Development and pilot evaluation of a computer-based support system for women with breast cancer

David Gustafson, Meg Wise, Fiona McTavish, Jean Otis Taylor, William Wolberg, James Stewart, Richard V. Smalley, Kris Bosworth

Research output: Contribution to journalArticlepeer-review

136 Scopus citations


A computer-based support system was developed to help women cope with the crisis of breast cancer. The system, called Comprehensive Health Enhancement Support System (CHESS)contains integrated information, referral, decision, and social support programs. It was developed with intensive input from potential users through needs-assessment surveys and field testing. This article reports on the results of two pilot studies involving 30 women with breast cancer. The preliminary versions of CHESS were used extensively by older and younger women and by college and high school graduates. Participants in the pilot studies suggested several content enhancements and user-friendly aids for the developing system. User surveys indicated that CHESS was easy to use and would be valuable to other women with breast cancer, their partners, and their adult children. The women reported that they experienced more positive emotions and fewer negative emotions as a result of using the system.

Original languageEnglish (US)
Pages (from-to)69-93
Number of pages25
JournalJournal of Psychosocial Oncology
Issue number4
StatePublished - Mar 24 1994

ASJC Scopus subject areas

  • Oncology
  • Applied Psychology
  • Psychiatry and Mental health


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