Implementing an evidence-based breast cancer support and communication tool to newly diagnosed patients as standard care in two institutions

Abstract

While many women turn to the Internet to obtain health information, it is unlikely that unstructured Internet use provides optimal benefit to women newly diagnosed with breast cancer, due to uneven quality, conflicting claims, redundancy, and search engine idiosyncrasies, which may make finding information and assessing its accuracy and applicability difficult. To answer the need for information and support, the Comprehensive Health Enhancement Support System (CHESS) was developed to provide access to integrated information for decision-making, behavior change, and emotional support, and has been validated in randomized trials. This observational study of real-world implementation focuses on the process of integrating CHESS into standard care in two Denver healthcare systems. Results from this study provide guidance for implementation of other web-based patient information and support programs in large healthcare organizations.

Implementing a Produce Prescription Program for Hypertensive Patients in Safety Net Clinics

“…These concessions ultimately made the program flexible to accommodate all needs yet standardized enough to be implemented in a uniform manner across all sites. This occurrence has been recognized by others during implementation of clinic-focused programs (Rahm et al, 2015; Stevens, Smith, Trickett, & McGhee, 2012). A crucial step was engaging medical leadership to address their concerns.…”

A Review of AI and Data Science Support for Cancer Management

“…A controlled study should be used to measure improvement in QoL. Yet attributing improvement to particular system functionality necessitates large cohorts partitioned into groups receiving different app versions or a study in which different features are exposed over time, or even several studies (e.g., as for the CHESS system where different trials were conducted to assess the impact of several combinations of patient-oriented support [152]).…”

Oral Endocrine Therapy Nonadherence, Adverse Effects, Decisional Support, and Decisional Needs in Women With Breast Cancer

“…Though BCS turn to alternative sources for OET-related information, these sources may not provide adequate benefit due to uneven quality, conflicting claims, redundancy, and difficulties associated with assessing information accuracy and applicability. 31…”