Short-term efficacy of a web-based computer-tailored nutrition intervention: Main Effects and Mediators
Abstract
BACKGROUND: This study evaluates the short-term efficacy and respondents' evaluations of a Web-based computer-tailored nutrition intervention, aiming to decrease saturated fat intake and increase fruit and vegetable intake. Perceived personal relevance, individualization, and interestingness of the information were tested as mediators of the effects of the tailored intervention. PURPOSE: The objective was to study the short-term effects of a Web-based computer-tailored nutrition intervention. METHODS: Respondents (N = 782) were randomly assigned to a tailored intervention group, a generic nutrition information control group, or a no-information control group. Fat, fruit, and vegetable intakes and behavioral determinants were measured at baseline and at 3 weeks postintervention. Posttest group differences were determined by multiple linear regression analyses. RESULTS: The computer-tailored intervention produced significant effects for the determinants of fat, fruit, and vegetable intake and for vegetable and fruit intake. The tailored information was rated as more personally relevant, individualized, interesting, and new than the generic nutrition information. Perceived personal relevance, individualization, and interestingness were identified as mediators of some of the tailoring effects. CONCLUSIONS: The findings of this study indicate that Web-based, computer-tailored nutrition information can have a short-term effect on the determinants of fat, fruit, and vegetable intake. The effect of the tailored information may be partly explained by the perceived personal relevance and individualization of the information.
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Personalizing or tailoring content to a user's specific needs or desires has been shown to affect behavior change and outcome.
“The ability to personalize or tailor the content to a user’s specific needs or desires has already been shown to have an impact on behavior change and outcome [40, 41].”
From A Behavior Change Model for Internet Interventions (2009) · cites this paper as [41]
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1173 · Cited by 91,542 · see citing works
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532 · see citing works
The Elaboration Likelihood Model of Persuasion
Petty, R. E., & Cacioppo, J. T. (1986) · Advances in Experimental Social Psychology · doi:10.1016/s0065-2601(08)60214-2 · Cited by 8,822 · see citing works
Petty, R. E., & Cacioppo, J. T. (1986) · doi:10.1007/978-1-4612-4964-1 · Cited by 5,219 · see citing works
Communication and Persuasion: Central and Peripheral Routes to Attitude Change
Marquart, F., & Naderer, B. (2015) · Springer eBooks · doi:10.1007/978-3-658-09923-7_20 · Cited by 5,007 · see citing works
The precaution adoption process.
Weinstein, N. D. (1988) · Health Psychology · doi:10.1037//0278-6133.7.4.355 · Cited by 1,459 · see citing works
Emerging Theories in Health Promotion Practice and Research
DiClemente, R. J., Crosby, R. A., & Kegler, M. C. (2002) · Cited by 1,247 · see citing works
The precaution adoption process.
Weinstein, N. D. (1988) · Health Psychology · doi:10.1037/0278-6133.7.4.355 · Cited by 1,115 · see citing works
Diet and Health: What Should We Eat?
Willett, W. C. (1994) · Science · doi:10.1126/science.8160011 · Cited by 1,008 · see citing works
Tailoring Health Messages: Customizing Communication With Computer Technology
Farrell, D. W., Rimer, B. K., Olevitch, L. R., Brennan, L. K., & Kreuter, M. W. (1999) · Cited by 635 · see citing works
Contento, I. R., Balch, G. I., Bronner, Y. L., Lytle, L. A., Maloney, S. K., Olson, C. M., & Swadener, S. S. (1995) · Cited by 594 · see citing works
A model of the precaution adoption process: Evidence from home radon testing.
Weinstein, N. D., & Sandman, P. M. (1992) · Health Psychology · doi:10.1037//0278-6133.11.3.170 · Cited by 462 · see citing works
How effective is tailored print communication?
Skinner, C. S., Campbell, M. K., Rimer, B. K., Curry, S. J., & Prochaska, J. O. (1999) · Annals of Behavioral Medicine · doi:10.1007/bf02895960 · Cited by 441 · see citing works
The effects of computer-tailored smoking cessation messages in family practice settings.
