Keyword: "Internet"

116 items were found with the keyword "Internet".

  • 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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  • 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)

  • Bauermeister-SexLab/Care Services for YMSM

    New

    PI: Jose Bauermeister, PhD, MPH

    Details coming soon! (06/01/2015 - 11/30/2016)

  • Supporting Decision about Health Insurance to Improve Care for the Uninsured

    New

    PI: Mary C. Politi, PhD

    The uninsured are disproportionately low-income and are more likely to suffer from untreated or poorly-managed chronic health conditions.  Yet making an informed choice is challenging for individuals with little prior experience with this task and for those with limited health literacy and numeracy skills. Most individuals fall in the low-to-middle end of the health insurance literacy spectrum, and only 24% of uninsured individuals are confident that they understand health insurance concepts and terms. Without understanding insurance information, individuals are unlikely to make an informed choice that allows them to pay for care to manage and improve their health. The project was supported by the National Institute on Minority Health and Disparities of the National Institute of Health under award number: R01MD008808. (09/24/2014 - 05/31/2017)

  • Educational materials for patients with gout

    New

    PI: Puja P. Khanna, MD, MPH , Dinesh Khanna, MD, MS

    The goal of this project is to develop an online education program that provides patients with information about what gout is and how it can become a chronic issue.  This online tool is meant to provide patients with educational information on how to manage their gout without it becoming a chronic condition. The website is designed to allow the patient fun and interesting ways to learn about gout and help them prepare for a visit with their doctor. (04/01/2014 - 10/31/2014)

  • My GI Health V1.5

    New

    PI: William D. Chey, MD

    MyGIhealth V1.5 is an extension of My GI Health. The overview, aims, participants, and intervention, therefore, are identical to My GI Health. Version 1.5 expands the scope of the educational materials to include three new gastrointestinal (GI) illnesses: nausea/vomiting, bowel incontinence, and difficulty swallowing.  (01/01/2014 - 12/30/2014)

  • 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)

  • 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)

  • 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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  • Dizztinct - Dizziness Treatment for Patients

    New

    PI: Kevin A. Kerber, MD

    Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder and causes disabling symptoms. BPPV produces a sensation of spinning called vertigo that is both paroxysmal and positional, meaning it occurs suddenly and with a change in head position. The disorder stems from free-floating particles that enter a semi-circular canal ("canaliths") of the inner ear. BPPV is diagnosed using a simple and reliable positional test, the Dix-Hallpike test (DHT). The treatment, the Canalith Repositioning Maneuver (CRM), is performed in minutes at the bedside. With these processes, patients can be readily identified and treated at the bedside, quickly and without expensive tests. Yet, these guideline-supported evidence-based practices are substantially underutilized. This project aims to implement these processes in a real world care setting, through a multi-faceted implementation strategy. The project has the potential to simultaneously improve patient outcomes and healthcare efficiencies. (08/01/2013 - 07/31/2017)

  • Families Improving Together (FIT) For Weight Loss

    PI: Dawn K. Wilson, PhD

    The increasing rate of obesity has become a major public health concern in the United States. Recent reports indicate that 40% of African American adolescents are considered overweight or obese. Although effective lifestyle approaches for weight loss have been demonstrated in Caucasian youth, little is known about effective weight loss interventions in ethnic minority adolescents. In part, this is because research has shown that ethnic minorities attend fewer intervention sessions, have higher attrition rates and lose less weight compared to Caucasians. Two fundamental problems related to this lack of progress are addressed in this proposal and include 1) the lack of appropriate content of weight loss interventions for African American adolescents that integrate cultural issues, parenting skills, and motivational strategies for increasing long-term change and, 2) the poor dose of weight loss interventions because of participant fatigue, drop out and barriers faced by underserved families. The goal of this project is to conduct a randomized controlled efficacy trial to address the problems with past intervention studies by 1) making the face-to-face group intervention shorter, 2) using an on-line program to compliment the group-based intervention for increasing dose, and by 3) tailoring a motivational and parenting skills program directly to parents' and adolescents' skill levels and cultural background. (07/16/2013 - 06/30/2018)

