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Tailored communication during chemo

In this project, patients undergoing chemotherapy for breast cancer are encouraged to keep a side effects diary on a PDA. An application developed by the M.I.N.D. Lab design team tracks reports of side effects and triggers appropriate intervention video clips that provide patients with tips on how to explain the side effects to the physician. A printed report of the side effect profile is presented to the physician during the patientís clinic visits.

The issues associated with retrospective recall are well documented in the literature. For example, patients may place more emphasis on a recent episode during a clinic visit over an episode that occurred at an earlier time. Further, reporting of side effects, such as pain are moderated by individual differences in communication. While some patients are likely to be candid, others may be more reserved about explaining pain and other side effects. In this project we address the limitations of retrospective recall by using Ecological Momentary Assessments (EMA) of side effects to build a detailed profile for each patient. Printouts of these profiles will be made available to the physician during patients’ clinic visits. The limitations of variances in communication styles among patients are addressed through tips and communication strategies that are triggered for various side effect profiles. These tips are provided as video clips. The M.I.N.D. Lab team collaborates with oncologists and public health researchers on this project, which is funded by the NIH.

from 2005-10-25 to 2006-10-25
Prabu David

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