Keyword: "decision making"

53 items were found with the keyword "decision making".

  • LowSalt4Life

    PI: Mike Dorsch , Scott Hummel MD MS

    High dietary sodium intake is linked to incident hypertension, stroke, heart failure and kidney disease. U.S. federal guidelines advocate daily sodium intake of less than 2,300 milligrams (mg) with further reduction to 1,500 mg in persons who are 51 and older and those of any age who are African American and/or have hypertension, diabetes, or chronic kidney disease. The estimated average sodium intake for Americans is 3,400 mg per day. In recent years, consumption of pre-processed and restaurant foods has substantially increased, and more than 75% of sodium in the average U.S. diet now comes from these sources. The important gap is that most patients prescribed a low sodium diet either do not understand or have information about the sodium content of the foods they eat, and current IT approaches to reduce sodium intake focus solely on counting the amount of dietary sodium eaten. Therefore, there is a critical need to develop technologies that provide just-in-time information about low sodium choices in both grocery stores and restaurants with an overall goal to improve the ability to reduce dietary sodium intake. LowSalt4Life is an app designed to provide education, assistance, and support to people who are trying to reduce their sodium intake. It includes actionable push messages to promote adherence to a low sodium diet, and was developed using information derived from focus groups. The goal is to demonstrate the effectiveness of the mobile application in reducing sodium intake in participants with hypertension.   (08/01/2016 - 08/01/2019)

  • Increasing HPV vaccine coverage among young adult gay and bisexual men

    New

    PI: Annie-Laurie McRee, DrPH , Paul L. Reiter, PhD, MPH

    The goal of the study is to collect pilot data on whether a mobile/web-based intervention can increase HPV vaccine coverage among young adult gay and bisexual men. (02/01/2016 - 06/01/2017)

  • Breast Cancer Ally

    New

    PI: Michael Sabel, MD, FACS

    Breast Cancer Ally is an iPhone app developed in partnership with University of Michigan breast cancer specialists. It provides information about breast cancer and helps patients at the University of Michigan Comprehensive Cancer Center manage their symptoms. Breast Cancer Ally helps patients through every stage of treatment, from the initial diagnosis, through surgery, chemotherapy, radiation therapy, and anti-estrogen therapy.More information can be found at the University of Michigan Comprehensive Cancer Center site. (04/01/2014 - present)

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  • Improving Patient Decisions about Bariatric Surgery

    New

    PI: Nancy J. Birkmeyer, PhD , Amir A. Ghaferi, MD, MS

    Obesity is increasingly considered among the most important public health problems of our times. Bariatric surgery is arguably the only treatment that has proven effective in producing long-term weight loss for patients with morbid obesity. Bariatric surgery also results in resolution of obesity related co-morbid conditions, improvements in quality of life, and increased survival. There are currently four different bariatric surgical procedures in use: adjustable gastric banding, gastric bypass, sleeve gastrectomy, and duodenal switch. Bariatric surgery is considered a highly preference sensitive medical issue. Existing decision aids in bariatric surgery are limited in that they provide information about the average comparative risks and benefits of the treatment options, but do not provide customized estimates of the risks and benefits of the different procedures for individual patients. As a result of these draw-backs, decision aids are not frequently used in making treatment decisions in bariatric surgery. Our proposal is highly innovative in that our decision support tool integrates data from a large clinical registry with individual patient data to provide patients with real-time, customized, accurate information regarding the risks and benefits of the treatment options to better inform decision making. This tool will be continuously updated to ensure that the data on risks and benefits that it provides are accurate and current. Our tool also provides information about other attributes of the treatment options that bariatric surgery patients and other relevant stakeholders feel are important for patients to consider in deciding whether and what type of bariatric surgery to have. The proposed research promotes shared medical decision making for patients who are considering bariatric surgery for the treatment of morbid obesity. If our intervention proves effective, it will result in improved decision quality and outcomes of care for patients. It may also result in improved efficiency of care to the extent that it serves to augment or guide communication between the patient and physician to promote shared medical decision-making. (09/01/2013 - 08/31/2016)

  • Visualizing Health

    New

    PI: Victor J. Strecher, PhD, MPH

    Patients and the public are being inundated with a flood of health data and being asked to take a greater role in applying this data to make medical decisions regarding their own health. While general guidelines exist for "best practices" in medical risk communication, this work has not always considered the specific communication goals of the risk message or the specific information or practical needs of the patient. The  Communicating Health and Risk Messages (CHARM) project will address the gap in our current knowledge by informing the design of health risk data visualizations  across the full spectrum of risk communication goals. (09/01/2013 - 12/31/2013)