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  • My Mobile Advice Program (MyMAP)

    PI: Jennifer B. McClure, PhD

    Smoking is a leading cause of death in the US, killing more than 440,000 people a year. While effective treatments exist, their impact is significantly reduced by poor treatment adherence, particularly to pharmacotherapy. One way to improve the effectiveness of existing pharmacotherapy and to help more people stop smoking is to enhance treatment adherence. The current study develops and pilot tests a prototype My Mobile Advice Program (MyMAP). MyMAP is designed to a) provide real-time, algorithm-driven, personalized guidance to smokers' regarding how to manage common, non-serious, bothersome medication side-effects and nicotine withdrawal symptoms, b) provide patients with timely, individually-tailored, supportive encouragement to enhance their motivation for quitting and promote better adherence to their prescribed treatment regimen; c) alert providers to potentially serious adverse events or persistent bothersome symptoms that warrant timely medical intervention; and d) provide patients and providers 24/7 access to relevant educational and behavioral self-help information that can either be viewed online (via computer or smart phone) or printed for reference. Through this comprehensive web-based intervention, we hypothesize that MyMAP will promote treatment adherence, thereby ultimately improving cessation rates and treatment cost-effectiveness. Given the popularity, high frequency of bothersome, non-serious medication side-effects, and increased monitoring demands for varenicline use, the pilot prototype is designed to support varenicline pharmacotherapy, but if the proposed intervention strategy proves promising, MyMAP will be expanded to support nicotine replacement and bupropion use in the future. (07/01/2013 - 06/30/2015)

  • Liver Transplant Organ Offer Tool

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

    Each time an organ comes along, the physician and potential recipient must decide whether to accept that offer or wait in hopes that a better one will come along.  This decision is a high-risk one, as the wrong choice could mean death for the patient.  It is also a complex one.  Physicians must incorporate multiple donor factors, recipient factors, and donor-recipient interactions, as well as the local magnitude of organ shortage and various technical and logistical concerns.  In a series of studies, we have shown that decisions about organ quality vary widely by transplant center, are inconsistent with the available evidence, and are susceptible to cognitive biases and external forces such as policy changes and competition between centers. Thus, this process of decision-making could stand to be improved. We hypothesize that the availability of a point-of-care decision aid could improve the consistency and accuracy of organ acceptance decision. (05/01/2013 - 04/30/2015)

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  • Get Connected: STD prevention among young men who use the e-technologies (phones, websites) to meet partners

    PI: Jose Bauermeister, PhD, MPH

    This study builds on the Project Connect Health Systems Intervention, adapting and piloting an online intervention (CONNECT-YM) that increases YMSM's HIV/STI awareness, and helps them identify culturally-competent sexual health providers where they may test for HIV/STIs. (01/02/2013 - 09/29/2013)

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  • Project Quit Plan Z

    PI: Lawrence C. An, MD

    This project explores the psychological processes underlying how valence of images in anti-smoking advertisements influences uptake and follow through for a smoking cessation program. Specifically, we seek to investigate whether self-affirmation or exposure to different types of images (positive images (e.g. images of health, happiness) or negative images (e.g. images of death, sickness)) are more likely to effectively change attitudes towards smoking and increase motivation to join and complete a smoking cessation program. (01/01/2013 - 12/31/2014)

  • 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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  • New

    PI: Antonia M. Villarruel, PhD, RN FAAN

    This project builds off a previous intervention developed by Dr. Villaruel that is designed to teach parents how to talk to their teenagers about safer sex and preventing HIV and STIs. CHCR is providing consultation about how to make the existing program more interactive for the participants. (12/01/2012 - 11/30/2017)

  • 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)

  • An Innovative Caregiver Tool to Assess and Manage Behavioral Symptoms of Dementia

