Triad Interactive has extensive experience developing both computer and Web-based interventions for health care, specifically to assess the usefulness of technology for helping high risk populations make decisions about managing their cancer risk and treatment.

My Journey AheadMy Journey Ahead
National Institutes of Health
1R41CA144100-01A1 (grant awarded to Triad Interactive under the Small Business Technology Transfer Program) (Fang, PI)
Project term: 2010-present

Triad created My Journey Ahead, an interactive website that helps patients recognize and manage the physical and emotional changes they may experience with head and neck cancer recovery. The website features nine chapters of information ranging from how a patient can maintain a healthy mouth to coping with pain and looking toward the future. The site includes an “Ask Questions” tool that helps patients create a running list of questions for their doctor. It also provides a “Journal” tool that helps patients keep track of their thoughts and concerns during their recovery. Patients can view more than 30 patient videos in the site library, along with online and printable resources.

Triad was responsible for all of the interface and instructional design, graphics, audio and video production, and programming. The software was developed using HTML5, JavaScript, and a MySQL database.

BR-aidDecisional Aid Intervention for Women Considering Breast Reconstruction (BR-aid)
National Cancer Institute
5R21CA149531-02 (Manne, PI)
Project term: 2012-present

Triad designed and developed BR-aid, a website used to evaluate the usability and feasibility of a decisional aid to assist women with making the decision to undergo breast reconstruction. The secondary aim of the website was to examine acceptability of the breast reconstruction decisional aid and to provide preliminary data on the impact of BR-aid on breast reconstruction knowledge, values and attitudes, decisional conflict, preparedness, intention to have breast reconstruction, and global anxiety.

Triad was responsible for all of the interface and instructional design, graphics, audio and video production, and programming. The software was developed using HTML5, JavaScript, and a MySQL database.

Pain CoachInternet-based Osteoarthritis Pain Coping Skills Intervention (PainCOACH)
National Institutes of Health, National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD)
5R01AR057346-02 (Rini, PI)
Project term: 2011-present

Triad developed a user-friendly, Internet-based intervention that helps for osteoarthritis (OA) patients improve their pain coping skills. The website uses innovative technologies to mimic traditional, in-person training sessions.

A significant benefit of this approach is its promise for extending the reach of an efficacious treatment to a larger proportion of the growing population of OA patients, for instance, those who are unable or unwilling to travel for training. If found to be effective, this Internet-based OA pain coping skills intervention will be a valuable tool for addressing the needs of the millions of Americans whose functioning and quality of life are severely diminished by OA pain and disability.

Triad was responsible for all of the interface and instructional design, graphics, audio and video production, and programming. The software was developed using HTML5, JavaScript, and a MySQL database.

PRE-ACTPreparatory Aid to Improve Decision Making about Cancer Clinical Trials (PRE-ACT)
National Cancer Institute
R01CA127655 (Meropol, PI)
Project term: 2008-2013

Triad’s role for PRE-ACT was to design the user interface for the Web application (which was programmed and hosted by the Information Technology team at Fox Chase Cancer Center). Triad also managed the video production process, including consulting on script development, casting, location selections, video shoot, and post-production.

PSCIPFacilitating Parent Adaptation to Pediatric Transplant: The P-SCIP Trial
National Cancer Institute
R01CA127488 (Manne, PI)
Project term: 2008-2013

P-SCIP was developed for a consortium of cancer centers (including Fox Chase Cancer Center and Memorial Sloan Kettering) to help mothers whose children are undergoing bone marrow transplants learn to cope and manage stress.

Study participants receive a laptop with the program preinstalled, and they use the program in conjunction with in-person counseling sessions during their child’s stay in the hospital. Each program module teaches the user about a specific type of stress and coping strategies. Relaxation exercises are presented through a combination of audio and animation.

To accommodate the diverse population of the various cancer centers, the program was offered in both English and Spanish.
Triad was responsible for all graphic and instructional design, video and audio production, and programming. Programming was completed using Adobe® Flash® and distributed with Adobe® AIR™.

prostateCancerInternet-Based Education for Prostate Cancer Screening
National Cancer Institute
R01CA119168 (Taylor, PI)
Project term: 2007-2011

Triad worked with Lombardi Cancer Center (Georgetown University Hospital) and Washington Hospital Center to develop an interactive Web site to help men understand and make an informed decision about whether or not to undergo prostate cancer screening. Participants began using the Web site in 2007.

