress, and decision-related variables (eg, decisional confidence, feeling informed about prostate cancer and treatment, and treatment preference).RESULTS: The PIES program was well accepted by patients and did not interfere with the clinical routine. About 79% of eligible patients (72/91) completed the pre- and post-PIES intervention assessments. Patients in the PIES groups compared with those in the control condition were significantly more likely to report higher levels of confidence in their treatment choices, higher levels of helpfulness of the information they received in making a treatment decision, and that the information they received was emotionally reassuring. Patients in the PIES groups compared with those in the control condition were significantly less likely to need more information about treatment options, were less anxious about their treatment choices, and thought the information they received was clear (P < .05). Tailoring PIES information to information-seeking style was not related to decision-making variables.CONCLUSIONS: This pilot study confirms that the implementation of PIES within a clinical practice is feasible and acceptable to patients with a recent diagnosis of prostate cancer. PIES improved key decision-making process variables and reduced the emotional impact of a difficult medical decision.

Resumo Limpo

ckground prostat cancer common cancer affect men unit state manag option local diseas exist yet evidencebas criterion standard treatment still emerg although year surviv rate approach treatment option carri possibl signific side effect erectil dysfunct urinari incontin therefor recommend patient activ involv treatment decis process develop internetcdrombas multimedia prostat interact educ system pie enhanc patient treatment decis make pie virtual mirror health center provid patient inform prostat cancer treatment intuit interfac use video anim graphic textsobject examin accept feasibl pie intervent report preliminari outcom program pilot trial among patient new prostat cancer diagnosi explor potenti impact tailor pie treatment inform particip informationseek style studi outcomesmethod particip n patient newli diagnos local prostat cancer made treatment decis patient random assign experiment condit control condit provid inform standard nation cancer institut brochur pie tailor without tailor patient informationseek style questionnair administr t immedi intervent t measur includ evalu accept pie intervent monitoringblunt informationseek style psycholog distress decisionrel variabl eg decision confid feel inform prostat cancer treatment treatment preferenceresult pie program well accept patient interfer clinic routin elig patient complet pre postpi intervent assess patient pie group compar control condit signific like report higher level confid treatment choic higher level help inform receiv make treatment decis inform receiv emot reassur patient pie group compar control condit signific less like need inform treatment option less anxious treatment choic thought inform receiv clear p tailor pie inform informationseek style relat decisionmak variablesconclus pilot studi confirm implement pie within clinic practic feasibl accept patient recent diagnosi prostat cancer pie improv key decisionmak process variabl reduc emot impact difficult medic decis

Resumos Similares

BMC Med Inform Decis Mak - Testing a Spanish-language colorectal cancer screening decision aid in Latinos with limited English proficiency: results from a pre-post trial and four month follow-up survey. ( 0,807516711466664 )
Med Decis Making - Longitudinal changes in patient distress following interactive decision aid use among BRCA1/2 carriers: a randomized trial. ( 0,794001491181688 )
BMC Med Inform Decis Mak - Shared decision making for prostate cancer screening: the results of a combined analysis of two practice-based randomized controlled trials. ( 0,789265525105646 )
Med Decis Making - What makes a tumor diagnosis a call to action? On the preference for action versus inaction. ( 0,788201851212282 )
BMC Med Inform Decis Mak - A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial. ( 0,776886135784576 )
Med Decis Making - Framing Options as Choice or Opportunity: Does the Frame Influence Decisions? ( 0,774435293951287 )
J. Med. Internet Res. - The effect of patient narratives on information search in a web-based breast cancer decision aid: an eye-tracking study. ( 0,762272890575154 )
Med Decis Making - The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial. ( 0,756617261520183 )
AMIA Annu Symp Proc - Patient clinical profiles associated with physician non-compliance despite the use of a guideline-based decision support system: a case study with OncoDoc2 using data mining techniques. ( 0,752772115451618 )