Strecher, V. J., Kreuter, M. W., den Boer, D.-J., Kobrin, S. C., Hospers, H. J., & Skinner, C. S. (1994) · PubMed · Cited by 417 · see citing works
Past, present, and future of computer-tailored nutrition education
Brug, J., Oenema, A., & Campbell, M. (2003) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.4.1028s · Cited by 392 · see citing works
Self-citationThe Impact of a Computer-Tailored Nutrition Intervention
Brug, J., Steenhuis, I. H., van Assema, P., & de Vries, H. (1996) · Preventive Medicine · doi:10.1006/pmed.1996.0052 · Cited by 364 · see citing works
Self-citationA model of the precaution adoption process: Evidence from home radon testing.
Weinstein, N. D., & Sandman, P. M. (1992) · Health Psychology · doi:10.1037/0278-6133.11.3.170 · Cited by 360 · see citing works
Brug, J., Campbell, M. K., & van Assema, P. (1999) · Patient Education and Counseling · doi:10.1016/s0738-3991(98)00131-1 · Cited by 352 · see citing works
Self-citationKreuter, M. W., Bull, F., Clark, E. M., & Oswald, D. L. (1999) · Health Psychology · doi:10.1037/0278-6133.18.5.487 · Cited by 348 · see citing works
de Vries, H., & Brug, J. (1999) · Patient Education and Counseling · doi:10.1016/s0738-3991(98)00127-x · Cited by 327 · see citing works
Self-citationWeb-based tailored nutrition education: results of a randomized controlled trial
Oenema, A. (2001) · Health Education Research · doi:10.1093/her/16.6.647 · Cited by 316 · see citing works
Self-citationKreuter, M. W., & Strecher, V. J. (1996) · Health Education Research · doi:10.1093/her/11.1.97 · Cited by 305 · see citing works
Computer-tailored smoking cessation materials: A review and discussion
Strecher, V. J. (1999) · Patient Education and Counseling · doi:10.1016/s0738-3991(98)00128-1 · Cited by 287 · see citing works
Maintenance of physical activity following an individualized motivationally tailored intervention
Bock, B. C., Marcus, B. H., Pinto, B. M., & Forsyth, L. H. (2001) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2302_2 · Cited by 275 · see citing works
Increasing Mammography among Women Aged 40–74 by Use of a Stage-Matched, Tailored Intervention
Rakowski, W., Ehrich, B., Goldstein, M. G., Rimer, B. K., Pearlman, D. N., Clark, M. A., Velicer, W. F., & Woolverton, H. (1998) · Preventive Medicine · doi:10.1006/pmed.1998.0354 · Cited by 217 · see citing works
The development of computer-generated tailored interventions
Dijkstra, A., & de Vries, H. (1999) · Patient Education and Counseling · doi:10.1016/s0738-3991(98)00135-9 · Cited by 216 · see citing works
van Assema, P., Brug, J., Ronda, G., Steenhuis, I. H., & Oenema, A. (2002) · Nutrition and Health · doi:10.1177/026010600201600203 · Cited by 191 · see citing works
Self-citationvan Assema, P., Brug, J., Ronda, G., & Steenhuis, I. H. (2001) · Journal of Human Nutrition and Dietetics · doi:10.1046/j.1365-277x.2001.00310.x · Cited by 168 · see citing works
Self-citationBrug, J., van Assema, P., Kok, G., Lenderink, T., & Glanz, K. (1994) · Journal of Nutrition Education · doi:10.1016/s0022-3182(12)80890-9 · Cited by 154 · see citing works
Self-citationFotheringham, M. (2000) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(00)00188-4 · Cited by 152 · see citing works
Long-term effectiveness of computer-generated tailored feedback in smoking cessation
Dijkstra, A., de Vries, H., & Roijackers, J. (1998) · Health Education Research · doi:10.1093/her/13.2.207 · Cited by 140 · see citing works
Anderson, E. S., Winett, R. A., Wojcik, J. R., Winett, S. G., & Bowden, T. (2001) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2302_3 · Cited by 138 · see citing works
Lechner, L., Brug, J., & de Vries, H. (1997) · Journal of Nutrition Education · doi:10.1016/s0022-3182(97)70245-0 · Cited by 137 · see citing works
Self-citationThe Influence of Dietary Fat on Food Intake and Body Weight
Rolls, B. J., & Shide, D. J. (2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.1992.tb02466.x · Cited by 134 · see citing works
