Chronic Health Conditions using Internet Technology


First sentence of the authors discussion of their research: "This research identified two characteristics contributing to Internet interventions that engage users: (1) the intervention targets participants with pressing health concerns, and (2) the intervention adapts to individual needs.


cinjournal/Fulltext/2011/
02001/Chronic_Health_Conditions_and_Internet_Behavioral.4.aspx

Schubart, J. R., H. L. Stuckey, et al. "Chronic health conditions and internet behavioral interventions: a review of factors to enhance user engagement." Comput Inform Nurs 29(2 Suppl): TC9-20.



The interventions need tailoring to the individual's needs, possibly the use of a "clinical coach."  Also need a motivated patient. Nevertheless, these programs are tools in our toolbox for behavior change.


 



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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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Benefit from new technologies... enable people to have remote access to CBT

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