    PI: Helen C. Kales, MD, PPA , Laura N. Gitlin, PhD

    WeCare is a novel tool with the potential to significantly improve quality of life for families by changing how one of the most pernicious and challenging aspects of the disease of dementia, behavioral symptoms, are monitored and managed at home.  This proposal addresses the public health imperative to enhance dementia care supported by the recently passed National Alzheimer�s Plan Act, and the World Health Organization�s 2012 report on dementia that urged nations to develop a better standard of care for this devastating illness. (09/01/2012 - 05/31/2016)

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  • HPV Vaccination and You

    PI: Sara H. Konrath, PhD

    The overarching research question is to investigate whether message tailoring affects the uptake of the HPV vaccine in a young adult population. In the current pilot study investigators hope to effectively design internet-based HPV vaccine materials that are adaptable for specific tailoring in future research based on our results. (09/01/2012 - 08/31/2013)

  • Puff City ED

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

    The objective of the proposed project is to evaluate the feasibility of initiating Puff City in an urban Emergency Department (ED) setting. This proposal will inform a future randomized trial to test the ability of an ED-initiated version of Puff City to reduce the risk of future exacerbations, symptom frequency, and functional limitations among urban adolescents presenting to the ED with asthma. (08/15/2012 - 05/31/2013)

  • Puff City Clinic

    PI: Mei Lu, PhD

    Asthma continues to be a major public health problem in the US with high economic and social costs. Vulnerable ethnic communities are disproportionately affected by asthma as demonstrated by higher morbidity and mortality for these groups. These disparities are especially true in urban teens. We have completed two school-based, randomized trials of a web-based, computer-tailored asthma management intervention that targets urban teens (Puff City). Results showed reductions in self report of symptoms and activity limitations. Puff City has not yet been evaluated as a clinical tool or one that is initiated in a clinical setting. The current paradigm for conducting such a trial is costly with respect to patient recruitment, intervention delivery, and data collection and management.Electronic initiatives such as remote data capture (RDC) for data collection and utilization of patient electronic medical records (EMR) are revolutionizing the conduct of clinical trials. Comparative effectiveness methods (CEMs), adaptive designs and pragmatic trials, are recommended to enhance trial efficiency and to study real-world effectiveness. The objective of this project is 1) to implement a seamless clinical trial lifecycle through electronic initiatives and ii) to design and conduct a phase II/III randomization trial using both CEMs and EMR-RDC integration to evaluate Puff City in teens in a clinical setting. (08/15/2012 - 05/31/2014)

  • 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)

  • 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)

  • MENU GenY

    PI: Gwen L. Alexander, PhD, MPH

    In support of NIH goals to improve people's health and support a healthy lifestyle, we conduct a randomized trial to evaluate an age-targeted web-based intervention designed to improve the diet of young adults born in or after 1980, known as "Generation Y" (GenY), using relevant features that appeal to this group. The primary outcome is increased fruit and vegetable consumption, increased whole grain consumption, and decreased sweetened beverage consumption. (12/01/2011 - 11/30/2016)

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  • My GI Health

    PI: William D. Chey, MD , Brennan Spiegel, MD, MSHS

    Gastrointestinal (GI) illnesses are highly prevalent and expensive conditions. The goal is to develop and validate an evidence-based tool to assist clinicians in diagnosing, educating, and managing GI patients within the context of everyday practice. The MyGIhealth platform includes a new GI review of systems questionnaire that is administered through electronic portals (including personal computers and tablet devices) to collect, categorize, and interpret GI symptoms in a uniform and clinically useful manner. MyGIhealth is designed for use within everyday practice to help clinicians perform assessments and provide tailored feedback to their GI patients. (11/01/2011 - 10/31/2014)

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  • A Population-Based Approach to Survivorship Care: Delivering Interventions via the Web