Med Decis Making - When decisions should be shared: a study of social norms in medical decision making using a factorial survey approach. ( 0,752139508469919 )
J. Med. Internet Res. - Assessing the acceptability and usability of an interactive serious game in aiding treatment decisions for patients with localized prostate cancer. ( 0,744137917132781 )
J. Med. Internet Res. - Supporting informed decision making online in 20 minutes: an observational web-log study of a PSA test decision aid. ( 0,7386542964933 )
Med Decis Making - Decision aid influences on factors associated with patient empowerment prior to cancer treatment decision making. ( 0,728270345619191 )
Med Decis Making - Can Streamlined Multicriteria Decision Analysis Be Used to Implement Shared Decision Making for Colorectal Cancer Screening? ( 0,726960669201507 )
Med Decis Making - Decision-making Processes among Prostate Cancer Survivors with Rising PSA Levels: Results from a Qualitative Analysis. ( 0,726620654694192 )
BMC Med Inform Decis Mak - Assessing the information desire of patients with advanced cancer by providing information with a decision aid, which is evaluated in a randomized trial: a study protocol. ( 0,725176105300789 )
BMC Med Inform Decis Mak - Visual AIDS for multimodal treatment options to support decision making of patients with colorectal cancer. ( 0,717301095585571 )
BMC Med Inform Decis Mak - Measuring decision quality: psychometric evaluation of a new instrument for breast cancer chemotherapy. ( 0,717028610510051 )
Med Decis Making - Factors Associated with Informed Decisions and Participation in Bowel Cancer Screening among Adults with Lower Education and Literacy. ( 0,708604764456715 )
BMC Med Inform Decis Mak - Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform. ( 0,708158726635974 )
AMIA Annu Symp Proc - Revisiting the EBM decision model to formalize non-compliance with computerized CPGs: results in the management of breast cancer with OncoDoc2. ( 0,701916462043175 )
BMC Med Inform Decis Mak - Coaching and guidance with patient decision aids: A review of theoretical and empirical evidence. ( 0,699448796755686 )
BMC Med Inform Decis Mak - Decision aids for respite service choices by carers of people with dementia: development and pilot RCT. ( 0,699296496085262 )
Med Decis Making - Breast cancer patients' treatment expectations after exposure to the decision aid program adjuvant online: the influence of numeracy. ( 0,691510857992036 )
J. Med. Internet Res. - A web-based tool to support shared decision making for people with a psychotic disorder: randomized controlled trial and process evaluation. ( 0,690821613577418 )
BMC Med Inform Decis Mak - Development of a decision aid to inform patients' and families' renal replacement therapy selection decisions. ( 0,684574449778017 )
Med Decis Making - Preferences and perceived involvement in treatment decision making among Chinese patients with chronic hepatitis. ( 0,684543839169602 )
BMC Med Inform Decis Mak - The effect of a decision aid intervention on decision making about coronary heart disease risk reduction: secondary analyses of a randomized trial. ( 0,682578780956324 )
Med Decis Making - Patients' preferences and priorities regarding colorectal cancer screening. ( 0,681781254027113 )
Med Decis Making - Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions. ( 0,68056676314798 )
BMC Med Inform Decis Mak - A preliminary exploration of the feasibility of offering men information about potential prostate cancer treatment options before they know their biopsy results. ( 0,680376605099445 )
Med Decis Making - Perceptions of shared decision making and decision aids among rural primary care clinicians. ( 0,680275362010467 )
Med Decis Making - Contributions of Second Opinions, Outcome Forecasts, and Testimonials to Patient Decisions about Knee Replacement Surgery. ( 0,678403574782739 )
BMC Med Inform Decis Mak - Public stated preferences and predicted uptake for genome-based colorectal cancer screening. ( 0,677931347097408 )
Med Decis Making - Are medical outcomes fungible? A survey of voters, medical administrators, and physicians. ( 0,671041488069593 )
BMC Med Inform Decis Mak - Development and initial evaluation of a treatment decision dashboard. ( 0,66561542571284 )
BMC Med Inform Decis Mak - Genders of patients and clinicians and their effect on shared decision making: a participant-level meta-analysis. ( 0,663708738217702 )
BMC Med Inform Decis Mak - Refining a brief decision aid in stable CAD: cognitive interviews. ( 0,660907597094695 )
BMC Med Inform Decis Mak - Development and pilot testing of a decision aid for drivers with dementia. ( 0,660640915900633 )
