The DOI matches its Crossref record; 48 of the 49 references it cites were found in a registry or an index.
Characteristics of visitors and revisitors to an Internet-delivered computer-tailored lifestyle intervention implemented for use by the general public
Open accessAbstract
The Internet has become important for the delivery of behavior change interventions. This observational study examines how many people visited, registered and revisited a web-based computer-tailored intervention promoting heart-healthy behaviors when it is implemented for use by the general public. Among registered visitors, the association between visitors' characteristics and initiating, completing and revisiting the website and/or its behavior-specific modules was analyzed. Server statistics showed that 285 146 visitors from unique IP addresses landed on the home page in a 36-month period; of these, >50% left the intervention website within 30 s. In total, 81 574 (28.6%) visitors completed the registration procedure and gained access to the intervention; 99% of registered visitors initiated one module, 91% completed at least one module and 6% revisited the intervention. The majority of the registered visitors were women, medium to highly educated, with a body mass index (BMI) <25. Women, visitors aged 40-50 years, visitors with a medium educational level and visitors with a BMI <25 were more likely to initiate and finish the modules. It is concluded that a heart-healthy computer-tailored Internet program can reach substantial numbers of people, but additional research is needed to develop promotional strategies that reach the high-risk population, i.e. men, older and lower educated persons.
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“The bounce rate of 19.37% was also substantially lower than that observed in other interventions (eg, 32.9% in an intervention promoting sexual health, and 56.3% in an intervention promoting heart-healthy behaviors) [21,22], indicating that the home page was effective at engaging users.”
From Breaking open the black box: isolating the most potent features of a web and mobile phone-based intervention for depression, anxiety, and stress (2015) · cites this paper as [22]
In the citing paper
“However, as is common in nontherapist-assisted eMental Health interventions [22,25,26], frequency of program use decreased over the course of the intervention, emphasizing the need to identify program features that promote more regular program engagement.”
From Breaking open the black box: isolating the most potent features of a web and mobile phone-based intervention for depression, anxiety, and stress (2015) · cites this paper as [22]
In the citing paper
“other studies reported that only a minority of participants visited an intervention more than once [4,23].”
From Which Intervention Characteristics are Related to More Exposure to Internet-Delivered Healthy Lifestyle Promotion Interventions? A Systematic Review (2011) · cites this paper as [4]
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Cites
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Website-Delivered Physical Activity Interventions
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Research works printed but not linked: 3
- 2007, Health Education Research, 33, 385
- 2006, J ONLINE LEARN TEACH, 2, 73
- 2006, SEXUALITY RESEARCH SOCIAL POLICY A JOURNAL OF THE NSRC, 3, 52
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Sorted by citations
Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions
Kelders, S. M., Kok, R. N., Ossebaard, H. C., & Van Gemert-Pijnen, J. E. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2104 · Cited by 1,308
Perski, O., Blandford, A., West, R., & Michie, S. (2017) · Translational Behavioral Medicine · doi:10.1007/s13142-016-0453-1 · Cited by 1,193
“This kind of conceptualisation has emerged due to the observation that while many download and try DBCIs, sustained usage is typically low [21 – 24].”
BackgroundLatulippe, K., Hamel, C., & Giroux, D. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6731 · Cited by 458
Brouwer, W., Kroeze, W., Crutzen, R., de Nooijer, J., de Vries, N. K., Brug, J., & Oenema, A. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1639 · Cited by 455
“However, disappointing results regarding revisiting have been published, as website visits tend to decrease sharply after the initial weeks of participation [4,23,39].”
BackgroundInfluentialSelf-citationOnline Prevention Aimed at Lifestyle Behaviors: A Systematic Review of Reviews
Kohl, L. F., Crutzen, R., & de Vries, N. K. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2665 · Cited by 388
Self-citation
Metadata
- Authors
- Brouwer, W., Oenema, A., Raat, H., Crutzen, R., de Nooijer, J., de Vries, N. K., & Brug, J.
- Affiliations
- Erasmus MC (NL)
- Maastricht University (NL)
- Amsterdam Public Health (NL)
- Corresponding author
- Brouwer, W.
- Venue
- Health Education Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-11-06
- Volume
- 25
- Issue
- 4
- Pages
- 585-595
- ISSN
- 0268-1153 (ISSN-L)
- 1465-3648
- OpenAlex
- W2111665408
- Cited by
- 147
- References
- 49
- Citations by year
- 2025: 5 · 2024: 3 · 2023: 2 · 2022: 7 · 2021: 5 · 2020: 8 · 2019: 5 · 2018: 11 · 2017: 8 · 2016: 16 · 2015: 17 · 2014: 18 · 2013: 14 · 2012: 16
- FWCI
- 16.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health Education Research (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- computer-tailored intervention, online intervention, heart-healthy lifestyle, visitor characteristics, website engagement, intervention completion, user registration, health promotion targeting, vulnerable populations
- MeSH terms
- Smoking Prevention, Adult, Diet, Female, Health Promotion, Humans, Life Style, Male, Middle Aged, Socioeconomic Factors, Health Behavior, Exercise, Body Mass Index, Internet, Overweight
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