The Science of Internet Interventions
Abstract
Over the past decade, there has been an explosion in research focused on the development and evaluation of health-based treatment and prevention programs delivered via the Internet. A plethora of terms have been used to both categorize the related field (e.g., e-therapy, online treatment, Internet therapy, and interactive health communication), as well as the specific applications (e.g., web-based programs, Internet applications, and web systems). The programs or “Internet interventions,” as they are more apt to be called, typically target behavioral or mental health problems. Prior to these Internet-based programs, computer-based applications to change behavior or treat mental disorders had been created and tested intermittently during the previous two decades as computers were popularized. The breadth of literature on these systems, particularly those that utilize the Internet, has become quite substantive [1]. Outcome trials of Internet interventions have consistently demonstrated greater symptom improvements or changes in behavior compared with controls, and for some problems, outcomes from Internet interventions rival those seen in face-to-face interventions. Hundreds of peer-reviewed papers have now been published in this area, most since the year 2000. There is already quite a number of review articles focused specifically on Internet intervention research. Some of these reviews are now older, highlighting early, but important findings in the field [2]; some are systematic and fairly detailed [3]; and some are large scale, comprehensive reviews [1, 4]. There are many reviews focused on specific areas, such as pediatrics [5]; physical activity [6]; obesity [7]; alcohol and tobacco use [8, 9]; cardiac disease [10]; depression and anxiety [11]; and traumatic stress [12]. There are also a surprising number of published meta-analyses for such a young field [13–15]. The conclusion drawn from most reviews and meta-analyses is that Internet interventions yield positive treatment outcomes, symptom reduction, and improved quality of life.
AI snapshot
Written from the paper’s full text.
TL;DR
This editorial introduces a special series arguing that Internet interventions have established efficacy but lack a sufficient scientific foundation. It summarizes five contributions on definitions, a behavior-change model, methodology, cost-effectiveness, and commentary.
Key findings
- Outcome trials of Internet interventions have consistently demonstrated greater symptom improvements or behavior changes compared with controls, and for some problems outcomes rival face-to-face interventions; hundreds of peer-reviewed papers have been published, most since 2000.
- Despite many reviews and meta-analyses concluding positive treatment outcomes, symptom reduction, and improved quality of life, there is “remarkably little literature on the underlying science of the field.”
- Barak et al. organize programs into four primary categories: web-based interventions, online counseling and therapy, Internet-operated therapeutic software, and other online activities; Ritterband et al. propose a nine-step behavior-change model.
- Danaher and Seeley review methodological approaches and call for more innovative designs; Tate et al. review cost and cost-effectiveness analyses and note that few studies provide cost data; Glasgow’s commentary highlights scalability, reach, and health disparity.
Methods
- Design: editorial/introduction to a special series in *Annals of Behavioral Medicine*; not an empirical study.
- Data or sample: narrative overview of five special-series articles—Barak et al., Ritterband et al., Danaher and Seeley, Tate et al., and a commentary by Glasgow.
- Main analysis: descriptive synthesis of each article’s focus and implications; no primary data collection or statistical analysis is reported.
Limitations
- Stated: the Ritterband model is a simplification that will evolve, with components possibly added or removed and further elements requiring testing; cost savings are often assumed based on fully automated systems, while few studies provide cost data; requiring outcomes similar to face-to-face care may be unnecessarily stringent.
- Evident: as an editorial, it presents no original empirical data, systematic review methods, or quantitative synthesis, so its conclusions rely on cited literature and the special-series papers.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 8 cited sources checked · 0 supported · 0 flagged
- Premisecitation
For some problems, outcomes from Internet interventions rival those seen in face-to-face interventions.
“for some problems, outcomes from Internet interventions rival those seen in face-to-face interventions.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [1] Marks IM, Cavanagh K, Gega L. Hands-on help: computer-aided psychotherapy. Hove, England, and New York: Psychology; 2007. source
Not checked in the free run.
- cites [4] Murray E, Burns J, See TS, Lai R, Nazareth I (2005) Interactive health communication applications for people with chronic disease. Cochrane Database Syst Rev. (4):CD004274 source
Not checked in the free run.
- Premisecitation
Outcome trials of Internet interventions have consistently demonstrated greater symptom improvements or changes in behavior compared with controls.
