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Reis J, Riley W, Lokman
L, Baer J. Interactive multimedia preventive alcohol
education: a technology application in higher education.
Journal of Drug Education 2000;30:399-421. [Applicability]
under-graduates; 39% male, 61% female; 64% Caucasian, 15%
African American, 11% Asian, 7% Hispanic
classroom computer-based program
with video, music, text, graphics, animations; simulations
allow user to practice making choices; also addresses erroneous
perceptions, communication skills and assertiveness, and
physiological and behavioral consequences of alcohol.
group: no treatment. Traditional education group: received
classroom education or classroom exercises. Intervention
group: interacted with program.
efficacy, peer norms, satisfaction
group significantly more knowledgeable about the symptoms
of alcohol overdose; what to do on behalf of a friend in
this condition; how to intervene with a friend who has
been drinking too much; interplay of blood alcohol concentration,
time, and amount; effects of alcohol on judgment and control.
Greater intention to try to change their behavior to become
more safe and in control in situations involving alcohol.
The intervention group rated their educational experience
more favorably than the traditional education.
Ross S, Moore L, Earnest
M, Wittevrongel L, Lin C. Providing a Web-based online
medical record with electronic communication capabilities
to patients with congestive heart failure: randomized trial.
Journal of Medical Internet Research 2004;6:e12.
[Applicability, Cost Savings]
patients with heart failure in a specialty practice; needed
to have Internet experience, but were not required to have
disease: home computer with Internet
(System Providing Access to Records Online): Web-based
electronic medical record, educational guide, messaging
system enabling e-communication between the patient and
group: treatment as usual. Intervention group: treatment
as usual and SPPARO
health status, and self-reported compliance were done at
baseline, 6 months, and 1 year; system usage, message volume,
utilization of clinical services, and mortality
for better satisfaction with doctor-patient communication.
No difference in self-efficacy. Significant improvement
in general adherence to medical advice. Increased emergency
department visits in intervention group, but did not seem
to be related to use of SPPARO; no difference in hospitalizations
or mortality; no adverse effects reported. Use of SPPARO
was highest in first 3 months, then leveled off. Electronic
messages appeared to supplement rather than replace telephone
Sciamanna CN, Clark
MA. Effects of a fingerprint reader on survey responses
of primary care patients. Journal of Health Psychology
2003;8:187-92. [Overview, Acceptability]
adults; mean age 36.2, 80.3% female, 42.5% greater than
high school education, 35.5% nonwhite, 5.3% Hispanic
information: clinic-based computer program with fingerprint
fingerprint reader can be used to authenticate a user.
It does not require use of standard identifying data, passwords,
or ID cards.
group: did not have fingerprint scanned before using computer-based
health screening. Intervention group: had fingerprint scanned,
then used computer-based health screening.
about the fingerprint reader, general health screening
who used the fingerprint screener reported poorer health
status and lower levels of fruit and vegetable intake as
compared to controls; therefore, did not seem to be underreporting
as a result of fingerprint screener. No differences between
groups in reports of other medical conditions, body mass
index, physical activity, current smoking or drinking.
No difference in groups in comfort using a computer. The
intervention group reported fewer concerns about the fingerprint
Smith L, Weinert C.
Telecommunication support for rural women with diabetes.
Diabetes Educator 2000;26:645-55. [Applicability]
women with diabetes living in rural Montana; mean age 46.7
years, 60% employed; only 2 had computers that could load
the software, and the rest were loaned computers.
home computer with Internet
program consisted of four components: conversation (open
chat), mailbox (private exchange between two members or
member and educator), health chat (chat with a diabetes
educator), and resource rack (information about diabetes).
All communication was asynchronous.
group: wait-list control. Intervention group: received
computers and access to online community for 5 months.
and satisfaction, social support, quality of life, life
stresses, adaptation to illness
averaged 63.8 minutes/month; most time in first month and
then usage decreased. Conversation area most widely used.
No difference in psychosocial adjustment to illness or
quality of life. 77% said project provided a great deal
of support; 12 said it gave them a significant sense of
Tate DF, Jackvony EH,
Wing RR. Effects of Internet behavioral counseling
on weight loss in adults at risk for type 2 diabetes: a
randomized trial. Journal of the American Medical Association
2003;289:1833-6. [Overview, Acceptability, Applicability]
overweight adults at risk for diabetes; recruited from
newspaper ads or from clinic; mean age 48.5; 90% women;
loss: home computer with Internet
Internet program provided tutorial on weight loss, new
tip and link each week, directory of selected Internet
weight loss resources, message board, e-mail reminder to
submit weight and weight loss information. The intervention
group received counseling and feedback via e-mail that
was based on submitted food and exercise diaries.
basic Internet program. Intervention: basic Internet program
plus e-mail counseling
site usage, body weight, waist circumference, physical
activity, and food intake
frequency decreased for all groups over the course of the
intervention. Intervention group used site more at all
time periods than control. Significantly more weight loss
and waist circumference decrease in the intervention group.
4.4 kg lost after 1 year in intervention group.
