TY - JOUR
T1 - Clinical trials of interactive computerized patient education
T2 - Implications for family practice
AU - Krishna, Santosh
AU - Balas, E. Andrew
AU - Spencer, Donald C.
AU - Griffin, Joyce Z.
AU - Boren, Suzanne Austin
N1 - Copyright:
Copyright 2007 Elsevier B.V., All rights reserved.
PY - 1997/7
Y1 - 1997/7
N2 - A systematic review of randomized clinical trials was conducted to evaluate the acceptability and usefulness of computerized patient education interventions. The Columbia Registry, MEDLINE, Health, BIOSIS, and CINAHL bibliographic databases were searched. Selection was based on the following criteria: (1) randomized controlled clinical trials, (2) educational patient- computer interaction, and (3) effect measured on the process or outcome of care. Twenty-two studies met the selection criteria. Of these, 13 (59%) used instructional programs for educational intervention. Five studies (22.7%) tested information support networks, and four (18%) evaluated systems for health assessment and history-taking. The most frequently targeted clinical application area was diabetes mellitus (n=7). All studies, except one on the treatment of alcoholism, reported positive results for interactive educational intervention. All diabetes education studies, in particular, reported decreased blood glucose levels among patients exposed to this intervention. Computerized educational interventions can lead to improved health status in several major areas of care, and appear not to be a substitute for, but a valuable supplement to, face-to-face time with physicians.
AB - A systematic review of randomized clinical trials was conducted to evaluate the acceptability and usefulness of computerized patient education interventions. The Columbia Registry, MEDLINE, Health, BIOSIS, and CINAHL bibliographic databases were searched. Selection was based on the following criteria: (1) randomized controlled clinical trials, (2) educational patient- computer interaction, and (3) effect measured on the process or outcome of care. Twenty-two studies met the selection criteria. Of these, 13 (59%) used instructional programs for educational intervention. Five studies (22.7%) tested information support networks, and four (18%) evaluated systems for health assessment and history-taking. The most frequently targeted clinical application area was diabetes mellitus (n=7). All studies, except one on the treatment of alcoholism, reported positive results for interactive educational intervention. All diabetes education studies, in particular, reported decreased blood glucose levels among patients exposed to this intervention. Computerized educational interventions can lead to improved health status in several major areas of care, and appear not to be a substitute for, but a valuable supplement to, face-to-face time with physicians.
KW - Clinical trials
KW - Computer-assisted instruction
KW - Controlled clinical trials
KW - Patient education
KW - Randomized controlled trials
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M3 - Review article
C2 - 9228910
AN - SCOPUS:0030861213
SN - 0094-3509
VL - 45
SP - 25
EP - 33
JO - Journal of Family Practice
JF - Journal of Family Practice
IS - 1
ER -