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Health Education Research Advance Access originally published online on November 2, 2004
Health Education Research 2005 20(3):379-384; doi:10.1093/her/cyg135
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Health Education Research Vol.20 no.3, © Oxford University Press 2004; All rights reserved

Design and testing of an interactive smoking cessation intervention for inner-city women

Anna M. McDaniel1,2,3,5, Gail R. Casper4, Sondra K. Hutchison1 and Renee M. Stratton2,3

Schools of 1 Nursing and 2 Informatics, Indiana University, Indianapolis, IN 46202, 3 Walther Cancer Institute, Indianapolis, IN 46202 and 4 School of Nursing, University of Wisconsin, Madison, WI 53792, USA

5 Correspondence to: A. M. McDaniel; E-mail: amcdanie{at}iupui.edu

The purpose of this study was to design and test the usability of a computer-mediated smoking cessation program for inner-city women. Design and content were developed consistent with principles of user-centered design. Formative and summative evaluation strategies were utilized in its testing. The summative evaluation was designed to test usability in a naturalistic environment. A sample of 100 women who receive care at an inner-city community health center participated in the study. Average time for completing the computer program was 13.9 minutes. Participants reported a high level of satisfaction with usability of the program. Standardized instruments to measure cognitive processes of change related to smoking were completed at baseline and at 1 week. Participants reported a decrease in favorable attitudes toward smoking (P = 0.014) and an increase in cognitive change processes at follow-up (P = 0.037). These results indicate that interactive computer technology is acceptable to, and potentially useful for, promoting smoking cessation in low-income women.


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