Abstract:
BACKGROUND:Different studies have reported the effectiveness of Web-based computer-tailored lifestyle interventions, but economic evaluations of these interventions are scarce. OBJECTIVE:The objective was to assess the cost-effectiveness and cost-utility of a sequential and a simultaneous Web-based computer-tailored lifestyle intervention for adults compared to a control group. METHODS:The economic evaluation, conducted from a societal perspective, was part of a 2-year randomized controlled trial including 3 study groups. All groups received personalized health risk appraisals based on the guidelines for physical activity, fruit intake, vegetable intake, alcohol consumption, and smoking. Additionally, respondents in the sequential condition received personal advice about one lifestyle behavior in the first year and a second behavior in the second year; respondents in the simultaneous condition received personal advice about all unhealthy behaviors in both years. During a period of 24 months, health care use, medication use, absenteeism from work, and quality of life (EQ-5D-3L) were assessed every 3 months using Web-based questionnaires. Demographics were assessed at baseline, and lifestyle behaviors were assessed at both baseline and after 24 months. Cost-effectiveness and cost-utility analyses were performed based on the outcome measures lifestyle factor (the number of guidelines respondents adhered to) and quality of life, respectively. We accounted for uncertainty by using bootstrapping techniques and sensitivity analyses. RESULTS:A total of 1733 respondents were included in the analyses. From a willingness to pay of €4594 per additional guideline met, the sequential intervention (n=552) was likely to be the most cost-effective, whereas from a willingness to pay of €10,850, the simultaneous intervention (n=517) was likely to be most cost-effective. The control condition (n=664) appeared to be preferred with regard to quality of life. CONCLUSIONS:Both the sequential and the simultaneous lifestyle interventions were likely to be cost-effective when it concerned the lifestyle factor, whereas the control condition was when it concerned quality of life. However, there is no accepted cutoff point for the willingness to pay per gain in lifestyle behaviors, making it impossible to draw firm conclusions. Further economic evaluations of lifestyle interventions are needed. TRIAL REGISTRATION:Dutch Trial Register NTR2168; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2168 (Archived by WebCite at http://www.webcitation.org/6MbUqttYB).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Schulz DN,Smit ES,Stanczyk NE,Kremers SP,de Vries H,Evers SMdoi
10.2196/jmir.3159subject
Has Abstractpub_date
2014-03-20 00:00:00pages
e91issue
3eissn
1439-4456issn
1438-8871pii
v16i3e91journal_volume
16pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Unhealthy lifestyle behaviors often co-occur and are related to chronic diseases. One effective method to change multiple lifestyle behaviors is web-based computer tailoring. Dropout from Internet interventions, however, is rather high, and it is challenging to retain participants in web-based tailored progr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1968
更新日期:2012-03-08 00:00:00
abstract:BACKGROUND:Enormous amounts of data are recorded routinely in health care as part of the care process, primarily for managing individual patient care. There are significant opportunities to use these data for other purposes, many of which would contribute to establishing a learning health system. This is particularly t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9134
更新日期:2018-05-29 00:00:00
abstract:BACKGROUND:Internet-based interventions using cognitive behavioral approaches can be effective in promoting self-management of chronic pain conditions. Web-based programs delivered via smartphones are increasingly used to support the self-management of various health disorders, but research on smartphone interventions ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.2249
更新日期:2013-01-07 00:00:00
abstract:BACKGROUND:Support for guiding and monitoring postoperative recovery and resumption of activities is usually not provided to patients after discharge from the hospital. Therefore, a perioperative electronic health (eHealth) intervention ("ikherstel" intervention or "I recover" intervention) was developed to empower gyn...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9938
更新日期:2019-02-06 00:00:00
abstract:BACKGROUND:Although the use of patient-generated data (PGD) in the optimization of patient care shows great promise, little is known about whether patients who track their PGD necessarily share the data with their clinicians. Meanwhile, health literacy-an important construct that captures an individual's ability to man...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18937
更新日期:2020-12-22 00:00:00