  • Technologically Enhanced Coaching (TEC): A Program for Improving Diabetes Outcomes

    New

    PI: M. E. Michele Heisler, MD, MPA

    Peer mentoring and support models have been found in two recent VA RCTs to be more effective than usual care, financial incentives, and usual nurse care management to improve glycemic control in high-risk veteran patients with poor glycemic control. While peer supporters and coaches can be trained in effective behavioral approaches to support other veterans’ self-management behaviors, such supporters necessarily lack content expertise to help veterans better share in treatment decisions and goal-setting with their health care providers. Accordingly, in an AHRQ-supported RCT we developed and tested tailored, interactive tools with diabetes and medication information embedded in the tool software that peer coaches and other outreach workers can employ to facilitate discussions with patients. Such tools could enhance the sustainability and effectiveness of coaching programs to better prepare patients to set self-management goals, action plans, and to discuss treatment options with their health care providers. (09/01/2013 - 08/31/2017)

  • Strengthening physician communication about adolescent vaccines

    PI: Amanda F. Dempsey, MD, PhD, MPH

    The overarching goal of this proposal is to develop and test a 3-phase intervention to improve provider-level communication and recommendation for the HPV vaccine for adolescent patients. Our intervention will target provider-patient communication before, during and after the clinical encounter so as to have the potential to impact various stages of parents' decision-making about the vaccine. (08/01/2013 - 07/31/2016)

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  • Cultural tailoring of educational materials to minimize disparities in HPV vaccinations

    New

    PI: Amanda F. Dempsey, MD, PhD, MPH

    This project is designed to test the effectiveness of cultural and individual tailoring on decisions about HPV vaccines. (01/01/2013 - 12/31/2015)

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  • iNSider

    PI: Debbie S. Gipson, MD, MS

    The overarching goal of this study is to strengthen our understanding of the patient and physician perspective of nephrotic syndrome, therapy, prognosis, and factors influencing disease management and to use the information generated from stakeholder engagement to inform the creation of a shared-learning online decision support tool. (10/11/2012 - 12/31/2014)

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  • Re-CHAT

    PI: Susan D. Goold, MD, MHSA, MA

    This community-based participatory research collaboration seeks to develop and evaluate a meaningful mechanism for engaging the public, particularly minority and underserved communities, in informed deliberations about patient centered outcomes research priorities. Results of those deliberations and the tool itself could enable funders, scientists and communities to incorporate public input in research funding allocation decisions. (10/11/2012 - 07/31/2014)

  • Individualized CANcer Care (I Can Care): Project 2

    PI: Jennifer J. Griggs, MD, MPH

    It's a challenge to know how much it helps to add systemic therapy (e.g., chemotherapy) to a woman's regimen of breast cancer care. For a woman with a favorable prognosis, chemotherapy may add relatively little benefit - but put her through a great deal of difficulty. Genomic testing can help understand who may benefit from chemotherapy and how it impacts the risk of recurrence. (07/01/2012 - 06/30/2017)

  • Individualized CANcer Care (I Can Care): Project 1

    PI: Reshma Jagsi, MD, DPhil

    Making individualized choices about surgery and radiation is challenging for patients and clinicians. This project is looking at ways to help make these choices with testing. Evaluative tests can help inform who might benefit from certain treatments and how much. (07/01/2012 - 06/30/2017)

  • I Can Decide

    PI: Sarah T. Hawley, PhD, MPH

    Patients newly diagnosed with breast cancer face a series of complex decisions regarding locoreginal and systemic treatment. Currently many of these decisions do not meet the definition of a high quality decision, defined as one that is both informed (based on an accurate understanding of the treatment risks and benefits) and preference-concordant (consistent with the patient's underlying preferences). I Can Decide evaluates the impact of an innovative decision tool on locoregional and systemic therapy decision making for newly diagnosed breast cancer patients. (07/01/2012 - 08/31/2017)

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  • Communications & Dissemination Core

    PI: Steven J. Katz, MD, MPH , Lawrence C. An, MD

    The goal of this program is to help clinicians and their patients address the challenges of individualizing the treatment of breast cancer. The Communications and Dissemination Core's primary goal is to translate key research findings into personally relevant messages for patients and clinicians. We do this by creating 1) an interactive online tool to help patients improve breast cancer treatment decision making, and 2) an interactive website to education clinicians about breast cancer practice norms, patients' experiences, and effective communication strategies. (07/01/2012 - 06/30/2017)

