Med Decis Making - Effectiveness of personalized and interactive health risk calculators: a randomized trial.

Tópicos

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

Resumo

CKGROUND: Risk calculators are popular websites that provide individualized disease risk assessments to the public. Little is known about their effect on risk perceptions and health behavior.OBJECTIVE: This study sought to test whether risk calculator features-namely, personalized estimates of one's disease risk and feedback about the effects of risk-mitigating behaviors-improve risk perceptions and motivate healthy behavior.DESIGN: A web-based experimental study using simple randomization was conducted to compare the effects of 3 prediabetes risk communication websites. Setting The study was conducted in the context of ongoing health promotion activities sponsored by a university's human resources office. Patients Participants were adult university employees. Intervention The control website presented nonindividualized risk information. The personalized noninteractive website presented individualized risk calculations. The personalized interactive website presented individualized risk calculations and feedback about the effects of hypothetical risk-mitigating behaviors. Measurements Pre- and postintervention risk perceptions were measured in absolute and relative terms. Health behavior was measured by assessing participant interest in follow-up preventive health services.RESULTS: On average, risk perceptions decreased by 2%. There was no general effect of personalization or interactivity in aligning subjective risk perceptions with objective risk calculations or in increasing healthy behaviors. However, participants who previously overestimated their risk reduced their perceptions by 16%. This was a significantly larger change than the 2% increase by participants who underestimated their risk. Limitations Results may not generalize to different populations, different diseases, or longer-term outcomes.CONCLUSIONS: Compared to nonpersonalized information, individualized risk calculators had little positive effect on prediabetes risk perception accuracy or health behavior. Risk perception accuracy was improved in people who receive relatively "good news" about risk rather than "bad news."

Resumo Limpo

ckground risk calcul popular websit provid individu diseas risk assess public littl known effect risk percept health behaviorobject studi sought test whether risk calcul featuresnam person estim one diseas risk feedback effect riskmitig behaviorsimprov risk percept motiv healthi behaviordesign webbas experiment studi use simpl random conduct compar effect prediabet risk communic websit set studi conduct context ongo health promot activ sponsor univers human resourc offic patient particip adult univers employe intervent control websit present nonindividu risk inform person noninteract websit present individu risk calcul person interact websit present individu risk calcul feedback effect hypothet riskmitig behavior measur pre postintervent risk percept measur absolut relat term health behavior measur assess particip interest followup prevent health servicesresult averag risk percept decreas general effect person interact align subject risk percept object risk calcul increas healthi behavior howev particip previous overestim risk reduc percept signific larger chang increas particip underestim risk limit result may general differ popul differ diseas longerterm outcomesconclus compar nonperson inform individu risk calcul littl posit effect prediabet risk percept accuraci health behavior risk percept accuraci improv peopl receiv relat good news risk rather bad news

