ArticleJournal of medical Internet research2014
Tailored and integrated Web-based tools for improving psychosocial outcomes of cancer patients: the DoTTI development framework.
Article in Journal of medical Internet research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Learning health system for implementation, scale-up, and sustainment: a systematic review to consolidate guidance for improvement.Implementation science : IS · 2026Pooled it
- Systematic review of technology-based interventions to improve anxiety, depression, and health-related quality of life among patients with prostate cancer.Psycho-oncology · 2019Pooled it
- Nurse-led interventions on quality of life for patients with cancer: A meta-analysis.Medicine · 2018Pooled it
- Trial
- Developing and Assessing the Acceptability of an Information Booklet for Patients in Surveillance for Abdominal Aortic Aneurysms: An Intervention Development Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- A Narrative Review on Mobile Health (mHealth) App for Stroke Care and Rehabilitation Intervention for Malaysia.The Malaysian journal of medical sciences : MJMS · 2025Article
- Digital Age Transformation in Patient-Physician Communication: 25-Year Narrative Review (1999-2023).Journal of medical Internet research · 2025Review
- Program Report: Can-SOLVE CKD Network Presents an Inclusive Method for Developing Patient-Oriented Research Tools.Canadian journal of kidney health and disease · 2022Article
- Article
- Health Literacy, Language, and Cancer-Related Needs in the First 6 Months After a Breast Cancer Diagnosis.JCO oncology practice · 2020Article
- Program Report: KidneyPRO, a Web-based Training Module for Patient Engagement in Kidney Research.Canadian journal of kidney health and disease · 2020Article
- Identifying Frameworks for Validation and Monitoring of Consensual Behavioral Intervention Technologies: Narrative Review.Journal of medical Internet research · 2019Review
- A low literacy targeted talking book about radiation therapy for cancer: development and acceptability.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- Participatory Methods to Engage Health Service Users in the Development of Electronic Health Resources: Systematic Review.Journal of participatory medicine · 2019Review
- A Rapid Process for Identifying and Prioritizing Technology-Based Tools for Health System Implementation.JMIR cancer · 2018Article
- Optimal cancer care: what essential elements of care would help haematological cancer patients obtain and understand information about their disease and its treatment and impact?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- Online tools for patient counseling in bladder and kidney cancer-ready for prime time?Translational andrology and urology · 2017Review
- A Web-Disseminated Self-Help and Peer Support Program Could Fill Gaps in Mental Health Care: Lessons From a Consumer Survey.JMIR mental health · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective communication with cancer patients and their families about their disease, treatment options, and possible outcomes may improve psychosocial outcomes. However, traditional approaches to providing information to patients, including verbal information and written booklets, have a number of shortcomings centered on their limited ability to meet patient preferences and literacy levels. New-generation Web-based technologies offer an innovative and pragmatic solution for overcoming these limitations by providing a platform for interactive information seeking, information sharing, and user-centered tailoring.
objectiveThe primary goal of this paper is to discuss the advantages of comprehensive and iterative Web-based technologies for health information provision and propose a four-phase framework for the development of Web-based information tools.
methodsThe proposed framework draws on our experience of constructing a Web-based information tool for hematological cancer patients and their families. The framework is based on principles for the development and evaluation of complex interventions and draws on the Agile methodology of software programming that emphasizes collaboration and iteration throughout the development process.
resultsThe DoTTI framework provides a model for a comprehensive and iterative approach to the development of Web-based informational tools for patients. The process involves 4 phases of development: (1) Design and development, (2) Testing early iterations, (3) Testing for effectiveness, and (4) Integration and implementation. At each step, stakeholders (including researchers, clinicians, consumers, and programmers) are engaged in consultations to review progress, provide feedback on versions of the Web-based tool, and based on feedback, determine the appropriate next steps in development.
conclusionsThis 4-phase framework is evidence-informed and consumer-centered and could be applied widely to develop Web-based programs for a diverse range of diseases.
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Registered trials
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