HEALTHTOUCH--COMPUTER-ASSISTED CANCER PREVENTION

HEALTHTOUCH——计算机辅助癌症预防

• 批准号: 3493033
• 负责人: W JEFFERSON MC CARTER
• 金额: $ 4.87万
• 依托单位: CHESTERFIELD FAMILY PRACTICE CENTER
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-04-01 至 1993-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3493033
• 关键词: adult human (21+); cancer prevention; computer assisted patient care; computer human interaction; computer program /software; computer system design /evaluation; family medicine; health care personnel; health surveys; human subject; information dissemination; interview; nurses; physicians; questionnaires; statistics /biometry

DESCRIPTION: (Adapted From The Applicant's Abstract) This study will evaluate a touch screen patient-initiated computer system designed to integrate cancer and other adult preventive services into the primary care environment. The computer system, named HealthTouch, was previously developed by a working group operating from the Department of Family Practice at the Medical College of Virginia. A number of preliminary evaluation studies have been conducted to support the current proposal. Two validation studies have been conducted to assess the accuracy of the patient information collected by HealthTouch in comparison to patient information collected by primary health care professionals. Three focus groups have been conducted, using substantially different patient audiences, to assess patients' understanding and acceptance of the system. Expert review has been provided by a computer user interface expert. A baseline study of the rate of conduct of various preventive procedures has been completed at the proposed Phase 1 evaluation site. According to the investigators, ascertaining primary health care provider's (physicians and nurses) and staff's (receptionists) acceptance of, and willingness to use HealthTouch is the next step in the evaluation and refinement of the system. The activities proposed for this application include: (1) introducing HealthTouch into a busy family practice (which serves 12,000 patients) in order to evaluate its use by patients, receptionists, nurses and physicians; (2) identifying the barriers and facilitating factors experienced by care providers and office staff; and (3) measuring the impact of the system on the delivery of cancer prevention activities, including mammogram, BSE, physician breast examination, pap smears, flexible sigmoidoscopy, fecal occult blood tests, digital rectal exams, and oral examinations. HealthTouch will be introduced into the practice for three months. A survey and interview of care providers and office staff will be conducted approximately six weeks into the intervention to provide formative information. Interviews and staff survey, chart audit, and log laboratory audits will be performed post-intervention to provide summative information. Statistical tests will be conducted on the chart audit and log laboratory audit data to make two comparisons: (1) patients seen at baseline versus patients seen during the intervention period, and (2) patients who choose to use HealthTouch during the intervention period versus patients who choose not to use HealthTouch.

描述：（根据申请人的摘要改编）这项研究将 评估触摸屏患者发起的计算机系统 将癌症和其他成人预防服务整合到初级保健中 环境。 计算机系统名为HealthTouch，以前是 由家庭部门运营的工作组开发 在弗吉尼亚医学院练习。 许多初步 已经进行了评估研究以支持当前的建议。 已经进行了两项验证研究以评估 与患者相比，HealthTouch收集的患者信息 初级卫生保健专业人员收集的信息。 已经进行了三个焦点小组，使用实质上不同 患者受众，评估患者对 系统。 专家审查已由计算机用户界面提供 专家。 一项基线研究各种预防的行为率 程序已在拟议的1阶段评估站点完成。 根据调查人员的说法，确定初级卫生保健 提供者的（医师和护士）和员工（接待员）接受 以及使用HealthTouch的意愿是评估的下一步 和系统的改进。 此应用程序提出的活动包括：（1）介绍 HealthTouch进入繁忙的家庭诊所（为12,000名患者服务） 为了评估患者，接待员，护士和 医师； （2）确定障碍和促进因素 由护理提供者和办公室工作人员体验； （3）测量 系统对癌症预防活动的影响， 包括乳房X线照片，BSE，医师乳房检查，子宫颈抹片检查， 柔性乙状结肠镜检查，粪便隐匿血液检查，数字直肠检查， 和口腔检查。 HealthTouch将引入实践 三个月。 护理提供者和办公室的调查和访谈 干预后约六个星期将进行工作人员 提供形成性信息。 访谈和员工调查，图表审核， 并将在干预后进行日志实验室审核以提供 总结性信息。 统计测试将在图表上进行 审核和日志实验室审核数据进行两个比较：（1）患者 在干预期间看到的基线与患者相比 （2）选择在干预期内选择使用HealthTouch的患者 与选择不使用HealthTouch的患者相比。