  • iDECIDE for Ann Arbor and Detroit VAs

    PI: Angela Fagerlin, PhD

    Successful diabetes management is dependent on the patient - provider partnership. However, a full discussion of potential benefits, harms, costs, and burdens associated with each medication option is often too much for a brief clinic visit. This project uses AHRQ-developed consumer guides as inspiration for a tailored program that assists with this decision-making. The current iDECIDE intervention serves as the base of the program, with updates geared toward making it more specific to veterans. (01/01/2012 - 09/30/2012)

  • Older Adult Perceptions of Shared Decisions in Colorectal Screening

    PI: L. Aubree Shay, PhD, MSSW, LCSW

    The goal of this study is to understand how older and emerging-older adult patients and their physicians perceive shared decision-making (SDM), and how SDM, as perceived by patients, impacts adherence to recommended colorectal cancer screening. (09/01/2011 - 08/31/2012)

  • Advanced Directives Among Patients With Lung Cancer

    PI: Scott D. Halpern, MD, PhD

    The goal of this study is to determine if Advanced Directives (ADs) are completed more frequently when the rationale for doing so is communicated as a means to reducing surrogate decision-making burdens, rather than as a means of promoting patient autonomy. (09/01/2011 - 08/31/2012)

  • DECIDERS

    PI: Susan D. Goold, MD, MHSA, MA

    Deliberative Engagement Community in Decisions about Research Spending (DECIDERS) study will develop and evaluate a mechanism to engage communities, particularly minority and underserved communities, in informed deliberations about health research spending priorities. (09/01/2011 - 07/31/2016)

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  • Making the Choice - VA

    PI: Angela Fagerlin, PhD

    A current priority for VA research is "Healthcare Informatics to Improve Veteran Care Healthcare." This priority area recognizes the critical importance of developing effective technological tools for Veterans to improve their understanding of and capacity to be actively involved in shared decision making about key health issues. Making The Choice - VA develops new materials specifically for VA patients who have prostate cancer. The tool helps in shared and informed decision-making related to prostate cancer treatment options and outcomes. (01/01/2011 - 09/30/2011)

  • VA Cardiovascular Tool

    PI: Rodney A. Hayward, MD

    It is critically important to develop effective technological tools for Veterans to improve their understanding of and capacity to be actively involved in shared decision making about key health issues. It is also critical to make sure both the patients� and the clinicians� decisions are informed decisions. (01/01/2011 - 09/30/2011)

  • Cancer Center Population Core Survey

    PI: Stephen B. Gruber, MD, PhD, MPH

    This is a comprehensive survey of patients at the University of Michigan Comprehensive Cancer Center. This survey data allows investigators to better describe and meet the needs of patients at the UM Comprehensive Cancer Center in future projects. (10/11/2010 - 09/30/2011)

  • iDecide/iDecido

    PI: M. E. Michele Heisler, MD, MPA

    Successful diabetes management is dependent on the patient - provider partnership. However, a full discussion of potential benefits, harms, costs, and burdens associated with each medication option is often too much for a brief clinic visit. This project uses AHRQ-developed consumer guides as inspiration for a tailored program that assists with this decision-making. The intervention is delivered on iPads by Community Health Workers in participant homes and is available in both English and Spanish. (09/30/2010 - 09/29/2013)

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  • Prostate Cancer Recurrence Risk Decision Aid

    PI: Daniel A. Hamstra, PhD, MD

    Approximately 10-30% of men who undergo external beam radiation for localized prostate cancer see rising PSA scores following treatment. Some of these men need androgen deprivation therapy (ADT) as salvage treatment. ADT is not curative and has significant side effects that impact quality of life (QOL). These facts must be balanced against its clinical need. The decision to initiate hormonal therapy is driven more by patient anxiety and less by clinical parameters. Thus, men need to better understand how their PSA values and likelihood of recurrence will change over time. A novel computer model, based on 2,386 patients previously treated, provides this information. This project aims to develop and test methods of communicating this information to patients and to determine how patients use it in their treatment decisions. (09/01/2010 - 08/31/2012)

