TY - JOUR AU - Murray, Elizabeth PY - 2012/08/14 TI - Web-Based Interventions for Behavior Change and Self-Management: Potential, Pitfalls, and Progress JO - Med 2.0 SP - e3 VL - 1 IS - 2 KW - Internet KW - self-care KW - eHealth KW - health behavior UR - http://www.medicine20.com/2012/2/e3/ UR - http://dx.doi.org/10.2196/med20.1741 UR - http://www.ncbi.nlm.nih.gov/pubmed/25075231 ID - info:doi/10.2196/med20.1741 ER - TY - JOUR AU - Gómez-Zúńiga, Beni AU - Fernandez-Luque, Luis AU - Pousada, Modesta AU - Hernández-Encuentra, Eulŕlia AU - Armayones, Manuel PY - 2012/04/25 TI - ePatients on YouTube: Analysis of Four Experiences From the Patients' Perspective JO - Med 2.0 SP - e1 VL - 1 IS - 1 KW - Medical informatics KW - Internet KW - patient-physician relationship KW - health communication KW - social networks KW - chronic conditions KW - YouTube N2 - Background: Many patients share their personal experiences and opinions using online video platforms. These videos are watched by millions of health consumers and health care professionals. Although it has become a popular phenomenon, little is known about patients who share videos online and why they do so. Objective: We aimed to explore the motivations and challenges faced by patients who share videos about their health and experiences on YouTube. As part of a conference discussion, we asked several patients actively engaged on YouTube to make a video explaining their motivations. This paper discusses these videos. Methods: In this qualitative study, we performed an analysis of the videos created by 4 patients about their self-reported motivations and challenges they face as YouTube users. First, two judges compared the transcriptions and decided the exact wording when confusing content was found. Second, two judges categorized the content of the videos to identify the major themes. Results: Four main categories emerged: (1) the origin or cause for making the first video, (2) the objectives that they achieve by continuing to make videos, (3) the perception of community, and (4) the negative consequences of the experience. Conclusions: The main reason for making videos was to bridge the gap between traditional health information about their diseases and everyday life. The first consequence of sharing their life on YouTube was a loss of privacy. However, they also experienced the positive effects of expressing their feelings, being part of a large community of peers, and helping others to deal with a chronic condition. UR - http://www.medicine20.com/2012/1/e1/ UR - http://dx.doi.org/10.2196/med20.2039 UR - http://www.ncbi.nlm.nih.gov/pubmed/25075229 ID - info:doi/10.2196/med20.2039 ER - TY - JOUR AU - Peels, A. Denise AU - van Stralen, M. Maartje AU - Bolman, Catherine AU - Golsteijn, HJ Rianne AU - de Vries, Hein AU - Mudde, N. Aart AU - Lechner, Lilian PY - 2012/03/02 TI - Development of Web-Based Computer-Tailored Advice to Promote Physical Activity Among People Older Than 50 Years JO - J Med Internet Res SP - e39 VL - 14 IS - 2 KW - Computer-tailored advice KW - physical activity KW - Web-based intervention KW - older adults KW - exercise KW - environment KW - RE-AIM model N2 - Background: The Active Plus project is a systematically developed theory- and evidence-based, computer-tailored intervention, which was found to be effective in changing physical activity behavior in people aged over 50 years. The process and effect outcomes of the first version of the Active Plus project were translated into an adapted intervention using the RE-AIM framework. The RE-AIM model is often used to evaluate the potential public health impact of an intervention and distinguishes five dimensions: reach, effectiveness, adoption, implementation, and maintenance. Objective: To gain insight into the systematic translation of the first print-delivered version of the Active Plus project into an adapted (Web-based) follow-up project. The focus of this study was on the reach and effectiveness dimensions, since these dimensions are most influenced by the results from the original Active Plus project. Methods: We optimized the potential reach and effect of the interventions by extending the delivery mode of the print-delivered intervention into an additional Web-based intervention. The interventions were adapted based on results of the process evaluation, analyses of effects within subgroups, and evaluation of the working mechanisms of the original intervention. We pretested the new intervention materials and the Web-based versions of the interventions. Subsequently, the new intervention conditions were implemented in a clustered randomized controlled trial. Results: Adaptations resulted in four improved tailoring interventions: (1) a basic print-delivered intervention, (2) a basic Web-based intervention, (3) a print-delivered intervention with an additional environmental component, and (4) a Web-based version with an additional environmental component. Pretest results with participants showed that all new intervention materials had modest usability and relatively high appreciation, and that filling in an online questionnaire and performing the online tasks was not problematic. We used the pretest results to improve the usability of the different interventions. Implementation of the new interventions in a clustered randomized controlled trial showed that the print-delivered interventions had a higher response rate than the Web-based interventions. Participants of both low and high socioeconomic status were reached by both print-delivered and Web-based interventions. Conclusions: Translation of the (process) evaluation of an effective intervention into an adapted intervention is challenging and rarely reported. We discuss several major lessons learned from our experience. Trial Registration: Nederlands Trial Register (NTR): 2297; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2297 (Archived by WebCite at http://www.webcitation.org/65TkwoESp). UR - http://www.jmir.org/2012/2/e39/ UR - http://dx.doi.org/10.2196/jmir.1742 UR - http://www.ncbi.nlm.nih.gov/pubmed/22390878 ID - info:doi/10.2196/jmir.1742 ER -