Med Decis Making - Understanding who benefits at each step in an internet-based diabetes self-management program: application of a recursive partitioning approach.

Tópicos

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

Resumo

CKGROUND: Efforts to predict success in chronic disease management programs have been generally unsuccessful.OBJECTIVE: To identify patient subgroups associated with success at each of 6 steps in a diabetes self-management (DSM) program.DESIGN: Using data from a randomized trial, recursive partitioning with signal detection analysis was used to identify subgroups associated with 6 sequential steps of program success: agreement to participate, completion of baseline, initial website engagement, 4-month behavior change, later engagement, and longer-term maintenance.SETTING: The study was conducted in 5 primary care clinics within Kaiser Permanente Colorado.PATIENTS: Different numbers of patients participated in each step, including 2076, 544, 270, 219, 127, and 89. All measures available were used to address success at each step. Intervention. Participants were randomized to receive either enhanced usual care or 1 of 2 Internet-based DSM programs: 1) self-administered, computer-assisted self-management and 2) the self-administered program with the addition of enhanced social support.MEASUREMENTS: Two sets of potential predictor variables and 6 dichotomous outcomes were created.RESULTS: Signal detection analysis differentiated successful and unsuccessful subgroups at all but the final step. Different patient subgroups were associated with success at these different steps. Demographic factors (education, ethnicity, income) were associated with initial participation but not with later steps, and the converse was true of health behavior variables.LIMITATIONS: Analyses were limited to one setting, and the sample sizes for some of the steps were modest.CONCLUSIONS: Signal detection and recursive partitioning methods may be useful for identifying subgroups that are more or less successful at different steps of intervention and may aid in understanding variability in outcomes.

Resumo Limpo

ckground effort predict success chronic diseas manag program general unsuccessfulobject identifi patient subgroup associ success step diabet selfmanag dsm programdesign use data random trial recurs partit signal detect analysi use identifi subgroup associ sequenti step program success agreement particip complet baselin initi websit engag month behavior chang later engag longerterm maintenanceset studi conduct primari care clinic within kaiser permanent coloradopati differ number patient particip step includ measur avail use address success step intervent particip random receiv either enhanc usual care internetbas dsm program selfadminist computerassist selfmanag selfadminist program addit enhanc social supportmeasur two set potenti predictor variabl dichotom outcom createdresult signal detect analysi differenti success unsuccess subgroup final step differ patient subgroup associ success differ step demograph factor educ ethnic incom associ initi particip later step convers true health behavior variableslimit analys limit one set sampl size step modestconclus signal detect recurs partit method may use identifi subgroup less success differ step intervent may aid understand variabl outcom