“Outcome trials of Internet interventions have consistently demonstrated greater symptom improvements or changes in behavior compared with controls,”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [1] Marks IM, Cavanagh K, Gega L. Hands-on help: computer-aided psychotherapy. Hove, England, and New York: Psychology; 2007. source
Not checked in the free run.
- cites [4] Murray E, Burns J, See TS, Lai R, Nazareth I (2005) Interactive health communication applications for people with chronic disease. Cochrane Database Syst Rev. (4):CD004274 source
Not checked in the free run.
- Interpretationreasoning
Internet interventions can provide an option to those who cannot or choose not to seek face-to-face treatment.
“Internet interventions can provide an option to those who cannot or choose not to seek face-to-face treatment.”
Quote in the paperSubstantial claim - Premisecitation
Few studies provide any cost data for Internet interventions.
“However, while cost is an often cited reason for examining Internet interventions, few studies provide any cost data [3].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [3] Griffiths F, Lindenmeyer A, Powell J, Lowe P, Thorogood M. Why are health care interventions delivered over the Internet? A systematic review of the published literature. J Med Internet Res. 2006; 8: e11. source
Not checked in the free run.
- May combine two claims. 3
- Classified as probably not a substantial claim. 16
May combine two claims.
PremisecitationThe conclusion drawn from most reviews and meta-analyses is that Internet interventions yield positive treatment outcomes, symptom reduction, and improved quality of life.
“The conclusion drawn from most reviews and metaanalyses is that Internet interventions yield positive treatment outcomes, symptom reduction, and improved quality of life.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [13] Wantland D, Portillo C, Holzemer W, Laughter R, McGhee E. The effectiveness of web-based vs. non-web-based interventions: a meta-analysis of behavioral change outcomes. J Med Internet Res. 2004; 6: e40. source
Not checked in the free run.
- cites [14] Spek V, Cuijpers P, Nyklicek I, Riper H, Keyzer J, Pop V. Internet-based cogntive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007; 37: 319-328. source
Not checked in the free run.
- cites [15] Barak A, Hen L, Boniel-Nissim M, Shapira N. A comprehensive review and a meta-analysis of the effectiveness of Internet-based psychotherapeutic interventions. J Tech Hum Serv. 2008; 26: 109-160. source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S4 (based).
InterpretationreasoningGrounding Internet interventions in a theoretical framework will further establish them as viable, scientifically-based prevention and treatment programs.
“Grounding these interventions in a theoretical framework will further establish Internet interventions as viable, scientifically-based prevention, and treatment programs.”
Quote in the paperNot a substantial claim- Rests on an assumption: Little attention has been paid in the literature to the theoretical underpinnings of Internet interventions.
Classified as probably not a substantial claim. May combine two claims.
InterpretationreasoningInternet interventions may enhance the ability of health care providers to better utilize their time and possibly reallocate valuable face-to-face time to those who require a more intensive intervention.
“They may also enhance the ability of health care providers to better utilize their time and possibly reallocate valuable face-toface time to those who require a more intensive intervention by allowing the clinical needs of some patients to be addressed through the use of Internet interventions.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Interpretationnone givenMany Internet treatments can be used as additive or adjunctive components of traditional treatment, supplementing material, skills, or time that clinicians may not have.
“Many of these treatments can be used as additive or adjunctive components of traditional treatment, supplementing material, skills, or time that clinicians may not have.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Premisenone givenThere are many forms of treatment offered via the Internet, including programs that incorporate substantial human involvement.
“However, there are many forms of treatment offered via the Internet, including programs that incorporate substantial human involvement.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationnone givenThe potential for widescale dissemination of Internet interventions is significant.
“In addition, the potential for widescale dissemination is significant.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
InterpretationreasoningIndividuals who would otherwise be unable or unwilling to receive care might have access to Internet prevention or treatment options, particularly those in rural areas.
“Individuals, who would otherwise be unable or unwilling to receive care, might have access to Internet prevention or treatment options, particularly those in rural areas.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenInternet interventions offer advantages from an intervention delivery perspective, including the ability to provide treatments in a standardized manner with fidelity across a variety of settings.
“They also offer many advantages from an intervention delivery perspective including the ability to provide treatments in a standardized manner with fidelity across a variety of settings.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenInternet interventions lower many of the barriers that patients face when accessing traditional forms of care, including difficulties in finding a skilled clinician, inconvenience of scheduling, missing work/school, travel, expense, and others.
