title: Implementing an evidence-based breast cancer support and communication tool to newly diagnosed patients as standard care in two institutions.
abstract: While many women turn to the Internet to obtain health information, it is unlikely that unstructured Internet use provides optimal benefit to women newly diagnosed with breast cancer, due to uneven quality, conflicting claims, redundancy, and search engine idiosyncrasies, which may make finding information and assessing its accuracy and applicability difficult. To answer the need for information and support, the Comprehensive Health Enhancement Support System (CHESS) was developed to provide access to integrated information for decision-making, behavior change, and emotional support, and has been validated in randomized trials. This observational study of real-world implementation focuses on the process of integrating CHESS into standard care in two Denver healthcare systems. Results from this study provide guidance for implementation of other web-based patient information and support programs in large healthcare organizations.
authors.affiliation: Geisinger Health System, Genomic Medicine Institute, 100 N. Academy Blvd, Danville, PA 17822 USA ; Institute for Health Research, Kaiser Permanente Colorado, Denver, CO USA.
authors.forename: Alanna Kulchak
authors.initials: AK
authors.lastname: Rahm
authors.affiliation: School of Journalism and Mass Communication, University of Wisconsin, Madison, WI USA.
authors.forename: Robert P
authors.initials: RP
authors.lastname: Hawkins
authors.affiliation: Department of Communications, Michigan State University, East Lansing, MI USA.
authors.forename: James W
authors.initials: JW
authors.lastname: Dearing
authors.affiliation: Center for Health Enhancement Systems Studies, University of Wisconsin, Madison, WI USA.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Pingree
authors.affiliation: Comprehensive Cancer Center, Exempla Saint Joseph Hospital and Exempla Good Samaritan Medical Center, Denver, CO USA.
authors.forename: Jana Bolduan
authors.initials: JB
authors.lastname: Lomax
authors.affiliation: Center for Health Enhancement Systems Studies, University of Wisconsin, Madison, WI USA.
authors.forename: Helen
authors.initials: H
authors.lastname: McDowell
authors.affiliation: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO USA.
authors.forename: Erica Ferro
authors.initials: EF
authors.lastname: Morse
authors.affiliation: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO USA.
authors.forename: BreAnne
authors.initials: B
authors.lastname: Barela
keywords: Breast cancer support; Communication; Dissemination; Implementation; eHealth