This project will explore how interim E-contact with patients of a six-month, intensive, physician-led multidisciplinary weight management program for adolescents may stimulate patient engagement by providing frequent tailored feedback on behaviors and reinforcing the messages delivered during the in-person clinic sessions.

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.

This New York statewide web-based smoking cessation program aims to improve the core components of population-based interventions: reach and efficacy. This program is run as two linked, randomized controlled trials. The media component tests positive versus negative affect messages and narrative versus rhetorical message composition. The cessation component tests the application of enhancements to ProjectQuit, including communication with a Quit Counselor and a facilitated online chat room.

This study evaluates the efficacy and cost effectiveness of different levels of tailoring on colorectal cancer (CRC) screening adherence as well as the added impact of a single Motivational Interviewing (MI) telephone counseling call in adult African Americans ages 50 thru 80, of average CRC risk, who are members of an integrated health care system.

The goal of this project is to help patients with localized prostate cancer recognize the importance of their preferences in making a treatment decision, and to find ways to help patients communicate such preferences to their urologist.

There remains a compelling need for evidenced-based intervention models to assist primary care practitioners to treat their overweight pediatric patients. We will conduct an efficacy trial to test two potentially generalizable interventions that address many of the key barriers to obesity counseling in pediatric primary care.

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 will test the effectiveness of five potentially important tailoring factors (decisional framework, message framing, self-efficacy, navigation autonomy, and proactive outreach) to increase motivation to quit.

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.

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.

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.

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.

RealU is a three-group randomized controlled trial to examine the efficacy of providing web-based individually tailored smoking cessation/reduction messages and email-based peer support to college students who smoke cigarettes at least once a month. The study is being conducted with students across the United States who are enrolled in a 4-year college program.

This project will develop 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 will translate this primarily face-to-face, family-based program to an internet-based version.

Parents of brain cancer survivors have a complicated path to preparing their adolescent for transition into adulthood - a task for which they are not routinely trained or prepared. The goal of this project is to address the needs of parents for enhancing their child's social and functional abilities and preparing them for transition into adulthood.

The goal of this Developmental Project is to address the needs of breast cancer survivors in transition - as they migrate out of cancer care and into primary care.

This project contains two studies. Study 1 explores the self-relevance dimension of message tailoring while Study 2 focuses on the adaptation of content from message tailoring. Each study has two phases: the first phase demonstrates neural substrate activation associated with specific aspects of tailored messages (fMRI); the second phase explores smoking cessation associated with brain region activations found in the first phase of the study.

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.

This project will 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.

This DVD is one portion of a larger study (Mobilizing Peer Support for Effective Heart Failure Self-Management) being conducted by Dr. Michele Heisler. The goal of the DVD is to teach people with congestive heart failure how to support each other in managing their illness via phone calls to each other. The DVD describes and models Motivational Interviewing (MI) style communication skills for peer-to-peer communications. The DVD explains the basics of MI style communications and provides numerous examples of peer-to-peer conversations that use MI techniques.

By incorporating tailored educational materials, personalized cancer risk estimates, and validated risk communication techniques into a patient-friendly Web-based application, we aim to create an easily disseminated and effective adjuvant to traditional breast cancer genetic counseling services. 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.

This project will develop online smoking cessation educational materials that are particular or especially relevant to persons living with HIV/AIDS (PLWHA) as well as their care providers.

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.

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.

The goal of THISN is to explore the feasibility of providing individually tailored health information using publicly shared information contained in an individual's online profile(s) in social networking sites (e.g., MySpace, Facebook), combined with additional information the individual supplies directly.

BMi² is a DVD for pediatricians and dietitians that have completed a 2-day intensive motivational interviewing (MI) training session. The DVD is a take-home resource that offers additional practice in the core MI skills of reflective listening, building motivation, and eliciting change talk. In this DVD, the application of MI is used to help prevent and treat pediatric obesity, including nuances of working with parents of young children as well as working directly with older children.

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.

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.