“These interventions lower many of the barriers that patients face when accessing traditional forms of care, including the difficulties in finding a skilled clinician for a specific disorder, inconvenience of scheduling face-to-face appointments, missing work/school, travel to and from a clinician's office, expense, and many others.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisenone givenThe assumption that Internet interventions cost less than traditional services is typically based on comparisons to fully automated systems, where ongoing maintenance costs are considered to be minimal per user.
“While it may seem obvious that Internet interventions cost less than traditional services, this assumption is typically based on comparisons to fully automated systems, where ongoing maintenance costs are considered to be minimal per user.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningThere is an unprecedented opportunity for comprehensive evidence-based treatments to be more widely disseminated via the Internet, reaching patients at doctors' offices, school, work, and home.
“There is an unprecedented opportunity for comprehensive evidencebased treatments to be more widely disseminated via the Internet, reaching patients at doctors' offices, school, work, and home.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningInternet interventions promise an efficacious, scalable, and cost-effective prevention and treatment option, with significant potential for public health impact.
“Internet interventions, clearly, promise an efficacious, scalable, and cost-effective prevention and treatment option, with significant potential for public health impact.”
Quote in the paperSubstantial claim- Rests on an assumption: Internet interventions have the potential to reach large numbers of people all over the world with enormous cost savings.
- The authors state this as an assumption: Internet interventions cost less than traditional services.
Probably not a substantial claim: may not pass S4 (based).
Interpretationnone givenInternet interventions can be used as part of a stepped-care model.
“They can be used as part of a stepped-care model.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationnone givenWithout a scientific underpinning, the field of Internet interventions may flounder.
“However, without a scientific underpinning, the field may flounder.”
Quote in the paperNot a substantial claim- Rests on an assumption: There is remarkably little literature on the underlying science of Internet interventions.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisereasoningSome of the main advantages to developing Internet interventions relate to scalability and expense.
“Some of the main advantages to developing Internet interventions relate to scalability and expense.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
InterpretationreasoningWithout unifying definitions, it is difficult to ensure that reviews and meta-analyses include the relevant and appropriate studies, potentially impacting the generalizations drawn from these reviews.
“Without unifying definitions, it is difficult to ensure that reviews and meta-analyses include the relevant and appropriate studies, potentially impacting the generalizations that are drawn from these reviews.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
InterpretationreasoningIf designed and used correctly, Internet interventions can become a powerful tool in helping reduce health disparities, particularly among the geographically isolated.
“If designed and used correctly, Internet interventions can become a powerful tool in helping reduce health disparities, particularly among the geographically isolated.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenThe outcome literature has helped establish Internet interventions as a viable and important prevention and treatment option.
“While the outcome literature has helped establish Internet interventions as a viable and important prevention and treatment option”
Quote in the paperNot a substantial claim
The paper relies on this without support.
There is remarkably little literature on the underlying science of Internet interventions.
“However, despite considerable attention devoted to Internet intervention research, there is remarkably little literature on the underlying science of the field.”
The paper relies on this without support.
Little attention has been paid in the literature to the theoretical underpinnings of Internet interventions.
“In addition to definitions, little attention has been paid in the literature to the theoretical underpinnings of Internet interventions.”
The paper relies on this without support.
Behavior change and symptom improvement are typically assumed to be achieved through the same means as more traditional intervention approaches such as face-to-face treatment.
“Behavior change and symptom improvement are typically assumed to be achieved through the same means as more traditional intervention approaches such as face-to-face treatment.”
The paper relies on this without support.
The feasibility of Internet interventions is now well-established.
“The feasibility of Internet interventions is now wellestablished.”
The paper relies on this without support.
Internet interventions have the potential to reach large numbers of people all over the world with enormous cost savings.
“Internet interventions have the potential to reach large numbers of people all over the world with enormous cost savings.”
The authors state this as an assumption.
Internet interventions cost less than traditional services.
“While it may seem obvious that Internet interventions cost less than traditional services, this assumption is typically based on comparisons to fully automated systems, where ongoing maintenance costs are considered to be minimal per user.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There have been calls to develop a more scientific approach to the design and evaluation of Web-based interventions, including the analysis of engagement.
“As the corpus of research studies grows, there have been calls to develop a more scientific approach to the design and evaluation of Web-based interventions: a methodology that includes the analysis of engagement.”
From Analyzing Engagement in a Web-Based Intervention Platform Through Visualizing Log-Data (2014) · cites this paper as [9]
Adapting empirically supported treatments into online delivery platforms makes them more accessible, particularly to those living in remote areas, with outcomes often rivaling those for in-clinic treatment.