    PI: Jennifer J. Griggs, MD, MPH

    This is a prospective study in a population-based sample of patients treated in diverse clinical settings. Participant surveys, SEER registry data, and data on use of the web portal is combined into a single dataset to address the aims and hypotheses proposed above. Our primary goal is to assess the feasibility of recruiting patients to a web-based intervention. Patient participants are invited to complete a survey and then to use the web portal for 4 months. A brief evaluation of the portal by the patient participants will follow. Portal non-users or low users (one visit only) will also be surveyed and invited to provide information on why they did not visit or use the portal. (10/01/2011 - 09/30/2012)

  • A Pilot Study of Positively Smoke Free on the Web (PSFW) for HIV-infected Smokers

    PI: Jonathan Shuter, MD

    The epidemic of cigarette smoking is fueling an alarming rise in lung and other cancers in persons living with HIV. Smokers living with HIV have few, if any, cessation resources available to them that address their particular needs, and HIV care providers have virtually no studies upon which to adopt an evidence based approach to achieving abstinence. The study attempts to address this serious health disparity by harnessing the enormous reach and power of the internet. (09/25/2011 - 09/30/2013)

  • GOAL: Girls Only! Activity for Life

    PI: Lorraine Robbins, PhD, RN, FNP-BC

    This school-based program encourages moderate to vigorous physical activity among middle school girls. During the 17 week intervention period, girls meet with the school nurse for 2 motivational interviewing-based sessions, attend a daily exercise 'club' after school, and receive a tailored program delivered on iPads. (09/01/2011 - 05/31/2016)

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  • E2Coach - Tailored Physics Coaching

    PI: Timothy A. McKay, PhD

    E2Coach uses MTS to optimize the learning experience in large gateway science courses. Each student is provided an individualized interface to their class, one that dynamically recognizes their strengths and weaknesses, understands their motivations, and coaches them through the course. All students are better served when we more thoroughly tailor the approach each takes to achieving their learning goals, both high-risk students and those who most easily master the material. (04/15/2011 - 07/15/2012)

  • Project Quit - Texas

    PI: Alexandra Loukas, PhD

    The purpose of this study is to examine the feasibility of a tailored web-based cessation program, an adaptation of Project Quit, for a racially and ethnically diverse sample of young adult smokers from lower SES backgrounds. (04/01/2011 - 03/31/2013)

  • DATES

    PI: Masahito Jimbo, MD, PhD, MPH

    DATES (Decision Aid to Technologically Enhance Shared Decision Making) is an interactive decision aid website for colorectal cancer, designed to be used prior to a clinic visit to clarify each patient's preferences and promote shared decision-making. The website uses a unique interactive Preference Elicitation Tool, which helps patients determine the colorectal cancer screening test option that best matches their preferences. (04/01/2011 - 03/31/2015)

  • 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)

  • Hear on the Farm

    PI: Marjorie C. McCullagh, PhD, RN, PHCNS-BC, COHN-S

    Hear on the Farm tests the effectiveness of a targeted, interactive website to promote the use of hearing protection devices among farmers in order to reduce noise-induced hearing loss among this population. (01/01/2011 - 12/31/2014)

  • 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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  • 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)

  • Teen VaxScene

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

    This intervention seeks to improve adolescent vaccine uptake. The intervention includes:Reminder / recall systems to alert parents and providers about when vaccine doses are neededA tailored educational web-based tool to parents to address the barrier of their unique attitudes about vaccines that hinder utilization (09/01/2010 - 08/31/2014)

  • Narrative Video Library

    PI: Borsika Rabin, PhD, MPH, PharmD

    This project aims to develop an online library of video vignettes that highlight a discussion with a leading researcher or practitioner who describe one problem in the process of dissemination and implementation (D&I) and show viewers how he/she solved the problem. (09/01/2010 - 08/31/2011)

