Web-Based Cancer Communication and Decision Making Systems: Connecting Patients, Caregivers, and Clinicians for Improved Health Outcomes

Lori L. DuBenske, David H. Gustafson, Bret R. Shaw and James F. Cleary
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Lori L. DuBenske: School of Medicine and Public Health, Department of Psychiatry, University of Wisconsin-Madison, dubenske@wisc.edu
David H. Gustafson: Department of Medicine, University of Wisconsin-Madison
Bret R. Shaw: Center for Health Enhancement Systems Studies, Department of Industrial Engineering, University of Wisconsin-Madison
James F. Cleary: Life Sciences Communication, University of Wisconsin-Madison, University of Wisconsin-Madison

Medical Decision Making, 2010, vol. 30, issue 6, 732-744

Abstract: Over the cancer disease trajectory, from diagnosis and treatment to remission or end of life, patients and their families face difficult decisions. The provision of information and support when most relevant can optimize cancer decision making and coping. An interactive health communication system (IHCS) offers the potential to bridge the communication gaps that occur among patients, family, and clinicians and to empower each to actively engage in cancer care and shared decision making. This is a report of the authors’ experience (with a discussion of relevant literature) in developing and testing a Web-based IHCS—the Comprehensive Health Enhancement Support System (CHESS)—for patients with advanced lung cancer and their family caregivers. CHESS provides information, communication, and coaching resources as well as a symptom tracking system that reports health status to the clinical team. Development of an IHCS includes a needs assessment of the target audience and applied theory informed by continued stakeholder involvement in early testing. Critical issues of IHCS implementation include 1) need for interventions that accommodate a variety of format preferences and technology comfort ranges; 2) IHCS user training, 3) clinician investment in IHCS promotion, and 4) IHCS integration with existing medical systems. In creating such comprehensive systems, development strategies need to be grounded in population needs with appropriate use of technology that serves the target users, including the patient/family, clinical team, and health care organization. Implementation strategies should address timing, personnel, and environmental factors to facilitate continued use and benefit from IHCS.

Keywords: oncology; outcomes research; quality of care. (search for similar items in EconPapers)
Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:30:y:2010:i:6:p:732-744

DOI: 10.1177/0272989X10386382

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