“However, one increasingly used approach to overcoming these obstacles has been to adapt empirically supported treatments into online delivery platforms that make them more accessible, particularly to those living in remote areas,29,43,47 with outcomes often rivaling those for in-clinic treatment.10,14”
From Randomized Controlled Trial of Online Acceptance and Commitment Therapy for Fibromyalgia (2018) · cites this paper as [43]
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Efficacy of an Intervention to Alter Skin Cancer Risk Behaviors in Young Adults
Heckman, C. J., Darlow, S. D., Ritterband, L. M., Handorf, E. A., & Manne, S. L. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.11.008 · Cited by 63 · see citing works
Self-citationAnalyzing Engagement in a Web-Based Intervention Platform Through Visualizing Log-Data
Morrison, C., & Doherty, G. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3575 · Cited by 62 · see citing works
Newby, K. V., Teah, G. E., Cooke, R. W. I., Li, X., Brown, K., Salisbury-Finch, B., Kwah, K., Bartle, N. C., Curtis, K., Fulton, E. A., et al. (2019) · Health Psychology Review · doi:10.1080/17437199.2019.1705873 · Cited by 59 · see citing works
“Since the turn of the century, there has been a rapid increase in research focussed on the development and evaluation of interventions delivered via digital methods (Murray et al., 2016; Proud-foot et al., 2011; Ritterband & Tate, 2009).”
BackgroundAalbers, T., Baars, M. A. E., Olde Rikkert, M. G. M., & Kessels, R. P. C. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2860 · Cited by 59 · see citing works
Kanera, I. M., Willems, R. A., Bolman, C. A. W., Mesters, I., Zambon, V., Gijsen, B. C., & Lechner, L. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5975 · Cited by 59 · see citing works
Internet‐based interventions for postpartum depression: A systematic review and meta‐analysis
Mu, T., Li, Y., Xu, R., Chen, J., Wang, Y., & Shen, C. (2020) · Nursing Open · doi:10.1002/nop2.724 · Cited by 55 · see citing works
“An increasing number of researchers have used the Internet to evaluate the health status of populations and implement Internet-based interventions (Ritterband & Tate, 2009).”
BackgroundArnaud, N., Baldus, C., Elgán, T. H., Paepe, N. D., Tønnesen, H., Csémy, L., & Thomasius, R. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4643 · Cited by 50 · see citing works
Wu, Y. P., Steele, R. G., Connelly, M. A., Palermo, T. M., & Ritterband, L. M. (2014) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsu022 · Cited by 52 · see citing works
Self-citationMorgan, B. N., Windle, G., Sharp, R. A., & Lamers, C. (2022) · Journal of Medical Internet Research · doi:10.2196/36727 · Cited by 59 · see citing works
Weineland, S., Hayes, S. C., & Dahl, J. C. (2012) · Clinical Obesity · doi:10.1111/j.1758-8111.2012.00041.x · Cited by 48 · see citing works
Blumer, M. L. C., Hertlein, K. M., Smith, J. M., & Allen, H. (2013) · Journal of Marital and Family Therapy · doi:10.1111/j.1752-0606.2012.00332.x · Cited by 42 · see citing works
Hobbs, L. J., Mitchell, K. R., Graham, C. A., Trifonova, V., Bailey, J., Murray, E., Prah, P., & Mercer, C. H. (2019) · The Journal of Sex Research · doi:10.1080/00224499.2019.1586820 · Cited by 39 · see citing works
“Interactive digital interventions (IDIs) that enable help/ advice to be provided online could provide a potentially costeffective alternative to face-to-face help (Portnoy, ScottSheldon, Johnson, & Carey, 2008; Ritterband et al., 2011; Ritterband & Tate, 2009).”
