Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on Efficacy
Journal of Medical Internet ResearchPublished 17 February 2010Open access
Thomas L. Webb, Judith Joseph, Lucy Yardley, Susan Michie
Citations2,596
SJR quartileQ1
SJR score1.99
SNIP1.96
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The present review provides a framework for the development of a science of Internet-based interventions and provides a rationale for investing in more intensive theory- based interventions that incorporate multiple behavior change techniques and modes of delivery.
Abstract
The review provides a framework for the development of a science of Internet-based interventions, and our findings provide a rationale for investing in more intensive theory-based interventions that incorporate multiple behavior change techniques and modes of delivery.
Keywords
PsychologySocial SciencesDecision Sciences
Organizational Behavior and Human Decision ProcessesThe theory of planned behavior
84,784 Citations1991Icek Ajzen
BMJPreferred reporting items for systematic reviews and meta-analyses: the PRISMA statement
83,276 Citations2009David Moher, A. Liberati +3 more
PubMedPreferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
45,120 Citations2009David Moher, Alessandro Liberati +2 more
Advances in experimental social psychologyThe Elaboration Likelihood Model of Persuasion
7,565 Citations1986Richard E. Petty, John T. Cacioppo
This chapter discusses a wide variety of variables that proved instrumental in affecting the elaboration likelihood, and thus the route to persuasion, and outlines the two basic routes to persuasion.
Cost-Effectiveness in Health and Medicine
7,119 Citations1996
Methods of Meta-Analysis: Correcting Error and Bias in Research Findings
5,538 Citations2015Frank L. Schmidt, John E. Hunter
BiometricsThe Combination of Estimates from Different Experiments
5,203 Citations1954William G. Cochran
Communication MonographsPutting the fear back into fear appeals: The extended parallel process model
3,830 Citations1992Kim Witte
Psychological BulletinDoes changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence.
3,587 Citations2006Thomas L. Webb, Paschal Sheeran
Meta-analysis showed that a medium-to-large change in intention leads to a small- to-medium change in behavior, and several conceptual factors, methodological features, and intervention characteristics that moderate intention-behavior consistency were identified.
Health PsychologyA taxonomy of behavior change techniques used in interventions.
2,562 Citations2008Charles Abraham, Susan Michie
These findings demonstrate the feasibility of developing standardized definitions of BCTs included in behavioral interventions and highlight problematic variability in the reporting of intervention content.
Health PsychologyEffective techniques in healthy eating and physical activity interventions: A meta-regression.
2,340 Citations2009Susan Michie, Charles Abraham +3 more
Classifying interventions according to component techniques and theoretically derived technique combinations and conducting meta-regression enabled identification of effective components of interventions designed to increase physical activity and healthy eating.
Milbank QuarterlyWhy People Use Health Services
2,325 Citations2005Irwin M. Rosenstock
To increase professional health workers’ knowledge of selected research findings and theory so that they may better understand why and under what conditions people take action to prevent, detect and diagnose disease, this paper aims to increase awareness among qualified behavioral scientists about the kinds of behavioral research opportunities and needs that exist in public health.
Health PsychologyThe precaution adoption process.
1,197 Citations1988Neil D. Weinstein
A critique of current models of preventive behavior discusses a variety of factors that are usually overlooked-including the appearance of costs and benefits over time, the role of cues to action, the problem of competing life demands, and the ways that actual decision behavior differs from the rational ideal implicit in expectancy-value and utility theories.
Journal of Medical Internet ResearchMedicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness
1,132 Citations2008Günther Eysenbach
In a very significant development for eHealth, a broad adoption of Web 2.0 technologies and approaches coincides with the more recent emergence of Personal Health Application Platforms and Personally Controlled Health Records such as Google Health, Microsoft HealthVault, and Dossia.