  • Me First

    PI: Vanessa K Dalton, MD, MPH , Ruth C. Carlos, MD

    MeFirst aims to develop and refine a tailored risk communication intervention to improve HPV vaccination uptake in young adult women ages 18-26 when administered during a teachable moment. The teachable moment is a spontaneously occurring health event that serves as a natural educational gateway. The potential effects of this intervention on HPV vaccine utilization in a hard-to-reach age group enhances system-based interventions that can be more broadly applied or generalized to other health interventions targeted to young adults or other health settings. (07/01/2010 - 06/30/2011)

  • Healthy Moms/Healthy Daughters

    PI: Ruth C. Carlos, MD

    Healthy Moms Healthy Daughters investigates the efficacy of an individually tailored web-based intervention to improve human papillomavirus (HPV) vaccination rates among adolescent daughters of African American women. This study has potential high impact in reducing racial disparities in cervical cancer incidence and mortality. It addresses a significant public health issue by improving HPV vaccination in an at-risk population with a disproportionate incidence of (HPV) caused cervical cancer. (05/01/2010 - 07/31/2011)

  • 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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  • 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)

  • Positively Smoke Free - Phase 2

    PI: Jonathan Shuter, MD

    This project aims to develop a Spanish version of online smoking cessation educational materials that are particular or especially relevant to persons living with HIV/AIDS (PLWHA) as well as their care providers. (09/01/2009 - 08/31/2010)

  • 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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  • 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)

  • Breast Cancer Genetics Usability Test

    PI: J. Scott Roberts, PhD

    The purpose of this project is to develop and test a web-delivered, tailored decision aid for women at risk for breast and ovarian cancer. Existing educational materials are refined then offered in an interactive website featuring greater personalization of risk information, using validated risk communication techniques in a patient-friendly Web-based application.Such technologies are needed to expand the reach and improve the cost- effectiveness of breast cancer genetic services and are part of a growing movement within clinical care to provide validated patient decision aids. (03/01/2009 - 02/28/2010)

  • 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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  • 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)

  • THISN

    PI: Victor J. Strecher, PhD, MPH

    THISN (Tailored Health Information in Social Networks) is a collaborative effort with CHCR and CDC's National Center for Public Health Informatics to conceive, design, and develop a prototype application testing the viability of using tailoring technology in a web-based social networking context (e.g., MySpace, Facebook). (09/01/2008 - 08/31/2009)

  • Breathe New York

    PI: Lawrence C. An, MD

    This project improves two fundamental aspects of population-based smoking cessation programming: reach through a media campaign encouraging use of a cessation program and efficacy through a web-based smoking cessation intervention. This project evaluates, understands, and optimizes the use of an email media campaign and web-based smoking cessation intervention component that could be distributed at modest cost to other states and countries. (09/01/2008 - 08/31/2013)

  • Tailoring Technology Core (CECCR1 and CECCR2)

    PI: Edward W. Saunders, MS

    The primary purpose of the Tailoring Technology Core (TTC) is to design, develop, pretest, and implement the tailored intervention systems required for all CECCR Research and Developmental Projects. Consolidating these task into a central core offers several advantages. First, the TTC organizes resources for more cost-effective production of tailored interventions for each of the Projects. TTC programmers use a common robust tailoring system for all Projects. Instead of building each Project’s interventions individually, from the ground up, TTC builds each one from an existing foundation that has been refined over several years, and then adds the appropriate assessments and content, modifies tailoring algorithms, and applies any special features.Second, the multidisciplinary organization of personnel within the TTC allows us to more efficiently explore new directions in advanced communications technologies. The close interaction of a broad set of expertise allows us to generate more relevant, robust tools for tailored health interventions. This synergy is demonstrated by the Center’s development of a re-usable tailoring system for both web- and print-based health interventions. Developed and enhanced over the last decade, this system embodies our significant experience conducting cancer prevention and control research applied to an extremely wide range of populations, settings, health topics, and advanced communications technologies.Third, Projects benefit from standard technologies, as well as active sharing of knowledge from a variety of disciplines and perspectives. For example, Tailoring Core members, working on all three Projects, identify best practices in tailoring algorithms used in one Project and suggest these practices to other investigators. Similarly, content and theoretical applications used in one Project are applied by the same behavior science staff in the Tailoring Core to other Projects. Specifically, it allows the use of common assessments, theoretical message composition, and graphics as empirical knowledge is gained. (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)