BackgroundJelin, E., Granum, V., & Eide, H. (2012) · Pain Management Nursing · doi:10.1016/j.pmn.2011.08.008 · Cited by 35 · see citing works
Marriage and Family Therapists’ Use and Comfort with Online Communication with Clients
Hertlein, K. M., Blumer, M. L. C., & Smith, J. M. (2013) · Contemporary Family Therapy · doi:10.1007/s10591-013-9284-0 · Cited by 35 · see citing works
Adaptive Elements in Internet-Delivered Psychological Treatment Systems: Systematic Review
Mukhiya, S. K., Wake, J. D., İnal, Y., Pun, K. I., & Lamo, Y. (2020) · Journal of Medical Internet Research · doi:10.2196/21066 · Cited by 32 · see citing works
Web-Based Intervention for Teachers of Elementary Students With ADHD: Randomized Controlled Trial
Corkum, P. V., Elik, N., Blotnicky-Gallant, P., McGonnell, M., & McGrath, P. J. (2015) · Journal of Attention Disorders · doi:10.1177/1087054715603198 · Cited by 33 · see citing works
“…as well as improving teacher knowledge. eHealth interventions have been found to be efficacious and to offer highly accessible, scalable, and cost-effective treatment delivery and, as such, have become increasingly common as a means of mental health support (e.g., Ritterband & Tate, 2009).”
BackgroundResultHealth Promotion in the Workplace: Assessing Stress and Lifestyle With an Intranet Tool
Lucini, D., Solaro, N., Lesma, A., Gillet, V. B., & Pagani, M. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1798 · Cited by 32 · see citing works
Wójcicki, T. R., Grigsby‐Toussaint, D. S., Hillman, C. H., Huhman, M. E., & McAuley, E. (2014) · JMIR Research Protocols · doi:10.2196/resprot.3013 · Cited by 32 · see citing works
Adolescents’ Responses to a School-Based Prevention Program Promoting Healthy Eating at School
Hermans, R. C. J., de Bruin, H., Larsen, J. K., Mensink, F., & Hoek, A. C. (2017) · Frontiers in Public Health · doi:10.3389/fpubh.2017.00309 · Cited by 31 · see citing works
Dirkse, D., Hadjistavropoulos, H. D., Alberts, N. A., Karin, E., Schneider, L. H., Titov, N., & Dear, B. F. (2020) · Journal of Cancer Survivorship · doi:10.1007/s11764-019-00810-9 · Cited by 29 · see citing works
Gorlick, A., Bantum, E. O., & Owen, J. E. (2014) · Psycho-Oncology · doi:10.1002/pon.3443 · Cited by 30 · see citing works
Aalbers, T., Li, Q., Baars, M. A. E., de Lange, A. H., Kessels, R. P. C., & Rikkert, M. G. M. O. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5269 · Cited by 28 · see citing works
Issues in the Development of e‐supervision in Professional Psychology: A Review
Deane, F. P., Gonsalvez, C. J., Blackman, R., Saffioti, D. F., & Andresen, R. (2015) · Australian Psychologist · doi:10.1111/ap.12107 · Cited by 29 · see citing works
Winett, R. A., Anderson, E. S., Wojcik, J. R., Winett, S. G., Moore, S., & Blake, C. (2010) · Translational Behavioral Medicine · doi:10.1007/s13142-010-0006-y · Cited by 27 · see citing works
Muir, S., Newell, C., Griffiths, J., Walker, K., Hooper, H., Thomas, S., Thomas, P., Arcelus, J., Day, J., & Appleton, K. M. (2017) · JMIR Research Protocols · doi:10.2196/resprot.7440 · Cited by 26 · see citing works
Reblin, M., Wu, Y. P., Pok, J., Kane, L., Colman, H., Cohen, A. L., Mendivil, E., Warner, E. L., Meyer, M., & Agutter, J. (2017) · JMIR Human Factors · doi:10.2196/humanfactors.7845 · Cited by 25 · see citing works
Cha, S., Erar, B., NIAURA, R. S., & Graham, A. L. (2016) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9804-x · Cited by 25 · see citing works
Comparing Amazon Mechanical Turk with unpaid internet resources in online clinical trials
Bunge, E. L., Cook, H. M., Bond, M. J., Williamson, R. E., Cano, M. T., Barrera, A. Z., Leykin, Y., & Muñoz, R. F. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.04.001 · Cited by 24 · see citing works
Pilot Testing an Internet‐Based STI and HIV Prevention Intervention With Chilean Women
Villegas, N., Santisteban, D. A., Cianelli, R., Ferrer, L., Ambrosia, T., Peragallo, N. P., & Lara, L. (2014) · Journal of Nursing Scholarship · doi:10.1111/jnu.12114 · Cited by 22 · see citing works
Ulate, M. M., Guirado-Sánchez, Y., Platón, L., van der Roest, H. G., Bahillo, A., & Franco, M. (2023) · Dementia · doi:10.1177/14713012231165578 · Cited by 21 · see citing works
“…which has numerous advantages in terms of enhancing the health care service provision and enabling remote areas to access them, as otherwise it would be needed to incurred in travel costs or leave aside, in this case, caregiver responsibilities (Klimova et al., 2019; Ritterband & Tate, 2009).”