Journal of Medical Internet ResearchThe Effectiveness of Web-Based vs. Non-Web-Based Interventions: A Meta-Analysis of Behavioral Change Outcomes
999 Citations2004Dean Wantland, Carmen J. Portillo +3 more
An improvement in outcomes for individuals using Web-based interventions to achieve the specified knowledge and/or behavior change for the studied outcome variables showed an improvement in outcome size comparisons.
Psychology and HealthApplication of the Theory of Planned Behaviour in Behaviour Change Interventions: A Systematic Review
880 Citations2002Wendy Hardeman, Marie Johnston +4 more
The TPB may have potential for developing behaviour change interventions, but more comprehensive studies are needed that compare the utility of the TPB with other social cognition models and behavioural techniques.
Health PsychologyAre interventions theory-based? Development of a theory coding scheme.
854 Citations2010Susan Michie, Andrew Prestwich
The Theory Coding Scheme is an important methodological innovation, providing a research tool to reliably describe the theoretical base of interventions, inform evidence syntheses within literature reviews and meta-analyses, and stimulate the use of empirical data for theory development.
Psychological BulletinA Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.
796 Citations2005Dolores Albarracín, Jeffrey C. Gillette +4 more
This meta-analysis tested the major theoretical assumptions about behavior change by examining the outcomes and mediating mechanisms of different preventive strategies in a sample of 354 HIV-prevention interventions and 99 control groups, spanning the past 17 years.
Tobacco ControlDo u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone text messaging
759 Citations2005Anthony Rodgers, Thomas Corbett +5 more
This programme offers potential for a new way to help young smokers to quit, being affordable, personalised, age appropriate, and not location dependent.
Annals of Behavioral MedicineA Behavior Change Model for Internet Interventions
634 Citations2009Lee M. Ritterband, Frances P. Thorndike +3 more
By grounding Internet intervention research within a scientific framework, developers can plan feasible, informed, and testable Internet interventions, and this form of treatment will become more firmly established.
Annals of Behavioral MedicineThe Use of Theory in Health Behavior Research from 2000 to 2005: A Systematic Review
570 Citations2008Julia E. Painter, Christina P. C. Borba +3 more
About one third of published health behavior research uses theory and a small proportion of those studies rigorously apply theory, which means Behavioral researchers should strive to use theory more thoroughly by applying, testing, and building theories in order to move the field forward.
Journal of Medical Internet ResearchUsing Internet and Mobile Phone Technology to Deliver an Automated Physical Activity Program: Randomized Controlled Trial
550 Citations2007Robert Hurling, Michael Catt +6 more
A fully automated Internet and mobile phone–based motivation and action support system can significantly increase and maintain the level of physical activity in healthy adults.
The social norms approach to preventing school and college age substance abuse: A handbook for educators, counselors, and clinicians.
538 Citations2003H. Wesley Perkins
American Journal of Preventive MedicineWebsite-Delivered Physical Activity Interventions
491 Citations2007Corneel Vandelanotte, Kym Spathonis +2 more
A little over half of the controlled trials of website-delivered physical activity interventions have reported positive behavioral outcomes, however, intervention effects were short lived, and there was limited evidence of maintenance of physical activity changes.
Medical CareInternet-Based Chronic Disease Self-Management
460 Citations2006Kate Lorig, Philip L. Ritter +2 more
The Internet-based CDSMP proved effective in improving health statutes by 1 year and is a viable alternative to the small-group Chronic Disease Self Management Program.
Preventive MedicineComputer-delivered interventions for health promotion and behavioral risk reduction: A meta-analysis of 75 randomized controlled trials, 1988–2007
460 Citations2008David B. Portnoy, Lori A. J. Scott‐Sheldon +2 more
Computer-delivered interventions can lead to improved behavioral health outcomes at first post-intervention assessment, and interventions evaluating outcomes at extended assessment periods are needed to evaluate the longer-term efficacy of computer-del delivered interventions.
