Browsing by Subject "tailored intervention"

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    Process outcomes from a randomized controlled trial comparing tailored mammography interventions delivered via telephone versus DVD
    (2011-11) Skinner, Celette Sugg; Buchanan, Adam; Champion, Victoria; Monahan, Patrick; Rawl, Susan M.; Springston, Jeffrey; Qianqian, Zhao; Bourff, Sara
    Objective Tailored, interactive mammography-promotion interventions can increase adherence if women are exposed to and find them usable. We compare exposure to and usability of interventions delivered via telephone vs. DVD. Methods Process evaluation measures from 926 women randomly assigned to telephone or DVD intervention and completing post-intervention surveys. Results ∼83% of each group reported exposure to all content. Partial exposure was higher for DVD (9% vs. 0.4%; p < .01); no exposure was higher for phone (15% vs. 8%; p < .01). There were no differences in exposure by age or race. Full phone exposure was less likely for women who already made mammography appointments. Usability rating was higher for DVD (p < .05), driven by ratings of understandability and length. Usability of both interventions was correlated with lower baseline barriers, and higher fear, benefits, and self efficacy. Higher ratings for phone were associated with lower knowledge and contemplating mammography. Non-whites rated DVD better than whites. Conclusion Both tailored interactive interventions had wide reach and favorable ratings, but DVD recipients had greatest exposure to at least partial content and more favorable ratings, especially among non-white women. Practice implications This first evaluation of a tailored, interactive DVD provides promise for its use in mammography promotion.
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    Satisfaction with a Family-focused Intervention for Mild Cognitive Impairment Dyads
    (Wiley, 2016-07) Lu, Yvonne Yueh-Feng; Ellis, Jennifer; Yang, Ziyi; Weaver, Michael T.; Bakas, Tamilyn; Austrom, Mary Guerriero; Haase, Joan E.; IU School of Nursing
    Purpose This article describes satisfaction that persons with mild cognitive impairment (PwMCI) and their caregivers had with the Daily Enhancement of Meaningful Activity (DEMA) intervention. Methods This randomized controlled pilot study compared satisfaction (usefulness, ease of use, and acceptability) with DEMA (n = 17 dyads) to an information support (IS) control group (n = 19 dyads). Six biweekly sessions (two in person and four by telephone) were delivered by trained nurses. Data analysis included descriptive statistics, independent-sample t tests, and content analysis. Findings PwMCI receiving DEMA rated their satisfaction significantly higher (p = .033) than did the control group; there was no difference in satisfaction between caregivers across groups. Qualitative interview data supported the usefulness, ease of use, and acceptability of DEMA for both PwMCI and caregivers. Conclusions Results documented PwMCI's satisfaction with DEMA as implemented by nurses to support PwMCI–caregiver dyads’ engagement in meaningful activity. DEMA may need revision to increase satisfaction for caregivers. Clinical Relevance The DEMA intervention was evaluated as useful, easy to use, and acceptable to PwMCI and their caregivers based on positive mean ratings. The study findings provide preliminary support of DEMA as a means to improve quality of life by helping to support patient and caregiver engagement in meaningful activities and problem solving.