Evers Kerry E, Cummins Carol O, Prochaska James O, Prochaska Janice M
Pro-Change Behavior Systems, Inc, West Kingston, RI 02892, USA.
J Med Internet Res. 2005 Jul 1;7(3):e27. doi: 10.2196/jmir.7.3.e27.
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.
推进互联网上健康促进和疾病管理的科学与实践需要一个系统的研究计划，以检验此类计划对人群的影响。影响被描述为有效性和参与度的结合，此类研究需要包括对向公众提供的计划的质量和有效性的检验，以及关于人群参与此类计划的意愿的描述性和预测性知识。很少有研究检验互联网上互动式健康行为改变（HBC）计划的质量，对此类计划有效性的调查更是少之又少。基于使用互联网健康行为改变的“5A”（HBC-I筛选工具）对300多个互联网上的HBC计划进行的审查，该工具代表了评估的标准最低指南，互联网上的HBC似乎正处于发展的早期阶段。随着互联网上的健康行为改变从提供健康信息发展到满足产生健康行为改变所需的要求，并且随着计划开发者利用互联网的互动性质，本项目制定的基本筛选和扩展评估标准将为计划的消费者和开发者提供模板。评估互联网上HBC影响所需的第二个要素是人群准备好参与此类计划的程度。我们需要超越对早期采用者的狭隘关注，形成一种人群视角，包括那些未准备好、正在准备以及准备好使用此类计划的人，以及那些已经参与的人。通过了解此类计划的参与水平以及推动这种参与的因素，开发和传播实用的量身定制和有针对性的干预措施有助于最大限度地提高人群对互联网健康行为改变计划的参与度。