Campbell, M. K. (1999) · Health Education Research · doi:10.1093/her/14.2.257 · Cited by 124 · see citing works
Beer‐Borst, S., Herçberg, S., Morabia, A., Bernstein, M., Galan, P., Galasso, R., Giampaoli, S., McCrum, E. E., Panico, S., Preziosi, P., et al. (2000) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600934 · Cited by 116 · see citing works
Interactive Multimedia and Risk Communication
Strecher, V. J., Greenwood, T., Wang, C., & Dumont, D. (1999) · JNCI Monographs · doi:10.1093/oxfordjournals.jncimonographs.a024188 · Cited by 92 · see citing works
Glanz, K., Brug, J., & van Assema, P. (1997) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600442 · Cited by 92 · see citing works
Self-citationChallenges and future directions for tailored communication research
Abrams, D. B., Mills, S. L., & Bulger, D. W. (1999) · Annals of Behavioral Medicine · doi:10.1007/bf02895961 · Cited by 90 · see citing works
Enhancing learning through use of interactive tools on health-related websites
Stout, P. A. (2001) · Health Education Research · doi:10.1093/her/16.6.721 · Cited by 82 · see citing works
Rutter, J. (2002) · Cited by 82 · see citing works
Tailoring dietary feedback to reduce fat intake: an intervention at the family level
Bourdeaudhuij, I. D. (2000) · Health Education Research · doi:10.1093/her/15.4.449 · Cited by 79 · see citing works
Oenema, A., & Brug, J. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(02)00043-9 · Cited by 69 · see citing works
Self-citationde Nooijer, J. (2002) · Health Education Research · doi:10.1093/her/17.2.239 · Cited by 39 · see citing works
Ganji, V., & Betts, N. (1995) · PubMed · Cited by 37 · see citing works
Effects of dietary fat feedback on behavioral and psychological variables
Bowen, D. J., Fries, E. A., & Hopp, H. P. (1994) · Journal of Behavioral Medicine · doi:10.1007/bf01857599 · Cited by 30 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Effective techniques in healthy eating and physical activity interventions: A meta-regression.
Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009) · Health Psychology · doi:10.1037/a0016136 · Cited by 2,229 · see citing works
A meta-analysis of computer-tailored interventions for health behavior change
Krebs, P., Prochaska, J. O., & Rossi, J. S. (2010) · Preventive Medicine · doi:10.1016/j.ypmed.2010.06.004 · Cited by 854 · see citing works
The Delivery of Public Health Interventions via the Internet: Actualizing Their Potential
Bennett, G. G., & Glasgow, R. E. (2009) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.031308.100235 · Cited by 800 · see citing works
A meta-analysis of web-delivered tailored health behavior change interventions
Lustria, M. L. A., Noar, S. M., Cortese, J., Van Stee, S. K., Glueckauf, R. L., & Lee, J. (2013) · Journal of Health Communication · doi:10.1080/10810730.2013.768727 · Cited by 689 · see citing works
A Behavior Change Model for Internet Interventions
Ritterband, L. M., Thorndike, F. P., Cox, D. J., Kovatchev, B. P., & Gonder-Frederick, L. A. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9133-4 · Cited by 591 · see citing works
A Review of eHealth Interventions for Physical Activity and Dietary Behavior Change
Norman, G. J., Zabinski, M. F., Adams, M. A., Rosenberg, D. E., Yaroch, A. L., & Atienza, A. A. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.05.007 · Cited by 605 · see citing works
Computer-tailored health interventions delivered over the web: Review and analysis of key components
Lustria, M. L. A., Cortese, J., Noar, S. M., & Glueckauf, R. L. (2009) · Patient Education and Counseling · doi:10.1016/j.pec.2008.08.023 · Cited by 566 · see citing works
Kroeze, W., Werkman, A., & Brug, J. (2006) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm3103_2 · Cited by 570 · see citing works
