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3041. Involving Community Pharmacies in Improving Asthma Outcomes in an Urban Pediatric Population

been shown to improve outcomes. (1) Outcomes will be assessed by blinded and structured patient phone interview at 1, 3, and 6 months. Patients randomized to usual pharmacy care will fill prescriptions by their usual preferred method, whereas patients randomized to enhanced pharmacy care will have these same prescriptions electronically transmitted to specifically trained pharmacists at one of the participating community pharmacies. Both "usual pharmacy care" and "enhanced pharmacy care (...) " will be provided within all participating pharmacy sites. Community pharmacies located in five zip codes in Northeast and Southeast DC with the highest absolute numbers of pediatric ED asthma visits to hospital in the District (20019, 20020, 20032, 20002, 20011) will be selected for the program based on their geographic distribution and ability to meet programmatic expectations. Pharmacies will receive electronically transmitted, faxed or verbal prescriptions from the IMPACT DC Asthma Clinic staff for patients

2007 Clinical Trials

3042. A Mammography FastTrack Program in Increasing the Number of Women Undergoing Breast Cancer Screening

Network (MGPC-PBRN). Practices within the MGPC-PBRN are stratified according to baseline mammography screening rates (high vs low) and practice type (community health center vs hospital-based vs community-based) and are randomized to 1 of 2 arms. Arm I: Physicians and practice managers receive e-mail alerts at months 1 and 3 informing them of the availability of mammography screening data for their panel of primary-care patients. A hyperlink refers the provider to a web-portal for the Mammography (...) FastTrack program that lists all eligible patients who have not undergone mammography. The provider may then click a button to schedule, defer (providing reason for deferral), or provide the date of a recent mammogram. Arm II: Practices continue standard care. At the end of 12 months, electronic report and billing data and a review of electronic health records are used to determine the completion of mammograms. PROJECTED ACCRUAL: A total of 6,730 patients will be accrued for this study. Study Design Go

2007 Clinical Trials

3043. Evaluating Ways to Improve Medication Use Among People With Osteoporosis

the medications. Ways to improve medication use have not been well developed or adequately tested. The purpose of this study is to evaluate a telephone coaching program, with or without helpful adherence notifications to doctors, in improving treatment adherence in older adults who are starting an osteoporosis medication. Condition or disease Intervention/treatment Phase Osteoporosis Behavioral: Mailed education Behavioral: Telephone coaching program for patients Behavioral: Medication adherence alert program (...) will last 1 year. Through random assignment of doctor practices, participants will fall into one of three groups. Group A participants will receive mailed education materials on osteoporosis and medication use throughout the 1-year study. Group B participants will receive monthly 5- to 10-minute phone calls from a health educator who is specially trained in osteoporosis. The phone calls will involve coaching participants on behavioral reinforcement strategies that will help them to continue taking

2007 Clinical Trials

3044. The iHealth Study in College Students

Description Go to Brief Summary: The objective of this project was to test the feasibility of electronic mail recruitment and web screening for hazardous drinking, to compare different approaches to encouraging screening, and to estimate the effects of minimal and more extensive feedback in preparation for a future alcohol web-based brief intervention study Condition or disease Intervention/treatment Phase Alcohol Abuse Alcohol Dependence Unhealthy Alcohol Use Risky Alcohol Consumption Amounts Hazardous (...) Alcohol Use Behavioral: Brief Personalized Feedback Phase 2 Detailed Description: This pilot study aims to test the feasibility of electronic mail recruitment and web screening for alcohol problems, to compare different approaches to encouraging screening, and to estimate the effects of minimal and more extensive feedback in preparation for a future alcohol web-based brief intervention study. To do so, 4300 freshman adult college students will be randomized to receive an electronic mail request

2005 Clinical Trials

3045. Brace Versus Casting in Pediatric Low Risk Ankle Fractures

trauma of the same ankle within 3 months. Patients who do not have phone or electronic mail access. Patients living outside the Greater Toronto area (GTA) and who are unwilling to meet the physiotherapist at Hospital for Sick Children (HSC) for the four week assessment. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer

2005 Clinical Trials

3046. An Online System to Improve Diabetes Self-Care

, and medication refills; Ability to send secure electronic messages to medical staff, and to receive replies; Access to the medical record; Disease management We are comparing two patient portals with different sets of features to determine if personalized information and guidance can improve self-care and measures of diabetes-related health. Self-care measures will be assessed using standardized questionnaires at baseline, 3, and 6 months. Chart review will be used to assess measures of diabetes-related (...) Volunteers: Yes Criteria Inclusion Criteria: Diagnosed with Type 2 diabetes mellitus Has access to Internet Has e-mail address Established patient at one of four participating practices at University of Colorado Hospital Exclusion Criteria: Non-English speaking Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer

