Department of Public Health, Erasmus MC, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands.
Health Educ Res. 2010 Aug;25(4):585-95. doi: 10.1093/her/cyp063. Epub 2009 Nov 6.
The Internet has become important for the delivery of behavior change interventions. This observational study examines how many people visited, registered and revisited a web-based computer-tailored intervention promoting heart-healthy behaviors when it is implemented for use by the general public. Among registered visitors, the association between visitors' characteristics and initiating, completing and revisiting the website and/or its behavior-specific modules was analyzed. Server statistics showed that 285 146 visitors from unique IP addresses landed on the home page in a 36-month period; of these, >50% left the intervention website within 30 s. In total, 81 574 (28.6%) visitors completed the registration procedure and gained access to the intervention; 99% of registered visitors initiated one module, 91% completed at least one module and 6% revisited the intervention. The majority of the registered visitors were women, medium to highly educated, with a body mass index (BMI) <25. Women, visitors aged 40-50 years, visitors with a medium educational level and visitors with a BMI <25 were more likely to initiate and finish the modules. It is concluded that a heart-healthy computer-tailored Internet program can reach substantial numbers of people, but additional research is needed to develop promotional strategies that reach the high-risk population, i.e. men, older and lower educated persons.
互联网对于行为改变干预措施的传播非常重要。本观察性研究考察了当一项基于网络的计算机定制干预措施面向公众使用时,有多少人访问、注册并重新访问该干预措施,以促进心脏健康行为。在注册访问者中,分析了访问者特征与启动、完成和重新访问网站及其特定行为模块之间的关联。服务器统计数据显示,在 36 个月的时间内,有 285146 名来自唯一 IP 地址的访问者访问了主页;其中,超过 50%的访问者在 30 秒内离开干预网站。总共有 81574(28.6%)名访问者完成了注册程序并获得了干预措施的访问权限;99%的注册访问者启动了一个模块,91%的访问者完成了至少一个模块,6%的访问者重新访问了干预措施。大多数注册访问者是女性,受教育程度中等偏高,体重指数(BMI)<25。女性、40-50 岁的访问者、中等教育水平的访问者和 BMI<25 的访问者更有可能启动和完成模块。研究结论认为,心脏健康的计算机定制互联网计划可以覆盖大量人群,但需要进一步研究制定能够覆盖高危人群(即男性、年龄较大和受教育程度较低的人群)的推广策略。