Internet-based interactive support for cancer patients: Are integrated systems better?
Internet-based interactive support for cancer patients: Are integrated systems better?
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DOI：
10.1111/j.1460-2466.2008.00383.x
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发表时间：
2008-06-01
影响因子：
7.9
通讯作者：
Serlin, Ronald C.
中科院分区：
文献类型：
--
作者：
Gustafson, David H.;Hawkins, Robert;Serlin, Ronald C.
为了比较互联网总体的益处与一个有针对性的服务系统的益处，257名乳腺癌患者被随机分配到对照组、可访问带有高质量乳腺癌网站链接的互联网组，或可访问一个整合了信息、支持以及决策和分析工具的电子健康系统（综合健康增强支持系统，CHESS）组。干预持续了5个月，在预测试以及干预后2个月、4个月和9个月的后测试中收集了关于生活质量、医疗保健能力和社会支持的自我报告数据。CHESS组受试者总体登录次数比互联网组多，且获取了更多的健康资源，但后者更多地使用了与健康无关的网站。与预测试水平相比，仅能访问互联网的受试者在三个时间点中的任何一个都没有比对照组有更好的结果。CHESS组受试者在干预期间感受到了更多的社会支持，并且在干预结束4个月后的9个月时，在所有三个结果上都有更高的分数。在干预期间，CHESS组受试者的得分也高于可访问互联网的受试者，但在干预结束后差异不显著。因此，CHESS（具有一个简单的界面以及整合的信息、沟通和技能服务）即使在电脑被移除后也对新诊断的乳腺癌患者有帮助。相比之下，患者从互联网访问中获益甚少，尽管有通往各种高质量网站的链接。
To compare the benefits of the Internet generally versus a focused system of services, 257 breast cancer patients were randomly assigned to a control group, access to the Internet with links to high-quality breast cancer sites, or access to an eHealth system (Comprehensive Health Enhancement Support System, CHESS) that integrated information, support, and decision and analysis tools. The intervention lasted 5 months, and self-report data on quality of life, health-care competence, and social support were collected at pretest and at 2-, 4-, and 9-month posttests. CHESS subjects logged on more overall than Internet subjects and accessed more health resources, but the latter used non health-related sites more. Subjects with access to the Internet alone experienced no better outcomes than controls at any of the 3 time points, compared to pretest levels. Subjects with CHESS experienced greater social support during the intervention period and had higher scores on all 3 outcomes at 9 months, 4 months after the intervention ended. CHESS subjects also scored higher than those with Internet access during the intervention period but not significantly after the intervention ended. Thus, CHESS (with one simple interface and integrated information, communication, and skills services) helped newly diagnosed breast cancer patients even after computers were removed. In contrast, patients received little benefit from Internet access, despite having links to a variety of high-quality sites.