British Journal of Health PsychologyTowards a theory of intentional behaviour change: Plans, planning, and self‐regulation
444 Citations2008Falko F. Sniehotta
Further progress in theorizing can be achieved by disentangling planning constructs to study their independent and joint effects on behaviour, and progressing research on moderators and mediators of planning effects outside the laboratory.
JAMAComparison of the Instructional Efficacy of Internet-Based CME With Live Interactive CME Workshops
385 Citations2005Michael Fordis, Jason E. King +6 more
Diabetes CareThe Diabetes Network Internet-Based Physical Activity Intervention
369 Citations2001H Garth McKay, Diane K. King +3 more
It is concluded that greater attention should be focused on methods to sustain involvement with Internet-based intervention health promotion programs over time to enhance the care of diabetes and other chronic conditions.
British Journal of Social PsychologyInteraction effects in the theory of planned behaviour: Studying cannabis use
358 Citations1999Mark Conner, Brian McMillan
The theory of planned behaviour was employed to investigate the factors underlying intentions and frequency of use of cannabis over a three-month period in a population of students and PBC was found to moderate the impact of intentions on behaviour.
Science CommunicationWhat Factors Predict Scientists' Intentions to Participate in Public Engagement of Science Activities?
354 Citations2007Ellen Poliakoff, Thomas L. Webb
International Journal of Behavioral Nutrition and Physical Activity"Is there nothing more practical than a good theory?": Why innovations and advances in health behavior change will arise if interventions are used to test and refine theory
331 Citations2004Alexander J. Rothman
AddictionRandomized controlled trial of a web‐based computer‐tailored smoking cessation program as a supplement to nicotine patch therapy
314 Citations2005Victor J. Strecher, Saul Shiffman +1 more
A web-based program that collects relevant information from users and tailors the intervention to their specific needs had significant advantages over a web- based non-tailored cessation program.
AddictionHappy Ending: a randomized controlled trial of a digital multi‐media smoking cessation intervention
306 Citations2008Håvar Brendryen, Pål Kraft
As the first RCT documenting the long-term treatment effects of a fully automated digital multi-media smoking cessation intervention, this study adds to the promise of digital media in supporting behaviour change.
Journal of Medical Internet ResearchWeb-based Cognitive Behavior Therapy: Analysis of Site Usage and Changes in Depression and Anxiety Scores
305 Citations2002Helen Christensen, Kathleen M Griffiths +1 more
Web sites are a practical and promising means of delivering cognitive behavioral interventions for preventing depression and anxiety to the general public, however, randomized controlled trials are required to establish the effectiveness of these interventions.
Journal of Medical Internet ResearchProviding a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial
294 Citations2004Stephen E. Ross, Laurie Moore +3 more
Providing patients with congestive heart failure access to an online medical record was feasible and improved adherence and an effect on health status could not be demonstrated in this pilot study.
AddictionOnline support for smoking cessation: a systematic review of the literature
290 Citations2009Lion Shahab, Andy McEwen
Interactive, web-based interventions for smoking cessation can be effective in aiding cessation and moderating or mediating factors were considered to be acceptable and user satisfaction was generally high.
Preventive MedicineThe D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results
289 Citations2003Russell E. Glasgow, Shawn M. Boles +3 more
The basic D-Net intervention was implemented well and improvements were observed across a variety of patients, interventionists, and clinics, but there were difficulties in maintaining usage over time and additions of tailored self-management and peer support components generally did not significantly improve results.
International Journal of ObesityInterventions to prevent weight gain: a systematic review of psychological models and behaviour change methods
283 Citations2000Wendy Hardeman, Simon J. Griffin +3 more
Interventions to prevent weight gain exhibited various degrees of effectiveness, and future interventions might be more effective if they were explicitly based on methods of behaviour change that have been shown to work in other contexts.