BackgroundIdrees, A. R., Kraft, R., Mutter, A., Baumeister, H., Reichert, M., & Pryss, R. C. (2024) · PLOS Digital Health · doi:10.1371/journal.pdig.0000498 · Cited by 20 · see citing works
Short, C. E., Rebar, A. L., & Vandelanotte, C. (2015) · BMC Medical Research Methodology · doi:10.1186/s12874-015-0063-5 · Cited by 20 · see citing works
Treating Depression with a Behavior Change Support System without Face-to-Face Therapy
Kuonanoja, L., Langrial, S. U., Lappalainen, R. I., Lappalainen, P., & B, H. O.-K. A. (2015) · AIS Transactions on Human-Computer Interaction · doi:10.17705/1thci.00072 · Cited by 20 · see citing works
“The results from various studies that have focused on developing and evaluating health-based treatments and prevention programs delivered via the Internet show promise in being scalable, cost-effective, and efficacious (Ritterband & Tate, 2009).”
BackgroundTechnological Advances in the Treatment of Trauma
Paul, L. A., Hassija, C. M., & Clapp, J. D. (2012) · Behavior Modification · doi:10.1177/0145445512450733 · Cited by 20 · see citing works
“…the presenting symptoms, e-Health may also be incorporated into a stepped care system (e.g., Christensen, 2010; Dimeff et al., 2011; Munoz, 2010; Ritterband & Tate, 2009), thus helping with early intervention and prevention, as well as decreasing the public health burden of psychological…”
BackgroundUse of web-based screening and brief intervention for unhealthy alcohol use by older adults
Han, B. H., Masukawa, K., Rosenbloom, D., Kuerbis, A., Helmuth, E., Liao, D. H., & Moore, A. A. (2018) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2018.01.002 · Cited by 18 · see citing works
Denison‐Day, J., Muir, S., Newell, C., & Appleton, K. M. (2018) · Journal of Medical Internet Research · doi:10.2196/11874 · Cited by 19 · see citing works
Heckman, C. J., Darlow, S. D., Munshi, T., Caruso, C., Ritterband, L. M., Raivitch, S., Fleisher, L. G., & Manne, S. L. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.04.003 · Cited by 18 · see citing works
“…Material into Website Content—Based on a synthesis of the individual interviews, focus groups, our expertise, and the literature (Barak et al., 2009; Ritterband & Tate, 2009; Ritterband et al., 2009), the multi-disciplinary team collaborated to create the design, modules, and other activities to…”
MethodSelf-citationInternet and video technology in psychotherapy supervision and training.
Wolf, A. W. (2011) · Psychotherapy · doi:10.1037/a0023532 · Cited by 17 · see citing works
Perski, O., Jackson, S. E., Garnett, C. V., West, R., & Brown, J. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107653 · Cited by 17 · see citing works
“Moreover, digital aids can help overcome geographical barriers to and stigma associated with help-seeking in person (Ritterband and Tate, 2009).”
BackgroundPerski, O., Naughton, F., Garnett, C. V., BLANDFORD, A. E., Beard, E., West, R., & Michie, S. (2019) · JMIR mhealth and uhealth · doi:10.2196/14098 · Cited by 17 · see citing works
The Further Rise of Internet Interventions
Ritterband, L. M., & Thorndike, F. P. (2012) · SLEEP · doi:10.5665/sleep.1850 · Cited by 14 · see citing works
Self-citationKAY‐LAMBKIN, F. J., Simpson, A. L., Bowman, J., & Childs, S. J. (2014) · Addiction Science & Clinical Practice · doi:10.1186/1940-0640-9-15 · Cited by 14 · see citing works
Capobianco, E. (2015) · Frontiers in Digital Humanities · doi:10.3389/fdigh.2015.00006 · Cited by 14 · see citing works
Kogan, J. N., Schuster, J., Nikolajski, C., Schake, P. L., Carney, T., Morton, S. C., Kang, C., & Reynolds, C. F. (2016) · Clinical Trials · doi:10.1177/1740774516670895 · Cited by 12 · see citing works
Visser, S., van der Molen, H. F., Sluiter, J. K., & Frings‐Dresen, M. H. W. (2018) · Ergonomics · doi:10.1080/00140139.2018.1516806 · Cited by 13 · see citing works
“In the last decade, more and more health-based treatment and prevention strategies have been delivered via the internet (Ritterband and Tate 2009).”
