REPRESENTATIVENESS IN eHEALTH PROGRAMS: FACTORS RELATED TO RECRUITMENT, PARTICIPATION, AND RETENTION IN AN INTERNET WEIGHT LOSS STUDY R.E. Glasgow, Ph.D.

Slides:

Advertisements

Similar presentations

Mental Health is Integral to Overall Health. Health Issues Related to People with Serious Mental Illness People with SMI who receive services in the public.

Advertisements

Duane Steward, DVM, MSIE, PhD SOLOMON Putting the Patient Back Into Personalized Health Care.

Holistic HealthCare Project - Cincinnati

Impact of a Targeted Provider Intervention to Improve Chlamydia Screening Practices in a Large California Family Planning Program Joan M. Chow 1, MPH,

Abstract Objective: The MDCH Oral Health Program implemented the Fluoride Varnish program from October Children from 13 selected Early Head.

99.98% of the time patients are on their own “The diabetes self-management regimen is one of the most challenging of any for chronic illness.” 0.02% of.

Health Equity 101 An Introduction to Health Equity June 26, 2013.

Worksite Solutions and Wellness Programs Felicia Wade,MD March 31 st, 2007 UMDNJ Confronting the Challenge of Obesity in Our Communities.

The Impact of Employee Wellness on 4-Year Healthcare Costs May 14, 2009 Brian Day, Ed.D Health Plan Informatics.

Epidemiology of Stroke Dexter L. Morris, PhD, MD Department of Emergency Medicine University of North Carolina School of Medicine Chapel Hill, NC.

Direct Access Genetic Testing: Lessons Learned from The Multiplex Initiative Colleen M. McBride, Ph.D. Direct Access Genetic Testing: Lessons Learned from.

1 A Crystal Ball: How to Improve the Health Care System Tom Closson President and CEO Ontario Hospital Association NAPAN 8th Annual Conference Sunday,

First RCT of Web-Based Acceptance & Commitment Therapy For Smoking Cessation: 3 Month Processes & Outcomes Jonathan B. Bricker, PhD Fred Hutchinson Cancer.

1 Health Management A Mandatory Business Practice Presented by Erick Hathorn, Health Management Practice Leader.

Internet Use, Information Needs and Quality of Life Among Cancer Patients Survey of University of Michigan Cancer Center Patients and Caregivers.

Quittin’ Time: Helping Employees Become Tobacco-free June 2005.

The Business Case for Bidirectional Integrated Care: Mental Health and Substance Use Services in Primary Care Settings and Primary Care Services in Specialty.

AN ASSESSMENT OF THE PRIMARY PREVENTION CONTROL PROGRAM OF PHC PREVENTIVE CARDIOLOGY CLINIC AMONG PATIENTS AT RISK FOR CVD: A Retrospective Cohort Study.

The Influence of Primary Care Practice Climate on Medical Services Costs and Quality of Care Roblin DW 1, Howard DH 2, Becker ER 2, Adams EK 2, Greenfield.

Evaluating Dissemination of AHRQ CER Products Darren Mays, PhD, MPH Department of Oncology Georgetown University Medical Center Lombardi Comprehensive.

Review Lecture histograms, five number summary, one-sample confidence intervals, nonresponse, observational study.

The Next Step: Achieving Health Behavior Change Through Technology.

Michelle Koford Summer Topics Discussed Background Purpose Research Questions Methods Participants Procedures Instrumentation Analysis.

Perceptions of Medicaid Beneficiaries Regarding the Usefulness of Accessing Personal Health Information and Services through a Patient Internet Portal.

HEALTH HOMES ARKANSAS DEPARTMENT OF HUMAN SERVICES LONG-TERM CARE POLICY SUMMIT SEPTEMBER 5, 2012.

Implementing the DxCG Likelihood of Hospitalization Model in Kaiser Permanente Leslee J Budge, MBA

Background  Obesity is an extremely common problem ~ 1/3 of adult Americans are obese  Patients commonly ask physicians for advice on weight loss, yet.

The Obesity/Diabetes Epidemic: Perspectives, Consequences, Prevention, Treatment Stan Schwartz MD, FACP, FACE Private Practice, Ardmore Obesity Program.

Columbus Neighborhood Health Center Inc. (CNHC) Julie vanPutten, MPH,MS,MD,PHD Mary Fehskens, MD Yami Sahr, MA Buhari Mohammed, MD C.O.A.C.H. Learning.

Preparing for an Expanded Medicaid Population under the ACA: Undiagnosed and Untreated Health Needs Sandra Decker, Deliana Kostova, Genevieve Kenney and.

