Mathias JS et al, J Am Med Inform Assoc, 2012
National organizations historically focused on increasing use of effective services are now attempting to identify and discourage use of low-value services. Electronic health records (EHRs) could be used to measure use of low-value services, but few studies have examined this. The aim of the study was to: (1) determine if EHR data can be used to identify women eligible for an extended Pap testing interval; (2) determine the proportion of these women who received a Pap test sooner than recommended; and (3) assess the consequences of these low-value Pap tests.MethodsElectronic query of EHR data identified women aged 30-65 years old who were at low-risk of cervical cancer and therefore eligible for an extended Pap testing interval of 3 years (as per professional society guidelines). Manual chart review assessed query accuracy.
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Finfgeld-Connett, Deborah, Computers, Informatics, Nursing, 27(6)
Alcohol abuse among women in rural areas is a concern, particularly because treatment is not readily accessible and women are highly susceptible to the ill effects of alcohol misuse. The Internet may offer a treatment delivery alternative for women who cannot easily take part in sex-focused programs that are located in urban centers. The purpose of this randomized study was to evaluate a 90-day Web-based treatment program for women in rural areas of Missouri with problem drinking habits. The online treatment program consisted of reference and decision-making modules, synchronous and asynchronous communication features, and the option to interact privately with the researcher.
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Ryan, Polly et al, Computers, Informatics, Nursing, 27(5)
Technology offers innovative and promising methods of delivering health messages to provide knowledge and potentially facilitate improved health behaviors. Theory was foundational to the development of a new intervention using a tailored Web site and a handheld computer. A performance usability study was conducted to determine if women could use this newly developed intervention delivered via a Web site and pocket computer accurately and in a timely manner in real-world settings.
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Harris, Peter R. et al, J Med Internet Res, 11(3)
Internet sites typically contain visual design elements that are unrelated to the quality of the health information presented but that could influence credibility judgments and responses to health advice. To assess the effects of such design elements, or credibility cues, experimentally, we exposed women with different levels of weekly alcohol consumption to a website containing high quality but unpalatable information about a related health risk (breast cancer). The information was presented alongside either positive or negative credibility cues unrelated to information content.
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