AddictionWeb‐based self‐help for problem drinkers: a pragmatic randomized trial
278 Citations2008Heleen Riper, Jeannet Kramer +4 more
The intervention showed itself to be effective in reducing problem drinking in the community and is one of the first randomized controlled trials on a web-based self-help intervention without therapist guidance for self-referred problem drinkers among the adult general population.
Annals of Behavioral MedicineCost Effectiveness of Internet Interventions: Review and Recommendations
271 Citations2009Deborah F. Tate, Eric Finkelstein +2 more
The lack of cost data published to date is likely a reflection of the early stage of research for many papers published during the review period, though many were lacking comprehensive analyses.
American Journal of Preventive MedicineWeb-Based Smoking-Cessation Programs
267 Citations2008Victor J. Strecher, Jennifer B. McClure +11 more
Abstinence was most influenced by high-depth tailored success stories and a high-personalized message source, and the cumulative assignment of the three tailoring depth factors resulted in increasing the rates of 6-month cessation, demonstrating an effect of Tailoring depth.
Prevention ScienceA Controlled Trial of Web-Based Feedback for Heavy Drinking College Students
260 Citations2006Scott T. Walters, Amanda M. Vader +1 more
This study provides preliminary support for the efficacy of the “electronic Check-Up to Go” (e-CHUG) at reducing short-term drinking among at-risk students.
Annals of Behavioral MedicineEvaluation of an internet-based physical activity intervention: A preliminary investigation
259 Citations2003Melissa A. Napolitano, Michael Fotheringham +6 more
Findings show that a theoretically based PA Web site and weekly e-mail tip sheets can have a short-term impact on PA motivation and behavior both at 1 and 3 months.
Journal of Consulting and Clinical PsychologyReducing risk factors for eating disorders: Comparison of an Internet- and a classroom-delivered psychoeducational program.
248 Citations2000Angela A. Celio, Andrew J. Winzelberg +5 more
An Internet-delivered intervention had a significant impact on reducing risk factors for eating disorders and the reduction of body dissatisfaction and disordered eating behaviors/attitudes with a control condition.
Preventive MedicineInitial efficacy of MI, TTM tailoring and HRI’s with multiple behaviors for employee health promotion
247 Citations2007James O. Prochaska, Susan Butterworth +8 more
This was the first study to demonstrate that MI and online TTM could produce significant multiple behavior changes, and compared to the HRI only group, the MI and TTM groups had significantly more participants in the Action stage for exercise and effective stress management and significantly fewer risk behaviors at 6 months.
Alcoholism Clinical and Experimental ResearchNaltrexone and Cue Exposure With Coping and Communication Skills Training for Alcoholics: Treatment Process and 1‐Year Outcomes
237 Citations2001Peter M. Monti, Damaris J. Rohsenow +9 more
The results suggest the probable value of keeping alcoholics on NTX for longer periods of time and the importance of increasing compliance with NTX and support the earlier promising effects of CET and CST as adjuncts to treatment programs for alcoholics by maintaining treatment gains over at least a year.
Tobacco ControlA randomised control study of a fully automated internet based smoking cessation programme
231 Citations2006L H G Swartz, John Noell +2 more
These evaluation results suggest that a smoking cessation programme, with at least short term efficacy, can be successfully delivered via the internet.
PEDIATRICSRandomized, Controlled Trial of an Internet-Facilitated Intervention for Reducing Binge Eating and Overweight in Adolescents
220 Citations2008Megan Jones, Kristine H. Luce +6 more
Results suggest that an Internet-facilitated intervention is moderately effective in short-term weight loss and weight maintenance and yields a large reduction in binge eating.
ObesityWeight Loss on the Web: A Pilot Study Comparing a Structured Behavioral Intervention to a Commercial Program
217 Citations2007Beth Casey Gold, Susan J. Burke +3 more
This study aimed to investigate the effectiveness of a structured behavioral weight loss website (VTrim) vs. a commercial weight loss websites (eDiets.com) based on data available on their efficacy.
