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Health Education Research Advance Access originally published online on February 27, 2009
Health Education Research 2009 24(4):646-654; doi:10.1093/her/cyp001
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© The Author 2009. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

The health impact of an online heart disease support group: a comparison of moderated versus unmoderated support

Sally Lindsay1,*, Simon Smith2, Paul Bellaby3 and Rose Baker4

1 Dalla Lana School of Public Health, Faculty of Medicine, University of Toronto, 155 College Street, Toronto, Ontario M5T 3M7, Canada
2 Institute of Communications Studies, University of Leeds, Leeds LS2 9JT, UK
3 Institute for Social, Cultural and Policy Research, University of Salford, Salford M5 4QA, UK
4 Centre for Operational Research and Applied Statistics, University of Salford, Salford, M5 4WT, UK

* Correspondence to: S. Lindsay. E-mail: sally.lindsay{at}utoronto.ca

The aim of this study was to assess whether our online closed community heart care support group and information resource could sustain changes in health behaviour after the moderators withdrew their support. Heart patients (n = 108) living in a deprived area of Greater Manchester were recruited from general practitioners’ coronary heart disease registries. The sample for this randomized controlled trial was divided in half at random where half of the participants received password-protected access to our health portal and the other half did not. At 6 months follow-up (based on the moderated phase), there was a significant difference between the experimental group and the controls in terms of self-reported diet (eating bad foods less often). This change in behaviour was not sustained during the 3-month unmoderated phase. During this unmoderated phase of the intervention, the experimental group had significantly more health care visits compared with the controls. There was no significant difference between the two phases for either group in terms of exercise, smoking or social support. This study offers insight into the potential implications for health changes of moderating arrangements for online health communities.

Received on May 12, 2008; accepted on January 27, 2009


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