Abstract：
OBJECTIVE:Assess impact of a computer-based patient support system on quality of life in younger women with breast cancer, with particular emphasis on assisting the underserved. DESIGN:Randomized controlled trial conducted between 1995 and 1998. SETTING:Five sites: two teaching hospitals (Madison, Wis, and Chicago, Ill), two nonteaching hospitals (Chicago), and a cancer resource center (Indianapolis, Ill). The latter three sites treat many underserved patients. PARTICIPANTS:Newly diagnosed breast cancer patients (N = 246) under age 60. INTERVENTIONS:Experimental group received Comprehensive Health Enhancement Support System (CHESS), a home-based computer system providing information, decision-making, and emotional support. MEASUREMENTS AND MAIN RESULTS:Pretest and two post-test surveys (at two- and five-month follow-up) measured aspects of participation in care, social/information support, and quality of life. At two-month follow-up, the CHESS group was significantly more competent at seeking information, more comfortable participating in care, and had greater confidence in doctor(s). At five-month follow-up, the CHESS group had significantly better social support and also greater information competence. In addition, experimental assignment interacted with several indicators of medical underservice (race, education, and lack of insurance), such that CHESS benefits were greater for the disadvantaged than the advantaged group. CONCLUSIONS:Computer-based patient support systems such as CHESS may benefit patients by providing information and social support, and increasing their participation in health care. These benefits may be largest for currently underserved populations.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Gustafson DH,Hawkins R,Pingree S,McTavish F,Arora NK,Mendenhall J,Cella DF,Serlin RC,Apantaku FM,Stewart J,Salner Adoi
10.1046/j.1525-1497.2001.016007435.xsubject
Has Abstractpub_date
2001-07-01 00:00:00pages
435-45issue
7eissn
0884-8734issn
1525-1497pii
jgi00332journal_volume
16pub_type
临床试验,杂志文章,多中心研究,随机对照试验abstract：BACKGROUND:The opioid epidemic has disproportionately affected rural areas, where a limited number of health care providers offer medication-assisted treatment (MAT), the mainstay of treatment for opioid use disorder (OUD). Rural residents with OUD may face multiple barriers to engagement in MAT including long travel d...
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journal_title：Journal of general internal medicine
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