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 decisionmaking,
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.