Tate DF, Wing RR, Winett
RA. Using Internet technology to deliver a behavioral
weight loss program. Journal of the American Medical
Association 2001;285:1172-7. [Overview, Acceptability,
overweight adults recruited through an employer’s
Intranet Web site; 81 women, 10 men; mean age 40; 78% control
group and 89% intervention group Caucasian
loss: work site computer with Intranet
site reviews basic information related to weight loss and
includes resources about diet, exercise, self-monitoring,
and other behavioral resources.
received initial session with a psychologist. Control group:
Internet education/resources Web site. Intervention group:
Internet education, 24 behavioral lessons via e-mail, weekly
online submission of self-monitoring diaries with individualized
feedback from a therapist, and an online bulletin board.
site usage, body weight, waist circumference, physical
activity, and food intake
frequency significantly correlated with weight loss. Intervention
group logged in more frequently than control group throughout
the study, although both groups showed attrition after
month 3. Behavior therapy group lost more weight than control
group. More in the intervention group achieved 5% of total
weight loss goal. Greater decrease in waist circumference
in intervention group.
Valdez A, Banerjee
K, Ackerson L, Fernandez M. A multimedia breast cancer
education intervention for low-income Latinas. Journal
of Community Health 2002;27:33-51. [Overview, Applicability]
low-income, low-education Latinas recruited from three
community health clinics, two medical centers, and one
clinic-based touch screen computers in free-standing kiosks
Breast Cancer Educational Kiosk: a multimedia tool designed
to teach low-income, low-education Latinas about breast
cancer screening. It contains 10 modules about breast cancer,
including risk, early detection, screening concerns, mammogram,
breast self-exam, options for those without insurance,
etc. Multimedia format includes video, animation, stills,
music, and narrative.
group: recorded baseline data and then used program. Intervention
group: used program and then completed study measures.
in increasing knowledge about breast cancer and the likelihood
of asking their doctors about mammograms. Greatest knowledge
differences seen in those who had not had mammography before.
No significant effects on attitude because most were favorable
before the intervention. Greater intention to ask a doctor
about getting a mammogram in intervention group, with greater
difference in women who had never had a mammogram or had
not had a recent mammogram, and with 8 years of education.
Walther J, Wang Z,
Loh T. The effect of top-level domains and advertisements
on health Web-site credibility. Journal of Medical
Internet Research 2004;6:e24. [Appropriateness]
participants recruited through intercept in shopping mall
(median age 32, 53% female), 45 recruited through snowball
sampling (median age 50, 68% female)
information: lab computer with Internet
of Web sites
examined 1 of 12 randomly assigned Web site mock-ups that
varied in either topic area, domain name, or presence of
advertising. Then they completed credibility survey.
effects: found a trend for advertisements having deleterious
effects on the credibility of sites with .org domain, but
positive effects on sites with .com or .edu domains.
Classen C, Alpers GW, Roberts H, Koopman C, Adams RE, et
al. Evaluation of an Internet support group for women
with primary breast cancer. Cancer 2003;97:1164-73.
women with breast cancer, recruited from ads on radio and
in newspapers, and flyers distributed to oncology offices
in California. 80% Caucasian, 4% African American, 4% Asian,
6% Hispanic/Latino, 6% other. 64% college graduates or
higher, 28% some college. If they did not have a computer,
they were loaned a Web-TV for the study.
home computer with Internet or Web-TV
Buddies: a structured facilitated support group. New topic
each week, moderator facilitated discussion on the topic
and related concerns; could also read survivor stories,
share their own experiences, keep a Web journal, group
group: wait-list control. Intervention group: used Bosom
stress, coping and adjustment to cancer, group experience,
logged onto site mean of 34 times, posted an average of
36 support messages. Personal journal was not used regularly.
Improvements in intervention group in depression, stress,
and cancer-related trauma measures. No change in anxiety
or coping. Intervention group participants reported that
they used the group to provide/receive support, form new
friendships, understand that their problems were not unique,
and to confront difficult problems and fears.
Womble LG, Wadden TA,
McGuckin BG, Sargent SL, Rothman RA, Krauthamer-Ewing ES.
A randomized controlled trial of a commercial Internet
weight loss program. Obesity Research 2004;12:1011-8.
women with mean age 43.7
loss: home computer with Internet
a commercial Internet site in which membership allows user
access to a virtual visit with a dietitian; a diet that
is matched to needs, likes, and lifestyles; meal plans
and grocery lists; social support; message boards; animated
fitness instructor; 24-hour help desk; e-mail reminders;
e-mail newsletter; buddy program
group: received weight loss manuals, LEARN program for
weight management, and weight maintenance survival guide.
Intervention group: used eDiets.com. Both groups received
11 brief clinic visits to obtain weight and blood pressure
weight, eating habits, depression and quality of life,
in e-Diets lost significantly less weight at week 16 and
week 52 than those who used manual when last measurement
was used for drop-outs. (When baseline measures were used
for drop-outs for analysis, results were not significant.)
Those who attended more clinic visits in either group lost
more weight. Those who used food diaries in either group
lost more weight. Participants who logged onto eDiets more,
lost more weight as compared to the weight gain in those
who logged on less frequently. No differences between groups
in eating behaviors or quality-of-life measures. Both groups
reported increased cognitive restraint; improvements in
physical function and vitality; and decreased depression,
dietary disinhibition, and hunger. No differences in blood
pressure, glucose, and lipids at 52 weeks.