STRESS MANAGEMENT EXPERT SYSTEM FOR CANCER PREVENTION

预防癌症的压力管理专家系统

• 批准号: 2869454
• 负责人: Kerry Evers
• 金额: $ 10.68万
• 依托单位: PRO-CHANGE BEHAVIOR SYSTEMS, INC.
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2000-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2869454
• 关键词: artificial intelligence; cancer prevention; clinical research; computer human interaction; computer system design /evaluation; education evaluation /planning; health education; human subject; interactive multimedia; publications; questionnaires; self help; statistics /biometry; stress management

DESCRIPTION: Stage matched interventions for stress management that are interactive and individualized, and are delivered proactively to entire populations can have unprecedented impacts. Computer based expert systems linked to self-help manuals can be as effective as counselors but at much lower cost and greater accessibility. Stress is an important cause of cancer and other chronic and acute diseases and is one of the most costly behaviors in terms of health care, job performance and disability. Fifty million Americans do not practice effective stress management. Existing programs are action-oriented and are designed for the 30% of populations who are prepared to take action. Stage matched programs can meet the needs of all; the 45% in the Pre-contemplation stage and the 25% in the Contemplation stage. Phase I of this Fast-Track research will demonstrate the feasibility of recruiting 70% of at-risk populations and the acceptability of the expert system interventions. Phase II will complete recruitment of 1200 participants randomly assigned to treatment or control and can demonstrate efficacy of these interventions over six months. Follow-up over 18 months can show increasing impact long after the intervention. Effective and cost-effective stress management systems can be broadly disseminated with consistent quality and user friendly acceptability.

描述：阶段匹配的压力管理干预措施是互动的、个性化的，并主动向全体人群提供，可以产生前所未有的影响。 与自助手册相连接的基于计算机的专家系统可以与辅导员一样有效，但成本要低得多，并且更易于使用。 压力是癌症和其他慢性和急性疾病的重要原因，也是医疗保健、工作表现和残疾方面代价最高的行为之一。 五千万美国人没有实行有效的压力管理。 现有计划以行动为导向，专为 30% 准备采取行动的人群而设计。 舞台配套节目可以满足所有人的需求；预思阶段占45%，思思阶段占25%。 这项快速通道研究的第一阶段将证明招募 70% 高危人群的可行性以及专家系统干预措施的可接受性。 第二阶段将完成随机分配至治疗组或对照组的 1200 名参与者的招募，并可在六个月内证明这些干预措施的有效性。 超过 18 个月的随访可以在干预后很长时间内显示出越来越大的影响。 有效且具有成本效益的压力管理系统可以以一致的质量和用户友好的可接受性广泛传播。