Use of email and telephone prompts to increase self-monitoring in a Web-based intervention: randomized controlled trial.
Use of email and telephone prompts to increase self-monitoring in a Web-based intervention: randomized controlled trial.
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DOI：
10.2196/jmir.1981
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发表时间：
2012-07-27
影响因子：
7.4
通讯作者：
Emmons KM
中科院分区：
文献类型：
--
作者：
Greaney ML;Sprunck-Harrild K;Bennett GG;Puleo E;Haines J;Viswanath KV;Emmons KM
自我监控是与持续健康行为改变相关的关键行为改变机制。尽管基于web的干预可以为自我监控提供用户友好的方法，但使用这些工具并不是最理想的。增加使用可以鼓励、促进和维持行为改变。为了确定电子邮件提示或电子邮件加电话提示是否增加了为多种癌症风险降低项目创建的网站上行为的自我监控。我们招募并登记了参与者（N = 100），在一个城市初级保健卫生中心的初级保健井访问期间进行了基于网络的干预。每日自我监控的频率在研究网站上进行了跟踪。在第一周内至少跟踪一种行为3次或更多次的参与者被归类为符合跟踪阈值，并被分配到仅观察组（OO, n = 14）。这组人被跟踪，但没有收到提示。在第1周未达到阈值的参与者被随机分配到两种提示条件之一：自动协助（AA, n = 36）或自动协助+呼叫（AAC, n = 50）。在提示期间（2 - 3周），AA组和AAC组的参与者每天都会收到鼓励跟踪的自动电子邮件和两份定制的自我监控报告（第二周结束，第三周结束），这些报告提供了跟踪频率的反馈。在AAC条件下的个人还接到了两个来自训练有素的研究人员的技术援助电话。从第2周到第17周，跟踪自我监测的频率。在两种干预条件下，自我监测率在提示期间都有所增加，在提示停止后有所下降。在16周的观察中，每周达到自我监测阈值的百分比组间差异有统计学意义，AAC组比AA组维持得更好（P < 0.001）。OO组的自我监测率高于AA组和AAC组（P < 0.001）。提示可以提高自我监控率。促销期后自我监控的减少表明，额外的提醒提示将是有用的。与电子邮件提醒和量身定制的自我监控报告相比，使用技术援助电话似乎在促进自我监控方面具有更大的效果。ClinicalTrials.gov NCT01415492;http://clinicaltrials.gov/ct2/show/NCT01415492（由WebCite在http://www.webcitation.org/68LOXOMe2存档）
Self-monitoring is a key behavior change mechanism associated with sustained health behavior change. Although Web-based interventions can offer user-friendly approaches for self-monitoring, engagement with these tools is suboptimal. Increased use could encourage, promote, and sustain behavior change. To determine whether email prompts or email plus telephone prompts increase self-monitoring of behaviors on a website created for a multiple cancer risk reduction program. We recruited and enrolled participants (N = 100) in a Web-based intervention during a primary care well visit at an urban primary care health center. The frequency of daily self-monitoring was tracked on the study website. Participants who tracked at least one behavior 3 or more times during week 1 were classified as meeting the tracking threshold and were assigned to the observation-only group (OO, n = 14). This group was followed but did not receive prompts. Participants who did not meet the threshold during week 1 were randomly assigned to one of 2 prompting conditions: automated assistance (AA, n = 36) or automated assistance + calls (AAC, n = 50). During prompting periods (weeks 2–3), participants in the AA and AAC conditions received daily automated emails that encouraged tracking and two tailored self-monitoring reports (end of week 2, end of week 3) that provided feedback on tracking frequency. Individuals in the AAC condition also received two technical assistance calls from trained study staff. Frequency of self-monitoring was tracked from week 2 through week 17. Self-monitoring rates increased in both intervention conditions during prompting and declined when prompting ceased. Over the 16 weeks of observation, there was a significant between-group difference in the percentage who met the self-monitoring threshold each week, with better maintenance in the AAC than in the AA condition (P < .001). Self-monitoring rates were greater in the OO group than in either the AA or AAC condition (P < .001). Prompting can increase self-monitoring rates. The decrease in self-monitoring after the promoting period suggests that additional reminder prompts would be useful. The use of technical assistance calls appeared to have a greater effect in promoting self-monitoring at a therapeutic threshold than email reminders and the tailored self-monitoring reports alone. ClinicalTrials.gov NCT01415492; http://clinicaltrials.gov/ct2/show/NCT01415492 (Archived by WebCite at http://www.webcitation.org/68LOXOMe2)
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影响因子：
2.7
作者：
SUBAR, AF;HEIMENDINGER, J;KESSLER, R
通讯作者：
KESSLER, R
影响因子：
2.2
作者：
Burke LE;Styn MA;Glanz K;Ewing LJ;Elci OU;Conroy MB;Sereika SM;Acharya SD;Music E;Keating AL;Sevick MA
通讯作者：
Sevick MA
影响因子：
--
作者：
Tinker, Lesley F.;Rosal, Milagros C.;Wu, Lieling
通讯作者：
Wu, Lieling
影响因子：
3.8
作者：
Estabrooks, Paul A.;Bradshaw, Michael;Smith-Ray, Renae L.
通讯作者：
Smith-Ray, Renae L.
影响因子：
12.7
作者：
Emmons, KM;Stoddard, AM;Bigby, JA
通讯作者：
Bigby, JA