2005 Clinical Trials

3047. Measuring Health Related Quality of Life in Veterans With Stroke

stroke population when compared to the FIM, Rankin, and the SF-36V? 2) What effect does mode of administration have on response rates, bias, data quality, reliability and validity, SIS domain scores, and cost of data collection? 3) What factors differentiate responders and non-responders? 4) Will the SIS scores predict health care costs and utilization? Methods: Using ICD-9 discharge codes and electronic medical records, patients were screened for a valid diagnosis of stroke. At three months post (...) -stroke, patients were randomly assigned to receive a mailed SIS instrument or SIS via telephone interview. At four months post-stroke, all respondents were evaluated using the Functional Independence Measure and SF-36V by telephone. Status: Completed. Study Design Go to Layout table for study information Study Type : Observational Estimated Enrollment : 800 participants Time Perspective: Prospective Official Title: Measuring Health Related Quality of Life in Veterans With Stroke Actual Study

2005 Clinical Trials

3048. Event Related Potentials in Infants and Adults

and information processing. The primary research strategy to be used consists of analyzing behavioral and brain responses to visual patterns. In a laboratory procedure, subjects will explore patterns and their brain electrical activity will be measured simultaneously with an electronic analysis system. In specific, five experiments of visual attention in human infants, and 1 experiment in adults are proposed. In the first experiment with infants, babies are hypothesized to look longer at more saturated colors (...) staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 3 Months to 45 Years (Child, Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria INCLUSION CRITERIA: Participants will be selected for inclusion in this study and each to follow on the basis of age, gestational status (i.e., full-term vs. pre-term birth), visual normality, and general health status. Once the recruitment letters have been mailed

2004 Clinical Trials

3049. Testosterone Replacement in Older Men and Atherosclerosis Progression

% testosterone gel to achieve a nominal delivery of 75 mg testosterone daily for 3 years. Dose adjustments were made by an unblinded observer. (Serum testosterone level measured on treatment day 15 was measured in a sample sent separately to the laboratory such that the results were reported directly to unblinded physician, who then communicated the decision about dose adjustment (or not) directly to the research pharmacist through e-mail.) Drug: Testosterone Gel (Androgel) 7.5 g of 1% testosterone gel (...) [ Time Frame: Baseline and Month 36 ] Physical Function was evaluated using two tests of stair climb power using an indoor 12-step staircase. One test consisted of ascending the 12-steps as rapidly as possible without running (unloaded stair climb) while the second test required participants to carry a load equivalent to 20% of their baseline body weight evenly distributed in two canvas tote bags (loaded stair climb). Time to ascend the stairs was measured electronically with a digital clock

2006 Clinical Trials

3050. Information and low back pain management: a systematic review. (PubMed)

Information and low back pain management: a systematic review. A systematic search of three electronic databases was done to identify randomized controlled trials on the effect of written or audiovisual information in low back pain.To determine whether information is an effective preventive action and/or therapy for low back pain and which type of information is most effective.Information is commonly used in the primary care of low back pain and mostly delivered by booklets.A systematic (...) evidence that they are efficient on healthcare use. There is no evidence that e-mail discussion or video programs alone are effective to reduce low back pain, disability, and healthcare costs.Information based on a biopsychosocial model is recommended in primary care to shift patient beliefs on low back pain. Nevertheless, information delivery alone is not sufficient to prevent absenteeism and reduce healthcare costs.

2006 Spine

3051. Preliminary findings of the effects of comorbidities on a web-based intervention on self-reported blood sugar readings among adults age 60 and older with diabetes. (PubMed)

to an on-line library, advice and counseling from a nurse via e-mail, a personal electronic log of self-management activities, and weekly on-line problem-solving group discussions. Longitudinal mixed-effects modeling was used to investigate the effects of the Web-based intervention on blood sugar levels over a 6-month period. Participants who had fewer than six self-reported medical comorbidities (n = 8) at baseline were more likely to experience a linear decline on blood sugar levels than participants

2007 Telemedicine journal and e-health : the official journal of the American Telemedicine Association

3052. A controlled trial of including symptom data in computer-based care suggestions for managing patients with chronic heart failure. (PubMed)

with heart failure at two Veterans Affairs medical centers.Physicians were randomly assigned to receive either care suggestions generated with electronic medical record data and symptom data obtained from questionnaires mailed to patients within 2 weeks of scheduled outpatient visits (intervention group) or suggestions generated with electronic medical record data alone (control group). Patients had to have a diagnosis of heart failure and objective evidence of left ventricular systolic dysfunction. We

2004 The American journal of medicine

3053. Compliance wearing a heel lift during 8 weeks of military training in cadets with limb length inequality. (PubMed)

days.In an attempt to discern whether the preventive intervention was ineffective by design or if noncompliance was to blame, investigators asked cadets via electronic mail survey to report compliance with heel lift wear as a percentage (0%-100%).Seventy-six out of 99 (76.8%) cadets in the heel lift group responded to the electronic mail survey. Mean reported compliance was 38%. Eighteen cadets reported between 70% and 100% compliance. The remaining 58 cadets reported less than 70% compliance.Cadet

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2004 The Journal of orthopaedic and sports physical therapy

3054. Feasibility, acceptability, and quality of Internet-administered adolescent health promotion in a preventive-care setting. (PubMed)