Triad was responsible for all of the interface and instructional design, graphics, audio and video production, and data collection programming. The Web site utilizes HTML, JavaScript, and Adobe Flash elements with a backend SQL Server Express database. ‘Prostate Cancer Screening: Making the Best Decision’ was selected as a winner of the American Public Health Association’s Public Health Education and Health Promotion Materials Contest in 2009.

INFORMFacilitating Informed Decisions for MSI Testing (INFORM)
National Cancer Institute
R01CA109332 (Manne, PI)
Project term: 2004-2009

Triad developed the INFORM CD-ROM project for Fox Chase Cancer Center and Massachusetts General Hospital during 2004-2005. The purpose of this project is to facilitate informed consent for MSI (microsatellite instability) and IHC (immunohistochemistry) testing. Participants who receive the CD use it to educate themselves about the MSI test and how it is a precursor to genetic testing for HNPCC (Hereditary Nonpolyposis Colorectal Cancer). The purpose of the study is to evaluate the impact of the CD on patients’ perceived satisfaction with their preparation to make the decision whether or not to consent to this test.

Triad was responsible for all interface and instructional design, graphics, and audio production. Although the program was delivered via CD-ROM, it was developed using Web-ready technologies including HTML, JavaScript, and Adobe® Flash®.

GItrapGI-TRAP (Gastrointestinal Tumor Risk Assessment Program)
Funded by Roche Pharmaceuticals and the State of Pennsylvania.

In 2005, Triad redesigned a colorectal cancer education program for Fox Chase Cancer Center. The original program was created in Microsoft PowerPoint and converted to a self-running video. Triad updated the graphics in the program, added animations, and reprogrammed the material using Adobe® Flash® to give it more visual appeal.



geneticTestingBRCA Counseling/Testing for Urban African American Women (GATE)
American Cancer Society
TURSG-02-246-01-PBP (Valdimarsdottir, PI)
Project term: 2002-2005

Triad developed GATE as an interactive computer program for the Ruttenberg Cancer Center at the Mount Sinai School of Medicine. The program was used by women making a decision whether or not to be tested for BR(east)CA(ncer)1 or BRCA2 susceptibility genes. This program was specifically targeted for women of African, African-American, or African-Caribbean decent who currently have or have had breast cancer and have a family history of breast and/or ovarian cancer.

The purpose of the program was to provide participants with easily accessible and culturally relevant information to make an informed decision regarding testing for breast cancer susceptibility genes. Study participants were randomly selected to receive counseling or counseling plus use of the kiosk prior to making the decision whether or not to continue with genetic testing.

To ensure equal access to the technology, the computer program was housed in a kiosk, using a touch screen monitor. Participants interacted with the program by touching buttons onscreen. There was no prior computer experience required or expected. The kiosk was installed at a clinic at Mount Sinai in June 2004 and was in use through June 2006.

Triad was responsible for all of the interface and instructional design, graphics, audio and video production, programming, and hardware/software installation. The software was developed using HTML, JavaScript, Adobe® Flash®, and a MySQL database.


Interactive Decision-Aid for BRCA1/2 Mutation Carriers
National Cancer Institute
R01CA082346 (Schwartz, PI)
Project term: 1999-2004

Triad developed the Personal Aid to Health: Making Decisions that Work (PATH) CD ROM for Lombardi Cancer Center, Georgetown University Medical Center, and Ruttenberg Cancer Center, Mount Sinai School of Medicine, as part of a research study supported by a grant from the National Institutes of Health and the National Cancer Institute. The CD-ROM was used by a randomly assigned subset of women in the study who had recently received a positive test result for carrying an alteration to one of the BRCA1 or BRCA2 breast cancer susceptibility genes, where a mutation exists that increases the woman’s risk of developing breast cancer over her lifetime.

The PATH CD-ROM was designed to both educate the user and facilitate the exploration of patient risk management options. The study compared patient outcomes between those who received the CD-ROM and those who did not to see if use of the CD-ROM improved the risk management decision-making process and adherence to the risk management guidelines.

Triad was responsible for all of the interface and instructional design, graphics, audio and video production, and programming. The program was developed using HTML and JavaScript and a custom-programmed executable to allow the Web-based technologies to run from the local hard drive.