  • 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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  • Cansort - Breast Cancer Treatment Website for Surgeons and Oncologists

    PI: Steven J. Katz, MD, MPH

    The goal of this project is to develop a website for surgeons and oncologists treating breast cancer patients in the Detroit SEER (Surveillance, Epidemiology, and End Results) catchment area (Macomb, Oakland, and Wayne counties) that can be used to disseminate cancer surveillance research findings related to improving the quality of breast cancer care. (09/20/2007 - 08/31/2009)

  • 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)

  • The RealU

    PI: Lawrence C. An, MD

    The RealU is a randomized trial to determine the efficacy of providing: individually tailored web-based messages individually tailored messages plus peer support email and video messages as part of an online program. The topics covered include smoking cessation, alcohol consumption, exercise, and eating breakfast. (09/05/2007 - 05/31/2012)

  • 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)

  • 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)

  • Breast Cancer Genetics Network Website Improvements

    PI: J. Scott Roberts, PhD

    This study refines an existing Web-based, tailored decision aid for women at risk for breast and ovarian cancer. The existing educational materials are made more interactive, more highly tailored and personalized. (09/01/2007 - 08/31/2008)

  • iQuitSmoking

    PI: Lawrence C. An, MD

    This project is a 3-group prospective randomized controlled trial to determine the efficacy and cost-effectiveness of providing access to free nicotine patches, with or without a required linkage to proactive telephone counseling, as adjuncts to a tailored, web-based smoking cessation program. (07/01/2007 - 12/31/2012)

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  • 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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  • 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)

  • Cancer Risk Perceptions: Highlighting Changes and Time in the Picture

    PI: Brian Zikmund-Fisher, PhD

    This study examines the impact of "status-assessing" email messages sent to individuals who decided to quit smoking and chose a date to quit. Participants receive email messages 3 and 5 weeks after their self selected quit dates, asking them to click on a URL link that matches their current smoking status (quit, tried but relapsed, never quit). Participants who click on a link receive information targeted to their current smoking status. (09/01/2006 - 08/31/2008)

  • Health Communications Core

    PI: Lawrence C. An, MD

    The Health Communications Core (HCC) supports the University of Michigan Comprehensive Cancer Center (UMCCC) through: Assisting with a communications and technological analysis of UMCCC investigators’ intervention, recruitment, and/or retention needs. Working with UMCCC investigators to design, develop, deploy, and maintain high-quality print-, hand-held device, web-based, or other relevant communications channels and strategies. (06/01/2006 - 05/31/2017)

  • Stepping Up to Health - Expanding the Reach

    PI: Caroline R. Richardson, MD

    The goal of this project is to expand the web-based Stepping Up to Health intervention to more individuals. The original intervention used enhanced pedometers and email-based tailored feedback to promote physical activity in people with type 2 diabetes. Expanding the Reach extends the tailored messages to promote physical activity to sedentary adults who are at risk for developing cancer, heart disease or diabetes, along with continuing to provide tailored messages for individuals with type 2 diabetes. (01/02/2006 - 12/31/2006)

  • 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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  • Web Scatter

    PI: Suresh K. Bhavnani, PhD

    Many users find it difficult to find comprehensive health information because the information, even for narrowly well-defined topics, is highly scattered across websites with no page or site containing all the relevant information. This study enables us to: (1) deepen our understanding of why users find it difficult to find comprehensive information about healthcare topics, and (2) provide explicit guidelines for how pages in healthcare websites should be linked to enable users to easily navigate through the site, with the ultimate goal of facilitating the process of finding comprehensive information. (02/01/2005 - 08/31/2005)

