Online health behavior and disease management programs: are we ready for them? Are they ready for us?
Online health behavior and disease management programs: are we ready for them? Are they ready for us?
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DOI：
10.2196/jmir.7.3.e27
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发表时间：
2005-07-01
影响因子：
7.4
通讯作者：
Prochaska JM
中科院分区：
文献类型：
--
作者：
Evers KE;Cummins CO;Prochaska JO;Prochaska JM
在互联网上推进健康促进和疾病管理的科学和实践需要一项系统的研究计划，以检查此类计划对人口的影响。由于影响被描述为有效性和参与性的结合，此类研究需要包括对公众可用方案的质量和有效性的检查，以及关于人口参与此类方案的准备情况的描述性和预测性知识。很少有研究检验互联网上交互式健康行为改变(HBC)计划的质量，更少有关于此类计划有效性的调查。根据对互联网上300多个HBC项目的审查，使用互联网上健康行为改变的5个A‘s(HBC-I Screener)，这代表了标准的最低评估指南，互联网上的HBC似乎处于发展的早期阶段。随着互联网上的健康行为变化从提供健康信息到满足产生健康行为变化所必需的要求的成熟，以及随着程序开发人员利用互联网的互动性，本项目中开发的基本筛查和扩展的评估标准将为程序的消费者和开发人员提供模板。评估HBC对互联网的影响的第二个必要组成部分是民众准备参与这类计划的程度。我们需要超越对早期采用者的狭隘关注，产生一个包括那些尚未准备好的人、那些正在准备好的人、那些准备使用这些计划的人以及那些已经参与的人的人群视角。通过了解此类项目的参与水平以及这种参与的驱动因素，制定和传播切合实际的、有针对性的干预措施可以帮助最大限度地提高人们对互联网项目的参与度，从而改变健康行为。
Advancing the science and practice of health promotion and disease management on the Internet requires a systematic program of research examining the population impact of such programs. With impact described as the combination of effectiveness and participation, such research needs to include the examination of the quality and effectiveness of programs that are available to the general public, as well as descriptive and predictive knowledge about population readiness to participate in such programs. There have been few studies examining the quality of interactive health behavior change (HBC) programs on the Internet, and even fewer investigations of the effectiveness of such programs. Based on the review of over 300 HBC programs on the Internet using the “5 A's” of Health Behavior Change on the Internet (HBC-I Screener), which represent standard minimum guidelines for evaluation, it appears HBC on the Internet is in the early stages of development. As health behavior change on the Internet matures from the provision of health information to meeting the requirements necessary to produce health behavior change, and as program developers take advantage of the interactive nature of the Internet, the basic screening and expanded evaluation criteria developed in this project will provide templates for both consumers and developers of programs. The second component necessary for evaluating the impact of HBC on the Internet is the extent to which the population is ready to participate in such programs. We need to move beyond a narrow focus on early adopters and produce a population perspective that includes those not ready, those getting ready, and those ready to use such programs, as well as those already participating. By understanding participation levels of such programs, and what drives this participation, the development and dissemination of practical tailored and targeted interventions can help maximize population participation in Internet programs for health behavior change.
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影响因子：
3.2
作者：
Evers, KE;Prochaska, JM;Velicer, WF
通讯作者：
Velicer, WF
影响因子：
3.8
作者：
Kreuter, MW;Strecher, VJ;Glassman, B
通讯作者：
Glassman, B
影响因子：
4.7
作者：
Bock, BC;Graham, AL;Abrams, DB
通讯作者：
Abrams, DB
影响因子：
3.2
作者：
Cummins, CO;Prochaska, JO;Velicer, WF
通讯作者：
Velicer, WF