Abstract:
OBJECTIVE:To review the theory and research evidence suggesting that tailored interactive multimedia computer programs (IMCPs) aimed at optimizing patient health behaviors could lessen socio-demographic health disparities. METHODS:Selective critical review of research regarding IMCPs tailored to psychological mediators of behavior and their effects on health behavior and outcomes among socio-demographically disadvantaged patients. RESULTS:Tailored IMCPs can address patient factors (e.g. language barriers, low self-efficacy) and buffer provider (e.g. cognitive bias) and health system (e.g. office visit time constraints) factors that contribute to poor provider-patient communication and, thereby, suboptimal health behaviors. Research indicates disadvantaged individuals' interactions with providers are disproportionately affected by such factors, and that their behaviors respond favorably to tailored information, thus suggesting tailored IMCPs could mitigate disparities. However, no randomized controlled trials (RCTs) have examined this question. The optimal design and deployment of tailored IMCPs for disadvantaged patients also requires further study. CONCLUSION:Preliminary research suggests tailored IMCPs have the potential to reduce health disparities. RCTs designed expressly to examine this issue are warranted. PRACTICE IMPLICATIONS:Many socio-demographic health disparities exist, and there is a dearth of proven disparity-reducing interventions. Thus, if tailored IMCPs were shown to lessen disparities, the public health implications would be considerable.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Jerant A,Sohler N,Fiscella K,Franks B,Franks Pdoi
10.1016/j.pec.2010.11.012subject
Has Abstractpub_date
2011-11-01 00:00:00pages
323-30issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(10)00697-Xjournal_volume
85pub_type
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journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
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abstract:OBJECTIVE:To describe the importance of teaching clinicians when and how to overcome language barriers in clinical practice, provide an example of a curriculum for teaching on this topic, and outline the critical issues that must be addressed in this type of teaching. METHODS:We describe a 1.5h educational program for...
journal_title:Patient education and counseling
pub_type: 杂志文章
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journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.02.017
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.10.012
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.10.002
更新日期:2005-10-01 00:00:00
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journal_title:Patient education and counseling
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更新日期:2017-01-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
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更新日期:2016-12-01 00:00:00
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.11.006
更新日期:2019-04-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(95)00790-3
更新日期:1996-01-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.02.016
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journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
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更新日期:2007-12-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
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更新日期:1999-09-01 00:00:00
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journal_title:Patient education and counseling
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更新日期:1994-10-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,评审
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更新日期:2013-12-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章
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journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Patient education and counseling
pub_type: 杂志文章
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