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40 items were found with the keyword "decision making".
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)
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. (06/01/2012 - 05/31/2014)
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)
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)
PI: Scott D. Halpern, MD, PhD, MBE
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)
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 - 08/31/2016)
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 will develop new materials specifically for VA patients who have prostate cancer. The tool will help in shared and informed decision-making related to prostate cancer treatment options and outcomes. (01/01/2011 - 09/30/2011)
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)
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)
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)
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, will provide 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)
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)
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)
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)
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)
PI: Martha S. Tingen, PhD, MSN
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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 is a booklet to help men better understand prostate health and the issues surrounding prostate cancer testing. (09/30/2002 - 09/29/2004)
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)
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)
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)
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)
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)
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)