Journal of Medical Internet ResearchComparing the Efficacy of Two Internet-Based, Computer-Tailored Smoking Cessation Programs: A Randomized Trial
211 Citations2005Jean‐François Etter
In smokers in the contemplation stage of change and in former smokers, the original program produced higher smoking abstinence rates than the modified program, and no between-group differences in quit rates were observed.
American Journal of Preventive MedicinePrint versus website physical activity programs
210 Citations2003Alison L. Marshall, Eva Leslie +3 more
There were no differences between the Print and Web program effects on reported physical activity, and the Print group demonstrated slightly larger effects and a higher level of recognition of program materials.
Nicotine & Tobacco ResearchToward evidence‐based Internet interventions: A Spanish/English Web site for international smoking cessation trials
210 Citations2006Ricardo F. Muñoz, Leslie Lenert +5 more
The authors report a series of four Internet smoking cessation studies conducted in English and Spanish that examined both outcome (self-reported 7-day abstinence) and mechanisms related to outcome (the impact of major depressive episodes [MDEs] on the likelihood of quitting).
Journal of Medical Internet ResearchAn Internet-Based Patient-Provider Communication System: Randomized Controlled Trial
208 Citations2005Chen‐Tan Lin, Loretta Wittevrongel +3 more
Patients in the portal group particularly valued the portal’s convenience, reduced communication barriers, and direct physician responses, which may enhance the patient-physician relationship.
ObesityTwo‐Year Internet‐Based Randomized Controlled Trial for Weight Loss in African‐American Girls
206 Citations2006Donald A. Williamson, Heather M. Walden +6 more
A randomized controlled trial tested the efficacy of an internet‐based lifestyle behavior modification program for African‐American girls over a 2‐year period of intervention.
Journal of Medical Internet ResearchMethodological Challenges in Online Trials
205 Citations2009Elizabeth Murray, Zarnie Khadjesari +6 more
The major methodological issues that arise in trials are described (recruitment, randomization, fidelity of the intervention, retention, and data quality), how the online context affects these issues are considered, and potential solutions are used to illustrate potential solutions.
Diabetes CareA Controlled Trial of Web-Based Diabetes Disease Management
202 Citations2003James B. Meigs, Enrico Cagliero +7 more
Web-based patient-specific decision support has the potential to improve evidence-based parameters of diabetes care and was used for 42% of scheduled patient visits.
Annals of Behavioral MedicineMethodological Issues in Research on Web-Based Behavioral Interventions
201 Citations2009Brian G. Danaher, John R. Seeley
It is suggested that Web-based controls should be used instead of usual care or no-treatment controls in public health research and that innovative mantling designs such as the Multiphase Optimization Strategy and Sequential Multiple Assignment Randomized Trial methods hold considerable promise.
Preventive MedicineEvaluation of a website-delivered computer-tailored intervention for increasing physical activity in the general population
198 Citations2007Heleen Spittaels, Ilse De Bourdeaudhuij +1 more
A website-delivered intervention, including computer-tailoring, was able to increase physical activity when compared to a no-intervention control group, indicating that engagement and retention are important challenges in e-health studies.
Health Education ResearchEffectiveness of an online computer-tailored physical activity intervention in a real-life setting
197 Citations2006Heleen Spittaels, Ilse De Bourdeaudhuij +2 more
Although tailored advice was appreciated more than standard advice, no evidence was found that an online-tailored physical activity intervention program outperformed online standard information.
Applied Psychology Health and Well-BeingAn Experimental Test of the Theory of Planned Behavior
197 Citations2009Falko F. Sniehotta
Journal of Medical Internet ResearchA Digital Smoking Cessation Program Delivered Through Internet and Cell Phone Without Nicotine Replacement (Happy Ending): Randomized Controlled Trial
195 Citations2008Håvar Brendryen, Filip Drozd +1 more
This 12-month trial documents a long-term treatment effect of a fully automated smoking cessation intervention without the use of nicotine replacement therapy and shows a partial mediation of the treatment effect for point abstinence 1 month after quitting.