E of computer-tailored S moking C essation A dvice in P rimary car E A Randomised Controlled Trial ffectiveness Hazel Gilbert Department of Primary Care.

Patricia Peretz, MPH, Adriana Matiz, MD, Andres Nieto, MPA Center for Community Health Navigation.

SMOKING AND ESTABLISHED CARDIOVASCULAR DISEASE: THE VARIABLE HABITS OF A PRIMARY CARE COHORT Dr Mairead Corrigan 1 PhD BSSc, Dr Margaret E Cupples 1 MD.

Promoting Physical Activity in Jamaica Dr Deanna Ashley.

Learning Community In-Person Meeting January 24-25, 2013 Montrose Center.

The National Survey of Women Veterans Enhancing Research-Clinical Partnerships for Improving the Care of Women Veterans Donna L. Washington, MD, MPH VA.

Enrollment and Outcomes Fan Fan Hou, et al. N Engl J Med 2006;354:

Adverse Outcomes After Hospitalization and Delirium in Persons with Alzheimer Disease Charles Wang, PharmD Candidate.

Maine Prenatal Collaborative Susan Swartz, M.D. Judy Soper, RT(R), RDMS, BS Tim Cowan, MSPH Principal Investigator Project Director Data Analyst December.

Can Physical Activity Attenuate Aging- related Weight Loss in Older People? The Yale Health and Aging Study, James Dziura, Carlos Mendes de Leon,

Oregon's Coordinated Care Organizations: First Year Expenditure and Utilization Authors: Neal Wallace, PhD, Peter Geissert, MPH 1, and K. John McConnell,

Diabetes and Cause-Specific Mortality in a Prospective Cohort of One Million U.S. Adults Featured Article: Peter T. Campbell, Ph.D., Christina C. Newton,

F UNCTIONAL L IMITATIONS IN C ANCER S URVIVORS A MONG E LDERLY M EDICARE B ENEFICIARIES Prachi P. Chavan, MD, MPH Epidemiology PhD Student Xinhua Yu MD.

E of computer-tailored S moking C essation A dvice in P rimary car E ffectiveness Hazel Gilbert, Irwin Nazareth and Richard Morris Department of Primary.

HCV Co-infection is Associated with a High Risk of Osteoporotic Fractures Among HIV Patients Roger Bedimo, MD; Henning Drechsler, MD; Song Zhang, PhD;

School of Nursing Health Literacy Among Informal Caregivers of Persons With Memory Loss Judith A. Erlen, PhD, RN, FAAN; Jennifer H. Lingler, PhD, RN; Lisa.

Phase II Trial of R-CHOP plus Bortezomib Induction Therapy Followed by Bortezomib Maintenance for Previously Untreated Mantle Cell Lymphoma: SWOG 0601.

Is BMI a Justified Contraindication for Kidney Transplantation? Introduction OHSU’s Kidney Transplant Program has set a BMI >35 kg/m 2 as a relative contraindication.

Randomized Controlled Trial of a Web- and Internet-Based Diabetes Prevention Program Alive-PD Gladys Block, PhD, for NutritionQuest and Palo Alto Medical.

Ross T. Tsuyuki, BSc(Pharm), PharmD, MSc, FCSHP, FACC Yazid NJ Al Hamarneh, BPharm, PhD Charlotte Jones, MD, PhD, FRCP(C) Brenda Hemmelgarn, MD, PhD, FRCP(C)

Meeting the ACGME Milestones through Group Prenatal Care INTRODUCTION Mila D'Cunha MD. MSc., Anastasia Kolasa-Lenarz MD. MPH., Karolina Lis MD., Kimberly.

1 Cost efficacy of smoking cessation interventions Robert West University College London Logroño, October

+ Patient Engagement Toolkit: Boosting Patient Knowledge, Skills and Self-efficacy Mary R. Talen, Ph.D. Director, Primary Care Behavioral Health Northwestern.

PUTTING PREVENTION FIRST Vascular Checks/ NHS Health Checks.

Workplace Health and Wellness Consulting Assess Plan Implement Evaluate March 11, x3x3 Wellness Strategy We’re committed to the development of an.

UTILIZING TELEPHONE INTERVIEWERS AS COUNSELORS: LESSONS LEARNED FROM A SMOKING REDUCTION STUDY Bridget Gaglio, MPH 1, Tammy Smith, BS 2, Erica Ferro, MA.

CHEST 2014; 145(4): 호흡기내과 R3 박세정. Cigarette smoking ㅡ the most important risk factor for COPD in the US. low value of FEV 1 : an independent predictor.

