ArticleJournal of medical Internet research2006
Defining participant exposure measures in Web-based health behavior change programs.
Article in Journal of medical Internet research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 96 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Strengths to Grow: An Online Parenting Resource
Strengths to Grow Preteen: An Online Parenting Resource
Who cites it
96 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Information Architecture of Web-Based Interventions to Improve Health Outcomes: Systematic Review.Journal of medical Internet research · 2018Pooled it
- Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis.Translational behavioral medicine · 2017Pooled it
- Persuasive features in web-based alcohol and smoking interventions: a systematic review of the literature.Journal of medical Internet research · 2011Pooled it
- Which intervention characteristics are related to more exposure to internet-delivered healthy lifestyle promotion interventions? A systematic review.Journal of medical Internet research · 2011Pooled it
- Use, Usability, and Experience Testing of a Digital Health Intervention to Support Chronic Kidney Disease Self-Management: Mixed Methods Study.Journal of medical Internet research · 2025Trial
- The Impact of Patient Preference on Attendance and Completion Rates at Centre-Based and mHealth Pulmonary Rehabilitation: A Non-Inferiority Pragmatic Clinical Trial.International journal of chronic obstructive pulmonary disease · 2023Trial
- Identifying Content-Based Engagement Patterns in a Smoking Cessation Website and Associations With User Characteristics and Cessation Outcomes: A Sequence and Cluster Analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Trial
- Optimising Web-Based Computer-Tailored Physical Activity Interventions for Prostate Cancer Survivors: A Randomised Controlled Trial Examining the Impact of Website Architecture on User Engagement.International journal of environmental research and public health · 2020Trial
- Outcomes and Device Usage for Fully Automated Internet Interventions Designed for a Smartphone or Personal Computer: The MobileQuit Smoking Cessation Randomized Controlled Trial.Journal of medical Internet research · 2019Trial
- Improving Adherence to Smoking Cessation Treatment: Smoking Outcomes in a Web-based Randomized Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018Trial
- A Pilot Randomized Controlled Trial of an Internet-Based Alcohol Intervention in a Workplace Setting.International journal of behavioral medicine · 2017Trial
- Randomised controlled trial evaluation of Tweet2Quit: a social network quit-smoking intervention.Tobacco control · 2017Trial
- Improving Adherence to Smoking Cessation Treatment: Intervention Effects in a Web-Based Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017Trial
- An interactive web-based intervention on nutritional status, physical activity and health-related quality of life in patient with metabolic syndrome: a randomized-controlled trial (The Red Ruby Study).Nutrition & diabetes · 2017Trial
- Optimising text messaging to improve adherence to web-based smoking cessation treatment: a randomised control trial protocol.BMJ open · 2016Trial
- Engagement with a social networking intervention for cancer-related distress.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015Trial
- Effectiveness of a Web-based tailored interactive health communication application for patients with type 2 diabetes or chronic low back pain: randomized controlled trial.Journal of medical Internet research · 2015Trial
- Click "like" to change your behavior: a mixed methods study of college students' exposure to and engagement with Facebook content designed for weight loss.Journal of medical Internet research · 2014Trial
- Using multiple imputations to accommodate time-outs in online interventions.Journal of medical Internet research · 2013Trial
- Cost-effectiveness of internet and telephone treatment for smoking cessation: an economic evaluation of The iQUITT Study.Tobacco control · 2013Trial
36 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundPublished research on the use of Web-based behavior change programs is growing rapidly. One of the observations characterized as problematic in these studies is that participants often make relatively few website visits and spend only a brief time accessing the program. Properly structured websites permit the unobtrusive measurement of the ways in which participants access (are exposed to) program content. Research on participant exposure to Web-based programs is not merely of interest to technologists, but represents an important opportunity to better understand the broader theme of program engagement and to guide the development of more effective interventions.
objectivesThe current paper seeks to provide working definitions and describe initial patterns of various measures of participant exposure to ChewFree.com, a large randomized controlled trial of a Web-based program for smokeless tobacco cessation.
methodsWe examined measures of participant exposure to either an Enhanced condition Web-based program (interactive, tailored, and rich-media program) or a Basic condition control website (static, text-based material). Specific measures focused on email prompting, participant visits (number, duration, and pattern of use over time), and Web page viewing (number of views, types of pages viewed, and Web forum postings).
resultsParticipants in the ChewFree.com Enhanced condition made more visits and spent more time accessing their assigned website than did participants assigned to the Basic condition website. In addition, exposure data demonstrated that Basic condition users thoroughly accessed program content, indicating that the condition provided a meaningful, face-valid control to the Enhanced condition.
conclusionsWe recommend that researchers conducting evaluations of Web-based interventions consider the collection and analysis of exposure measures in the broader context of program engagement in order to assess whether participants obtain sufficient exposure to relevant program content.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.