Navigation Links
RIH study: Emergency patients prefer technology-based interventions for behavioral issues

PROVIDENCE, R.I. A Rhode Island Hospital researcher has found that emergency department patients prefer technology-based interventions for high-risk behaviors such as alcohol use, unsafe sex and violence. ER patients said they would choose technology (ie text messaging, email, or Internet) over traditional intervention methods such as in-person or brochure-based behavioral interventions. The paper by Megan L. Ranney, M.D., is available now online in advance of print in the Annals of Emergency Medicine.

The study was a cross-sectional survey of urban emergency department patients ages 13 and older. Patients answered questions about what kinds of technology they already use, what concerns they have about technology-based interventions, and what format they would prefer to receive interventions on seven health topics: unintentional injury; peer violence; dating/intimate partner violence; mental health; tobacco use; alcohol/substance use; and risky sexual behaviors.

"Many of our ER patients report behaviors that put them at high risk for poor health, like cigarette smoking, alcohol use and being a victim of violence," said Ranney, the lead researcher on the study. "Although emergency medicine physicians care about these problems, we face many barriers to helping patients change risky behaviors. Some of these barriers include lack of time in a busy, Level I, urban emergency department; lack of training in providing effective behavioral interventions; and a lack of knowledge of appropriate follow-up resources in an emergency setting."

The study findings indicate that technology-based interventions are an attractive potential solution to these barriers as most ER patients regularly use multiple forms of technology, including cell phones and the Internet. It also shows that the patients surveyed are receptive to technology-based interventions for these problems.

Computer or cell phone-based interventions for ER patients offer many advantages. Such interventions could provide consistent quality and content, would not require individual doctors and nurses to have expertise in the area and could be tailored to the needs and desires of each patient. Technology-based interventions also can be delivered post-discharge, providing patients with a more convenient, private and anonymous resource.

Ranney and colleagues found that patients preferred a technology-based intervention irrespective of age, sex, income, race and ethnicity. The technology-based interventions studied include Internet (website), text message, email, social networking site and DVD.

Patients self-administered the survey on an iPad or on paper. Only 36 of the 973 patients surveyed preferred the paper questionnaire. The mean age of the participants was 31 years, but the ages ranged from 13-91 years old. More than half (54.5 percent) were female, 64.1 percent were white, 23.2 percent were Hispanic, and 46.6 percent were low income. These statistics are similar to those of the ER population at Rhode Island Hospital. Baseline use of technology was high for most groups: computers (91.2 percent); Internet (70.7 percent); social networking (66.9 percent); mobile phones (95 percent); and text messaging (73.8 percent). Ninety percent of participants preferred technology-based interventions for at least one topic. Patients had some concerns about technology-based interventions, with the primary concern being confidentiality with Internet-based and social networking interventions.

"The data show that technology-based behavioral interventions will play an increasing role in the continuing care of emergency department patients," Ranney said. "But more research is needed, and while more than two-thirds of the patients in our emergency department use some form of technology regularly, the use of such technologies for clinical practice lags behind this trend."


Contact: Ellen Slingsby

Related biology news :

1. Study: Wolverines need refrigerators
2. New study: Snacking on raisins significantly reduces overall post-meal blood sugar levels
3. Study: No-fat, low-fat dressings dont get most nutrients out of salads
4. Study: Seeping Arctic methane has serious implications for Florida coastline
5. Study: Seeking Arctic methane has serious implications for Florida coastline
6. Study: In-patient, out-patient stroke rehab might benefit from yoga
7. Army study: DNA vaccine and duck eggs protect against hantavirus disease
8. USF study: Common fungicide wreaks havoc on freshwater ecosystems
9. Study: Men who do load-bearing exercise in early 20s may be shielded from osteoporosis
10. U of I study: Lose body weight before gaining baby weight
11. Study: Exercise can lead to female orgasm, sexual pleasure
Post Your Comments:
(Date:11/17/2015)... November 17, 2015 Paris ... 2015.  --> Paris , qui ... DERMALOG, le leader de l,innovation biométrique, a inventé ... passeports et empreintes sur la même surface de balayage. ... et l,autre pour les empreintes digitales. Désormais, un seul ...
(Date:11/17/2015)... 17, 2015 Pressure BioSciences, Inc. (OTCQB: PBIO) ... and sale of broadly enabling, pressure cycling technology ("PCT")-based ... today announced it has received gross proceeds of $745,000 ... Placement (the "Offering"), increasing the total amount raised to ... additional closings are expected in the near future. ...
(Date:11/12/2015)... Nov. 12, 2015  A golden retriever that stayed ... dystrophy (DMD) has provided a new lead for treating ... the Broad Institute of MIT and Harvard and the ... . Cell, pinpoints a protective ... the disease,s effects. The Boston Children,s lab of ...
Breaking Biology News(10 mins):
(Date:11/30/2015)... , Nov. 30, 2015  HUYA Bioscience International, ... China,s pharmaceutical innovations, today announced it has ... Development Fund (KDDF) to foster collaboration between KDDF and ... and commercialization of healthcare products for the global market. ... an important source of new innovative preclinical and clinical ...
(Date:11/30/2015)... Md. , Nov. 30, 2015  Northwest Biotherapeutics ... company developing DCVax® personalized immune therapies for solid tumor ... adding an additional independent director, and the Company welcomes ... of allegations in a recent anonymous internet report on ... both initiatives. Linda Powers stated, "We ...
(Date:11/27/2015)... Kingdom , Nov. 27, 2015 /PRNewswire/--  Mallinckrodt plc ... company, announced today that it has closed the sale ... business to Guerbet (GBT- NYSE Euronext) in a transaction ... encompassed four manufacturing facilities and a total of approximately ... in the St. Louis area. ...
(Date:11/26/2015)... England , November 26, 2015 ... an innovative medical device company specializing in imaging technologies, announced ... the European Commission as part of the Horizon 2020 European ... to carry out a large-scale clinical trial in breast cancer. ...      (Logo: , --> ...
Breaking Biology Technology: