Table 26aSummary of the impact of health IT applications on intermediate outcomes for patients with cancer

Study, YearHealth IT ApplicationIntervention ComparedOutcomes MeasurePositive Impact*
Frosch, 2008282Clinical decision aidsTraditional didactic decision aid providing information about PSA screening options and outcomes vs. links to public prostate cancer–specific Web sites from credible sources (control condition).Total knowledge score / imputed data+
Total knowledge score / complete cases only+
PSA screening - pretest choice
PSA screening - reduction+
Watchful waiting at pretest
Chronic disease trajectory model for prostate cancer followed by a time–trade-off exercise vs. links to public prostate cancer–specific Web sites from credible sources (control condition).Total knowledge score / imputed data+
Total knowledge score / complete cases only+
PSA screening - pretest choice+
PSA screening - reduction+
Watchful waiting at pretest
Both the didactic decision aid and the chronic disease trajectory model vs. links to public prostate cancer–specific Web sites from credible sources (control condition).Total knowledge score / imputed data+
Total knowledge score / complete cases only+
PSA screening - pretest choice+
PSA screening - reduction+
Watchful waiting at pretest+
Glazebrook, 2006281Education via ITSkinsafe multimedia intervention (for melanoma knowledge protective skin behaviors) vs. no intervention (control condition)Melanoma knowledge score (0–12)+
Skin protective behavior score (0–12)+
Number of participants checking moles
Maslin, 1998215Clinical decision aids, shared decisionmaking toolsIntervention — interactive video disk system + usual care from multidisciplinary team vs. usual care from multidisciplinary teamViewing IVD had impact on surgical choice0
Viewing IVD had impact on adjuvant therapy choice0
Ruland, 200347mHealth, shared decisionmaking toolsUsed computerized system for SDM for cancer symptoms care vs. usual careCongruence between patient reported symptoms and those addressed in consult visit+
Importance-weighted congruence between patient reported symptoms and those addressed in consult visit+
Taenzer, 2000216Clinical decision aids, IT-guided disease managementLung cancer patients whose physicians and nurses received QOL training and patients completed the computerized EORTC QLQ-C30 vs. patients completed a paper-and pencil version of the EORTC QLQ-C30 onlyActions taken / patient+
Percentage of categories identified that were acted upon by the patient+
Gaertner,2004 256mHealth, PHR, telemonitoring systemsElectronic pain diary vs. paper diaryPatient satisfaction+
Patient preference for electronic diary+
Health care support+

EORTC-QLQ: European Organization for Research and Treatment of Cancer QOL Questionnaire

IT: Information Technology, IVD: interactive video disk, mHealth: Mobile Health, PHR: Personal Health Record, PSA: prostate specific antigen, QOL: Quality of Life

*

“+” indicates that the intervention had a positive effect on the outcome in comparison with the control

“−” indicates that the intervention had a negative effect on the outcome in comparison with the control

“0” indicates that the intervention had no effect on the outcome in comparison with the control

“+” indicates that the intervention had a positive effect on the outcome in comparison with the control

“−” indicates that the intervention had a negative effect on the outcome in comparison with the control

“0” indicates that the intervention had no effect on the outcome in comparison with the control

From: Results

Cover of Enabling Patient-Centered Care Through Health Information Technology
Enabling Patient-Centered Care Through Health Information Technology.
Evidence Reports/Technology Assessments, No. 206.
Finkelstein J, Knight A, Marinopoulos S, et al.

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