Keyword: "patients"

36 items were found with the keyword "patients".

  • ManageHF4Life

    New

    PI: Mike Dorsch

    Despite major scientific advances, heart failure continues to be a common and costly condition, and each year more than 1 million people are admitted to an inpatient setting for acute heart failure. There is an urgent need for low-cost solutions to reduce morbidity in heart failure.  Several studies have shown that self-monitoring can improve quality of life in heart failure patients. Self-monitoring includes daily tracking of symptoms, weight, and exercise. Accurate self-monitoring, feedback and self-efficacy (an individual’s belief in their ability to perform a specific behavior) are essential components of the self-regulation cycle and are critical for managing heart failure.  ManageHF4Life is a mobile application designed to promote self-monitoring and self-management of heart failure. Behavior change interventions that focus on self-regulation are particularly well suited for automation. The use of technology can decrease the burden of self-monitoring and enhance self-regulatory efforts. Cyclical processes of goal setting, behavior change, and goal assessment can be easily tracked, charted, reviewed and automated. (01/01/2017 - 01/31/2019)

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  • 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)

  • MiMove: Knee Rehabilitation

    New

    PI: Cathleen M. Connell, PhD , Susan A. Murphy, PhD , Maratt

    MiMove: optimizing the transition to home after knee replacement surgery.  (05/01/2016 - 12/31/2016)

  • 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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  • My GI Health - Virtual Dietician with Low FODMAP diet

    PI: William D. Chey, MD

    This program educates GI patients about a low FODMAP diet in an engaging, animation- and voice-based interface. Patients learn about what FODMAPs are, what they do in the body, how to eliminate them from the diet, and how to challenge each FODMAP group to find their triggers. (FODMAP is an acronym: Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols. These are fermentable sugars that some cause GI symptoms in some people.) (12/01/2013 - 12/01/2016)

  • 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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  • MyChemoCare

    PI: Lawrence C. An, MD

    This study addresses critical gaps in cancer symptom management through the creation of a mobile chemotherapy symptom management application. The MyChemoCare application proactively assesses for the presence and severity of common chemotherapy side-effects and provides personally tailored feedback via daily SMS text messaging to enhance patient mastery in symptom self-management. (12/16/2012 - 01/31/2015)

  • MiVideo-Video Visit Summary for Cancer Patients

    PI: John C. Krauss, MD

    This pilot project explores the use of video summaries to provide colon cancer patients with a resource when starting chemotherapy treatment. The videos are recorded by the MD directly following the visit, and posted to a secure website, where patients may review them at will. (12/01/2012 - 11/30/2014)

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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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  • SafER Teens

    PI: Maureen A. Walton, MPH, PhD , Rebecca M. Cunningham, MD

    The urban emergency department (ED) represents an underutilized venue for delivering violence interventions among adolescents. In the United States, there are over 100 million ED visits each year, of which at least 3 million are the result of violence. A recent study (the SafERteens Study) demonstrated the efficacy of an ED-based BI for violence on changing attitudes, self-efficacy, and reducing violent behaviors, peer victimization, and violence related consequences. From a public health standpoint, however, in order to reduce violence on a broader scale studies are needed to determine the effectiveness of the SafERteens behavioral intervention (BI) when delivered by clinical staff in real world ED settings. This study is designed to translate this efficacious BI for violence into a practical prevention program incorporated into ED clinical practice; with ED staff conducting the screening and BI. Specifically, we will determine the reach, effectiveness, adoption, implementation, and maintenance of the SafERteens BI in two diverse and novel ED settings: Children’s Hospital of Philadelphia (CHOP) and Grady Memorial Hospital in Atlanta (GMH). (09/01/2012 - 08/31/2017)

  • CanSORT - CancerDoctorsLikeMe

    New

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

    The goals of the study are to collect pilot data on provider-patient interactions around contralateral prophylactic mastectomy (CPM) for breast cancer surgeons and risk of recurrence for medical oncologists. We used a web intervention to present population-based data and patient-centered communication techniques to doctors.  (07/01/2012 - 08/31/2017)

  • 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)

  • 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)

  • 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)

  • Measuring Chemotoxicity with IVR

    PI: Christopher R. Friese, PhD, RN, AOCN, FAAN

    This study examines the agreement between prospective and retrospective reporting of toxicities and health care service use (e.g., unscheduled office visit, emergency department visit, hospitalization) by patients with cancer treated with systemic chemotherapy. This information will provide the Cancer Center with rich patient outcomes data to inform quality improvement efforts. (09/01/2011 - 08/31/2012)

  • 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)

  • 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)

  • 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)

