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Factors associated with choice of web or print intervention materials in the healthy directions 2 study.

Publication ,  Journal Article
Greaney, ML; Puleo, E; Bennett, GG; Haines, J; Viswanath, K; Gillman, MW; Sprunck-Harrild, K; Coeling, M; Rusinak, D; Emmons, KM
Published in: Health education & behavior : the official publication of the Society for Public Health Education
February 2014

Many U.S. adults have multiple behavioral risk factors, and effective, scalable interventions are needed to promote population-level health. In the health care setting, interventions are often provided in print, although accessible to nearly everyone, are brief (e.g., pamphlets), are not interactive, and can require some logistics around distribution. Web-based interventions offer more interactivity but may not be accessible to all. Healthy Directions 2 was a primary care-based cluster randomized controlled trial designed to improve five behavioral cancer risk factors among a diverse sample of adults (n = 2,440) in metropolitan Boston. Intervention materials were available via print or the web. Purpose. To (a) describe the Healthy Directions 2 study design and (b) identify baseline factors associated with whether participants opted for print or web-based materials.Hierarchical regression models corrected for clustering by physician were built to examine factors associated with choice of intervention modality.At baseline, just 4.0% of participants met all behavioral recommendations. Nearly equivalent numbers of intervention participants opted for print and web-based materials (44.6% vs. 55.4%). Participants choosing web-based materials were younger, and reported having a better financial status, better perceived health, greater computer comfort, and more frequent Internet use (p < .05) than those opting for print. In addition, Whites were more likely to pick web-based material than Black participants.Interventions addressing multiple behaviors are needed in the primary care setting, but they should be available in web and print formats as nearly equal number of participants chose each option, and there are significant differences in the population groups using each modality.

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Published In

Health education & behavior : the official publication of the Society for Public Health Education

DOI

EISSN

1552-6127

ISSN

1090-1981

Publication Date

February 2014

Volume

41

Issue

1

Start / End Page

52 / 62

Related Subject Headings

  • United States
  • Self Efficacy
  • Risk Factors
  • Regression Analysis
  • Randomized Controlled Trials as Topic
  • Public Health
  • Patient Protection and Affordable Care Act
  • Patient Participation
  • Middle Aged
  • Male
 

Citation

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Chicago
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Greaney, M. L., Puleo, E., Bennett, G. G., Haines, J., Viswanath, K., Gillman, M. W., … Emmons, K. M. (2014). Factors associated with choice of web or print intervention materials in the healthy directions 2 study. Health Education & Behavior : The Official Publication of the Society for Public Health Education, 41(1), 52–62. https://doi.org/10.1177/1090198113486803
Greaney, Mary L., Elaine Puleo, Gary G. Bennett, Jess Haines, K. Viswanath, Matthew W. Gillman, Kim Sprunck-Harrild, Molly Coeling, Donna Rusinak, and Karen M. Emmons. “Factors associated with choice of web or print intervention materials in the healthy directions 2 study.Health Education & Behavior : The Official Publication of the Society for Public Health Education 41, no. 1 (February 2014): 52–62. https://doi.org/10.1177/1090198113486803.
Greaney ML, Puleo E, Bennett GG, Haines J, Viswanath K, Gillman MW, et al. Factors associated with choice of web or print intervention materials in the healthy directions 2 study. Health education & behavior : the official publication of the Society for Public Health Education. 2014 Feb;41(1):52–62.
Greaney, Mary L., et al. “Factors associated with choice of web or print intervention materials in the healthy directions 2 study.Health Education & Behavior : The Official Publication of the Society for Public Health Education, vol. 41, no. 1, Feb. 2014, pp. 52–62. Epmc, doi:10.1177/1090198113486803.
Greaney ML, Puleo E, Bennett GG, Haines J, Viswanath K, Gillman MW, Sprunck-Harrild K, Coeling M, Rusinak D, Emmons KM. Factors associated with choice of web or print intervention materials in the healthy directions 2 study. Health education & behavior : the official publication of the Society for Public Health Education. 2014 Feb;41(1):52–62.
Journal cover image

Published In

Health education & behavior : the official publication of the Society for Public Health Education

DOI

EISSN

1552-6127

ISSN

1090-1981

Publication Date

February 2014

Volume

41

Issue

1

Start / End Page

52 / 62

Related Subject Headings

  • United States
  • Self Efficacy
  • Risk Factors
  • Regression Analysis
  • Randomized Controlled Trials as Topic
  • Public Health
  • Patient Protection and Affordable Care Act
  • Patient Participation
  • Middle Aged
  • Male