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Titolo:
Review of computer-generated outpatient health behavior interventions: Clinical encounters "in absentia"
Autore:
Revere, D; Dunbar, PJ;
Indirizzi:
Univ Washington, LAIMS Program, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 LAIMS Program, Seattle, WA 98195 USA
Titolo Testata:
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
fascicolo: 1, volume: 8, anno: 2001,
pagine: 62 - 79
SICI:
1067-5027(200101/02)8:1<62:ROCOHB>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
TAILORED NUTRITION EDUCATION; RANDOMIZED CONTROLLED TRIALS; SMOKING CESSATION; PHYSICAL-ACTIVITY; DIABETES CONTROL; BREAST-CANCER; CARE; INFORMATION; IMPACT; TELEPHONE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
89
Recensione:
Indirizzi per estratti:
Indirizzo: Revere, D Univ Washington, LAIMS Program, Box 357155, Seattle, WA 98195 USA Univ Washington Box 357155 Seattle WA USA 98195 le, WA 98195 USA
Citazione:
D. Revere e P.J. Dunbar, "Review of computer-generated outpatient health behavior interventions: Clinical encounters "in absentia"", J AM MED IN, 8(1), 2001, pp. 62-79

Abstract

Objective: To evaluate evidence of the effectiveness of computer-generatedhealth behavior interventions-clinical encounters "in absentia"-as extensions of face-to-face patient care in an ambulatory setting. Data Sources: Systematic electronic database and manual searches of multiple sources (1996-1999) plus search for gray literature were conducted to identify clinical trials using computer-generated health behavior interventions to motivate individuals to adopt treatment regimens, focusing on patient-interactive interventions and use of health behavior models. Study Selection: Eligibility criteria included randomized controlled studies with some evidence of instrument reliability and validity; use of at least one patient-interactive targeted or tailored feedback, reminder, or educational intervention intended to influence or improve a stated health behavior; and an association between one intervention variable and a health behavior. Data Extraction: Studies were described by delivery device (print, automated telephone, computer, and mobile communication) and intervention type (personalized, targeted, and tailored). We employed qualitative methods to analyze the retrieval set and explore the issue of patient-interactive computer-generated behavioral intervention systems. Data Synthesis: Studies varied widely in methodology, quality, subject number, and characteristics, measurement of effects and health behavior focus. Of 37 eligible trials, 34 (91.9 percent) reported either statistically significant or improved outcomes. Fourteen studies used targeted interventions; 23 used tailored. Of the 14 targeted intervention studies, 13 (92.9 percent) reported improved outcomes. Of the 23 tailored intervention studies, 21(91.3 percent) reported improved outcomes. Conclusions: The literature indicates that computer-generated health behavior interventions are effective. While there is evidence that tailored interventions can more positively affect health behavior change than can targeted, personalized or generic interventions, there is little research comparing different tailoring protocols with one another. Only those studies usingprint and telephone devices reported a theoretic basis for their methodology. Future studies need to identify which models are best suited to which health behavior, whether certain delivery devices are more appropriate for different health behaviors, and how ambulatory care can benefit from patients' use of portable devices.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 06:37:25