  • Take the Pledge: Organ Donation

    PI: Ann Andrews, MPH

    Take the Pledge rigorously evaluates the efficacy of a novel intervention in alumni (or graduate) chapters of African American sororities and fraternities in Michigan to increase organ and tissue donation, as assessed by registration in the Michigan Organ Donor Registry. (09/01/2010 - 08/31/2012)

  • Liver Quality Decision Aid

    PI: Michael L. Volk, MD, MSc, AGAF

    Organs available for transplantation are of varying quality. Patients awaiting transplant need to balance the risk of taking a lower quality organ to keep them alive versus the risk of dying while waiting for a transplant. This decision aid includes an exercise to help people decide the level of quality they might be willing to accept, given their specific risk of death in the next 3 months. (02/01/2010 - 12/31/2014)

  • ChemoDosing

    PI: Tunghi May Pini, MD, MPH , Jennifer J. Griggs, MD, MPH

    Approximately 40% of obese patients with breast cancer undergoing chemotherapy receive reduced doses of chemotherapy despite nearly two decades of evidence supporting full weight-based dosing. This project aims to share evidence that supports full dosing for obese breast cancer patients with physicians. (01/01/2010 - 12/31/2010)

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  • Puff City II Dissemination

    PI: Christine L. M. Joseph, PhD, MPH

    Puff City is a successful asthma management program for urban teenagers in Detroit high schools. This project allows us to make the most current version of Puff City available to anyone in the community with access to the internet. (01/01/2010 - 12/31/2010)

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  • Puff City II - Rural Georgia

    PI: Martha S. Tingen, MSN, PhD

    Puff City Rural Georgia takes the existing Puff City II intervention and applies it to a youth population in rural Georgia. Puff City is a successful NHLBI-funded study that targeted three key asthma management issues: 1) smoking; 2) controller medication adherence; and 3) carrying a rescue inhaler. Given the success of Puff City among mid-western, inner city youth, an important question is whether such a program can be transplanted and effective for youth living in a different environment, the rural south. Rural Georgia youth are at equal or greater risk from asthma symptoms as inner city, Detroit youth. (08/01/2009 - 05/31/2012)

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  • Q2: Questions about Quitting

    PI: Jennifer B. McClure, PhD

    About 80% or more of smokers are not sufficiently motivated and ready to quit smoking, even though they may want to quit someday. Interventions are critically needed which can reach these people, enhance their motivation for quitting, promote uptake of existing empirically-validated treatments, and ultimately enhance abstinence rates on a population level. The current study tests the effectiveness of four potentially important tailoring factors (decisional framework, self-efficacy, navigation autonomy, and proactive outreach) to increase motivation to quit. (03/01/2009 - 12/31/2012)

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  • Discussing the Choice

    PI: Angela Fagerlin, PhD , Peter A. Ubel, MD

    DVDs demonstrate to patients some of the issues that might arise during their prostate cancer diagnosis visit that may prevent them from sharing in the decision of what treatment to choose. The DVDs also provide solutions that would allow for patients' participation in the treatment decision making process. (09/01/2008 - 08/31/2013)

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  • Social & Cognitive Neuroscience Core (CECCR2)

    PI: Thad A. Polk, PhD

    Ultimately, the goal of CECCR2 aims to understand why and how communication affects health-related behavior and decision making. Specifically, we want to know how tailoring communication by specific individual characteristics influences subsequent health behaviors. For example:How does tailoring a message about smoking influence smokers’ subsequent decisions about quitting? How does tailoring a message about colorectal cancer affect people’s willingness to get screened? How does tailoring information about prostate cancer affect patients’ subsequent conversations with their physicians about their treatment preference? A significant obstacle to answering these kinds of questions is that health-related decisions can have many different causes; and these causes can be difficult to disentangle using purely behavioral measures. We therefore want to incorporate measures that begin to address the underlying neural and cognitive mechanisms that give rise to the observed behaviors. (09/01/2008 - 08/31/2013)

  • CECCR2 - Center of Excellence In Cancer Communications Research II

    PI: Victor J. Strecher, PhD, MPH

    The purpose of the University of Michigan Center of Excellence in Cancer Communications Research (CECCR) is to develop an efficient, theory-driven model for generating tailored health behavior interventions for many health behaviors and socio-demographic populations. (09/01/2008 - 08/31/2013)

