Developing a Web-Based Health Promotion Intervention: A Case Study From a Brief Motivational Alcohol Program

Barretto, Andrea Ippel; Bingham, C. Raymond; Goh, Kim Nee; Shope, Jean T.

doi:10.1177/1524839909353740

Cited by 20 publications

(16 citation statements)

References 23 publications

(27 reference statements)

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“…It is important to publish detailed descriptions of intervention development procedures in order to help prepare other researchers for the development process and so that reports of intervention trials can be interpreted properly (Barretto, Bingham, Goh, & Shope, 2011). Readers might also want to refer to alternative recent comprehensive approaches to web intervention development including the use of Intervention Mapping (Bartholomew, Parcel, Kok, Gottlieb, & Fernandez, 2011), instructional design (Hilgart et al, 2012), the PRECEDE model (Kattelmann et al, 2014), the process map of Elwyn and colleagues (2011), and the approaches of Barretto and colleagues (2011) and Chee and colleagues (Chee, Lee, Chee, & Im, 2014). …”

Section: Discussionmentioning

confidence: 99%

Development of an internet intervention to address behaviors associated with skin cancer risk among young adults

Heckman

Munshi

Caruso³

et al. 2015

Internet Interventions

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Purpose Skin cancer is the most common cancer in the US, and its incidence is increasing. The major risk factor for skin cancer is exposure to ultraviolet radiation (UV). Young adults tend to expose themselves to large amounts of UV and engage in minimal skin protection, which increases their skin cancer risk. Interventions are needed to address risk behaviors among young adults that may lead to skin cancer. The nternet offers a cost-effective way to widely disseminate efficacious interventions. The current paper describes the development of an online skin cancer risk reduction intervention (UV4.me) for young adults. Procedures The iterative development process for UV4.me followed best-practice guidelines and included the following activities: individual interviews, focus groups, content development by the expert team, acceptability testing, cognitive interviewing for questionnaires, quality control testing, usability testing, and a pilot randomized controlled trial. Participant acceptability and usability feedback was assessed. Principal Results The development process produced an evidence-informed intervention that is individually-tailored, interactive, and multimedia in nature based on the Integrative Model of Behavior Prediction, a model for internet interventions, and other best-practice recommendations, expert input, as well as user acceptability and usability feedback gathered before, during, and after development. Major Conclusions Development of an acceptable intervention intended to have a significant public health impact requires a relatively large investment in time, money, expertise, and ongoing user input. Lessons learned and recommendations are discussed. The comprehensive process used may help prepare others interested in creating similar behavioral health interventions.

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Section: Discussionmentioning

confidence: 99%

Development of an internet intervention to address behaviors associated with skin cancer risk among young adults

Heckman

Munshi

Caruso³

et al. 2015

Internet Interventions

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“…Stated differently, these reporting practices make the important initial stages of intervention research a backstage performance. As an alternative, we espouse the view that eHealth researchers should publish the intervention protocols separately and peer-reviewed prior to publishing their evaluation studies [6,9]. Reviews that systematically assess the link between intervention rationale and outcome [12,23,114] can play a vital role in improving eHealth practice as they potentially synthesize the experiences from the entire field.…”

Section: Discussionmentioning

confidence: 99%

“…Improved reporting of intervention rationales within eHealth will extend the evidence base and may improve the design of future intervention programs [1-9]. Research and development teams that set out to create interventions are informed in 2 basic ways—directly, based on empirical reports, and indirectly, through systematic or meta-analytic reviews.…”

Section: Introductionmentioning

confidence: 99%

Constructing a Theory- and Evidence-Based Treatment Rationale for Complex eHealth Interventions: Development of an Online Alcohol Intervention Using an Intervention Mapping Approach