Resumos Similares

J. Med. Internet Res. - Effectiveness of web-based self-disclosure peer-to-peer support for weight loss: randomized controlled trial. ( 0,867890044814193 )
Telemed J E Health - Effects of a DVD-based seated dual-task stepping exercise on the fall risk factors among community-dwelling elderly adults. ( 0,86289929650352 )
J. Med. Internet Res. - A web-based peer-modeling intervention aimed at lifestyle changes in patients with coronary heart disease and chronic back pain: sequential controlled trial. ( 0,857521846929882 )
J. Med. Internet Res. - Results from an online computer-tailored weight management intervention for overweight adults: randomized controlled trial. ( 0,851461686851959 )
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. ( 0,847250745813926 )
J. Med. Internet Res. - Does brief telephone support improve engagement with a web-based weight management intervention? Randomized controlled trial. ( 0,84439738721789 )
J. Med. Internet Res. - Associations of internet website use with weight change in a long-term weight loss maintenance program. ( 0,839763683988713 )
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. ( 0,832087435678328 )
J. Med. Internet Res. - Do participants' preferences for mode of delivery (text, video, or both) influence the effectiveness of a Web-based physical activity intervention? ( 0,831348894375703 )
J. Med. Internet Res. - Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial. ( 0,831253837514209 )
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. ( 0,828598654362219 )
J. Med. Internet Res. - Disseminating self-help: positive psychology exercises in an online trial. ( 0,825521087035127 )
Int J Med Inform - Evaluation of mobile phone and Internet intervention on waist circumference and blood pressure in post-menopausal women with abdominal obesity. ( 0,813403623808825 )
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. ( 0,813336325778738 )
J. Med. Internet Res. - Daily text messaging for weight control among racial and ethnic minority women: randomized controlled pilot study. ( 0,813043075993933 )
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. ( 0,805159029596639 )
J. Med. Internet Res. - Effects of a web-based tailored multiple-lifestyle intervention for adults: a two-year randomized controlled trial comparing sequential and simultaneous delivery modes. ( 0,804553131170063 )
J. Med. Internet Res. - Adherence to a smartphone application for weight loss compared to website and paper diary: pilot randomized controlled trial. ( 0,803222122212274 )
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. ( 0,80169542012318 )
J. Med. Internet Res. - Determinants of successful weight loss after using a commercial web-based weight reduction program for six months: cohort study. ( 0,800961506789473 )
J. Med. Internet Res. - Web-based intervention to promote physical activity by sedentary older adults: randomized controlled trial. ( 0,794069764093199 )
J. Med. Internet Res. - Engagement in a diabetes self-management website: usage patterns and generalizability of program use. ( 0,792332468505632 )
J. Med. Internet Res. - Tweets, Apps, and Pods: Results of the 6-month Mobile Pounds Off Digitally (Mobile POD) randomized weight-loss intervention among adults. ( 0,792233161257397 )
J. Med. Internet Res. - Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial. ( 0,79218556795305 )
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. ( 0,791400264064009 )
J. Med. Internet Res. - A web-based program improves physical activity outcomes in a primary care angina population: randomized controlled trial. ( 0,787379824566125 )
J. Med. Internet Res. - Weight change in a commercial web-based weight loss program and its association with website use: cohort study. ( 0,784985707931648 )
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. ( 0,779160067331216 )
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. ( 0,778055863938526 )
J. Med. Internet Res. - Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition. ( 0,778040374088347 )
Telemed J E Health - Computerized recovery support for substance use disorders: predictors of posttreatment usage. ( 0,777937060869616 )
J. Med. Internet Res. - Development and preliminary evaluation of an internet-based healthy eating program: randomized controlled trial. ( 0,774837631830214 )
J. Med. Internet Res. - Cardiovascular health effects of internet-based encouragements to do daily workplace stair-walks: randomized controlled trial. ( 0,767385749724008 )
J. Med. Internet Res. - Preventing smoking relapse via Web-based computer-tailored feedback: a randomized controlled trial. ( 0,767276678925959 )
J Telemed Telecare - Video telehealth for weight maintenance of African-American women. ( 0,760370942678928 )
J. Med. Internet Res. - A web-based sexual violence bystander intervention for male college students: randomized controlled trial. ( 0,758489675827662 )
J. Med. Internet Res. - A 12-week commercial web-based weight-loss program for overweight and obese adults: randomized controlled trial comparing basic versus enhanced features. ( 0,75847136860775 )
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. ( 0,757815427639292 )
J. Med. Internet Res. - Pedometer-based internet-mediated intervention for adults with chronic low back pain: randomized controlled trial. ( 0,755006056344852 )
J. Med. Internet Res. - Preventing the obesity epidemic by second generation tailored health communication: an interdisciplinary review. ( 0,754667394025113 )
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. ( 0,752126484044417 )
Telemed J E Health - The accuracy of weight reported in a web-based obesity treatment program. ( 0,751595361408933 )
J. Med. Internet Res. - Engagement promotes abstinence in a web-based cessation intervention: cohort study. ( 0,749600628124663 )
J. Med. Internet Res. - Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. ( 0,748853477975029 )
J. Med. Internet Res. - Effects of a guided web-based smoking cessation program with telephone counseling: a cluster randomized controlled trial. ( 0,747795745760837 )
J. Med. Internet Res. - A text messaging-based smoking cessation program for adult smokers: randomized controlled trial. ( 0,744831871778132 )
J. Med. Internet Res. - Automated indexing of Internet stories for health behavior change: weight loss attitude pilot study. ( 0,744380572760952 )
J. Med. Internet Res. - Diabetes self-management smartphone application for adults with type 1 diabetes: randomized controlled trial. ( 0,741544222977269 )
J. Med. Internet Res. - The effects of combining Web-based eHealth with telephone nurse case management for pediatric asthma control: a randomized controlled trial. ( 0,740173986997561 )
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. ( 0,735965000889818 )
J. Med. Internet Res. - Web-based cognitive behavioral self-help intervention to reduce cocaine consumption in problematic cocaine users: randomized controlled trial. ( 0,73552979428276 )
J. Med. Internet Res. - Prevention of generalized anxiety disorder using a web intervention, iChill: randomized controlled trial. ( 0,732969594532153 )
