Abstract:
BACKGROUND:Web-based programs for smoking prevention are being increasingly used with some success among adolescents. However, little is known about the mechanisms that link the experience of such programs to intended nicotine or tobacco control outcomes. OBJECTIVE:Based on the experiential learning theory and extended elaboration likelihood model, this study aimed to evaluate the impact of a Web-based intervention, A Smoking Prevention Interactive Experience (ASPIRE), on adolescents' intention to smoke, while considering the experience of interactivity and entertainment as predictors of reduced intention to smoke, under a transitional user experience model. METHODS:A total of 101 adolescents were recruited from after-school programs, provided consent, screened, and randomized in a single-blinded format to 1 of 2 conditions: the full ASPIRE program as the experimental condition (n=50) or an online , text-based version of ASPIRE as the control condition (n=51). Data were collected at baseline and immediate follow-up. Repeated-measures mixed-effects models and path analyses were conducted. RESULTS:A total of 82 participants completed the study and were included in the analysis. Participants in the experimental condition were more likely to show a decrease in their intention to smoke than those in the control condition (beta=-0.18, P=.008). Perceived interactivity (beta=-0.27, P=.004) and entertainment (beta=-0.20, P=.04) were each associated with a decrease in intention to smoke independently. Results of path analyses indicated that perceived interactivity and perceived entertainment mediated the relationship between ASPIRE use and emotional involvement. Furthermore, perceived presence mediated the relationship between perceived interactivity and emotional involvement. There was a direct relationship between perceived entertainment and emotional involvement. Emotional involvement predicted a decrease in intention to smoke (beta=-0.16, P=.04). CONCLUSIONS:Adolescents' experience of interactivity and entertainment contributed to the expected outcome of lower intention to smoke. Also, emphasis needs to be placed on the emotional experience during Web-based interventions in order to maximize reductions in smoking intentions. Going beyond mere evaluation of the effectiveness of a Web-based smoking prevention program, this study contributes to the understanding of adolescents' psychological experience and its effect on their intention to smoke. With the results of this study, researchers can work to (1) enhance the experience of interactivity and entertainment and (2) amplify concepts of media effects (eg, presence and emotional involvement) in order to better reach health behavior outcomes. TRIAL REGISTRATION:Clinicaltrials.gov NCT02469779; https://clinicaltrials.gov/ct2/show/NCT02469779 (Archived by WebCite at http://www.webcitation.org/6nxyZVOf0).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Khalil GE,Wang H,Calabro KS,Mitra N,Shegog R,Prokhorov AVdoi
10.2196/jmir.7174subject
Has Abstractpub_date
2017-02-16 00:00:00pages
e44issue
2eissn
1439-4456issn
1438-8871pii
v19i2e44journal_volume
19pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Sleep hygiene is important for maintaining good sleep and reducing insomnia. OBJECTIVE:This study examined the long-term efficacy of a theory-based app (including cognitive behavioral therapy [CBT], theory of planned behavior [TPB], health action process approach [HAPA], and control theory [CT]) on sleep hy...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/15841
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Information is lacking about the capacity of those working in community practice settings to utilize health information technology for colorectal cancer screening. OBJECTIVE:To address this gap we asked those working in community practice settings to share their perspectives about how the implementation of ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2914
更新日期:2013-12-18 00:00:00
abstract:BACKGROUND:Participants in medical forums often reveal personal health information about themselves in their online postings. To feel comfortable revealing sensitive personal health information, some participants may hide their identity by posting anonymously. They can do this by using fake identities, nicknames, or ps...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2514
更新日期:2013-10-03 00:00:00
abstract:BACKGROUND:Evaluation of online health interventions should investigate the function of theoretical mechanisms of behavior change in this new milieu. OBJECTIVES:To expand our understanding of how Web-based interventions influence behavior, we examined how changes at 6 months in participants' psychosocial characteristi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1614
更新日期:2011-03-04 00:00:00
abstract:BACKGROUND:Word embeddings are dense numeric vectors used to represent language in neural networks. Until recently, there had been no publicly released embeddings trained on clinical data. Our work is the first to study the privacy implications of releasing these models. OBJECTIVE:This paper aims to demonstrate that t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18055