Brendryen¹,

Johansen²,

Nesvåg³

et al. 2013

JMIR Res Protoc

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BackgroundDue to limited reporting of intervention rationale, little is known about what distinguishes a good intervention from a poor one. To support improved design, there is a need for comprehensive reports on novel and complex theory-based interventions. Specifically, the emerging trend of just-in-time tailoring of content in response to change in target behavior or emotional state is promising.ObjectiveThe objective of this study was to give a systematic and comprehensive description of the treatment rationale of an online alcohol intervention called Balance.MethodsWe used the intervention mapping protocol to describe the treatment rationale of Balance. The intervention targets at-risk drinking, and it is delivered by email, mobile phone text messaging, and tailored interactive webpages combining text, pictures, and prerecorded audio.ResultsThe rationale of the current treatment was derived from a self-regulation perspective, and the overarching idea was to support continued self-regulation throughout the behavior change process. Maintaining the change efforts over time and coping adaptively during critical moments (eg, immediately before and after a lapse) are key factors to successful behavior change. Important elements of the treatment rationale to achieving these elements were: (1) emotion regulation as an inoculation strategy against self-regulation failure, (2) avoiding lapses by adaptive coping, and (3) avoiding relapse by resuming the change efforts after a lapse. Two distinct and complementary delivery strategies were used, including a day-to-day tunnel approach in combination with just-in-time therapy. The tunnel strategy was in accordance with the need for continuous self-regulation and it functions as a platform from which just-in-time therapy was launched. Just-in-time therapy was used to support coping during critical moments, and started when the client reports either low self-efficacy or that they were drinking above target levels.ConclusionsThe descriptions of the treatment rationale for Balance, the alcohol intervention reported herein, provides an intervention blueprint that will aid in interpreting the results from future program evaluations. It will ease comparisons of program rationales across interventions, and may assist intervention development. By putting just-in-time therapy within a complete theoretical and practical context, including the tunnel delivery strategy and the self-regulation perspective, we have contributed to an understanding of how multiple delivery strategies in eHealth interventions can be combined. Additionally, this is a call for action to improve the reporting practices within eHealth research. Possible ways to achieve such improvement include using a systematic and structured approach, and for intervention reports to be published after peer-review and separately from evaluation reports.

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“…Interactivity included quizzes about alcohol and its effects, self-assessments of alcohol attitudes and behaviors, and exercises exploring alcohol use norms. Avatars depicting four resident advisors guided the participants through the sessions using text bubbles (For a more detailed description see Barretto, Bingham, Goh & Shope, 2011). …”

Section: Methodsmentioning

confidence: 99%

Efficacy of a Web-Based, Tailored, Alcohol Prevention/Intervention Program for College Students: 3-Month Follow-up

et al. 2011

Self Cite

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This study presents the results of an efficacy evaluation of a Web-based brief motivational alcohol prevention/intervention program called Michigan Prevention and Alcohol Safety for Students (M-PASS). Four on-line sessions providing individually-tailored feedback were delivered to first-year college students over nine weeks. Non- and low-risk drinking participants received risk prevention, while high-risk drinking participants received a risk-reduction intervention. Both intervention and control groups were surveyed at baseline and at a three-month follow-up. Analysis showed positive effects for both men and women on stage of change, drinking behavior, drinking motivation and attitudes, and use of risk-reduction strategies. These results provided evidence of efficacy, and found that M-PASS had both intervention and prevention effects, making it unique among currently developed brief alcohol interventions for college students.

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Developing a Web-Based Health Promotion Intervention: A Case Study From a Brief Motivational Alcohol Program

Cited by 20 publications

References 23 publications

Development of an internet intervention to address behaviors associated with skin cancer risk among young adults

Development of an internet intervention to address behaviors associated with skin cancer risk among young adults

Constructing a Theory- and Evidence-Based Treatment Rationale for Complex eHealth Interventions: Development of an Online Alcohol Intervention Using an Intervention Mapping Approach

Efficacy of a Web-Based, Tailored, Alcohol Prevention/Intervention Program for College Students: 3-Month Follow-up

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