Resumos Similares

J. Med. Internet Res. - Animated randomness, avatars, movement, and personalization in risk graphics. ( 0,724074843047379 )
J. Med. Internet Res. - Web-based risk communication and planning in an obese population: exploratory study. ( 0,720220026214581 )
BMC Med Inform Decis Mak - Evaluating risk factor assumptions: a simulation-based approach. ( 0,714468846936507 )
Int J Health Geogr - Cardiovascular disease occurrence in two close but different social environments. ( 0,712137793367923 )
BMC Med Inform Decis Mak - Impact of unlinked deaths and coding changes on mortality trends in the Swiss National Cohort. ( 0,710824372420013 )
Spat Spatiotemporal Epidemiol - Spatio-temporal variability of bovine tuberculosis eradication in Spain (2006-2011). ( 0,70785780645585 )
AMIA Annu Symp Proc - Spatial analysis in support of community health intervention strategies. ( 0,698144924276252 )
Lifetime Data Anal - Calibrated predictions for multivariate competing risks models. ( 0,686843318065563 )
Med Decis Making - Communicating Relative Risk Changes with Baseline Risk: Presentation Format and Numeracy Matter. ( 0,680110206730318 )
Med Decis Making - Derivation of background mortality by smoking and obesity in cancer simulation models. ( 0,676887852840286 )
Med Decis Making - Expressing death risk as condensed life experience and death intensity. ( 0,676517547047806 )
Methods Inf Med - Analytic Hierarchy Process (AHP) for examining healthcare professionals' assessments of risk factors. The relative importance of risk factors for falls in community-dwelling older people. ( 0,675932880199159 )
J. Med. Internet Res. - Can an Internet-based health risk assessment highlight problems of heart disease risk factor awareness? A cross-sectional analysis. ( 0,675259434385344 )
J Biomed Inform - Individualized patient-centered lifestyle recommendations: an expert system for communicating patient specific cardiovascular risk information and prioritizing lifestyle options. ( 0,672016470598383 )
J. Med. Internet Res. - Risk estimates from an online risk calculator are more believable and recalled better when expressed as integers. ( 0,670680349891169 )
Telemed J E Health - Feasibility and promise of a remote-delivered preconception motivational interviewing intervention to reduce risk for alcohol-exposed pregnancy. ( 0,667408746344764 )
Lifetime Data Anal - Semicompeting risks in aging research: methods, issues and needs. ( 0,662596171409305 )
Lifetime Data Anal - Population-based absolute risk estimation with survey data. ( 0,662578348280444 )
Comput Math Methods Med - The relationship between tuberculosis and influenza death during the influenza (H1N1) pandemic from 1918-19. ( 0,662220788548191 )
Health Informatics J - SiHLEWeb.com: Development and usability testing of an evidence-based HIV prevention website for female African-American adolescents. ( 0,658709859827645 )
Comput Methods Programs Biomed - Infection risk in patients with rheumatoid arthritis treated with etanercept or adalimumab. ( 0,654080138027798 )
Int J Health Geogr - Ecological analysis of social risk factors for Rotavirus infections in Berlin, Germany, 2007-2009. ( 0,652575425940474 )
BMC Med Inform Decis Mak - Interdisciplinary decision making in prostate cancer therapy - 5-years' time trends at the Interdisciplinary Prostate Cancer Center (IPC) of the Charit? Berlin. ( 0,649618881781129 )
Spat Spatiotemporal Epidemiol - The effect of presence of infected neighbouring farms for the Campylobacter infection status in Danish broiler farms. ( 0,648293443138222 )
Int J Health Geogr - East-West gradient in cardio-vascular mortality in Austria: how much can we explain by following the pattern of risk factors? ( 0,647684442012855 )
BMC Med Inform Decis Mak - Quantification of population benefit in evaluation of biomarkers: practical implications for disease detection and prevention. ( 0,647561485054993 )
Comput Methods Programs Biomed - Long term cardiovascular risk models' combination. ( 0,64585544368454 )
J Biomed Inform - A web-based intervention to support increased physical activity among at-risk adults. ( 0,645841738308052 )
J. Med. Internet Res. - Effects of a web-based intervention on physical activity and metabolism in older adults: randomized controlled trial. ( 0,644653754194155 )
Int J Health Geogr - National variation in United States sepsis mortality: a descriptive study. ( 0,641430454345983 )
Med Decis Making - Whose costs and benefits? Why economic evaluations should simulate both prevalent and all future incident patient cohorts. ( 0,637310140223626 )
Med Decis Making - The influence of narrative v. statistical information on perceiving vaccination risks. ( 0,634158319673828 )
AMIA Annu Symp Proc - Evaluation of the use of electronic health data to classify four-year mortality risk for older adults undergoing screening colonoscopies. ( 0,631972201890213 )
Lifetime Data Anal - Evaluating subject-level incremental values of new markers for risk classification rule. ( 0,631278638396688 )
