Keyword: "clinic"

54 items were found with the keyword "clinic".

  • 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 proposal is 1) to implement a seamless clinical trial lifecycle through electronic initiatives and ii) to design and conduct an 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)

  • 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.1 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. (07/01/2012 - 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)

  • MyGIhealth

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

    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)

  • Older Adult Perceptions of Shared Decisions in Colorectal Screening

    PI: L. Aubree Shay, MSSW

    The goal of this study is to understand how older and emerging-older adult patients and their physicians perceive shared decision-making (SDM), and how SDM, as perceived by patients, impacts adherence to recommended colorectal cancer screening. (09/01/2011 - 08/31/2012)

  • Cognitive-control training for smoking cessation

    PI: Agnes J. Jasinska, PhD

    The goal of this study is to design and test a cognitive-control training for smoking cessation, aimed at enhancing the cognitive-control processes to help smokers resist cue-elicited craving and urge to smoke and achieve abstinence. (09/01/2011 - 08/31/2012)

  • Storyteller Project

    PI: Rachel E. Davis, PhD, MPH , Suzanne M. Cole, PhD , Karen E. Peterson, DSc

    The goal of this study is to identify key ingredients of tailored narratives to promote childhood obesity prevention behaviors among mothers of preschool-aged Mexican American children. (09/01/2011 - 08/31/2012)

  • DECIDERS

    PI: Susan D. Goold, MD, MHSA, MA

    Deliberative Engagement Community in Decisions about Research Spending (DECIDERS) study will develop and evaluate a mechanism to engage communities, particularly minority and underserved communities, in informed deliberations about health research spending priorities. (09/01/2011 - 08/31/2016)

  • Neural predictors of synergy between self-affirmation and message tailoring

    PI: Emily B. Falk, PhD

    We propose self-affirmation as a theory driven intervention to improve self-efficacy for physical activity in sedentary, overweight adults. In particular, we hypothesize that self-affirmation manipulations that focus on a participant’s strengths, delivered prior to exposure to a targeted health communication, will reduce defensive processing of messages (e.g. counter arguing), increase self-efficacy to perform the target health behavior, and may lead to increased behavior change, compared to a non-affirmation control. (09/01/2011 - 08/31/2012)

  • 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)

  • 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)

  • Building Your New Normal

    PI: Ted A. Skolarus, MD, MPH

    Building Your New Normal tests two novel approaches to improve the quality of post-treatment follow-up for prostate cancer survivors: 1) IVR (interactive voice response)-administered EPIC and 2) tailored versions of Michigan Cancer Consortium (MCC) guidelines for patients and their primary care providers (10/01/2010 - 09/30/2011)

  • iDecide

    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)

  • Prostate Cancer Recurrence Risk Decision Aid

    PI: Daniel A. Hamstra, PhD, MD

    Approximately 10-30% of men who undergo external beam radiation for localized prostate cancer see rising PSA scores following treatment. Some of these men need androgen deprivation therapy (ADT) as salvage treatment. ADT is not curative and has significant side effects that impact quality of life (QOL). These facts must be balanced against its clinical need. The decision to initiate hormonal therapy is driven more by patient anxiety and less by clinical parameters. Thus, men need to better understand how their PSA values and likelihood of recurrence will change over time. A novel computer model, based on 2,386 patients previously treated, will provide this information. This project aims to develop and test methods of communicating this information to patients and to determine how patients use it in their treatment decisions. (09/01/2010 - 08/31/2012)

  • Liver Transplant Organ Quality Decision Aid

    PI: Michael L. Volk, MD, MS

    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)

  • Vax Facts

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

    Vax Facts offers a tailored brochure to address parents' concerns about HPV vaccines. The intervention draws on our previous data on reasons parents decline HPV vaccines for their daughters. This data is used to develop questions and responses that elicit and address parental beliefs that hinder HPV vaccine series initiation. Intervention messages are tailored to address these beliefs and concerns. (01/01/2010 - 12/31/2010)

  • 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)

  • 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)

  • Discussing the Choice

    PI: Angela Fagerlin, PhD , Peter A. Ubel, MD

    DVDs demonstrate to patients some of the issues that might arise during their prostate cancer diagnosis visit that may prevent them from sharing in the decision of what treatment to choose. The DVDs also provide solutions that would allow for patients' participation in the treatment decision making process. (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)