abstract:BACKGROUND:Type 2 diabetes mellitus (T2DM) is a highly prevalent chronic metabolic disease characterized by hyperglycemia and cardiovascular risks. Without proper treatment, T2DM can lead to long-term complications. Diabetes self-management is recognized as the cornerstone of overall diabetes management. Web-based self...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2800
更新日期:2013-12-13 00:00:00
abstract:BACKGROUND:Individuals with chronic obstructive pulmonary disease (COPD) live with the burden of a progressive life-threatening condition that is often accompanied by anxiety and depression. The severity of the condition is usually considered from a clinical perspective and characterized according to the Global Initiat...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10924
更新日期:2019-06-02 00:00:00
abstract:BACKGROUND:Ethnic minority populations exhibit disproportionately high rates of type 2 diabetes mellitus (T2DM). Electronic health tools have the potential to facilitate the cultural adaptation and tailoring of T2DM education to improve the knowledge and management of diabetes mellitus (DM). OBJECTIVE:This study aimed...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/13674
更新日期:2019-10-16 00:00:00
abstract:BACKGROUND:Little is known about the effectiveness of mobile apps in aiding smoking cessation or their validity for automated collection of data on smoking cessation outcomes. OBJECTIVE:We conducted a preliminary evaluation of SF28 (SF28 is the name of the app, short for SmokeFree28)-an app aimed at helping smokers to...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3479
更新日期:2015-01-16 00:00:00
abstract:BACKGROUND:The coronavirus disease (COVID-19) pandemic has resulted in significant morbidity and mortality; large numbers of patients require intensive care, which is placing strain on health care systems worldwide. There is an urgent need for a COVID-19 disease severity assessment that can assist in patient triage and...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/22033
更新日期:2020-08-24 00:00:00
abstract:BACKGROUND:Seventy percent of lifetime cases of mental illness emerge before the age of 24 years, but many youth are unable to access the support and services they require in a timely and appropriate way. With most youth using the internet, electronic health (eHealth) interventions are promising tools for reaching this...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8102
更新日期:2018-03-06 00:00:00
abstract:BACKGROUND:The spread of healthy behaviors through social networks may be accelerated by influential individuals. Previous studies have used lay health influencers to prevent sexually transmitted infections (STIs) among internet-using men who have sex with men (MSM). However, there is a lack of understanding of the cha...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/10171
更新日期:2019-01-21 00:00:00
abstract:BACKGROUND:Effective lifestyle interventions targeting high-risk adults that are both practical for use in ambulatory care settings and scalable at a population management level are needed. OBJECTIVE:Our aim was to examine the potential effectiveness, feasibility, and acceptability of delivering an evidence-based Elec...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5143
更新日期:2016-05-27 00:00:00
abstract:BACKGROUND:With advances in technology, the adoption of wearable devices has become a viable adjunct in poststroke rehabilitation. Regaining ambulation is a top priority for an increasing number of stroke survivors. However, despite an increase in research exploring these devices for lower limb rehabilitation, little i...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.5891
更新日期:2016-10-07 00:00:00
abstract:BACKGROUND:The fact that patient satisfaction with primary care clinical practices and physician-patient communications has decreased gradually has brought a new opportunity to the online channel as a supplementary service to provide additional information. OBJECTIVE:In this study, our objectives were to examine the p...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1574
更新日期:2011-11-02 00:00:00
abstract::In this viewpoint we describe the architecture of, and design rationale for, a new software platform designed to support the conduct of digital phenotyping research studies. These studies seek to collect passive and active sensor signals from participants' smartphones for the purposes of modelling and predicting healt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16399
更新日期:2019-11-06 00:00:00
abstract:BACKGROUND:Digital health is poised to transform health care and redefine personalized health. As Internet and mobile phone usage increases, as technology develops new ways to collect data, and as clinical guidelines change, all areas of medicine face new challenges and opportunities. Inflammatory bowel disease (IBD) i...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/14630
更新日期:2019-08-19 00:00:00
abstract:BACKGROUND:Periodic prompts serve as tools for health behavior interventions to encourage and maintain behavior changes. Past literature reviews have examined periodic messages targeting specific behaviors (smoking, physical activity, diet, etc) or media (telephone, email, face-to-face, newsletter, etc) and have found ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2837