  • iSTART

    PI: Emily MacDonald Fredericks, PhD

    Nonadherence to immunosuppressant medications is common among adolescent liver transplant recipients, and is a leading cause of chronic rejection and graft loss, particularly following the transfer from pediatric to adult-centered transplant care. There is a critical need to promote medication adherence in this high risk group. The objective of this project is to design and evaluate a tailored intervention delivered using web-based and cellphone text messages to promote medication adherence in adolescent liver transplant recipients who are transitioning from pediatric to adult-centered transplant care. The iSTART (Individualized Self-management Training for Adolescent/Young Adult Recipients of Transplantation) intervention is delivered using technology to reduce the time and access constraints often encountered with traditional adherence interventions. (11/01/2009 - 08/31/2016)

  • FOCUS4Web

    PI: Laurel L. Northouse, PhD, RN, FAAN

    FOCUS on the Web offers an individually tailored, interactive, web-based intervention for cancer patients (lung, colorectal, breast, prostate) and their family caregivers that will lead to better patient-caregiver communication, more dyadic support, higher self-efficacy, increased perceived benefits of the illness experience, and less emotional distress. This intervention is based on an efficacious, family-based program of care (the FOCUS Program). In this study, we translate this primarily face-to-face, family-based program to an internet-based version. (05/05/2009 - 04/30/2011)

  • MPOWERed 2

    PI: Susan J. Woolford, MD, MPH

    This project expands the existing MPOWER text message library to include tailored exercise messages, weekly photovoice activity, and feedback messages. New messages are tested with focus groups before use in the program. (05/01/2009 - 04/30/2014)

  • Survivorship Resource Room

    PI: Jennifer J. Griggs, MD, MPH

    Breast cancer survivors often experience challenges as they transition from treatment to survivorship. The Survivorship Resource Room offers informational, emotional, and instrumental support during this transition. (09/01/2008 - 08/31/2010)

  • 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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  • Positively Smoke Free

    PI: Jonathan Shuter, MD

    Positively Smoke Free is a smoking cessation project for persons living with HIV/AIDS (PLWHAs) that takes place in an Infections Disease Clinic in New York City. (06/01/2008 - 08/31/2009)

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  • MPOWERed

    PI: Susan J. Woolford, MD, MPH

    Short, tailored text messages are sent to obese adolescents that address five evidence-based weight-related behavioral domains: reduction of screen time, regular consumption of a healthy breakfast, decreased consumption of sweetened beverages, decreased consumption of fast food, and increased consumption of fruit and vegetable. Texts include highly tailored messages, targeted messages and reminders. (09/01/2007 - 03/31/2010)

  • 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)

  • Cancer Center Recipes Just For You

    PI: Edward W. Saunders, MS

    Cancer Center Recipes Just for You is a Web site that will help patients and families develop healthy meal plans specific to their needs. It has a searchable database of recipes developed by Graham Kerr, formerly known as "The Galloping Gourmet." (01/10/2007 - 05/31/2010)

  • Procure

    PI: John T. Wei, MD, MS

    Procure tests the feasibility of using an electronic Quality of Life (QOL) survey to gather data from patients that is easily accessible and useable by health care providers in understanding more about their patients. The data gathered in this pilot study help support analyses comparing electronic to paper survey feasibility. (07/01/2006 - 06/30/2012)

  • 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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  • Coloweb II (Katz)

    PI: Steven J. Katz, MD, MPH

    This project builds on the original ColoWeb project, including updates to content and surveys, and delivering the intervention and surveys to 1,200 patients. (01/01/2002 - 09/30/2003)

  • FOCUS Prostate

    PI: Laurel L. Northouse, PhD, RN, FAAN

    This study tests the effectiveness of a family-based program of care in improving clinical outcomes, and tests the ability of a model to predict which patients and spouses are at increased risk of poorer quality of life. (12/15/2000 - 03/31/2001)

  • coloWeb (Katz)

    PI: Steven J. Katz, MD, MPH

    This project focuses on development of a tailored web-based program that allows patients to receive individually tailored information about colorectal screening initiatives. The program is evaluated in a randomized controlled trial at three primary care clinics. This project combines efforts with coloWeb (Ruffin) to complete both focus groups and a pilot test of the tailored program. (10/01/2000 - 09/30/2001)

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  • Project START

    PI: Frederic C. Blow, PhD

    Project START uses a personal digital assistant-based screening instrument and tailored print materials and tests their effectiveness in reducing alcohol use and alcohol-related problems among injured hazardous drinkers treated in the Emergency Department. (03/01/1998 - 02/28/2003)

  • 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)

  • FOCUS Triage

    PI: Laurel L. Northouse, PhD, RN, FAAN

    Focus Triage tests if family dyads randomly assigned to either a brief or extensive family-based program of care (FOCUS Program) have better patient and caregiver outcomes than dyads randomly assigned to usual care. Outcomes being studied: appraisal factors (i.e., appraisal of illness/caregiving, uncertainty, hopelessness), coping resources (coping strategies, interpersonal relationships, self-efficacy), and quality of life domains (emotional, social, physical, and functional).This study also examines if patients’ risk for distress and other factors moderate the effect of the brief or extensive program on outcomes.