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A meta-analysis of computer-tailored interventions for health behavior change

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Krebs, Paul, Prochaska, James O., Rossi, Joseph S.·2010·Preventive Medicine

DOI 10.1016/j.ypmed.2010.06.004PMC PMC2939185

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Abstract

Objective Computer-tailored interventions have become increasingly common for facilitating improvement in behaviors related to chronic disease and health promotion. A sufficient number of outcome studies from these interventions are now available to facilitate the quantitative analysis of effect sizes, permitting moderator analyses that were not possible with previous systematic reviews.Method The present study employs meta-analytic techniques to assess the mean effect for 88 computer-tailored interventions published between 1988 and 2009 focusing on four health behaviors: smoking cessation, physical activity, eating a healthy diet, and receiving regular mammography screening. Effect sizes were calculated using Hedges g. Study, tailoring, and demographic moderators were examined by analyzing between-group variance and meta-regression.Results Clinically and statistically significant overall effect sizes were found across each of the four behaviors. While effect sizes decreased after intervention completion, dynamically tailored interventions were found to have increased efficacy over time as compared with tailored interventions based on one assessment only. Study effects did not differ across communication channels nor decline when up to three behaviors were identified for intervention simultaneously.Conclusion This study demonstrates that computer-tailored interventions have the potential to improve health behaviors and suggests strategies that may lead to greater effectiveness of these techniques.

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Authors: Krebs, P., Prochaska, J. O., & Rossi, J. S.
Affiliations: Memorial Sloan Kettering Cancer Center (US)
University of Rhode Island (US)
Corresponding author: Krebs, Paul
ORCID: Krebs, Paul
Prochaska, James O.
Rossi, Joseph S.
Venue: Preventive Medicine
Publisher: Elsevier BV
Published: 2010-09
Volume: 51
Issue: 3-4
Pages: 214-221
ISSN: 0091-7435 (ISSN-L)
DOI: 10.1016/j.ypmed.2010.06.004
PMC: PMC2939185
OpenAlex: W2020292934
Cited by: 854
References: 209
Citations by year: 2026: 27 · 2025: 43 · 2024: 29 · 2023: 42 · 2022: 58 · 2021: 61 · 2020: 54 · 2019: 65 · 2018: 74 · 2017: 71 · 2016: 64 · 2015: 64 · 2014: 70 · 2013: 53 · 2012: 53
FWCI: 4.46
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Journal of Media Literacy Education (submittedVersion, cc-by)
Funders: National Cancer Institute (P30CA008748, T32CA009461)
Topics: Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Social Sciences › Communication › Media Influence and Health
Keywords: computer-tailored intervention, health behavior change, smoking cessation, physical activity, healthy eating, mammography screening, chronic disease prevention, health promotion, communication channels
MeSH terms: Decision Making, Computer-Assisted, Diet, Female, Health Promotion, Humans, Male, Mammography, Motor Activity, Patient Compliance, Health Behavior, Smoking Cessation, Reminder Systems

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A meta-analysis of computer-tailored interventions for health behavior change

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