David H. Gustafson|Robert P. Hawkins|Suzanne Pingree|Fiona McTavish|Neeraj Arora|John Mendenhall|David Cella|Ronald C. Serlin|Funmi M. Apantaku|James A. Stewart|Andrew L. Salner
Effect of computer support on younger women with breast cancer
University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin–Madison|Oklahoma State University Center for Health Sciences|University of Wisconsin–Madison|National Cancer Institute|University of Wisconsin–Madison|NorthShore University HealthSystem|University of Wisconsin–Madison|National Black Leadership Commission on AIDS|University of Illinois at Chicago|University of Wisconsin–Madison|Hartford Hospital|University of Wisconsin–Madison
assess impact computerbased patient support system quality life younger women breast cancer particular emphasis assisting underservedrandomized controlled trial conducted 1995 1998five sites two teaching hospitals madison wis chicago ill two nonteaching hospitals chicago cancer resource center indianapolis ill latter three sites treat many underserved patientsnewly diagnosed breast cancer patients n 246 age 60experimental group received comprehensive health enhancement support system chess homebased computer system providing information decisionmaking emotional supportpretest two posttest surveys two fivemonth followup measured aspects participation care socialinformation support quality life twomonth followup chess group significantly competent seeking information comfortable participating care greater confidence doctors fivemonth followup chess group significantly better social support also greater information competence addition experimental assignment interacted several indicators medical underservice race education lack insurance chess benefits greater disadvantaged advantaged groupcomputerbased patient support systems chess may benefit patients providing information social support increasing participation health care benefits may largest currently underserved populations