J. Med. Internet Res. - Click like to change your behavior: a mixed methods study of college students' exposure to and engagement with Facebook content designed for weight loss. ( 0,628577077650098 )
BMC Med Inform Decis Mak - The effect of different cardiovascular risk presentation formats on intentions, understanding and emotional affect: a randomised controlled trial using a web-based risk formatter (protocol). ( 0,628178258455158 )
IEEE J Biomed Health Inform - Novel approaches for predicting risk factors of atherosclerosis. ( 0,624759074790945 )
J. Med. Internet Res. - Features predicting weight loss in overweight or obese participants in a web-based intervention: randomized trial. ( 0,620274240767531 )
Comput Methods Programs Biomed - A Windows application for computing standardized mortality ratios and standardized incidence ratios in cohort studies based on calculation of exact person-years at risk. ( 0,618962585578494 )
Med Decis Making - Risk preferences: consequences for test and treatment thresholds and optimal cutoffs. ( 0,616831991867486 )
Int J Health Geogr - The effects of summer temperature, age and socioeconomic circumstance on acute myocardial infarction admissions in Melbourne, Australia. ( 0,616308498332949 )
AMIA Annu Symp Proc - Combining knowledge and data driven insights for identifying risk factors using electronic health records. ( 0,612392646789059 )
Med Decis Making - Effect of adding a values clarification exercise to a decision aid on heart disease prevention: a randomized trial. ( 0,608354351093367 )
BMC Med Inform Decis Mak - The re-identification risk of Canadians from longitudinal demographics. ( 0,605308688177187 )
Telemed J E Health - Computerized recovery support for substance use disorders: predictors of posttreatment usage. ( 0,604653315497589 )
Telemed J E Health - Prevalence of red flags among the internet user with low back pain seeking information on spinal health-a web survey. ( 0,602513650854543 )
BMC Med Inform Decis Mak - Leveraging H1N1 infection transmission modeling with proximity sensor microdata. ( 0,602409148861974 )
Methods Inf Med - Combining cross-sectional data on prevalence with risk estimates from a prediction model. A novel method for estimating the attributable risk. ( 0,602377422572222 )
J. Med. Internet Res. - Automated indexing of Internet stories for health behavior change: weight loss attitude pilot study. ( 0,602082872585931 )
J Clin Monit Comput - Recovering incidence from repeated measures of prevalence: the case of urinary tract infections. ( 0,595952990552425 )
Int J Med Inform - Are we sure that Mobile Health is really mobile? An examination of mobile device use during two remotely-delivered weight loss interventions. ( 0,595407654971844 )
J. Med. Internet Res. - Identifying problematic Internet users: development and validation of the Internet Motive Questionnaire for Adolescents (IMQ-A). ( 0,594076731010767 )
J. Med. Internet Res. - Social cognitive determinants of nutrition and physical activity among web-health users enrolling in an online intervention: the influence of social support, self-efficacy, outcome expectations, and self-regulation. ( 0,593362189485935 )
Int J Health Geogr - A spatial and temporal analysis of notifiable gastrointestinal illness in the Northwest Territories, Canada, 1991-2008. ( 0,593323365051578 )
AMIA Annu Symp Proc - Using multidimensional mutual information to prioritize mammographic features for breast cancer diagnosis. ( 0,589173035340418 )
J. Med. Internet Res. - Incidence of online health information search: a useful proxy for public health risk perception. ( 0,586806467823477 )
J. Med. Internet Res. - Online interventions for social marketing health behavior change campaigns: a meta-analysis of psychological architectures and adherence factors. ( 0,586633317837057 )
J. Med. Internet Res. - Healthy weight regulation and eating disorder prevention in high school students: a universal and targeted Web-based intervention. ( 0,585629580805702 )
J. Med. Internet Res. - Effectiveness of a web- and mobile phone-based intervention to promote physical activity and healthy eating in middle-aged males: randomized controlled trial of the ManUp study. ( 0,583131193493424 )
J. Med. Internet Res. - Associations of internet website use with weight change in a long-term weight loss maintenance program. ( 0,582105170501289 )
Int J Health Geogr - Infant mortality in South Africa--distribution, associations and policy implications, 2007: an ecological spatial analysis. ( 0,581188616384706 )
Comput Math Methods Med - Risk-adjusted mortality: problems and possibilities. ( 0,580842145066506 )
BMC Med Inform Decis Mak - Evaluating the risk of patient re-identification from adverse drug event reports. ( 0,580160807835178 )
Med Decis Making - Prevalence of antibodies associated with herd immunity: a new indicator to evaluate the establishment of herd immunity and to decide immunization strategies. ( 0,579690763270606 )
J. Med. Internet Res. - An Internet- and mobile-based tailored intervention to enhance maintenance of physical activity after cardiac rehabilitation: short-term results of a randomized controlled trial. ( 0,579446216978115 )