J. Med. Internet Res. - Effectiveness of a web-based intervention for problem drinkers and reasons for dropout: randomized controlled trial. ( 0,732534219463532 )
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. ( 0,73059435513872 )
Int J Med Inform - One-year outcome of an interactive internet-based physical activity intervention among university students. ( 0,73051051553713 )
J. Med. Internet Res. - Effects of a web-based intervention on physical activity and metabolism in older adults: randomized controlled trial. ( 0,727497151198873 )
Telemed J E Health - Body weight telemetry is useful to reduce interdialytic weight gain in patients with end-stage renal failure on hemodialysis. ( 0,727205270498577 )
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. ( 0,724896635415154 )
J. Med. Internet Res. - Online interventions for social marketing health behavior change campaigns: a meta-analysis of psychological architectures and adherence factors. ( 0,722744002288201 )
J. Med. Internet Res. - Investigating predictors of visiting, using, and revisiting an online health-communication program: a longitudinal study. ( 0,722623589641894 )
J. Med. Internet Res. - The change in eating behaviors in a Web-based weight loss program: a longitudinal analysis of study completers. ( 0,72178671361948 )
J. Med. Internet Res. - Effect of tailoring in an internet-based intervention for smoking cessation: randomized controlled trial. ( 0,721560841546798 )
BMC Med Inform Decis Mak - Process evaluation of a web-based intervention aimed at empowerment of disability benefit claimants. ( 0,72127394088904 )
J. Med. Internet Res. - Evaluation of a Web-based intervention to promote hand hygiene: exploratory randomized controlled trial. ( 0,720615874755302 )
J. Med. Internet Res. - Interpreting the outcomes of automated internet-based randomized trials: example of an International Smoking Cessation Study. ( 0,720357060453908 )
J Telemed Telecare - A pilot programme using mobile phones for HIV prevention. ( 0,71815914327228 )
J. Med. Internet Res. - Internet-based recruitment to a depression prevention intervention: lessons from the Mood Memos study. ( 0,717885856607286 )
J. Med. Internet Res. - Type 1 diabetes eHealth psychoeducation: youth recruitment, participation, and satisfaction. ( 0,715623088925094 )
J. Med. Internet Res. - Program completion of a web-based tailored lifestyle intervention for adults: differences between a sequential and a simultaneous approach. ( 0,714055880532723 )
J. Med. Internet Res. - Influence of delivery strategy on message-processing mechanisms and future adherence to a Dutch computer-tailored smoking cessation intervention. ( 0,713590819101113 )
J. Med. Internet Res. - Efficacy of a Web-based computer-tailored smoking prevention intervention for Dutch adolescents: randomized controlled trial. ( 0,71293742773418 )
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. ( 0,712760109772767 )
J. Med. Internet Res. - Dropout, nonusage attrition, and pretreatment predictors of nonusage attrition in a commercial Web-based weight loss program. ( 0,712068333193531 )
J. Med. Internet Res. - Economic evaluation of a web-based tailored lifestyle intervention for adults: findings regarding cost-effectiveness and cost-utility from a randomized controlled trial. ( 0,710914739934059 )
J. Med. Internet Res. - Effects of a Web-based tailored intervention to reduce alcohol consumption in adults: randomized controlled trial. ( 0,710304204819468 )
J. Med. Internet Res. - Efficacy of a text message-based smoking cessation intervention for young people: a cluster randomized controlled trial. ( 0,710217441161722 )
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. ( 0,709611455955229 )
J. Med. Internet Res. - Usage of a generic web-based self-management intervention for breast cancer survivors: substudy analysis of the BREATH trial. ( 0,709563046118292 )
J. Med. Internet Res. - Web-based guide to health: relationship of theoretical variables to change in physical activity, nutrition and weight at 16-months. ( 0,709508019768739 )
J. Med. Internet Res. - Two fully automated web-based interventions for risky alcohol use: randomized controlled trial. ( 0,708698747728768 )
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. ( 0,708677678356421 )
J Telemed Telecare - Use of mobile phone text messaging to deliver an individualized smoking behaviour intervention in Chinese adolescents. ( 0,708238535997386 )
J. Med. Internet Res. - Effects of internet-based tailored advice on the use of cholesterol-lowering interventions: a randomized controlled trial. ( 0,708127325388153 )
J. Med. Internet Res. - Exploratory study of web-based planning and mobile text reminders in an overweight population. ( 0,707890336226941 )
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. ( 0,707489421571868 )
J Telemed Telecare - Evaluation of a mobile phone-based diet game for weight control. ( 0,707155242566674 )
J Telemed Telecare - Effects on diabetes management of a health-care provider mediated, remote coaching system via a PDA-type glucometer and the Internet. ( 0,70701450244362 )
J. Med. Internet Res. - Impact of seasonality on recruitment, retention, adherence, and outcomes in a web-based smoking cessation intervention: randomized controlled trial. ( 0,706981675551021 )
J. Med. Internet Res. - Comparison of text and video computer-tailored interventions for smoking cessation: randomized controlled trial. ( 0,706940539320175 )
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. ( 0,705162861830114 )
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. ( 0,704388043215877 )
J. Med. Internet Res. - Efficacy of standard versus enhanced features in a Web-based commercial weight-loss program for obese adults, part 2: randomized controlled trial. ( 0,704079485754408 )
J. Med. Internet Res. - Motivational interviewing in a Web-based physical activity intervention with an avatar: randomized controlled trial. ( 0,703829405811499 )
J. Med. Internet Res. - Effects of an individually tailored Web-based chronic pain management program on pain severity, psychological health, and functioning. ( 0,703630998795937 )
J. Med. Internet Res. - Effectiveness of a Web-based multiple tailored smoking cessation program: a randomized controlled trial among Dutch adult smokers. ( 0,703515803674076 )
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. ( 0,701873728472549 )
J. Med. Internet Res. - Internal versus external motivation in referral of primary care patients with depression to an internet support group: randomized controlled trial. ( 0,701466820545462 )
J. Med. Internet Res. - Using smartphone technology to monitor physical activity in the 10,000 Steps program: a matched case-control trial. ( 0,701324550038065 )
J. Med. Internet Res. - Feasibility and effectiveness of a web-based positive psychology program for youth mental health: randomized controlled trial. ( 0,700294150364004 )
J. Med. Internet Res. - Use of email and telephone prompts to increase self-monitoring in a Web-based intervention: randomized controlled trial. ( 0,700216047692571 )