Eat for Life examines two constructs of tailoring within a print-based fruit and vegetable intervention for African American adults. Study 1 explores the use of motivational predisposition to tailor health behavior content, while Study 2 explores the use of cultural factors and ethnic identity for tailoring its' messages. Both studies use tailored print media, in the form of three 8 to 12 page newsletters, delivered to participants' homes.

This study explores the effects images have on the amount of time spent reading text that is shown alongside images. Specifically, the project examines the time a smoker spends reading 3 brief testimonials, as well as the time spent looking at the images shown alongside the testimonials.

This study explores audience segment characteristics among Mexican Americans with type 2 diabetes ranging from low to high on acculturation and structural assimilation. Particular attention is devoted to examining associations between diabetes-related behaviors and beliefs and acculturation/structural assimilation that have been previously suggested through qualitative research.

This project entails multi-phased experimental process to explore methods of communicating risk regarding tamoxifen prophylaxis to women at high risk for breast cancer.

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.

The objective of MPOWERed Messages is to develop tailored text messages (TTM) to be delivered via cellular telephones to obese adolescents enrolled in the Michigan Pediatric Outpatient Weight Evaluation and Reduction (MPOWER) program. The TTM are an adjunct to biweekly clinic visits and aim to increase adherence to the overall program.

Project 1 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.

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.

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 will help support analyses comparing electronic to paper survey feasibility.

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.

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.

Cancer Screening Adherence through Technology-Enhanced Shared Decision Making (CSATS) is a tailored behavioral intervention to improve patient adherence to colorectal cancer screening (CRC). CSATS links a computerized screening prompt/reminder system with a tailored behavioral intervention. The intervention combines a screening decision aid with a risk assessment. Upon completion of the intervention, a recommendation is provided to both patient and physician to enhance shared decision making between the two.

This study explores whether listening to high-tailored smoking cessation messages activates the rostral medial prefrontal region more than listening to linguistically comparable but low-tailored cessation messages.

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.

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.

The goal of this project 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.

This developmental project was designed to test 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 was an adjunct to Phase I of Project Quit and was offered to Project Quit participants at the end of that study's 6-month follow-up.

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.

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.

The World Wide 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.

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.

This projects plans to develop longitudinally-tailored print materials and telecounseling interventions and compare their effectiveness, individually and in combination, among individuals with one or more risks, including smoking, poor diet, and sedentary behavior.

This project will strengthen and improve an existing tailored interactive Internet-based multimedia self-help expert system smoking intervention (Adolescent Smoking Health Education Source - ASHES) and evaluate its effectiveness in a large school-based trial among middle school students in grades 6, 7 and 8.

This project aims to develop a comprehensive tailored web-based smoking intervention for high school students. It will be designed to accelerate smoking cessation among smokers and reinforce prevention decisions among non-smoking teens by tailoring the content of the intervention according to the user's readiness for change.

The goal of this study is to run a pilot test to disseminate a successful CISRC Program Project intervention (tailored print materials for increasing fruit and vegetable consumption) within the NCI Cancer Information Service (CIS) 1-800-4-CANCER answerline.

This project aims to develop and test new materials that involve patient decision-making. The topic addresses prostate cancer, treatment options and outcomes. We will revise a 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 will 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.

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 will be 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.

This study will develop and test 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.

This study aims to develop a personal digital assistant-based screening instrument and tailored print materials and test their effectiveness in reducing alcohol use and alcohol-related problems among injured hazardous drinkers treated in the Emergency Department.

This project focuses on creating a website to place 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.

This project will provide 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.

This project aims to adapt an existing interactive multimedia program on cancer prevention for a deaf and hard of hearing audience and evaluate changes in knowledge among 400 profoundly deaf individuals.

This project aims to develop an innovative, interactive smoking cessation multimedia health education kiosk at several Voices of Detroit Initiative (VODI) clinic sites - serving the clients of VODI clinics.

This study will create longitudinally-tailored print materials for smoking cessation and compare the efficacy of multiple messages tailored on baseline data vs. retailored on new data among callers to the Cancer Information Service.

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

This study tests various interventions to increase fruit and vegetable consumption. Callers to the Cancer Information Service (CIS) will receive a brief educational message delivered by an informational specialist while on the phone, followed by mailed untailored and tailored print materials.