PEDIATRICSInternet-Based Home Monitoring and Education of Children With Asthma Is Comparable to Ideal Office-Based Care: Results of a 1-Year Asthma In-Home Monitoring Trial
195 Citations2007Débora Chan, Charles W. Callahan +6 more
Addictive BehaviorsA review of computer and Internet-based interventions for smoking behavior
194 Citations2005Scott T. Walters, Jo Anne Wright +1 more
The "first generation" format, where participants were mailed computer-generated feedback reports, was the modal intervention format and the one most consistently associated with improved outcomes.
Journal of American College HealthMy Student Body: A High-Risk Drinking Prevention Web Site for College Students
192 Citations2005Emil Chiauzzi, Traci C. Green +3 more
The authors investigated the efficacy of an interactive Web site that offers a brief, tailored intervention to help heavy drinking college students reduce their alcohol use and judged MSB:Alcohol a useful intervention for reaching important subgroups of college binge drinkers.
Annals of Behavioral MedicineGuide to health: Nutrition and physical activity outcomes of a group-randomized trial of an internet-based intervention in churches
188 Citations2007Richard A. Winett, Eileen S. Anderson +3 more
Compared to control, both GTH treatments improved nutrition at posttest, but church supports improved physical activity and nutrition atPosttest and follow-up, suggesting environmental supports may improve Internet-based interventions.
Journal of Medical Internet ResearchA Field Test of a Web-Based Workplace Health Promotion Program to Improve Dietary Practices, Reduce Stress, and Increase Physical Activity: Randomized Controlled Trial
178 Citations2007Royer F. Cook, Douglas W. Billings +3 more
The Web-based program was more effective than print materials in producing improvements in the areas of diet and nutrition but was not more effective in reducing stress or increasing physical activity.
Obesity ResearchMediators of Weight Loss in a Family‐Based Intervention Presented over the Internet
171 Citations2004Marney A. White, Pamela Davis Martin +6 more
The current findings suggest that family/parental variables exert a strong influence on weight loss efforts for adolescents and should be considered in developing future programs.
International Journal of Intercultural RelationsHelping people change: A textbook of methods
169 Citations1981Lynn O. Cooper
Journal of Medical Internet ResearchRandomized Controlled Trial of an Internet-Based Versus Face-to-Face Dyspnea Self-Management Program for Patients With Chronic Obstructive Pulmonary Disease: Pilot Study
167 Citations2008Huong Q. Nguyen, DorAnne Donesky +5 more
Although there were numerous technical challenges with the eDSMP, both Dyspnea self-management programs were effective in reducing dyspnea with ADL in the short term and will need to be confirmed in a larger randomized trial with more mature Web and personal digital assistant tools.
Arthritis Care & ResearchUsing internet technology to deliver a home‐based physical activity intervention for patients with rheumatoid arthritis: A randomized controlled trial
164 Citations2006M. van den Berg, H. K. Ronday +5 more
An Internet-based physical activity intervention with individually tailored supervision, exercise equipment, and group contacts is more effective with respect to the proportion of patients who report meeting physical activity recommendations than an Internet- based program without these additional elements in patients with RA.
Annals of Behavioral MedicineEfficacy and Use of an Internet-delivered Computer-tailored Lifestyle Intervention, Targeting Saturated Fat Intake, Physical Activity and Smoking Cessation: A Randomized Controlled Trial
162 Citations2008Anke Oenema, Johannes Brug +3 more
The Internet-delivered, computer-tailored lifestyle intervention was effective in reducing self-reported saturated fat intake and in increasingSelf-reported PA among participants who completed the study.
Rehabilitation PsychologyThe efficacy of an online cognitive-behavioral family intervention in improving child behavior and social competence following pediatric brain injury.
