Evidence table 32

Description of RCTs addressing the impact of CHI applications on relationship-centered outcomes

Author, yearConsumer under studyCHI Application typeLocationYear data collected/ duration of interventionInclusion criteriaExclusion criteriaControlInterventionJadad score
Breast cancer
Green, 20051Individuals interested in their own health carePersonalized health risk assessment toolClinician officeBetween May 2000 and September 2002≥18 yr, Female, Read, write and speak English, Scheduled a genetic counseling appt to evaluate personal and/or family history of breast cancer, Able to give informed consentPreviously underwent genetic counseling, Testing for inherited breast cancer susceptibilityCounseling without computer interventionCounseling with computer intervention1
Gustafson, 20082Individuals interested in their own health careInteractive consumer websiteHome/ residenceBetween April 1995 and May 1997<60 yr, Breast cancer patients, Within 6 months of diagnosis, Not homeless, Not active illegal drug usersAllocated standard interventionReceived CHESS intervention 2
Gustafson, 20013Individuals interested in their own health careInteractive consumer websiteHome/ residenceBetween April 1995 and May 1997<60 yr, Breast cancer patients, Within 6 months of diagnosis, Not homeless, Not active illegal drug usersAllocated standard interventionReceived CHESS intervention 1
Maslin, 19984Individuals interested in their own health careInteractive computerized video systemClinician officeNSNon metastatic breast cancerAdvanced breast cancer, Metastatic disease, Sensory impairment, do not understand EnglishStandard careInteractive computerized video system1
Caregiver decision making
Brennan, 19955Caregivers of persons with Alzheimer's DiseaseInteractive consumer websiteHome/ residenceNSPrimary responsibility as a family caregiver for a person with Alzheimer's disease living at home, Has a local telephone exchange, The ability to read and write EnglishComparison groupComputer link program 2
HIV/AIDS
Flatley-Brennan, 19986Individuals interested in their own health careInteractive consumer websiteHome/ residenceNSHIV infected, Ability to read and type English, Home telephone lineReceived brochureReceived computer intervention 0
Arthritis
Sciamanna, 20057Individuals interested in their own health careInteractive consumer websiteHome/ residenceNSHad knee joint symptoms for at least the past three months, Saw a doctor for knee symptoms, Has the diagnosis of osteoarthritisPatient did not report having knee joint symptoms for at least the past three months, Patient did not report having been seen by a doctor for the knee symptoms, Does not have the diagnosis of osteoarthritisCompleted questionnaire before interventionCompleted questionnaire after intervention1
Vaginal or c-section delivery
Montgomery, 20078Individuals interested in their own health careDecision analysis tool re caesarean delivery after having had a caesarean deliveryHome/ residence
Clinician office
2004 (may) to 2006 (august)Pregnant, one previous lower segment caesarean section, no current obstetric problems, delivery expected at >= 37 weeksLimited ability to speak or understand EnglishUsual careInformation program and website

Decision-Analysis Program
3

NS = Not specified, Yr = year, CHESS = Comprehensive Health Enhancement Support System

Reference List

1

Green MJ, Peterson SK, Baker MW et al. Use of an educational computer program before genetic counseling for breast cancer susceptibility: effects on duration and content of counseling sessions. Genet Med 2005; 7(4):221–9.

2

Gustafson DH, Hawkins R, Mctavish F et al. Internet-based interactive support for cancer patients: Are integrated systems better? 2008; 58(2):238–57.

3

Gustafson DH, Hawkins R, Pingree S et al. Effect of computer support on younger women with breast cancer. J Gen Intern Med 2001; 16(7):435–45.

4

Maslin AM, Baum M, Walker JS, A'Hern R, Prouse A. Using an interactive video disk in breast cancer patient support. Nurs Times 1998; 94(44):52–5.

5

Brennan PF, Moore SM, Smyth KA. The effects of a special computer network on caregivers of persons with Alzheimer's disease. Nurs Res 1995; 44(3):166–72.

6

Flatley-Brennan P. Computer network home care demonstration: a randomized trial in persons living with AIDS. Comput Biol Med 1998; 28(5):489–508.

7

Sciamanna CN, Harrold LR, Manocchia M, Walker NJ, Mui S. The effect of web-based, personalized, osteoarthritis quality improvement feedback on patient satisfaction with osteoarthritis care. Am J Med Qual 2005; 20(3):127–37.

8

Montgomery AA, Emmett CL, Fahey T et al. Two decision aids for mode of delivery among women with previous caesarean section: randomised controlled trial. BMJ 2007; 334(7607):1305.

From: Appendix G

Cover of Impact of Consumer Health Informatics Applications
Impact of Consumer Health Informatics Applications.
Evidence Reports/Technology Assessments, No. 188.
Gibbons MC, Wilson RF, Samal L, et al.

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