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Health Education Research Advance Access published online on November 2, 2004
Health Education Research, doi:10.1093/her/cyg135
© 2004 by Oxford University Press
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Received November 19, 2003
Accepted September 28, 2004

Original article

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

Anna M. McDaniel 1*, Gail R. Casper 2, Sondra K. Hutchison 3, and Renee M. Stratton 4

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

* To whom correspondence should be addressed.
Anna M. McDaniel, E-mail: amcdanie{at}iupui.edu


  Abstract

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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