Challenges for EHealth Computer Tailored Programs; Reach & Effectiveness
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Abstract
Background: eHealth computer tailored methods have been shown to be successful. Internet provides a gateway to reach many people. Understanding factors that motivate respondents to visit and revisit eHealth computer tailored projects have not reached much attention. Additionally, the potential of action planning to realize behavior change maintenance has not been explored sufficiently for eHealth computer tailored programs.
Objectives: 1. to demonstrate the effectiveness of several eHealth computer tailored studies targeting various lifestyle behaviors, such as smoking, alcohol, physical activity and nutrition; 2. to assess determinants of reach and e-loyalty; 3. to outline the potential of action planning to realize and maintain health behavior change
Methods: We will present the data of several RCT’s (N.10.000) that used eHealth CT methods, to analyze patterns of visits and revisits and factors determining these patterns.
Results: Study 1 shows that the more unhealthy behaviors people have, the less likely they are to continue with eHealth CT programs. Study 2 indicates that a condition that provides prompts will significantly increase the amount of visits as well as that the effects of prompts differ per prompting frequency and novelty. Study 3 demonstrates that elaborate CT programs with several sessions including action planning outperform other conditions, provided that people keep participating in these sessions. Study 4 shows that eHealth CT programs may reach different segments of populations when recruitment is done via GP’s or the mass media.
Conclusions: Multiple lifestyle change for people with an unhealthy lifestyle pattern may be a bridge too far. Prompting frequency and content increases participation and maintenance in eHealth programs. eHealth programs are appreciated positively by LSES groups; these groups can be reached via settings such as the GP as well as the mass media. Action planning is an essential element for eHealth programs to maintain behavior change. Yet, the more is not always better.
Objectives: 1. to demonstrate the effectiveness of several eHealth computer tailored studies targeting various lifestyle behaviors, such as smoking, alcohol, physical activity and nutrition; 2. to assess determinants of reach and e-loyalty; 3. to outline the potential of action planning to realize and maintain health behavior change
Methods: We will present the data of several RCT’s (N.10.000) that used eHealth CT methods, to analyze patterns of visits and revisits and factors determining these patterns.
Results: Study 1 shows that the more unhealthy behaviors people have, the less likely they are to continue with eHealth CT programs. Study 2 indicates that a condition that provides prompts will significantly increase the amount of visits as well as that the effects of prompts differ per prompting frequency and novelty. Study 3 demonstrates that elaborate CT programs with several sessions including action planning outperform other conditions, provided that people keep participating in these sessions. Study 4 shows that eHealth CT programs may reach different segments of populations when recruitment is done via GP’s or the mass media.
Conclusions: Multiple lifestyle change for people with an unhealthy lifestyle pattern may be a bridge too far. Prompting frequency and content increases participation and maintenance in eHealth programs. eHealth programs are appreciated positively by LSES groups; these groups can be reached via settings such as the GP as well as the mass media. Action planning is an essential element for eHealth programs to maintain behavior change. Yet, the more is not always better.
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