Med Decis Making - Participation of very old adults in health care decisions. ( 0,660574653021261 )
BMC Med Inform Decis Mak - Factors influencing the surgery intentions and choices of women with early breast cancer: the predictive utility of an extended theory of planned behaviour. ( 0,660452374575826 )
BMC Med Inform Decis Mak - Development of a personalized decision aid for breast cancer risk reduction and management. ( 0,659480295606176 )
BMC Med Inform Decis Mak - Barriers and facilitators to implementing Decision Boxes in primary healthcare teams to facilitate shared decisionmaking: a study protocol. ( 0,659145012030995 )
AMIA Annu Symp Proc - Supporting shared decision making within the MobiGuide project. ( 0,657640470880032 )
BMC Med Inform Decis Mak - Data mining of audiology patient records: factors influencing the choice of hearing aid type. ( 0,655633305566853 )
Med Decis Making - The impact of explicit values clarification exercises in a patient decision aid emerges after the decision is actually made: evidence from a randomized controlled trial. ( 0,655522807352266 )
J. Med. Internet Res. - Development and evaluation of the personal patient profile-prostate (P3P), a Web-based decision support system for men newly diagnosed with localized prostate cancer. ( 0,655440674720805 )
Med Decis Making - Do men make informed decisions about prostate cancer screening? Baseline results from the take the wheel trial. ( 0,650128614420451 )
BMC Med Inform Decis Mak - Development and pilot testing of an online case-based approach to shared decision making skills training for clinicians. ( 0,645733912396334 )
BMC Med Inform Decis Mak - Shared decision-making and health for First Nations, M?tis and Inuit women: a study protocol. ( 0,645499382841014 )
Healthc (Amst) - Incentivizing shared decision making in the USA--where are we now? ( 0,645289216460242 )
Comput Methods Programs Biomed - Implementation and evaluation of an Asbru-based decision support system for adjuvant treatment in breast cancer. ( 0,644446014538901 )
BMC Med Inform Decis Mak - The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. ( 0,641347682957752 )
BMC Med Inform Decis Mak - Basing information on comprehensive, critically appraised, and up-to-date syntheses of the scientific evidence: a quality dimension of the International Patient Decision Aid Standards. ( 0,640973139459693 )
Med Decis Making - Choice set size and decision making: the case of Medicare Part D prescription drug plans. ( 0,637791541489298 )
BMC Med Inform Decis Mak - Values clarification in a decision aid about fertility preservation: does it add to information provision? ( 0,637632741795861 )
Med Decis Making - What is known about parents' treatment decisions? A narrative review of pediatric decision making. ( 0,636857992608231 )
BMC Med Inform Decis Mak - A tailored, interactive health communication application for patients with type 2 diabetes: study protocol of a randomised controlled trial. ( 0,634571002973512 )
J. Med. Internet Res. - Perceived barriers and facilitators of using a Web-based interactive decision aid for colorectal cancer screening in community practice settings: findings from focus groups with primary care clinicians and medical office staff. ( 0,633908094942703 )
Med Decis Making - Decision coaching to prepare patients for making health decisions: a systematic review of decision coaching in trials of patient decision AIDS. ( 0,633715106850922 )
Med Decis Making - The DECISIONS study: a nationwide survey of United States adults regarding 9 common medical decisions. ( 0,632781186299642 )
AMIA Annu Symp Proc - Role of physicians' reactance in e-iatrogenesis: a case study with ASTI guiding mode on the management of hypertension. ( 0,628402688152342 )
Telemed J E Health - Impact of dysphagia severity on clinical decision making via telerehabilitation. ( 0,626794539947325 )
Med Decis Making - Adherence and decision AIDS: a model and a narrative review. ( 0,626630498960472 )
BMC Med Inform Decis Mak - Disclosing conflicts of interest in patient decision aids. ( 0,62541587687518 )
J Med Syst - The reliability of an epilepsy treatment clinical decision support system. ( 0,624745260310617 )
BMC Med Inform Decis Mak - Clarifying values: an updated review. ( 0,623532165936319 )
Med Decis Making - Why do patients derogate physicians who use a computer-based diagnostic support system? ( 0,62198919088948 )
BMC Med Inform Decis Mak - A tailored, dialogue-based health communication application for patients with chronic low back pain: study protocol of a randomised controlled trial. ( 0,621178733085013 )
Med Decis Making - All stories are not alike: a purpose-, content-, and valence-based taxonomy of patient narratives in decision aids. ( 0,619450218944282 )