160 Citations2006Shari L. Wade, Joanne Carey +1 more
Findings suggest that an online cognitive‐behavioral approach can improve child adjustment after TBI, particularly in older children and children of lower SES.
Journal of Consulting and Clinical PsychologyAn Internet intervention as adjunctive therapy for pediatric encopresis.
157 Citations2003Lee M. Ritterband, Daniel J. Cox +6 more
Internet interventions may be an effective way of delivering sophisticated behavioral interventions to a large and dispersed population in a convenient format for children with encopresis.
Journal of General Internal MedicineA randomized controlled trial comparing internet and video to facilitate patient education for men considering the prostate specific antigen test
148 Citations2003Dominick L. Frosch, Robert M. Kaplan +1 more
Overall, the video was significantly more effective than the Internet in educating participants about benefits and risks of PSA screening.
Preventive MedicineRandomized controlled trial of a web-based primary care intervention for multiple health risk behaviors
141 Citations2005Kypros Kypri, Helena M. McAnally
The intervention could be routinely provided in primary care, and its efficacy could be assessed in a large randomized controlled trial.
Health Education ResearchLong-term effectiveness of computer-generated tailored feedback in smoking cessation
140 Citations1998Arie Dijkstra, Nanné K. de Vries +1 more
It is concluded that a minimal six-page tailored intervention can be beneficial in supporting smokers to quit smoking, even after 14 months.
Journal of Medical Internet ResearchThe Information Architecture of Behavior Change Websites
136 Citations2005Brian G. Danaher, H Garth McKay +1 more
The role of considering and clearly reporting the use of IA designs when creating effective Web-based interventions is underscored, and the adoption of a multidisciplinary perspective is encouraged as the move towards a more mature view of Internet intervention research is encouraged.
Nicotine & Tobacco ResearchSmoking cessation via the Internet: A randomized clinical trial of an Internet intervention as adjuvant treatment in a smoking cessation intervention
135 Citations2006Sandra J. Japuntich, Mark Zehner +6 more
Results suggest that participants used CHess SCRP frequently, CHESS SCRP use was related to success, but the effects in general did not yield intergroup effects.
Journal of Medical Internet ResearchInternet-Based Interactive Health Intervention for the Promotion of Sensible Drinking: Patterns of Use and Potential Impact on Members of the General Public
132 Citations2007Stuart Linke, Elizabeth Murray +2 more
The Web-based intervention was highly used, and those who stayed with the program showed significant reductions in self-reported indicators of dependency, alcohol-related problems, and mental health symptoms; however, this association cannot be assumed to be causal.
BMC Health Services ResearchThe Internet for weight control in an obese sample: results of a randomised controlled trial
130 Citations2007Áine McConnon, Sara Kirk +6 more
The results suggest that the Internet-based weight control resource was not a cost-effective tool for weight loss in the obese sample studied, and high attrition and low compliance limits the results.
AddictionThe clinical significance of ‘small’ effects of smoking cessation treatments
130 Citations2007Robert West
Journal of Abnormal Child PsychologyInternet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A randomized controlled trial
129 Citations2007Brooke E. Heinicke, Susan J. Paxton +2 more
Clinically significant improvements in body dissatisfaction, disordered eating, and depression were observed at post-intervention and maintained at follow-up.
Preventive MedicineInternet-delivered behavior change program increases physical activity and improves cardiometabolic disease risk factors in sedentary adults: Results of a randomized controlled trial
127 Citations2008Lucas J. Carr, R. Todd Bartee +4 more
The internet-delivered ALED program increased PA and improved some CDRFs in sedentary overweight/obese adults and further studies are warranted due to the reach and cost-effectiveness of internet-Delivered PA programs.
Journal of Health CommunicationA Computer-based Approach to Preventing Pregnancy, STD, and HIV in Rural Adolescents
127 Citations2007Anthony J. Roberto, Rick S. Zimmerman +2 more
The results suggest that the computer-based programs may be a cost-effective and easily replicable means of providing teens with basic information and skills necessary to prevent pregnancy, STDs, and HIV.
