Developing and Using Interactive Health CD-ROMs as a Complement to Primary Care: Lessons From Two Research Studies

@article{King2004DevelopingAU,
  title={Developing and Using Interactive Health CD-ROMs as a Complement to Primary Care: Lessons From Two Research Studies},
  author={Diane K. King and Sheana Salyers Bull and Steve Christiansen and Candace C Nelson and Lisa A. Strycker and Deborah J. Toobert and Russell E. Glasgow},
  journal={Diabetes Spectrum},
  year={2004},
  volume={17},
  pages={234-242}
}
Interactive health technologies (IHTs), whether used as an adjunct to clinical care or as a stand-alone program, provide a means to efficiently deliver both standardized information and tailored health interventions to a large number of patients. This article describes the benefits and drawbacks to the use of read-only memory compact disks (CD-ROMs) to facilitate diabetes self-management, using the experience from two efficacy trials with CD-ROMs as the primary modality for intervention. The CD… 
View via Publisher
diabetesjournals.org
13 Citations
Highly Influential Citations
1
Background Citations
3
Methods Citations
4

Figures and Tables from this paper

13 Citations

Citation Type

Citation Type

How to Develop CD-ROMs for Diabetes Education: Exemplar "Reproductive-Health Education and Awareness of Diabetes in Youth for Girls" (READY-Girls)
TLDR
The steps involved in developing this sort of interactive health technology program and recommendations based on lessons learned from a multimedia program called “Reproductive-health Education and Awareness of Diabetes in Youth for Girls (READY-Girls).
Preconception Care Education for Women With Diabetes: A Systematic Review of Conventional and Digital Health Interventions
TLDR
Initial results are promising; however, future research incorporating mobile phones and apps is needed if the full potential of eHealth PCC to improve obstetric outcomes for women with DM is to be realized.
Development and Evaluation of a Computerized Multimedia Approach to Educate Older Adults about Safe Medication
Outcomes of a multifaceted physical activity regimen as part of a diabetes self-management intervention
TLDR
The results suggest that individuals are capable of adjusting their activity patterns to maximize their PA, and a computer-assisted, multifaceted approach to PA demonstrated improvement after 2 months.
The Diabetes Self-management Assessment Report Tool (D-SMART®)
TLDR
The D-SMART was easily completed at home in 1 attempt, content was understandable, and patients were generally satisfied with the wording of questions and selection of answers; however, elderly patients may need more assistance.
Completing a life: comfort level and ease of use of a CD-ROM among seriously ill patients.
TLDR
The pilot study suggests that the Completing a Life CD-ROM can be used with patients facing serious or life-limiting illnesses as an additional resource tool for information.
Computer-assisted intervention improves patient-centered diabetes care by increasing autonomy support.
TLDR
A patient-centered, computer-assisted intervention was effective in improving diabetes self-management outcomes, in part, because it increased patients' perception that their autonomy was supported which changed perceived competence.
Randomized Efficacy Trial of Early Preconception Counseling for Diabetic Teens (READY-Girls)
TLDR
Both the CD and the book appeared to be efficacious formats for the short term for adolescents with type 1 diabetes and future studies should examine repeated boosters of a CD and a book to reinforce and supplement health professional education.
The Role of Rapport: Lessons Learned From Conducting Research in a Primary Care Setting
TLDR
The authors describe the different approaches that research staff have used to create rapport with practice staff that were not only participants in the study but were also responsible for the delivery and implementation of this effectiveness study.
The development and evaluation of a self-management package for people with diabetes at risk of chronic kidney disease
TLDR
The results of the research project have shown the importance of self-management techniques to control blood pressure, which in turn can slow the rate of CKD progression and reduce cardio-vascular risk.
...
...

References

SHOWING 1-10 OF 61 REFERENCES
Enhancing support via interactive technologies
  • J. Piette
  • Medicine
    Current diabetes reports
  • 2002
TLDR
Recent evidence regarding the feasibility and impact of 1) clinic-based CD-ROM systems supporting behavior change; 2) automated telephone diabetes management allowing for ongoing monitoring and patient education between face-to-face clinical encounters; and 3) Web-based systems focusing on a range of diabetes management goals are described.
Making a Difference With Interactive Technology: Considerations in Using and Evaluating Computerized Aids for Diabetes Self-Management Education
TLDR
The strengths and limitations of interactive technologies as supplements to and extensions of diabetes self-management education and the RE-AIM framework is used to consider how different interactive technologies have been used to enhance the Reach, Effectiveness, Adoption, Implementation, and Maintenance of interventions.
One size does not fit all: The case for tailoring print materials
TLDR
The purpose of this article is to distinguish between tailored print communication and other common communication-based approaches to health education and behavior change, and present a theoretical and public health rationale for tailoring health information.
The diabetes network internet-based physical activity intervention: a randomized pilot study.
TLDR
It is concluded that greater attention should be focused on methods to sustain involvement with Internet-based intervention health promotion programs over time to enhance the care of diabetes and other chronic conditions.
Tailoring Health Messages: Customizing Communication With Computer Technology
TLDR
The step-by-step approach in creating tailoring programs is described in this book and presents a theoretical and public health rationale for tailoring and supports its position with empirical evidence.
Long-term effects and costs of brief behavioural dietary intervention for patients with diabetes delivered from the medical office.
Lessons Learned: Patient Strategies for a Type 2 Diabetes Intervention in a Primary Care Setting
TLDR
Recruitment is currently challenging and will become even more difficult with the privacy regulations that affect healthcare research and the public distrust of solicitations, it is important that the clinic staff promotes and supports the program, and that participant lists are accurate and adequate in size.
Interventions to improve the management of diabetes in primary care, outpatient, and community settings: a systematic review.
TLDR
Multifaceted professional interventions and organizational interventions that facilitate structured and regular review of patients were effective in improving the process of care.
Brief, Computer-Assisted Diabetes Dietary Self-Management Counseling: Effects on Behavior, Physiologic Outcomes, and Quality of Life
TLDR
A brief, computer-assisted, dietary goal–setting intervention basic treatment condition was moderately successful in producing dietary improvements but less so in producing biologic or quality-of-life outcomes.
Supporting Lifestyle Change With a Computerized Psychosocial Assessment Tool
TLDR
Harnessing the power of computerization to gather patient questionnaire data, create user-friendly summary reports, and free educators to spend more time counseling patients also makes sense as a behavioral intervention support strategy given the time constraints and logistical challenges diabetes educators typically face.
...
...