Advancing Knowledge to Improve Health Evaluation of the Effects of Complex Care Management on Health-Related Quality of Life within a Medicaid Population.

SHARED MEDICAL APPOINTMENTS Achieving Better Patient Outcomes and Organizational Efficiencies Part 2 Provided as an educational service by Pfizer Inc.

Omada has a simple but bold mission.

Alcohol, Other Drugs, and Health: Current Evidence July–August 2017

Disparities in process and outcome measures among adults with persistent asthma David M. Mosen, PhD, MPH; Michael Schatz, MD, MS; Rachel Gold, PhD; Winston.

ASPIRE Workshop 5: Application of Biostatistics

ASPIRE Workshop 5: Application of Biostatistics

Impact of a Telephone Intervention to Increase Pneumococcal Vaccination Rate in a Managed Care Population.

Information for Network Providers

Adrienne D. Mims M.D. MPH Kaiser Permanente, Georgia

ASPIRE Workshop 5: Application of Biostatistics

PA SPREAD Review of Aim Statements

Improving Flu Vaccination Rates for Children with Chronic Conditions

Presentation transcript:

REPRESENTATIVENESS IN eHEALTH PROGRAMS: FACTORS RELATED TO RECRUITMENT, PARTICIPATION, AND RETENTION IN AN INTERNET WEIGHT LOSS STUDY R.E. Glasgow, Ph.D. 1 ; Candace C. Nelson, M.A. 1 ; Kathleen A. Kearney, Ph.D. 2 ; Kevin J. Wildenhaus, Ph.D. 3 ; Robert J. Reid, M.D., Ph.D. 4 ; Al Zielke 3 ; Debra Ritzwoller, Ph.D. 1 ; Mick Couper, Ph.D. 5 ; Victor J. Strecher, Ph.D., M.P.H. 5 ; Beverly Green, M.D., M.P.H. 4 1 Kaiser Permanente Colorado; 2 Kaiser Permanente Care Management Institute; 3 Health Media, Inc.; 4 Group Health Cooperative; 5 University of Michigan To study three process and implementation issues related to public health impact of Internet programs: 1. What patient characteristics and recruitment methods produce higher enrollment? 2. What patient characteristics are related to level of user engagement? 3. What patient characteristics are related to retention in follow-up assessment? PURPOSE AND QUESTIONS Setting and Target Populations Members of three large healthcare plans in different parts of the U.S. who had BMI > 30 (25 if also had chronic illness). METHODS I. Enrollment Rates: total enrollment n = 2311 Among those sent personal letters (HMO 1): - Having diabetes (6.6%) - Having hyperlipidemia (10.0%) - No identified illness (2.4%) Among general HMO population recruited via health plan newsletter notices (1.7%) II. Characteristics of Enrollees and Decliners EnrolleesDeclinersSig. Level Age p <.001 > 60 years46.5%60.0% <.001 Genderp <.001 Male46.7%58.1% Smoking Statusp <.001 Current Smoker5.7%12.2% RxRisk (Estimated Medical Costs) p <.001 > $ %55.7% RECRUITMENT AND REACH (ENROLLMENT) All participants received an Internet weight loss program validated in prior study (Rothert, et al). Participants then randomized within 2x2 factorial RCT to: - Receive Achieve goal setting program or not (introduced concurrently with basic program) - Receive Nourish nutritional education program or not (introduced at three months after basic program) INTERVENTIONSCONCLUSIONS AND IMPLICATIONS 1. 1.Enrollment: Personal letters enhance reach; although Web programs may not reach highest risk, those with diabetes or heart disease are more likely to enroll Engagement: It is challenging to keep Web-users engaged over time, especially males Retention for Assessment: Even more challenging at long-term follow-up, especially for younger participants and those more confident at baseline Overall: Factors influencing these three processes or stages appear to be different. Greater attention is needed to all three. RETENTIONENGAGEMENT I. Overall Rates of Program Engagement Condition (n) Initial Engagement 1 Ongoing Engagement 2 Balance Only (n = 572) 90.9% 49.0% Balance + Nourish (n = 596) 19.1% 8.1% Balance + Achieve (n = 584) 62.2% 25.3% All of the Above Combined (n=559) 13.4% 5.7% 1 Initial Engagement = Viewed initialelectronicguides appropriate to that condition 2 Ongoing Engagement = Above plus viewed at least initial follow-upelectronicnewsletters appropriate to condition (or for Achieve,at least set initial goal)