-behavior assessment, tailored feedback on health and health behavior (specifically fruit consumption), and an online referral to see a physician/nurse if necessary. The P&P group received the same assessment, preprinted generic advice on fruit consumption and a mailed referral (where applicable). Students and physicians/nurses completed evaluation forms to assess indicators of feasibility, acceptability (i.e. satisfaction) and quality of each administration mode. Student participation rate was 87 (...) %. The electronic health feedback was positively evaluated. Students perceived the Internet-tailored fruit advice as more pleasant, more personally targeted and more enjoyable, but less credible than the generic preprinted advice (P < 0.01). No differences in indicators of acceptability and quality of consultation were found (P > or = 0.05). Thus, the Internet can be a valuable tool to support physicians/nurses in the field of preventive care. It is recommended to further optimize and evaluate the Internet

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2007 Health education research

3055. An internet-based randomized, placebo-controlled trial of kava and valerian for anxiety and insomnia. (PubMed)

electronic identity verification. In order to be eligible for the study, participants were required to have 1) anxiety as documented by scores of at least 0.5 standard deviations above the mean on the State-Trait Anxiety Inventory State subtest (STAI-State) on 2 separate occasions, and 2) insomnia, defined as a "problem getting to sleep or staying asleep over the past 2 weeks." We randomly assigned 391 eligible participants to 1 of the following 3 groups, and mailed 28 days' supply: kava with valerian (...) . We performed a randomized, double-blind, placebo-controlled trial using a novel Internet-based design to determine if kava is effective for reducing anxiety and if valerian is effective for improving sleep quality. E-mail recruitment letters and banner advertisements on websites were used to recruit a large pool of interested participants (1551) from 45 states over an 8-week period. Participants were first asked to read study information, complete an online informed consent process, and undergo

2005 Medicine

3056. Randomized controlled trial of an informatics-based intervention to increase statin prescription for secondary prevention of coronary disease. (PubMed)

with an electronic health record were enrolled in this proof-of-concept physician-blinded randomized, controlled trial. Each patient with CAD or risk equivalent above National Cholesterol Education Program-recommended low-density lipoprotein (LDL) treatment goal for greater than 6 months was randomized, stratified by physician and baseline LDL. Physicians received a single e-mail per intervention patient. E-mails were visit independent, provided decision support, and facilitated "one-click" order writing.The

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2006 Journal of General Internal Medicine

3057. Randomized clinical trial of an Internet-based versus brief office intervention for adolescent smoking cessation. (PubMed)

days. SOS use dropped to less than one-third of participants by week 3.Additional research is needed to tap the potential capabilities of the Internet for adolescent smoking cessation using proactive, personalized, patient-education components.Augmenting the SOS type of intervention with more structured, personal and proactive patient-education components delivered in-person or by telephone or electronic mail is recommended.

2006 Patient education and counseling

3058. Improving diabetes processes of care in managed care. (PubMed)

, lipids, smoking, retinal photos, urine microalbumin, and foot examination) at years 1 and 2. Comparison-site subjects had ADAP assessments at year 2. At Intervention sites, year 1 ADAP results were reviewed with subjects, mailed to providers, and incorporated into electronic medical records with guideline-generated suggestions for treatment and follow-up. Medical records were evaluated for both groups for the year before both the year 1 and year 2 ADAP assessments. Processes and intermediate outcomes

2003 Diabetes Care

3059. Strategies to promote healthier food purchases: a pilot supermarket intervention study. (PubMed)

(no intervention).There was a 98% follow-up rate of participants, with 85% of all reported supermarket purchases being captured via the electronic data collection system. The pilot did, however, demonstrate difficulty recruiting Maori, Pacific and low-income shoppers using the electronic register and mail-out.This pilot study showed that electronic sales data capture is a viable way to measure effects of study interventions on food purchases in supermarkets, and points to the feasibility of conducting a large (...) Strategies to promote healthier food purchases: a pilot supermarket intervention study. To pilot the design and methodology for a large randomised controlled trial (RCT) of two interventions to promote healthier food purchasing: culturally appropriate nutrition education and price discounts.A 12-week, single-blind, pilot RCT. Effects on food purchases were measured using individualised electronic shopping data ('Shop 'N Go' system). Partial data were also collected on food expenditure at other

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2007 Public health nutrition

3060. Engagement and satisfaction with an Internet-based physical activity intervention in patients with rheumatoid arthritis. (PubMed)

in using Internet and e-mail and registered at three different rheumatology out-patient clinics, were randomly allocated to the Internet-mediated individualized intervention (52 weeks). They had access to personal physical activity schedules and received individual supervision by a physical therapist by means of weekly e-mail feedback. In addition, telephone contacts, an online discussion forum, six face-to-face group meetings and electronic newsletters were offered. Besides registration of returned (...) messages. Overall, the proportions of patients being (very) satisfied with the amount of e-mail contacts, telephone contacts, usefulness of website information, physical activity schedules, group meetings and website layout were >/=85%. A smaller proportion of patients were satisfied with the links to other websites (68%), the newsletters (55%) and the online discussion forum (32%).Physical activity schedules with weekly feedback by e-mail, telephone contacts and a limited number of group meetings were

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2007 Rheumatology (Oxford, England)

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