Does Using an iPad Make an Intervention Innovative?
Authors: Shivan J. Mehta, David A. Asch
Journal: Annals of Internal Medicine (2018)

Editorials17 April 2018Does Using an iPad Make an Intervention Innovative?Shivan J. Mehta, MD, MBA, MSHP and David A. Asch, MD, MBAShivan J. Mehta, MD, MBA, MSHPCenter for Health Care Innovation at the University of Pennsylvania, Philadelphia, Pennsylvania (S.J.M.)Search for more papers by this author and David A. Asch, MD, MBACenter for Health Care Innovation at the University of Pennsylvania and Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania (D.A.A.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-0346 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Colorectal cancer (CRC) is the second leading cause of cancer death in the United States. While we await the biomedical advances that will deliver preventive cancer vaccines or simple cures, reducing the burden of CRC today depends mostly on population-based screening. Yet, only about two thirds of Americans are up to date, leaving a large gap between the disease reduction tantalizingly within reach and that within grasp. The gap is not biological, but behavioral. It is held open in part by the organization, delivery, and financing of health care and in part by the engagement of clinicians and patients (1).... References1. Asch DA, Volpp KG. Reimagining halfway technologies with behavioral science. Ann Intern Med. 2017;167:505-506. [PMID: 28973195]. doi:10.7326/M17-1449 LinkGoogle Scholar2. Miller DP, Denizard-Thompson N, Weaver KE, Case LD, Troyer JL, Spangler JG, et al. Effect of a digital health intervention on receipt of colorectal cancer screening in vulnerable patients. A randomized controlled trial. Ann Intern Med. 2018;168:550-7. doi:10.7326/M17-2315 LinkGoogle Scholar3. Patel MS, Asch DA, Volpp KG. Wearable devices as facilitators, not drivers, of health behavior change. JAMA. 2015;313:459-60. [PMID: 25569175] doi:10.1001/jama.2014.14781 CrossrefMedlineGoogle Scholar4. Milkman KL, Beshears J, Choi JJ, Laibson D, Madrian BC. Planning prompts as a means of increasing preventive screening rates [Letter]. Prev Med. 2013;56:92-3. [PMID: 23123859] doi:10.1016/j.ypmed.2012.10.021 CrossrefMedlineGoogle Scholar5. Halpern SD, Ubel PA, Asch DA. Harnessing the power of default options to improve health care. N Engl J Med. 2007;357:1340-4. [PMID: 17898105] CrossrefMedlineGoogle Scholar6. Miller DP, Spangler JG, Case LD, Goff DC, Singh S, Pignone MP. Effectiveness of a web-based colorectal cancer screening patient decision aid: a randomized controlled trial in a mixed-literacy population. Am J Prev Med. 2011;40:608-15. [PMID: 21565651] doi:10.1016/j.amepre.2011.02.019 CrossrefMedlineGoogle Scholar7. Mehta SJ, Polsky D, Zhu J, Lewis JD, Kolstad JT, Loewenstein G, et al. ACA-mandated elimination of cost sharing for preventive screening has had limited early impact. Am J Manag Care. 2015;21:511-7. [PMID: 26247741] MedlineGoogle Scholar8. Mehta SJ, Feingold J, Vandertuyn M, Niewood T, Cox C, Doubeni CA, et al. Active choice and financial incentives to increase rates of screening colonoscopy–a randomized controlled trial. Gastroenterology. 2017;153:1227-1229. [PMID: 28734830] doi:10.1053/j.gastro.2017.07.015 CrossrefMedlineGoogle Scholar9. Levin TR, Jamieson L, Burley DA, Reyes J, Oehrli M, Caldwell C. Organized colorectal cancer screening in integrated health care systems. Epidemiol Rev. 2011;33:101-10. [PMID: 21709143] doi:10.1093/epirev/mxr007 CrossrefMedlineGoogle Scholar10. Asch DA, Ziolek TA, Mehta SJ. Misdirections in informed consent—impediments to health care innovation. N Engl J Med. 2017;377:1412-1414. [PMID: 29020586] doi:10.1056/NEJMp1707991 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Center for Health Care Innovation at the University of Pennsylvania, Philadelphia, Pennsylvania (S.J.M.)Center for Health Care Innovation at the University of Pennsylvania and Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania (D.A.A.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-0346.Corresponding Author: David A. Asch, MD, MBA, Center for Health Care Innovation, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104; e-mail, [email protected]upenn.edu.Current Author Addresses: Drs. Mehta and Asch: Center for Health Care Innovation, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104.This article was published at Annals.org on 13 March 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffect of a Digital Health Intervention on Receipt of Colorectal Cancer Screening in Vulnerable Patients David P. Miller Jr. , Nancy Denizard-Thompson , Kathryn E. Weaver , L. Doug Case , Jennifer L. Troyer , John G. Spangler , Donna Lawler , and Michael P. Pignone Metrics Cited byA Patient Portal-Based Commitment Device to Improve Adherence with Screening for Colorectal Cancer: a Retrospective Observational StudyMedication reconciliation: ineffective or hard to implement? 17 April 2018Volume 168, Issue 8Page: 592-593KeywordsBehaviorClinical trialsDisclosureHead and neck cancersHealth careMotivationPatientsRandomized trialsResearch designWeight loss ePublished: 13 March 2018 Issue Published: 17 April 2018 PDF downloadLoading ...