更新日期:2020-07-15 00:00:00
abstract:BACKGROUND:In this digital era, eHealth literacy is an essential skill set to leverage health information available online to promote health outcomes. South Korea has an advanced health information technology infrastructure, including widespread use of the internet and mobile phones. A few studies have explored eHealth...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8759
更新日期:2018-04-20 00:00:00
abstract:BACKGROUND:The prioritization of sustainable patient-centered care in contemporary health care has resulted in an increased focus on patient empowerment, which in turn is considered to facilitate patient independence, self-management, and self-efficacy. However, a definitional consensus of empowerment remains elusive, ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.7809
更新日期:2017-09-29 00:00:00
abstract:BACKGROUND:Brief motivational interviewing (MI) can contribute to reductions in morbidity and mortality related to coronary artery disease, through health behavior change. Brief MI, unlike more intensive interventions, was proposed to meet the needs of clinicians with little spare time. While the provision of face-to-f...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6298
更新日期:2016-08-18 00:00:00
abstract:BACKGROUND:Concerns over health information on the Internet have generated efforts to enhance credibility markers; yet how users actually assess the credibility of online health information is largely unknown. OBJECTIVE:This study set out to (1) establish a parsimonious and valid questionnaire instrument to measure cr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6.3.e24
更新日期:2004-09-03 00:00:00
abstract:BACKGROUND:Internet-based health resources can support informal caregivers who are caring for children or adolescents with health care needs. However, few studies discriminate informal caregivers' needs from those of their care recipients or those of people caring for adults. OBJECTIVE:This study reviews the literatur...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.4124
更新日期:2016-03-03 00:00:00
abstract:BACKGROUND:Patient participation is essential in developing high-quality guidelines but faces practical challenges. Evidence on timing, methods, evaluations, and outcomes of methodologies for patient participation in guideline development is lacking. OBJECTIVE:To assess the feasibility of a wiki as a participatory too...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2080
更新日期:2012-10-26 00:00:00
abstract:BACKGROUND:The Internet offers diverse opportunities for disease management, through information websites (Health 1.0) and interactive applications such as peer support forums, online consults, and insight into electronic medical records (Health 2.0). However, various skills are required to benefit from Health 1.0 and ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2428
更新日期:2013-02-11 00:00:00
abstract:BACKGROUND:Supporting patients to engage in (Web-based) self-management tools is increasingly gaining importance, but the engagement of health care professionals is lagging behind. This can partly be explained by resistance among health care professionals. OBJECTIVE:The aim of this study was to investigate drivers of ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14985
更新日期:2019-12-17 00:00:00
abstract:BACKGROUND:Although web-based interventions for promoting health and health-related behavior can be effective, poor adherence is a common issue that needs to be addressed. Technology as a means to communicate the content in web-based interventions has been neglected in research. Indeed, technology is often seen as a bl...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.2104
更新日期:2012-11-14 00:00:00
abstract:BACKGROUND:Pollen forecasts are highly valuable for allergen avoidance and thus raising the quality of life of persons concerned by pollen allergies. They are considered as valuable free services for the public. Careful scientific evaluation of pollen forecasts in terms of accurateness and reliability has not been avai...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7426
更新日期:2017-05-08 00:00:00
abstract:BACKGROUND:Relatively little is known about the extent to which young adults use the Internet as a health information resource and whether there are factors that distinguish between those who do and do not go online for health information. OBJECTIVE:The aim was to identify the sociodemographic, physical, mental, and r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4048
更新日期:2015-05-18 00:00:00
abstract:BACKGROUND:The Internet is an increasingly important resource for individuals who seek information from both health professionals and peers. While the demographic and health characteristics of persons who use health information technology has been well described, less is known about the relationship between these healt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3801
更新日期:2015-06-23 00:00:00