BMC Med Inform Decis Mak - Developing and user-testing Decision boxes to facilitate shared decision making in primary care--a study protocol. ( 0,617993123552797 )
BMC Med Inform Decis Mak - Protocol for population testing of an Internet-based Personalised Decision Support system for colorectal cancer screening. ( 0,61756388463756 )
J Telemed Telecare - Impact of a kiosk educational module on HIV screening rates and patient knowledge. ( 0,61542871498785 )
BMC Med Inform Decis Mak - The SAKK cancer-specific geriatric assessment (C-SGA): a pilot study of a brief tool for clinical decision-making in older cancer patients. ( 0,612043252675192 )
Comput Methods Programs Biomed - S-PC: an e-treatment application for management of smoke-quitting patients. ( 0,611719875114026 )
Int J Med Inform - Pharmacist-conducted medication reconciliation at hospital admission using information technology in Taiwan. ( 0,608735422477725 )
J Am Med Inform Assoc - Workshop on using natural language processing applications for enhancing clinical decision making: an executive summary. ( 0,607049005610581 )
BMC Med Inform Decis Mak - Development of a tool to improve the quality of decision making in atrial fibrillation. ( 0,606560094955458 )
BMC Med Inform Decis Mak - Congruence between patients' preferred and perceived participation in medical decision-making: a review of the literature. ( 0,60535969552492 )
J. Med. Internet Res. - Mobile phone text messaging intervention for cervical cancer screening: changes in knowledge and behavior pre-post intervention. ( 0,604434302894467 )
BMC Med Inform Decis Mak - A randomized study of telephonic care support in populations at risk for musculoskeletal preference-sensitive surgeries. ( 0,599550763810547 )
Med Decis Making - The context of available options affects health care decisions: a generalization study. ( 0,599113878561725 )
BMC Med Inform Decis Mak - Applying the theory of planned behaviour to multiple sclerosis patients' decisions on disease modifying therapy--questionnaire concept and validation. ( 0,598891014586608 )
J. Med. Internet Res. - Understanding messaging preferences to inform development of mobile goal-directed behavioral interventions. ( 0,598310466690581 )
Int J Health Geogr - Mass casualty modelling: a spatial tool to support triage decision making. ( 0,597576599105175 )
Med Decis Making - Content coding for contextualization of care: evaluating physician performance at patient-centered decision making. ( 0,592880997786802 )
J Am Med Inform Assoc - Imaging informatics for consumer health: towards a radiology patient portal. ( 0,592281592810669 )
J. Med. Internet Res. - The influence of two different invitation letters on Chlamydia testing participation: randomized controlled trial. ( 0,592046541359483 )
Med Biol Eng Comput - In vitro electroretinogram for the study of the functionality of differentiated retinal pigment epithelium cells. ( 0,591320006263293 )
BMC Med Inform Decis Mak - Development of a real-time clinical decision support system upon the Web MVC-based architecture for prostate cancer treatment. ( 0,589950382593842 )
AMIA Annu Symp Proc - The implementation and acceptability of an HPV vaccination decision support system directed at both clinicians and families. ( 0,584856902513796 )
AMIA Annu Symp Proc - Teleretinal screening for diabetic retinopathy in six Los Angeles urban safety-net clinics: initial findings. ( 0,584212459346721 )
Med Decis Making - An emerging field of research: challenges in pediatric decision making. ( 0,581462426341579 )
Med Decis Making - Interpreting patient decisional conflict scores: behavior and emotions in decisions about treatment. ( 0,580088768821222 )
BMC Med Inform Decis Mak - Usability testing of ANSWER: a web-based methotrexate decision aid for patients with rheumatoid arthritis. ( 0,579564922315036 )
Int J Med Inform - Design of decision support interventions for medication prescribing. ( 0,578857650557864 )
AMIA Annu Symp Proc - An information-centric framework for designing patient-centered medical decision aids and risk communication. ( 0,578675077748506 )
Comput Methods Programs Biomed - Machine learning-based assessment tool for imbalance and vestibular dysfunction with virtual reality rehabilitation system. ( 0,572406847977682 )
BMC Med Inform Decis Mak - Development and evaluation of a new survey instrument to measure the quality of colorectal cancer screening decisions. ( 0,572165653111384 )
BMC Med Inform Decis Mak - Risk assessment and decision making about in-labour transfer from rural maternity care: a social judgment and signal detection analysis. ( 0,570551118988297 )