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Health Education Research Advance Access originally published online on August 18, 2008
Health Education Research 2009 24(3):461-471; doi:10.1093/her/cyn042
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© The Author 2008. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Development and implementation of an integrated, multi-modality, user-centered interactive dietary change program

Russell E. Glasgow1,*, Steve Christiansen2, K. Sabina Smith3, Victor J. Stevens3 and Deborah J. Toobert4

1 Kaiser Permanente Colorado, PO Box 378066, Denver, CO 80231, USA
2 InterVision, Eugene, OR 97401, USA
3 Center for Health Research, Portland, OR 97227, USA
4 Oregon Research Institute, Eugene, OR 97403, USA

* Correspondence to: Russell E. Glasgow. E-mail: russg{at}re-aim.net

Computer-tailored behavior change programs offer the potential for reaching large populations at a much lower cost than individual or group-based programs. However, few of these programs to date appear to integrate behavioral theory with user choice, or combine different electronic modalities. We describe the development of an integrated CD-ROM and interactive voice response dietary change intervention that combines behavioral problem-solving theory with a high degree of user choice. The program, WISE CHOICES, is being evaluated as part of an ongoing trial. This paper describes the program development, emphasizing how user preferences are accommodated, and presents implementation and user satisfaction data. The program was successfully implemented; the linkages among the central database, the CD-ROM and the automated telephone components were robust, and participants liked the program almost as well as a counselor-delivered dietary change condition. Multi-modality programs that emphasize the strengths of each approach appear to be feasible. Future research is needed to determine the program impact and cost-effectiveness compared with counselor-delivered intervention.

Received on December 22, 2006; accepted on July 3, 2008


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