更新日期:2014-03-25 00:00:00
abstract:BACKGROUND:A previous study among Antwerp college and university students showed that more male (10.2%-11.1%) than female (1.8%-6.2%) students are at risk for problematic alcohol use. The current literature shows promising results in terms of feasibility and effectiveness for the use of brief electronic interventions t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1869
更新日期:2012-04-23 00:00:00
abstract:BACKGROUND:Online social networking use has increased rapidly among African American and Latino men who have sex with men (MSM), making it important to understand how these technologies can be used to reach, retain, and maintain individuals in care and promote health wellness. In particular, the Internet is increasingl...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3311
更新日期:2014-04-24 00:00:00
abstract:BACKGROUND:Relapse is a common experience for people diagnosed with psychosis, which is associated with increased service costs and profound personal and familial distress. EMPOWER (Early signs Monitoring to Prevent relapse in psychosis and prOmote Well-being, Engagement, and Recovery) is a peer worker-supported digita...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14366
更新日期:2019-10-24 00:00:00
abstract:BACKGROUND:Field-testing is a quality assurance criterion in the development of patient decision-support technologies (PDSTs), as identified in the consensus statement of the International Patient Decision Aids Standards Collaboration. We incorporated field-testing into the development of a Web-based, prostate-specific...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9.3.e21
更新日期:2007-07-13 00:00:00
abstract:BACKGROUND:There has been an exponential increase in the general population's usage of the internet and of information accessibility; the current demand for online consumer health information (OCHI) is unprecedented. There are multiple studies on internet access and usage, quality of information, and information needs....
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9326
更新日期:2018-05-04 00:00:00
abstract::The growing burden of noncommunicable diseases (NCDs), for example, cardiovascular diseases and chronic respiratory diseases, in low- and middle-income countries (LMICs) presents special challenges for policy makers, due to resource constraints and lack of timely data for decision-making. Concurrently, the increasing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7302
更新日期:2017-05-05 00:00:00
abstract:BACKGROUND:Reporting cumulative antimicrobial susceptibility testing data on a regular basis is crucial to inform antimicrobial resistance (AMR) action plans at local, national, and global levels. However, analyzing data and generating a report are time consuming and often require trained personnel. OBJECTIVE:This stu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/19762
更新日期:2020-10-02 00:00:00
abstract:BACKGROUND:With the advancement of technology, more countries are now adopting the use of electronic product information (ePI), which refer to an electronic version of physical product inserts in a semistructured format optimized for electronic manipulation. The successful implementation of ePI has led to advantages an...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20765
更新日期:2020-11-10 00:00:00
abstract:BACKGROUND:The obesity pandemic has now reached children, and households should change their lifestyles to prevent it. OBJECTIVE:The objective was to assess the effect of a comprehensive intervention on body mass index z-score (BMIZ) in schoolchildren. METHODS:A yearlong study was conducted at 4 elementary schools in...
journal_title:Journal of medical Internet research
pub_type: 临床试验,杂志文章
doi:10.2196/jmir.5584
更新日期:2016-06-24 00:00:00
abstract:BACKGROUND:In recent years, online physician-rating websites have become prominent and exert considerable influence on patients' decisions. However, the quality of these decisions depends on the quality of data that these systems collect. Thus, there is a need to examine the various data quality issues with physician-r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15916
更新日期:2020-09-28 00:00:00
abstract:BACKGROUND:Clinical reasoning is based on the declarative and procedural knowledge of workflows in clinical medicine. Educational approaches such as problem-based learning or mannequin simulators support learning of procedural knowledge. Immersive patient simulators (IPSs) go one step further as they allow an illusiona...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5035
更新日期:2015-11-17 00:00:00
abstract:BACKGROUND:Digital health stations offer an affordable and accessible platform for people to monitor their health; however, there is limited information regarding the demographic profile of users and the health benefits of this technology. OBJECTIVE:This study aimed to assess the demographic representativeness of heal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14977
更新日期:2020-06-26 00:00:00