Feasibility of incorporating computertailored health behaviour
communications in primary care settings

Sciamanna, Christopher N.; Marcus, Bess H.; Goldstein, Michael G.; Lawrence, Kipp; Swartz, Sue; Bock, Beth C.; Graham, Amanda L.; Ahern, David K.

doi:10.14236/jhi.v12i1.107

Cited by 23 publications

(21 citation statements)

References 45 publications

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“…It is also possible that there is a developmental threshold in early adolescence for using computers to assist with behavior change plans and that these children may need additional guidance and support. The finding that teens did not want e-mail follow-up contrasts with successful interventions using e-mail and interactive computer followup in adults 122,[125][126][127]129,130,132 and may have been because of targeted behaviors being selected by health care providers rather than by teens.…”

Section: Primary Care Interventions To Assess Physical Activitymentioning

confidence: 88%

Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Meriwether

Lobelo

Pate

2008

American Journal of Lifestyle Medicine

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National recommendations call for children and adolescents to accumulate at least 60 minutes of moderate to vigorous physical activity on most days of the week and for physicians to counsel their patients about physical activity. Physical inactivity tracks from childhood into adulthood, and among youth, it is associated with unfavorable risk factor profiles that promote the development of cardiovascular and metabolic chronic diseases. Few studies of clinical interventions to promote physical activity in children and youth have been published, and the paucity of evidence describing effective interventions and significant barriers limit delivery of counseling. However, existing studies provide evidence about elements of counseling most likely to be effective to guide clinical interventions and inform future research. Based on a literature review, this article offers guidance for incorporating physical activity promotion into clinical care, identifies gaps in current evidence, and suggests methodologic considerations for future research.

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Section: Primary Care Interventions To Assess Physical Activitymentioning

confidence: 88%

Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Meriwether

Lobelo

Pate

2008

American Journal of Lifestyle Medicine

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“…The basic idea is to implement MyPlan in general practice settings. General practitioners (GPs), are likely to be influential because of their credibility, and they can provide personal support during computer-tailored interventions [30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Acceptability, feasibility and effectiveness of an eHealth behaviour intervention using self-regulation: ‘MyPlan’

Plaete

Bourdeaudhuij

Verloigne

et al. 2015

Patient Education and Counseling

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Objective: The study aims to evaluate the acceptability, feasibility and effectiveness of the eHealth intervention 'MyPlan', which targets health behaviour in adults. Methods: Flemish adults were randomly allocated to a control (n=155), or one of three intervention groups: a physical activity (PA) (n=158), a fruit intake (n=161) or a vegetable intake group (n=48). PA, fruit or vegetable intake were measured at the start and after 1 month. Results: Adults with low education, and over 40 years evaluated the personal advice and action plans as more motivating, but also the personal advice as too long than adults with high education and younger adults. Overall, 48% completed the follow-up module after one week, and only 24% after one month. At one-month follow-up, the fruit intake intervention resulted in more fruit intake (F=9.5, p=0.003) and the PA intervention to a higher total physically activity level (F=5.6, p=0.020) than the control group. There was not effect for vegetable intake. Conclusion: 'MyPlan' was feasible and acceptable, and has the potential to increase PA levels, and fruit and vegetable intake. Practical Implications: Adaptations to the content of the intervention are further needed, and more attention is needed to motivate participants to complete the different follow-up parts.

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“…Having patients access this type of information while in a doctor’s office has been shown to be too challenging [45]. And while lists of questions to ask a physician about specific conditions are available online (from the American Heart Association, for example), the website in this study took these types of questions one step further, tailoring the feedback based on individuals’ answers and explaining why each feedback question was important.…”

Section: Discussionmentioning

confidence: 99%

A Website to Improve Asthma Care by Suggesting Patient Questions for Physicians: Qualitative Analysis of User Experiences

Hartmann¹,

Sciamanna²,

Blanch³

et al. 2007

J Med Internet Res

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Background Asthma is one of the most prevalent chronic conditions in the United Sates, yet despite the existence of national guidelines, nearly three fourths of patients with asthma do not have adequate control and clinical adherence to guidelines is low. While there are many reasons for this, physician inertia with respect to treatment change is partly to blame. Research suggests that patients who ask for specific tests and treatments are more likely to receive them.Objectives This study investigated the impact and experience of using an interactive patient website designed to give patients individual feedback about their condition and to suggest tailored questions for patients to ask their physician. The website was designed to be used prior to a physician visit, to increase the likelihood that patients would receive recommended tests and treatments.Methods A total of 37 adult patients with asthma participated in semi-structured telephone interviews aimed at eliciting information about their experiences with the website. Transcripts were coded using qualitative data analysis techniques and software. Themes were developed from subsets of codes generated through the analysis. In addition, 26 physicians were surveyed regarding their impressions of the website.Results Opportunities exist for improving website feedback, although the majority of both patient and physician respondents held favorable opinions about the site. Two major themes emerged regarding patients’ experiences with the website. First, many patients who used the website had a positive shift in their attitudes regarding interactions with their physicians. Second, use of the website prompted patients to become more actively involved in their asthma care. No patient reported any negative experiences as a result of using the website. Physicians rated the website positively.Conclusions Patients perceived that the interactive website intervention improved communication and interaction with their physicians, suggesting that patients can play a role in overcoming the clinical inertia of providers. Although the design and content of the website can be improved upon, the main findings suggest that use of the website is well accepted and is perceived to improve the quality of care that patients receive.

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Feasibility of incorporating computertailored health behaviour communications in primary care settings

Cited by 23 publications

References 45 publications

Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Acceptability, feasibility and effectiveness of an eHealth behaviour intervention using self-regulation: ‘MyPlan’

A Website to Improve Asthma Care by Suggesting Patient Questions for Physicians: Qualitative Analysis of User Experiences

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