  • 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)

  • Neural Bases of Effectiveness of Individually Tailored Smoking Cessation Messages

    PI: Hannah Faye C. Chua, PhD

    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. (09/20/2007 - 08/31/2011)

  • 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)

  • 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)

  • 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)

  • Childhood Obesity MI for Pediatricians

    PI: Kenneth A. Resnicow, PhD

    There remains a compelling need for evidenced-based intervention models to assist primary care practitioners to treat their overweight pediatric patients. This project is an efficacy trial to test two potentially generalizable interventions that address many of the key barriers to obesity counseling in pediatric primary care. (04/01/2007 - 01/31/2013)

  • BMi2

    PI: Kenneth A. Resnicow, PhD

    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. (02/01/2007 - 08/31/2008)

  • 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)

  • Cessation Messages & Neural Activation

    PI: Hannah Faye C. Chua, PhD

    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. (09/01/2006 - 08/31/2007)

  • Procure

    PI: John T. Wei, MD, MS

    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 help support analyses comparing electronic to paper survey feasibility. (07/01/2006 - 06/30/2012)

  • 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)

  • CSATS

    PI: Masahito Jimbo, MD, PhD, MPH

    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. (01/02/2006 - 08/31/2007)

  • REACH

    PI: Susan D. Goold, MD, MHSA, MA

    REACH is a variation of the existing CHAT software CD to make the simulation survey cover a broader range of benefit options beyond health care. (01/01/2005 - 02/28/2005)

  • Breast Cancer Informed Consent

    PI: E. J. Siegl, MA, OCN, RN

    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. *NOTE: The booklet was used for many years by the Michigan Department of Community Health, but is now out of circulation and not available to the public anymore. (03/01/2003 - 06/30/2003)

  • 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)

  • Making the Choice

    PI: John T. Wei, MD, MS

    Making the Choice is a booklet to help men better understand prostate health and the issues surrounding prostate cancer testing. (09/30/2002 - 09/29/2004)

  • 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)

  • Taking CHARGE

    PI: Bernadine E. Cimprich, PhD, RN, CS, FAAN

    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. (07/01/2001 - 06/30/2002)

  • eCHAT

    PI: Susan D. Goold, MD, MHSA, MA

    eCHAT is 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. (02/01/2001 - 06/30/2002)

  • Voices of Detroit Initiative (VODI): Kiosk

    PI: Lucille Smith, MEd

    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. (01/02/2001 - 09/30/2002)

  • 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)

  • Voices of Detroit Initiative (VODI): CD-ROM

    PI: Lucille Smith, MEd

    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 is available via CD-ROM to the providers. (10/01/2000 - 09/30/2001)

  • Hearing Disorders

    PI: Philip Zazove, MD

    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. (09/01/2000 - 08/31/2002)

  • Comorbid Psychopathology - Teen Smoking Cessation

    PI: Richard A. Brown, PhD

    Adolescent cigarette smokers have disproportionately high rates of co-occurring psychiatric and substance use disorders, similar to those found in the adult smoking population. In the absence of intervention, adolescent smokers with co-morbid psychopathology are likely to become highly dependent, recalcitrant adult smokers who have extreme difficulty quitting smoking. The overall objective of this research program is to develop effective smoking cessation approaches for these high risk youth, and to advance the applicant's knowledge of the relationship between psychopathology and smoking cessation within the context of a treatment outcome study. (01/01/1999 - 07/31/1999)

  • Guide to Colorectal Cancer Screening

    PI: Alfred C. Marcus, PhD , Barbara K. Rimer, DrPH

    This study tests interventions aimed to increase colorectal cancer (CRC) screening. Callers over age 50 to the Cancer Information Service (CIS) receive a brief educational message delivered by an information specialist followed by mailed untailored and tailored print materials. (09/01/1997 - 08/31/2001)

  • 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)

  • Prostate Cancer Decision-Making

    PI: Robert C. Burack, MD, MPH

    This project is focused on creating a booklet to help men better understand prostate health and the issues surrounding prostate cancer testing. (09/01/1996 - 10/31/1997)

  • Quit for Keeps

    PI: Victor J. Strecher, PhD, MPH

    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. (11/01/1995 - 10/31/1998)