Abstract:
BACKGROUND:Information is lacking about the capacity of those working in community practice settings to utilize health information technology for colorectal cancer screening. OBJECTIVE:To address this gap we asked those working in community practice settings to share their perspectives about how the implementation of a Web-based patient-led decision aid might affect patient-clinician conversations about colorectal cancer screening and the day-to-day clinical workflow. METHODS:Five focus groups in five community practice settings were conducted with 8 physicians, 1 physician assistant, and 18 clinic staff. Focus groups were organized using a semistructured discussion guide designed to identify factors that mediate and impede the use of a Web-based decision aid intended to clarify patient preferences for colorectal cancer screening and to trigger shared decision making during the clinical encounter. RESULTS:All physicians, the physician assistant, and 8 of the 18 clinic staff were active participants in the focus groups. Clinician and staff participants from each setting reported a belief that the Web-based patient-led decision aid could be an informative and educational tool; in all but one setting participants reported a readiness to recommend the tool to patients. The exception related to clinicians from one clinic who described a preference for patients having fewer screening choices, noting that a colonoscopy was the preferred screening modality for patients in their clinic. Perceived barriers to utilizing the Web-based decision aid included patients' lack of Internet access or low computer literacy, and potential impediments to the clinics' daily workflow. Expanding patients' use of an online decision aid that is both easy to access and understand and that is utilized by patients outside of the office visit was described as a potentially efficient means for soliciting patients' screening preferences. Participants described that a system to link the online decision aid to a computerized reminder system could promote a better understanding of patients' screening preferences, though some expressed concern that such a system could be difficult to keep up and running. CONCLUSIONS:Community practice clinicians and staff perceived the Web-based decision aid technology as promising but raised questions as to how the technology and resultant information would be integrated into their daily practice workflow. Additional research investigating how to best implement online decision aids should be conducted prior to the widespread adoption of such technology so as to maximize the benefits of the technology while minimizing workflow disruptions.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Jimbo M,Shultz CG,Nease DE,Fetters MD,Power D,Ruffin MT 4thdoi
10.2196/jmir.2914subject
Has Abstractpub_date
2013-12-18 00:00:00pages
e286issue
12eissn
1439-4456issn
1438-8871pii
v15i12e286journal_volume
15pub_type
杂志文章abstract:BACKGROUND:The mass media have been condemned for encouraging young people to take dietary supplements (DS). Media literacy, which includes authors and audiences (AA), messages and meanings (MM), and representation and reality (RR) domains, is a new approach to teaching young adults to make better informed health decis...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19056
更新日期:2020-08-31 00:00:00
abstract::The recent global outbreak of SARS (severe acute respiratory syndrome) provides an opportunity to study the use and impact of public health informatics and population health technology to detect and fight a global epidemic. Population health technology is the umbrella term for technology applications that have a popul...
journal_title:Journal of medical Internet research
pub_type: 社论
doi:10.2196/jmir.5.2.e14
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Web-based computer-tailored interventions for multiple health behaviors can improve the strength of behavior habits in people who want to reduce their cardiovascular risk. Nonetheless, few randomized controlled trials have tested this assumption to date. OBJECTIVE:The study aim was to test an 8-week Web-bas...
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更新日期:2016-04-11 00:00:00
abstract:BACKGROUND:Mental health services aim to provide recovery-focused care and facilitate coproduced care planning. In practice, mental health providers can find supporting individualized coproduced care with service users difficult while balancing administrative and performance demands. To help meet this aim and using pri...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2020-03-19 00:00:00
abstract:BACKGROUND:Diabetic retinopathy (DR), a common complication of diabetes mellitus, is the leading cause of impaired vision in adults worldwide. Smartphone ophthalmoscopy involves using a smartphone camera for digital retinal imaging. Utilizing smartphones to detect DR is potentially more affordable, accessible, and easi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析,评审
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更新日期:2020-05-15 00:00:00
abstract:BACKGROUND:Youth mental health is a significant public health concern due to the high prevalence of mental health problems in this population and the low rate of those affected seeking help. While it is increasingly recognized that prevention is better than cure, most youth prevention programs have utilized interventio...
journal_title:Journal of medical Internet research
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更新日期:2014-06-04 00:00:00
abstract:BACKGROUND:Electronic devices (eDevices) may have positive or negative influences on family communication and well-being depending on how they are used. OBJECTIVE:We examined eDevice use during family time and its association with the quality of family communication and well-being in Hong Kong Chinese adults. METHODS...
journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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更新日期:2012-06-06 00:00:00
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abstract::[This corrects the article DOI: .]. ...
journal_title:Journal of medical Internet research
pub_type: 已发布勘误
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更新日期:2015-03-20 00:00:00