Med Decis Making - Patient and other factors influencing the prescribing of cardiovascular prevention therapy in the general practice setting with and without nurse assessment. ( 0,574698359361152 )
Int J Health Geogr - Spatial epidemiology and spatial ecology study of worldwide drug-resistant tuberculosis. ( 0,57442568221808 )
J. Med. Internet Res. - Dose-response effects of a Web-based physical activity program on body composition and metabolic health in inactive older adults: additional analyses of a randomized controlled trial. ( 0,574421860591657 )
J. Med. Internet Res. - Preventing the obesity epidemic by second generation tailored health communication: an interdisciplinary review. ( 0,573834864753263 )
Appl Clin Inform - Development of an automated, real time surveillance tool for predicting readmissions at a community hospital. ( 0,572860807735576 )
J. Med. Internet Res. - Engagement in a diabetes self-management website: usage patterns and generalizability of program use. ( 0,572646160470474 )
J Telemed Telecare - Video telehealth for weight maintenance of African-American women. ( 0,572222053617192 )
J. Med. Internet Res. - Design of a website on nutrition and physical activity for adolescents: results from formative research. ( 0,570529909193395 )
J. Med. Internet Res. - Website usage and weight loss in a free commercial online weight loss program: retrospective cohort study. ( 0,569910589155311 )
J Telemed Telecare - A randomised controlled trial of providing personalised cardiovascular risk information to modify health behaviour. ( 0,569437977885224 )
Artif Intell Med - Analysis of nasopharyngeal carcinoma risk factors with Bayesian networks. ( 0,569231837183785 )
J. Med. Internet Res. - Results from an online computer-tailored weight management intervention for overweight adults: randomized controlled trial. ( 0,568863983674112 )
J. Med. Internet Res. - Online social networks that connect users to physical activity partners: a review and descriptive analysis. ( 0,568541877123949 )
Comput. Biol. Med. - Exploring the effects of intervention for those at high risk of developing type 2 diabetes using a computer simulation. ( 0,568432200846433 )
J. Med. Internet Res. - Determinants of successful weight loss after using a commercial web-based weight reduction program for six months: cohort study. ( 0,567568832868643 )
J. Med. Internet Res. - Exploring the relationship between changes in weight and utterances in an online weight loss forum: a content and correlational analysis study. ( 0,567137076136446 )
Med Decis Making - Vaccinating to help ourselves and others. ( 0,5666519534162 )
J. Med. Internet Res. - Investigating predictors of visiting, using, and revisiting an online health-communication program: a longitudinal study. ( 0,562776232021029 )
BMC Med Inform Decis Mak - A cohort study of a tailored web intervention for preconception care. ( 0,562497868087922 )
J. Med. Internet Res. - Web-based guide to health: relationship of theoretical variables to change in physical activity, nutrition and weight at 16-months. ( 0,562375596131744 )
Med Decis Making - A demonstration of ''less can be more'' in risk graphics. ( 0,561617087605755 )
J. Med. Internet Res. - Silence is golden: effect of encouragement in motivating the weak link in an online exercise video game. ( 0,561580697467217 )
J. Med. Internet Res. - Web-based self-assessment health tools: who are the users and what is the impact of missing input information? ( 0,560798972272638 )
Telemed J E Health - New mothers' interest in web-based health promotion: association with healthcare barriers, risk status, and user characteristics. ( 0,560792436462335 )
J. Med. Internet Res. - Longitudinal accuracy of web-based self-reported weights: results from the Hopkins POWER Trial. ( 0,559065306106483 )
J. Med. Internet Res. - Weight change in a commercial web-based weight loss program and its association with website use: cohort study. ( 0,55878062405872 )
Int J Health Geogr - Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities. ( 0,558308142540082 )
Telemed J E Health - The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): rationale for a tailored behavioral and educational pharmacist-administered intervention for achieving cardiovascular disease risk reduction. ( 0,55802505958603 )
J Am Med Inform Assoc - Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. ( 0,557354670027547 )
Int J Med Inform - Evaluating the use of mobile phone technology to enhance cardiovascular disease screening by community health workers. ( 0,557277382528283 )
AMIA Annu Symp Proc - Using the UMLS and Simple Statistical Methods to Semantically Categorize Causes of Death on Death Certificates. ( 0,557214470999335 )
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. ( 0,556710930163112 )
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. ( 0,556224119486349 )
AMIA Annu Symp Proc - Exploring joint disease risk prediction. ( 0,555790743711381 )
Telemed J E Health - Effects of a DVD-based seated dual-task stepping exercise on the fall risk factors among community-dwelling elderly adults. ( 0,553030218120619 )