The purposes of this study were to develop a Social Cognitive Theory (SCT)-based, Structured Hip Fracture Prevention Website (TSW) for older adults and conduct a preliminary evaluation of its effectiveness. The TSW is comprised of learning modules and a moderated discussion board. A total of 245 older adults recruited from two websites and a newspaper advertisement were randomized into the TSW and the Conventional Websites (CW) groups. Outcomes included (1) knowledge (hip fractures and osteoporosis), (2) self-efficacy and outcome expectations, and (3) calcium intake and exercise, and were assessed at baseline, end-of-treatment ([EOT], 2 weeks), and follow-up (3 months). Both groups showed significant improvement in most outcomes. For calcium intake, only the TSW group showed improvement. None of the group and time interactions were significant. The TSW group, however, was more satisfied with the intervention. The discussion board usage was significantly correlated with outcome gains. Despite several limitations, the findings showed some preliminary effectiveness of web-based health interventions for older adults and the use of a TSW as a sustainable web structure for online health behavior change interventions.