International Journal of Eating DisordersReducing risk factors for eating disorders: Targeting at‐risk women with a computerized psychoeducational program
127 Citations2001Marion F. Zabinski, Meredith A. Pung +5 more
Journal of Consulting and Clinical PsychologyAn Interactive Psychoeducational Intervention for Women at Risk of Developing an Eating Disorder.
120 Citations2004Marion F. Zabinski, Denise E. Wilfley +3 more
Intervention participants significantly reduced eating pathology and improved self-esteem over controls at follow-up and suggest that synchronous, Internet-delivered programs are efficacious and have potential to reduce problematic attitudes and behaviors that may lead to eating disorders among college-age women.
ObesityMaintenance of Weight Loss in Overweight Middle‐aged Women Through the Internet
118 Citations2008Ellen Cussler, Pedro J. Teixeira +8 more
A comparison of weight regain in a group of perimenopausal women randomized to a 12‐month weight maintenance Internet intervention or to self‐directed weight maintenance after a 4-month weight loss treatment is compared.
Journal of Dental ResearchRandomized Controlled Trial of a One-minute Intervention Changing Oral Self-care Behavior
118 Citations2007Falko F. Sniehotta, V. Araújo Soares +1 more
The intervention significantly affected flossing in that group at two-week and two-month follow-ups, as compared with the control group, and provided evidence for the effects of a concise intervention on oral self-care behavior.
Patient Education and CounselingRandomized clinical trial of an Internet-based versus brief office intervention for adolescent smoking cessation
115 Citations2006Christi A. Patten, Ivana T. Croghan +10 more
Additional research is needed to tap the potential capabilities of the Internet for adolescent smoking cessation using proactive, personalized, patient-education components.
Annals of Behavioral MedicineThe Science of Internet Interventions
115 Citations2009Lee M. Ritterband, Deborah F. Tate
This special series aims to build the scientific foundation of Internet interventions and provide a structurally sound basis from which this field can continue to expand.
Alcohol and AlcoholismSCREENING AND BRIEF INTERVENTION ONLINE FOR COLLEGE STUDENTS: THE IHEALTH STUDY
114 Citations2006R Saitz, Tibor P. Palfai +7 more
Although brief interventions that differed had some gender specific effects on readiness to change and intention, in general, unhealthy alcohol use decreased after brief intervention, and web screening and brief intervention show promise for addressing unhealthycohol use by college students.
Medical CareEvaluating Patients’ Experiences with Individual Physicians
113 Citations2006Hector P. Rodríguez, Ted von Glahn +4 more
The equivalence of individual physician results in mail and web modes is noteworthy, as is evidence that IVR results are comparable after adjustment for mode, but the higher overall cost of web and IVR suggests that they do not solve cost concerns related to obtaining physician-specific information from patients.
Nicotine & Tobacco ResearchModerators and mediators of a Web-based computer-tailored smoking cessation program among nicotine patch users
108 Citations2006Victor J. Strecher, Saul Shiffman +1 more
Robust results of the tailored program may be explained by the tailoring strategies utilized in the treatment conditions, and the mediating factor of perceived message relevance may provide a partial mechanism of effective program tailoring.
Preventive MedicineFit for Life Boy Scout badge: Outcome evaluation of a troop and Internet intervention
106 Citations2006Russell Jago, Tom Baranowski +5 more
Journal of Medical Internet ResearchComparing Two Web-Based Smoking Cessation Programs: Randomized Controlled Trial
102 Citations2008H Garth McKay, Brian G. Danaher +3 more
A test of two Web-based smoking cessation conditions, an intervention and an attention placebo control, failed to show differences at 3- and 6-month assessments, and possible reasons were explored, including limited engagement of participants and simplifying program content and architecture.
…