A systematic review of randomized trials on the effectiveness of computer-tailored education on physical activity and dietary behaviors
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BACKGROUND: Although computer-tailored promotion of dietary change and physical activity has been identified as a promising intervention strategy, there is a need for a more systematic evaluation of the evidence. PURPOSE: This study systematically reviews the scientific literature on computer-tailored physical activity and nutrition education. METHODS: Intervention studies published from 1965 up to September 2004 were identified through a structured search in PubMed, PsycInfo, and Web of Science and an examination of reference lists of relevant publications. Studies were included that applied a pretest-posttest randomized-controlled trial design, were aimed at primary prevention among adults, used computer-tailored interventions to change physical activity and dietary behaviors, and were published in English. The search resulted in 30 publications-11 on physical activity behaviors and 26 on nutrition behaviors, some studies investigated multiple behaviors. RESULTS: Three of 11 of the physical activity studies and 20 of 26 of the nutrition studies found significant effects of the tailored interventions. The evidence was most consistent for tailored interventions on fat reduction. CONCLUSIONS: Overall, there seems to be potential for the application of computer tailoring for promoting healthy diets, but more research is needed to test computer-tailored interventions against other state-of-the-art intervention techniques and to identify the mechanisms underlying successful computer tailoring.
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Studies of personalization in health care and medicine have been increasing in number since the early 2000s, with growing evidence showing their effectiveness.
“Studies of personalization in health care and medicine have been increasing in number since the early 2000s [22], with growing evidence showing their effectiveness [23-26].”
From The Personalization of Conversational Agents in Health Care: Systematic Review (2019) · cites this paper as [26]
Citation [22] is attached to the claim that studies of personalization have increased in number since the early 2000s; the effectiveness claim has separate citations. The Study Selection section reports 30 included publications, and Search Strategy and Data Sources gives the search period as 1965 to September 2004, but neither establishes a rise in study numbers over time. I searched for a publication trend and an increase since 2000. (LLM, conf=0.70)
Experimental — accuracy not yet measuredTwo systematic reviews on computer-based interventions to modify physical activity and dietary behaviors concluded that there is potential for the application of computer tailoring for promoting healthy diets.
“Two systematic reviews on computer-based interventions to modify physical activity and dietary behaviors (Kroeze 2006; Wantland 2004) concluded that there is potential for the application of computer tailoring for promoting healthy diets.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Kroeze 2006
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van Stralen, M. M., de Vries, H., Mudde, A. N., Bolman, C. A. W., & Lechner, L. (2009) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2009.07.009 · Cited by 91 · see citing works
Using Hand-Held Computer Technologies to Improve Dietary Intake
Atienza, A. A., King, A. C., Oliveira, B. M., Ahn, D. K., & Gardner, C. D. (2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2008.01.034 · Cited by 82 · see citing works
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Moderators of Environmental Intervention Effects on Diet and Activity in Youth
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- Authors
- Kroeze, W., Werkman, A., & Brug, J.
- Affiliations
- Erasmus MC (NL)
- Wageningen University & Research (NL)
- Corresponding author
- Kroeze, Willemieke
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-06
- Volume
- 31
- Issue
- 3
- Pages
- 205-223
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W1991132102
- Cited by
- 570
- References
- 111
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 11 · 2023: 6 · 2022: 21 · 2021: 12 · 2020: 16 · 2019: 24 · 2018: 20 · 2017: 17 · 2016: 31 · 2015: 36 · 2014: 41 · 2013: 31 · 2012: 55
- FWCI
- 5.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- computer-tailored intervention, physical activity behavior, dietary behavior, nutrition education, fat loss, primary prevention, adults, intervention effectiveness
- MeSH terms
- Computer-Assisted Instruction, Feeding Behavior, Health Education, Humans, Motor Activity, Randomized Controlled Trials as Topic
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