  • Stepping Up to Health

    PI: Caroline R. Richardson, MD

    Stepping Up To Health is an Internet-based walking program combined with an enhanced pedometer to promote walking in people with chronic diseases. This study expands the current bank of behavioral messages within the intervention to include messages for people with type 2 diabetes. (01/15/2005 - 12/31/2005)

  • CECCR - Center of Excellence in Cancer Communications Research

    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 that is generalizable across health behaviors and socio-demographic populations. (09/01/2003 - 08/31/2008)

  • CHCR Photobrowser

    PI: Edward W. Saunders, MS

    The Center for Health Communications Research offers the CHCR Photobrowser (http://chcr.umich.edu/photobrowser/), allowing easy access to 1,860 high quality digital photographs. The Center is offering free use of this library for non-commercial research. (09/01/2003 - present)

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  • THeME Non-responders

    PI: Mick P. Couper, MSS, PhD, MA

    The web is an attractive option for the implementation of surveys, but it suffers from potential limitations, including non-response. This study's primary goal is to identify ways to reduce non-response, attrition, and missing data for web surveys in parallel with the core research activities of the CECCR Research Projects. (09/01/2003 - 08/31/2006)

  • Forever Free

    PI: Susan A. Murphy, PhD

    This developmental project tests the effects of expert vs user tailoring and rich vs poor graphical treatment in a brief web-based smoking cessation and relapse prevention intervention. The site's content is based on a series of booklets called Forever Free, developed by Dr. Thomas Brandon at the H. Lee Moffitt Cancer Center & Research Institute. The project is an adjunct to Phase I of Project Quit and is offered to Project Quit participants at the end of that study's 6-month follow-up. (09/01/2003 - 08/31/2006)

  • Tailoring Depth

    PI: Victor J. Strecher, PhD, MPH

    This project runs in conjunction with Phase I of Project Quit. While Project Quit focuses on tailoring messages based on a variety of theoretical constructs, this study focuses on tailoring those messages on a deeper level. Depth of tailoring is another potentially active ingredient in tailoring and refers to the level of detail of tailoring and the extent of the connections made among theory-based constructs. (07/01/2003 - 08/31/2008)

  • 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)

  • Project Quit

    PI: Victor J. Strecher, PhD, MPH

    Project Quit is a web-based program to help individuals who are in the "Preparation Stage" (ready to quit smoking within 30 days) to quit smoking. The overall goal of the study is to identify optimal population-based health communications strategies tailored to specific characteristics of the individual. This project will focus on identifying and specifying active psychosocial and communication components or "factors" of smoking cessation interventions. (07/01/2003 - 08/31/2008)

  • MENU Choices

    PI: Christine C. Johnson, PhD, MPH

    MENU Choices is a web and email-based program to help people increase fruit and vegetable consumption. Three study arms examine the efficacy of an untailored program, a tailored program and a tailored program plus email-based counseling. (03/01/2003 - 04/30/2008)

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  • High School ASHES

    PI: Unto E. Pallonen, PhD

    High School ASHES is a comprehensive tailored web-based smoking intervention for high school students. It accelerates smoking cessation among smokers and reinforces prevention decisions among non-smoking teens by tailoring the content of the intervention according to the user's readiness for change. (11/01/2002 - 01/18/2003)

  • 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)

  • Taking on Tobacco in Michigan

    PI: Victor J. Strecher, PhD, MPH

    This project focuses on creating a website to place, on the web, existing oral health and tobacco cessation information currently available only through printed materials. The goal of the website is to provide health care providers in Michigan with the knowledge and skills necessary to provide good oral health care and tobacco cessation resources. The content is placed on the Voices of Detroit Initiative (VODI) website. (10/01/2002 - 01/31/2003)

  • ASHES

    PI: Unto E. Pallonen, PhD

    This project strengthens and improves an existing tailored interactive Internet-based multimedia self-help expert system smoking intervention (Adolescent Smoking Health Education Source - ASHES) and evaluates its effectiveness in a large school-based trial among middle school students in grades 6, 7 and 8. (10/01/2002 - 09/30/2004)