This project aims to develop, implement, and evaluate an innovative kiosk-based multimedia educational outreach program to increase knowledge of Alzheimer's disease among the public.

This project aims to develop a tailored behavior change expert system intervention to promote and maintain good oral health and prevent oral diseases among low-income area children and their caregivers.

This program aims to lend support, both medically and emotionally, to breast cancer survivors who have recently completed their treatment programs. The goal for this project is to create a workbook to be distributed to all women who participate in Taking CHARGE.

Develop 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.

This project aims to build a computer-based interactive physical activity program to be used in school-based clinics as a counseling tool about exercise among adolescent girls.

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.

This intervention will update part of the CISRC tailored print intervention for fruit and vegetable consumption for a wider audience.

This project aims to develop an oral health and tobacco cessation training and education module for primary care providers who provide health care at Voices of Detroit Initiative (VODI) clinic sites. The training and education module will be made available via CD-ROM to the providers.

The CISCR Tailoring Core will develop the production system for the delivery of tailored print materials for the three CISRC projects: smoking cessation, colorectal cancer screening, and fruit and vegetable consumption.

This study will test the effectiveness of a family-based program of care in improving clinical outcomes, and test the ability of a model to predict which patients and spouses are at increased risk of poorer quality of life.

This is a four-year project to create and disseminate twelve multimedia prevention programs covering such topics as cancer prevention and screening, disease management, and general health practices to live a healthy life. Channels will be created for both adults and adolescents. One hundred kiosks will be deployed throughout the State of Michigan for use by the general public.

This consultant project will provide expert advice to Roche Pharmaceuticals on the development of the Xenicare II program, a personalized support program available to consumers who use Xenical, a weight control drug.

Adolescent Alcohol Use is a new channel to be developed for the Michigan Interactive Health Kiosk Demonstration Project. This kiosk channel will explore the affects of under aged drinking through interactive video vignettes and a series of other innovative segments.

This project will make available a two-disc compilation of nine of the twelve health topics (the topics that are completed to date) that appear on the Michigan "Health'o'Vision" kiosks.

This project will develop a frank, unembarrassed, factual guide to sexually transmitted disease (STD) prevention specifically designed for teens. The program will be one of the 12 channels developed for the Michigan Interactive Health Kiosk Demonstration Project.

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.

The goal of this project is to create a cancer risk prevention channel for the Michigan Interactive Health Kiosk Project. The channel will include steps people can take to live a healthy lifestyle and help control cancer risk.

This project aims to create a channel for the Michigan Interactive Health Kiosk Project on how to reduce risk of heart disease and stroke.

This project aims to create a channel for the Michigan Interactive Health Kiosk Project on how to make wise food choices and lead a healthier life.

The goal of this project is to create a channel for the Michigan Interactive Health Kiosk Project on ways to make physical activity a regular part of your life.

This project adapts the M-CARE Health Risk Appraisal for Ford Motor Company employees.

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.

This project is focused on creating a booklet to help men better understand prostate health and the issues surrounding prostate cancer testing.

The Quit for Keeps project (part of a cluster of ten projects called Smoke-Free Families) is a study designed to test the efficacy of using custom-tailored messages in convincing pregnant women to quit smoking.

This project aims to create a channel for the Michigan Interactive Health Kiosk Project on how to assess personal risk of breast cancer and how to detect breast cancer early.

The goal of this project is to create a channel for the Michigan Interactive Health Kiosk Project on how to buy a good bicycle helmet and use it properly.

The goal of this project is to create a channel for the Michigan Interactive Health Kiosk Project on why it is important to immunize children, which immunizations are needed, and when to immunize.

This project aims to create a channel for the Michigan Interactive Health Kiosk Project on prostate cancer symptoms, testing, and treatment options.

This project aims to create a channel for the Michigan Interactive Health Kiosk Project on how smoking affects you and your family, and the benefits of quitting.

This project will design and implement a comprehensive health risk appraisal and tailored booklet for patients of the University of Michigan M-CARE health maintenance organization.