abstract:BACKGROUND:Web-based self-directed mental health applications are rapidly emerging to address health service gaps and unmet needs for information and support. OBJECTIVE:The aim of this study was to determine if a multicomponent, moderated Web-based mental health application could benefit individuals with mental health...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2196/10838
更新日期:2019-06-04 00:00:00
abstract:BACKGROUND:Data from controlled trials indicate that Web-based interventions generally suffer from low engagement and high attrition. This is important because the level of exposure to intervention content is linked to intervention effectiveness. However, data from real-life Web-based behavior change interventions are ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4339
更新日期:2015-07-15 00:00:00
abstract:BACKGROUND:Background: Chronic low back pain is the most prevalent chronic pain condition worldwide and access to behavioral pain treatment is limited. Virtual reality (VR) is an immersive technology that may provide effective behavioral therapeutics for chronic pain. OBJECTIVE:Objective: To conduct a double-blind, pa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/26292
更新日期:2021-01-13 00:00:00
abstract:BACKGROUND:Adolescents present many challenges in providing them effective preventive services and health care. Yet, they are typically the early adopters of new technology (eg, the Internet). This creates important opportunities for engaging youths via eHealth. OBJECTIVE:To describe how adolescents use technology for...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5.4.e32
更新日期:2003-12-18 00:00:00
abstract:BACKGROUND:Obesity is a highly prevalent condition with important health implications. Face-to-face interventions to treat obesity demand a large number of human resources and time, generating a great burden to individuals and health system. In this context, the internet is an attractive tool for delivering weight loss...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析
doi:10.2196/jmir.9609
更新日期:2019-01-08 00:00:00
abstract:BACKGROUND:A 3-month videoconference interaction program with family members has been shown to decrease depression and loneliness in nursing home residents. However, little is known about the long-term effects on residents' depressive symptoms, social support, and loneliness. OBJECTIVE:The purpose of this longitudinal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1678
更新日期:2011-11-15 00:00:00
abstract:BACKGROUND:The outbreak of COVID-19 has profoundly influenced people's lifestyles; these impacts have varied across subgroups of people. The pandemic-related impacts on the health outcomes of people with dermatological conditions are unknown. OBJECTIVE:The aim of this paper was to study the association of COVID-19 pan...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/22288
更新日期:2020-09-11 00:00:00
abstract:BACKGROUND:In recent years, many tailored lifestyle counseling programs have become available through the Internet. Previous research into such programs has shown selective enrollment of relatively healthy people. However, because of the known dose-response relationship between the intensity and frequency of counseling...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9.1.e1
更新日期:2007-01-22 00:00:00
abstract:BACKGROUND:Coronavirus disease (COVID-19) has been an unprecedented challenge to the global health care system. Tools that can improve the focus of surveillance efforts and clinical decision support are of paramount importance. OBJECTIVE:The aim of this study was to illustrate how new medical informatics technologies ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18948
更新日期:2020-04-22 00:00:00
abstract:BACKGROUND:As breast cancer survival rates improve and structural health resources are increasingly being stretched, health providers require people living with and beyond breast cancer (LwBBC) to self-manage aspects of their care. OBJECTIVE:This study aimed to explore how women use and experience social media to self...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16902
更新日期:2020-05-25 00:00:00
abstract:BACKGROUND:Web-based behavioral programs efficiently disseminate health information to a broad population, and online tailoring may increase their effectiveness. While the number of Internet-based behavioral interventions has grown in the last several years, additional information is needed to understand the characteri...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1086
更新日期:2009-08-26 00:00:00
abstract:BACKGROUND:Recruitment of health research participants through social media is becoming more common. In the United States, 80% of adults use at least one social media platform. Social media platforms may allow researchers to reach potential participants efficiently. However, online research methods may be associated wi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/23021
更新日期:2020-10-07 00:00:00
abstract:BACKGROUND:Health systems have recently started to activate patient-facing application programming interfaces (APIs) to facilitate patient access to health data and other interactions. OBJECTIVE:This study sought to ascertain health systems' understanding, strategies, governance, and organizational infrastructure arou...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16813
更新日期:2020-04-03 00:00:00