BackgroundMihuta, M. E., & Green, H. J. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-017-3855-9 · Cited by 11 · see citing works
Delivery Systems Can Determine Therapy Cost, and Effectiveness, More Than Type of Therapy
Yates, B. T. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691611416994 · Cited by 11 · see citing works
“Research comparing delivery systems that promise to transmit most or all of the potential effectiveness of a psychological technique while using fewer resources (and costing less) has begun, particularly for problems related to physical health (cf. Ritterband & Tate, 2009).”
BackgroundNordgreen, T., & Havik, O. E. (2011) · Professional Psychology Research and Practice · doi:10.1037/a0022729 · Cited by 11 · see citing works
Secondary Prevention of Chronic Pain: Can Internet Help?
Nieto, R. (2014) · Pain Management · doi:10.2217/pmt.14.22 · Cited by 10 · see citing works
Brazilian parents’ perceptions of children's influence on family food purchases
Dallazen, C., & Fiates, G. M. R. (2014) · British Food Journal · doi:10.1108/bfj-05-2013-0126 · Cited by 10 · see citing works
Designing an Internet Intervention for Emerging Adults Who Experience Troubled Relationships
Draucker, C. B., Martsolf, D. S., Crane, S. M., Romero, L., & Stafford, A. M. (2017) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2017.02.002 · Cited by 9 · see citing works
Testing a Dynamic Automated Substance Use Intervention Model for Youths Exiting Foster Care
Braciszewski, J. M., Stout, R., Tzilos, G. K., Moore, R. S., Bock, B., & Chamberlain, P. (2016) · Journal of Child & Adolescent Substance Abuse · doi:10.1080/1067828x.2014.981771 · Cited by 9 · see citing works
“Utilization of new technology platforms to address problem behaviors is on the rise (Ritterband & Tate, 2009).”
BackgroundHan, M. K., Cho, B., Kwon, H., Son, K. Y., Lee, H., Lee, J. K., & Park, J. (2019) · JMIR mhealth and uhealth · doi:10.2196/11158 · Cited by 9 · see citing works
Communicating chemical risk in food to adolescents. A comparison of web and print media
Mascarello, G., Crovato, S., Pinto, A. C. S. N., Gallina, A., Siegrist, M., & Ravarotto, L. (2013) · Food Control · doi:10.1016/j.foodcont.2013.07.031 · Cited by 8 · see citing works
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Toupin‐April, K., Stinson, J., Cavallo, S., Proulx, L., Wells, G. A., Duffy, C. M., Hindi, T. E., Longmuir, P. E., & Brosseau, L. (2020) · JMIR Research Protocols · doi:10.2196/12823 · Cited by 8 · see citing works
Choubisa, R., & Singh, K. (2018) · Cogent Psychology · doi:10.1080/23311908.2018.1488512 · Cited by 6 · see citing works
“A plethora of research in terms of such psychological paradigms, typically targeting mental or behavioural health problems have had accumulated a great deal of knowledge about the science and practice of Internet interventions (e.g. AmichaiHamburger, 2008; Ritterband & Tate, 2009).”
BackgroundTechnology-Assisted Counseling for Couples and Families
Teufel‐Prida, L. A., Raglin, M., Long, S., & Wirick, D. M. (2018) · The Family Journal · doi:10.1177/1066480718770152 · Cited by 7 · see citing works
“Although technology-assisted interventions are promising, there is little literature specific to marriage, couple, and family issues receive scant attention in the literature (Blumer, Hertlein, Smith, & Allen, 2014; Hertlein & Webster, 2008; Ritterband & Tate, 2009).”