Portnoy, D. B., Scott-Sheldon, L. A. J., Johnson, B. T., & Carey, M. P. (2008) · Preventive Medicine · doi:10.1016/j.ypmed.2008.02.014 · Cited by 451 · see citing works
Cugelman, B., Thelwall, M., & Dawes, P. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1367 · Cited by 323 · see citing works
“0% 42 Employees 384 521 Oenema et al (2005) [79]”
Morrison, L. G., Yardley, L., Powell, J., & Michie, S. (2012) · Telemedicine and e-Health · doi:10.1089/tmj.2011.0062 · Cited by 290 · see citing works
Computer-tailored dietary behaviour change interventions: a systematic review
Neville, L. M., O'Hara, B., & Milat, A. J. (2009) · Health Education Research · doi:10.1093/her/cyp006 · Cited by 166 · see citing works
Combinations of techniques that effectively change health behavior: evidence from Meta-CART analysis
Dusseldorp, E., van Genugten, L., van Buuren, S., Verheijden, M. W., & van Empelen, P. (2014) · Health Psychology · doi:10.1037/hea0000018 · Cited by 138 · see citing works
Brouwer, W., Oenema, A., Raat, H., Crutzen, R., de Nooijer, J., de Vries, N. K., & Brug, J. (2010) · Health Education Research · doi:10.1093/her/cyp063 · Cited by 147 · see citing works
Self-citationMorrison, L. G. (2015) · DIGITAL HEALTH · doi:10.1177/2055207615595335 · Cited by 116 · see citing works
Personalising nutritional guidance for more effective behaviour change
Celis-Morales, C., Lara, J., & Mathers, J. C. (2015) · Proceedings of the Nutrition Society · doi:10.1017/s0029665114001633 · Cited by 130 · see citing works
E-Therapy for Mental Health Problems: A Systematic Review
Postel, M. G., de Haan, H. A., & De Jong, C. A. J. (2008) · Telemedicine and e-Health · doi:10.1089/tmj.2007.0111 · Cited by 125 · see citing works
Brug, J., Spikmans, F., Aartsen, C., Breedveld, B., Bes, R., & Fereira, I. (2007) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2006.08.010 · Cited by 120 · see citing works
Self-citationRiva, S., Camerini, A.-L., Allam, A., & Schulz, P. J. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3474 · Cited by 96 · see citing works
Sze, Y. Y., Daniel, T. O., Kilanowski, C. K., Collins, R. L., & Epstein, L. H. (2015) · JMIR mHealth and uHealth · doi:10.2196/mhealth.4603 · Cited by 94 · see citing works
Pot, M., Paulussen, T. G., Ruiter, R. A., Eekhout, I., de Melker, H. E., Spoelstra, M. E., & van Keulen, H. M. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7449 · Cited by 62 · see citing works
do Amaral e Melo, G. R., de Carvalho Silva Vargas, F., dos Santos Chagas, C. M., & Toral, N. (2017) · PLOS ONE · doi:10.1371/journal.pone.0184509 · Cited by 57 · see citing works
Ten Wolde, G. B., Dijkstra, A., Van Empelen, P., Van Den Hout, W., Knuistingh Neven, A., & Zitman, F. (2008) · Addiction · doi:10.1111/j.1360-0443.2008.02141.x · Cited by 52 · see citing works
Haerens, L., Maes, L., Vereecken, C., De Henauw, S., Moreno, L., & De Bourdeaudhuij, I. (2009) · Patient Education and Counseling · doi:10.1016/j.pec.2009.03.020 · Cited by 21 · see citing works
- Authors
- Oenema, A., Tan, F., & Brug, J.
- Affiliations
- Erasmus MC (NL)
- Maastricht University (NL)
- Corresponding author
- Oenema, Anke
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-02-01
- Volume
- 29
- Issue
- 1
- Pages
- 54-63
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2042121385
- Cited by
- 170
- References
- 46
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 2 · 2021: 2 · 2020: 5 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 12 · 2014: 7 · 2013: 10 · 2012: 13
- FWCI
- 14.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Keywords
- computer-tailored intervention, saturated fat intake, fruit and vegetable intake, perceived personal relevance, individualization, dietary behavior change
- MeSH terms
- Adolescent, Adult, Aged, Awareness, Energy Intake, Female, Fruit, Humans, Male, Middle Aged, Regression Analysis, Therapy, Computer-Assisted, Time Factors, Vegetables, Internet, Intention, Nutrition Therapy
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