  • 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)

  • Web Filtering

    PI: Paul J. Resnick, PhD

    This project provides a careful empirical assessment of the extent to which access to health information is impeded or aided by commercial Internet filters as commonly configured in homes, schools, and libraries. (01/01/2002 - 12/31/2002)

  • 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)

  • 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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  • coloWeb (Ruffin)

    PI: Mack T. Ruffin IV, MD, MPH

    This study tests the efficacy of a multimedia decision aid that addresses the facts and myths about colorectal cancer, identifies the risk factors for colorectal cancer, and reviews the options for colorectal screening. Work for the development on this web-based decision aid is based on results from the coloWeb (Katz) project. (10/01/2000 - 09/30/2003)

  • 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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  • Prevention Smoking in Jr. High School

    PI: Unto E. Pallonen, PhD

    The purpose of this project is to develop and enhance an effective and easily diffused Internet-based smoking prevention and cessation intervention for adolescents in a large school-based trial. Decreasing smoking rates among adolescents has the long-term impact of lowering the morbidity and mortality rates associated with lung cancer and other tobacco-related illnesses. (10/01/2000 - 09/30/2001)

  • 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 Heart Attack Alert Channel

    PI: Victor J. Strecher, PhD, MPH

    The aim of this project is to create a multimedia intervention for Heart Attack awareness to be deployed as a new channel on the 100 kiosks that are part of the Michigan Interactive Health Kiosk Project. The kiosks are located throughout the State of Michigan. (09/30/1998 - 08/31/1999)

  • Cancer and Genetics

    PI: Sofia D. Merajver, MD, PhD

    Due to the complexity of information surrounding BRCA1/2 counseling and testing and its time consuming nature, efforts to facilitate the genetic counseling and education process are needed. This project aims to develop a flip book, CD-ROM, and website for use by genetics counselors with their patients covering the topics: basic genetics, cancer and genetics, genes associated with breast cancer, genetics testing, and managing cancer risk. (04/01/1997 - 07/30/1998)

  • 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)

  • HomeFront Strong: Building Resiliency in Military Families

    PI: Michelle R. Kees, PhD

    Military families have long been the pillars of strength, yet the tempo of deployment over the past 10 years has taken a toll. Nearly 40% of military spouses experience psychological symptoms related to deployment, yet few evidence-based programs are available to support spouses. This gap between high need and limited services is heightened in states that are primarily Reserve Component and lack a local military installation. The project aims to improve the psychological health of military families residing in civilian communities by developing supplemental mobile-accessible materials for HomeFront Strong (HFS), a promising evidence-based psychological health intervention for military spouses and children.

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  • Mobile Positively Smoke Free: A mobile intervention to promote cessation in HIV-infected smokers

    PI: Jonathan Shuter, MD

    Cigarette smoking is a leading contributor to mortality among people living with HIV (PLWH) in the highly active antiretroviral therapy (HAART) era, and it is the direct cause of 30% of non-AIDS defining malignancies. It is driving the alarming rise in cardiac events and lung cancers in this highly vulnerable population. The lack of access to proven, effective, culturally appropriate tobacco cessation services represents a health disparity of the first order. The psychosocial profile of the PLWH-smoker community, characterized by high rates of psychiatric comorbidity, drug and alcohol use, and low levels of social support, suggests that achieving high cessation rates will be a great challenge. Positively Smoke Free is an intensive, multisession, cessation intervention specifically developed for PLWH smokers. It is currently available as a live, group therapy program and also as a web-based version designed for notebook or desktop computers. In its current form, the web-version is not adoptable to the smartphone platform. Pilot data from randomized, controlled, trials of both formats show promise. Mobile Positively Smoke Free will adapt the web-version to a mobile version.

  • Lung Cancer Screening

    PI: Tanner J. Caverly, MD, MPH

    This tool will help physicians and patients discuss lung cancer screening and decide whether the potential benefit is worth the potential harms.