  • Puff City - OPD Recruitment Trial

    PI: Christine L. M. Joseph, PhD, MPH

    Puff City is a successful asthma management program for urban teenagers in Detroit high schools. This iteration of Puff City uses a pilot approach to test if Puff City was accessible and feasible in an ED setting. (07/01/2008 - 09/30/2008)

  • Decider Guider - VA

    PI: Sarah T. Hawley, PhD, MPH

    Colorectal cancer (CRC) is the third most prevalent cancer in the U.S. Dept. of Veteran Affairs (VA) and the second most costly cancer. This study aims to increase the number of VA patients who complete a CRC screening. It integrates an innovative and flexible preference elicitation methodology, conjoint analysis, into a decision tool to help VA patients clarify their preferences for characteristics of CRC screening tests. (07/01/2008 - 03/31/2012)

  • Decider Guider - Primary Care

    PI: Sarah T. Hawley, PhD, MPH

    This study aims to increase the number of insured, primary care patients who complete a colorectal cancer (CRC) screening. This study integrates an innovative preference elicitation methodology, conjoint analysis, into a decision tool to help primary care patients clarify their preferences for CRC screening tests. The two sites participating in this study also allow for a more racially/ethnically diverse audience than other Decider Guider studies. (06/09/2008 - 04/30/2012)

  • Breast Cancer Patient Educational Tool

    PI: Sarah T. Hawley, PhD, MPH

    For the past decade there has been debate around whether mastectomy or breast conserving surgery (BCS) with radiation is the "best" treatment for early stage breast cancer. The goal of this study is to develop and pilot test an interactive computer-based decision tool for improving patient knowledge about breast cancer treatment, and help elicit patients' preferences for treatment characteristics. (09/20/2007 - 08/31/2009)

  • Improving Risk Communication through Tailored Testimonials

    PI: Amanda Dillard, PhD

    Two experiments examine the effects of tailored testimonials on people's knowledge, satisfaction, interest in shared decision-making, and behavioral intentions after reading a colorectal cancer screening decision aid. (09/01/2007 - 08/31/2008)

  • SCanIT

    PI: Masahito Jimbo, MD, PhD, MPH

    Streamlining Cancer Screening Decision through Information Technology (SCanIT) aims to use information technology to link colorectal cancer (CRC) screening with health services at an integrated health system. The goal is to enhance informed decision making (IDM) for the patient and shared decision-making (SDM) between the patient and the physician. (05/01/2007 - 04/30/2008)

  • Puff City II

    PI: Christine L. M. Joseph, PhD, MPH

    This study builds on the success of Puff City 1 (PC1), an Internet-based, teen-focused asthma management program, and enhances the effects achieved in PC1 in several ways: 1) tests new theory- and empirically-based approaches to recruiting urban high school students, 2) enhances program content to address resistance to change and relapse, and 3) uses PC1 data to create participation and success profiles of the students who can then be differentially approached on the basis of these profiles in Puff City II. (04/01/2007 - 03/31/2012)

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  • Decider Guider

    PI: Sarah T. Hawley, PhD, MPH

    This study translates a paper-based preference-screening tool into a web-based preference-tailored intervention that is effective for increasing informed decision making (IDM) and compliance with colorectal cancer (CRC) screening. The computer-based preference tool is used in clinical settings to help low-risk individuals decide which of five CRC screening tests best fits their preferences. By helping them choose which test to take, we hope to increase CRC screening rates. (01/02/2006 - 08/31/2007)

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  • REACH

    PI: Susan D. Goold, MD, MHSA, MA

    REACH is a variation of the existing CHAT software CD to make the simulation survey cover a broader range of benefit options beyond health care. (01/01/2005 - 02/28/2005)

  • Guide to Decide

    PI: Victor J. Strecher, PhD, MPH , Angela Fagerlin, PhD , Peter A. Ubel, MD

    Guide to Decide uses a multi-phased experimental process to explore methods of communicating risk regarding tamoxifen or raloxifene prophylaxis to women at high risk for breast cancer. (07/01/2003 - 08/31/2008)

  • Breast Cancer Informed Consent

    PI: E. J. Siegl, MA, OCN, RN

    This project aims to create an updated, user-friendly information booklet about breast cancer treatment options. The booklet, "Breast Cancer: What you need to know before treatment" is out of date and text heavy. Based on the Public Act 195 of 1986 that requires physicians to distribute this booklet to newly diagnosed breast cancer patients, it is necessary to update the booklet to reflect the current state of treatment options to help each person make the best treatment choice for themselves. *NOTE: The booklet was used for many years by the Michigan Department of Community Health, but is now out of circulation and not available to the public anymore. (03/01/2003 - 06/30/2003)