BackgroundSpreading (dis)trust in Fiji? Exploring COVID-19 misinformation on Facebook forums
Kant, R., & Varea, R. (2021) · Pacific Journalism Review – Te Koakoa · doi:10.24135/pjr.v27i1and2.1166 · Cited by 6 · see citing works
Online medical consultation in China: Evidence from obesity doctors
Yu, D., Hu, Y., Wang, J., Nicholas, S., & Maitland, E. (2023) · Digital Health · doi:10.1177/20552076231182789 · Cited by 6 · see citing works
Assessment of Technology Use and Technology Preferences for HIV Prevention Among Hispanic Women
Villegas, N., Cianelli, R., de Tantillo, L., Warheit, M., Montano, N. P., Ferrer, L., & Patel, S. S. (2018) · Hispanic Health Care International · doi:10.1177/1540415318808828 · Cited by 6 · see citing works
Hobbs, L. J. (2016) · UCL Discovery (University College London) · Cited by 5 · see citing works
König, L. M., Allmeta, A., Perski, O., Smit, E. S., Newby, K. V., Vandelanotte, C., Poduval, S., Gordon, L., Gültzow, T., Alblas, M. C., et al. (2024) · doi:10.31219/osf.io/d9zx7 · Cited by 5 · see citing works
Hillier, L. (2018) · Lancaster University · doi:10.17635/lancaster/thesis/406 · Cited by 5 · see citing works
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“Health literature (e.g., Ritterband & Tate, 2009) highlights many internet interventions as effective, scalable, and cost-effective.”
The Sextherapylondon interactive website for sexual difficulties: content, design and rationale
Gurney, K., Hobbs, L. J., Adams, N., & Bailey, J. (2020) · Sexual & Relationship Therapy · doi:10.1080/14681994.2019.1703929 · Cited by 3 · see citing works
“Accessing care via the internet can overcome some of the barriers to accessing face-to-face services (Hobbs et al., 2019; Portnoy, Scott-Sheldon, Johnson, & Carey, 2008; Ritterband & Tate, 2009) and therefore potentially meet some of these gaps in need.”
BackgroundA social cognitive approach to influencing adolescent physical activity behavior via social media
Wójcicki, T. R. (2013) · Illinois Digital Environment for Access to Learning and Scholarship (University of Illinois at Urbana-Champaign) · Cited by 3 · see citing works
A Contextual Behavioral Approach for Obesity Surgery Patients
Weineland, S. (2012) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 3 · see citing works
Ergonomic measures in construction work: enhancing evidence-based implementation
Visser, S. (2015) · UvA-DARE (University of Amsterdam) · Cited by 3 · see citing works
Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G. N., & Klinkman, M. S. (2013) · Cited by 2 · see citing works
Technology-Assisted Interventions
Ritterband, L. M., Wessells, D. A., Ingersoll, K. S., & Farrell‐Carnahan, L. (2019) · Cited by 2 · see citing works
Self-citationUndergraduate College Students' Attitudes About Internet-based Mental Health Interventions
Palmer, K. M. (2015) · Digital Commons - University of South Florida (University of South Florida) · Cited by 2 · see citing works
Krūmiņa, A. A., & Ļubenko, J. (2016) · Journal of Teacher Education for Sustainability · doi:10.1515/jtes-2016-0006 · Cited by 2 · see citing works
“Already in the middle of the 1990s, in order to broaden individualsí awareness of health literacy, there appeared various web-based resources (Ritterband & Tate, 2009).”
BackgroundTreating Sleep Disorders with an ACT-Based Behavior Change Support System
Langrial, S. U., B, H. O.-K. A., Lappalainen, P., & Lappalainen, R. I. (2017) · Advances in psychology, mental health, and behavioral studies (APMHBS) book series · doi:10.4018/978-1-5225-3241-5.ch003 · Cited by 2 · see citing works
Reblin, M., Wu, Y. P., Pok, J., Kane, L., Colman, H., Cohen, A. L., Mendivil, E., Warner, E. L., Meyer, M., & Agutter, J. A. (2017) · doi:10.2196/preprints.7845 · Cited by 1 · see citing works
- Authors
- Ritterband, L. M., & Tate, D. F.
- Affiliations
- University of Virginia Health System (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Ritterband, Lee M.
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-08
- Volume
- 38
- Issue
- 1
- Pages
- 1-3
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W1991503422
- Semantic Scholar
- 9c822d1910a9a80b9b164644c6fd5948c493a6af
- Cited by
- 111
- References
- 23
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 9 · 2018: 10 · 2017: 11 · 2016: 10 · 2015: 10 · 2014: 10 · 2013: 13 · 2012: 7
- FWCI
- 9.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- online intervention, e-therapy, online therapy, behavioral health, psychotherapy, prevention programs, treatment outcomes, meta-analysis
- MeSH terms
- Humans, Psychotherapy, Therapy, Computer-Assisted, Internet, Evidence-Based Practice
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