We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Dissemination strategies and adherence predictors for web-based interventions--how efficient are patient education sessions and email reminders?
- Authors
Schweier, R.; Romppel, M.; Richter, C.; Grande, G.
- Abstract
The Internet offers the potential to efficaciously deliver health interventions at a low cost and with a low threshold across any distance. However, since many web-based interventions are confronted with low use and adherence, proactive dissemination strategies are needed. We, therefore, tested the efficacy of a 1-h patient education session as part of a rehabilitation program and an email reminder 4 weeks later on the publicity and use of a web-based intervention aimed at lifestyle changes in patients with either coronary heart disease or chronic back pain (CBP) and examined adherence predictors. The website www.lebensstil-aendern.de is a cost-free, German-language website providing more than 1000 patient narratives about successful lifestyle changes. To test the efficacy of the dissemination strategies and to examine adherence predictors, we conducted a sequential controlled trial with heart and CBP patients recruited from German in patient rehabilitation centers. The dissemination strategies were found to be efficient. Use rates, however, remained low. The email reminder and internal health locus of control emerged as notable factors in motivating patients to participate in the web-based intervention. Other factors that have been suggested to be related to nonuse, e.g. sociodemographic characteristics and medical condition, did not predict use or adherence.
- Subjects
GERMANY; BACKACHE; BEHAVIOR modification; CHI-squared test; CHRONIC pain; CONFIDENCE intervals; CORONARY disease; HEALTH behavior; INFORMATION resources management; PATIENT compliance; PATIENT education; PROBABILITY theory; QUESTIONNAIRES; REHABILITATION; RESEARCH funding; STRATEGIC planning; T-test (Statistics); WORLD Wide Web; LOGISTIC regression analysis; HEALTH care reminder systems; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio
- Publication
Health Education Research, 2016, Vol 31, Issue 3, p384
- ISSN
0268-1153
- Publication type
Article
- DOI
10.1093/her/cyw019