Interactive Multimedia and Risk Communication

Strecher, Victor J.; Greenwood, Todd; Wang, Catharine; Dumont, Dana

doi:10.1093/oxfordjournals.jncimonographs.a024188

Cited by 78 publications

(47 citation statements)

References 28 publications

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“…In Project "Look at Your Health" (LAYH), funded by the National Cancer Institute, we developed a computer-assisted, counselor-delivered smoking cessation program that targets personal health issues and readiness to change smoking behavior among community college students. While there is evidence that computer-tailored smoking cessation programs are effective in adult populations (Lancaster, T & LF, S, 2002;Strecher, Greenwood, Wang, & Dumont, 1999), the effectiveness of such programs has not been tested specifically in community college students. The LAYH intervention delivers personalized estimates of the health effects of smoking; these estimates are derived from individual physiological and psychosocial measures.…”

Section: Introductionmentioning

confidence: 99%

“Look At Your Health”: Outcomes associated with a computer-assisted smoking cessation counseling intervention for community college students

Prokhorov

Yost

Mullin-Jones

et al. 2008

Addictive Behaviors

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Community college students represent 44% of all students enrolled in U.S. higher education facilities. To our knowledge, no previous smoking cessation intervention has targeted community college students. Previous studies suggest that a motivational smoking cessation intervention could be successful for young adult smokers. Combining motivational interviewing sessions with personalized health feedback is likely to increase participants' motivation to quit and movement through the stages of change. The purpose of this study was to evaluate the impact of a smoking cessation program based on these premises. We designed a computer-assisted, counselor-delivered smoking cessation program that addresses personal health risks and readiness to change smoking behavior among community college students. A group-randomized, controlled trial was used to assess the intervention in a sample of 426 students (58.5% females; mean age, 22.8 ± 4.7 years) from 15 pair-matched campuses. At the 10-month follow-up assessment, the cotinine-validated smoking cessation rates were 16.6% in the experimental condition and 10.1% in the standard care condition (p = 0.07). Our results indicate that our computer-assisted intervention holds considerable promise in reducing smoking among community college students.

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Section: Introductionmentioning

confidence: 99%

“Look At Your Health”: Outcomes associated with a computer-assisted smoking cessation counseling intervention for community college students

Prokhorov

Yost

Mullin-Jones

et al. 2008

Addictive Behaviors

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“…Future Web sites can enable patients to examine their records and test results, visit resource libraries and Web sites to broaden their knowledge, arrange live or asynchronous consultations with e-counselors, receive follow-up emails for reminders or reinforcement, and participate in longitudinal tracking for research. [34][35][36][37][38][39][40] Whether offering these tools to patients improves health outcomes or satisfaction with care awaits further study with longer observational periods.To read or post commentaries in response to this article, see it online at http://www.annfammed.org/cgi/content/full/4/2/148. …”

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confidence: 99%

A Practice-Sponsored Web Site to Help Patients Pursue Healthy Behaviors: An ACORN Study

Woolf

Krist²,

Johnson³

et al. 2006

The Annals of Family Medicine

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PURPOSEWe tested whether patients are more likely to pursue healthy behaviors (eg, physical activity, smoking cessation) if referred to a tailored Web site that provides valuable information for behavior change.METHODS In a 9-month pre-post comparison with nonrandomized control practices, 6 family practices (4 intervention, 2 control) encouraged adults with unhealthy behaviors to visit the Web site. For patients from intervention practices, the Web site offered tailored health advice, a library of national and local resources, and printouts for clinicians. For patients from control practices, the Web site offered static information pages. Patient surveys assessed stage of change and health behaviors at baseline and follow-up (at 1 and 4 months), Web site use, and satisfaction.RESULTS During the 9 months, 932 patients (4% of adults attending the practice) visited the Web site, and 273 completed the questionnaires. More than 50% wanted physician assistance with health behaviors. Stage of change advanced and health behaviors improved in both intervention and control groups. Intervention patients reported greater net improvements at 1 month, although the differences approached signifi cance only for physical activity and readiness to change dietary fat intake. Patients expressed satisfaction with the Web site but wished it provided more detailed information and greater interactivity with clinicians.CONCLUSIONS Clinicians face growing pressure to offer patients good information on health promotion and other health care topics. Referring patients to a welldesigned Web site that offers access to the world's best information is an appealing alternative to offering handouts or impromptu advice. Interactive Web sites can facilitate behavior change and can interface with electronic health records. Determining whether referral to an informative Web site improves health outcomes is a methodological challenge, but the larger question is whether information alone is suffi cient to promote behavior change. Web sites are more likely to be effective as part of a suite of tools that incorporate personal assistance. 2006;4:148-152. DOI: 10.1370/afm.522. Ann Fam Med INTRODUCTIONF our unhealthy behaviors-poor diet, physical inactivity, tobacco use, and problem drinking-constitute the leading causes of death in the United States, 1 but clinicians face obstacles in helping patients to pursue behavior change.2 The barriers include too little time with patients, limited reimbursement, and uncertainties about the effectiveness of the low-intensity interventions that most practices can deliver. [3][4][5][6][7][8] One challenge is connecting patients with the information resources they need to pursue healthy behaviors. Having been encouraged by clinicians to change their lifestyle, patients often seek details regarding techniques, motivational strategies, resources, and community programs, but the information that clinicians can provide in their offi ces is often limited, Both ineffi ciency in connecting patients with individually ...

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“…The rise of Internet use has led to a growing familiarity with surfing between websites to gather information that may be delivered using different voices and perspectives (49,50). These advances, along with increased comfort with active rather than passive media consumption, have made interactivity as a powerful new technique for science communication (51). The "structured self-tailoring" made possible through interactivity can allow audiences to get the most personally relevant information while keeping them within the confines of the communication (42).…”

Section: Prescriptive Scientific Narrativesmentioning

confidence: 99%

Prescriptive scientific narratives for communicating usable science

Downs

2014

Proc. Natl. Acad. Sci. U.S.A.

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In this paper I describe how a narrative approach to science communication may help audiences to more fully understand how science is relevant to their own lives and behaviors. The use of prescriptive scientific narrative can help to overcome challenges specific to scientific concepts, especially the need to reconsider long-held beliefs in the face of new empirical findings. Narrative can captivate the audience, driving anticipation for plot resolution, thus becoming a self-motivating vehicle for information delivery. This quality gives narrative considerable power to explain complex phenomena and causal processes, and to create and reinforce memory traces for better recall and application over time. Because of the inherent properties of narrative communication, their creators have a special responsibility to ensure even-handedness in selection and presentation of the scientific evidence. The recent transformation in communication and information technology has brought about new platforms for delivering content, particularly through interactivity, which can use structured self-tailoring to help individuals most efficiently get exactly the content that they need. As with all educational efforts, prescriptive scientific narratives must be evaluated systematically to determine whether they have the desired effects in improving understanding and changing behavior.decision making | adolescents | interactive video

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Interactive Multimedia and Risk Communication

Cited by 78 publications

References 28 publications

“Look At Your Health”: Outcomes associated with a computer-assisted smoking cessation counseling intervention for community college students

“Look At Your Health”: Outcomes associated with a computer-assisted smoking cessation counseling intervention for community college students

A Practice-Sponsored Web Site to Help Patients Pursue Healthy Behaviors: An ACORN Study

Prescriptive scientific narratives for communicating usable science

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