  • webCHAT

    PI: Susan D. Goold, MD, MHSA, MA

    This project aims to develop a web-based version of CHAT, a game designed to help ordinary people better understand health insurance and help health insurance policy makers better understand the health care wishes of ordinary people. (10/10/2002 - 12/31/2003)

  • Making the Choice - Audio and Internet

    PI: John T. Wei, MD, MS

    This project is an adaptation of Making the Choice. We revise the paper-based decision aid and develop alternative media formats (audiotape- and Internet-based versions) of the paper based decision aid to increase distribution and utilization. We also test the paper, audiotape, and Internet-based decision aids in an appropriate population of patients to provide pilot data on the tools' efficacy for improving patient knowledge. (09/30/2002 - 09/29/2004)

  • Making the Choice

    PI: John T. Wei, MD, MS

    Making the Choice is a booklet to help men better understand prostate health and the issues surrounding prostate cancer testing. (09/30/2002 - 09/29/2004)

  • Puff City I

    PI: Christine L. M. Joseph, PhD, MPH

    The goal of Puff City is to develop and evaluate a multimedia, tailored web-based asthma management program to specifically target urban high school students. The program uses tailoring, in conjunction with theory-based models, to alter behavior through individualized health messages based on the user's beliefs, attitudes, and personal barriers to change. The content of the Puff City computer program is based on recommendations for patient education made by the National Asthma Education and Prevention Program, and focuses on three core behaviors: controller medication adherence, rescue inhaler availability, and smoking cessation/reduction. The entire program is voiced over, to accommodate low literacy. (12/01/2001 - 06/30/2006)

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  • eCHAT

    PI: Susan D. Goold, MD, MHSA, MA

    eCHAT is a CD-ROM-based version of CHAT, a game designed to help ordinary people better understand health insurance and help health insurance policy-makers better understand the health care wishes of ordinary people. (02/01/2001 - 06/30/2002)

  • Interactive CHAT Prototype

    PI: Susan D. Goold, MD, MHSA, MA

    Develop a prototype to adapt an existing physical game board for understanding and choosing benefits of a health care plan to an electronic version. CHAT, in its original form, is a game-like exercise designed to help people pick health insurance benefits. CHAT presents the challenge of a full array of possible health care options, but limited resources. The goal of the exercise is to help people better understand health insurance and become more involved in designing group health insurance plans. Throughout the exercise, tradeoffs have to be made between competing needs for limited resources. (07/15/2000 - 01/31/2001)

  • The Adolescent Alcohol Use Prevention Channel

    PI: Victor J. Strecher, PhD, MPH

    Adolescent Alcohol Use is a new channel to be developed for the Michigan Interactive Health Kiosk Demonstration Project. This kiosk channel explores the affects of under aged drinking through interactive video vignettes and a series of other innovative segments. (01/01/1998 - 09/30/1999)

  • Guide to Colorectal Cancer Screening

    PI: Alfred C. Marcus, PhD , Barbara K. Rimer, DrPH

    This study tests interventions aimed to increase colorectal cancer (CRC) screening. Callers over age 50 to the Cancer Information Service (CIS) receive a brief educational message delivered by an information specialist followed by mailed untailored and tailored print materials. (09/01/1997 - 08/31/2001)

  • Prostate Cancer Decision-Making

    PI: Robert C. Burack, MD, MPH

    This project is focused on creating a booklet to help men better understand prostate health and the issues surrounding prostate cancer testing. (09/01/1996 - 10/31/1997)

  • I Can Decide Dashboard

    New

    PI: Lawrence C. An, MD , Sarah T. Hawley, PhD, MPH

    Patients newly diagnosed with breast cancer face a series of complex decisions regarding locoreginal and systemic treatment. Currently many of these decisions do not meet the definition of a high quality decision, defined as one that is both informed (based on an accurate understanding of the treatment risks and benefits) and preference-concordant (consistent with the patient's underlying preferences). I Can Decide evaluates the impact of an innovative decision tool on locoregional and systemic therapy decision making for newly diagnosed breast cancer patients.  The I Can Decide Dashboard links the I Can Decide patient website to a clinic dashboard. Some of the information patients enter on the website will be shared with the clinic. The goal is to improve communication and help patients make informed treatment decisions. (08/31/2017)