Skip to main content
Erschienen in: Annals of Behavioral Medicine 2/2008

01.04.2008 | Original Article

Efficacy and Use of an Internet-delivered Computer-tailored Lifestyle Intervention, Targeting Saturated Fat Intake, Physical Activity and Smoking Cessation: A Randomized Controlled Trial

verfasst von: Anke Oenema, Ph.D., Johannes Brug, Ph.D., Arie Dijkstra, Ph.D., Inge de Weerdt, Ph.D., Hein de Vries, Ph.D.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 2/2008

Einloggen, um Zugang zu erhalten

Abstract

Background

Although experts claim that computer-tailored interventions provided over the Internet have great potential to promote health behavior change, few studies have tested the efficacy of computer-tailored lifestyle interventions online-delivered over the Internet.

Purpose

To evaluate the short-term (1 month) efficacy of an Internet-delivered, computer-tailored lifestyle intervention targeting saturated fat intake, physical activity (PA), and smoking cessation, and to evaluate exposure to the intervention.

Methods

A pretest–posttest randomized controlled trial with an intervention group and a no intervention waiting list control group was conducted. Self-reported behavior and determinants were assessed at baseline and 1 month follow-up. Exposure to the intervention was monitored through server registrations. The data were analyzed using multiple linear and logistic regression analysis.

Results

The intervention resulted in a significantly lower self-reported saturated fat intake (b = −0.76, p < 0.01) and a higher likelihood of meeting the PA guidelines among respondents who were insufficiently active at baseline (OR = 1.34, 95%CI = 1.001–1.80). No significant intervention effects were found for self-reported smoking status. Of the participants, 81% actually visited the website.

Conclusions

The Internet-delivered, computer-tailored lifestyle intervention was effective in reducing self-reported saturated fat intake and in increasing self-reported PA among participants who completed the study.
Literatur
1.
Zurück zum Zitat Ezzati M, Lopez AD, Rodgers A, et al. Selected major risk factors and global and regional burden of disease. Lancet. 2002; 360: 1347–1360.PubMedCrossRef Ezzati M, Lopez AD, Rodgers A, et al. Selected major risk factors and global and regional burden of disease. Lancet. 2002; 360: 1347–1360.PubMedCrossRef
2.
Zurück zum Zitat Stamler J, Neaton JD, Garside DB, Daviglus ML. Current status: Six established major risk factors- and low risk. In: Marmot M, Elliot P, eds. Coronary heart disease epidemiology. From aetiology to public health. Oxford: Oxford University Press; 2005: 32–70. Stamler J, Neaton JD, Garside DB, Daviglus ML. Current status: Six established major risk factors- and low risk. In: Marmot M, Elliot P, eds. Coronary heart disease epidemiology. From aetiology to public health. Oxford: Oxford University Press; 2005: 32–70.
3.
Zurück zum Zitat Hu FB, Willet WC. Prevention of coronary heart disease: Findings from the nurses’ health study and health professionals’ follow-up study. In: Marmot M, Elliot P, eds. Coronary heart disease epidemiology. From aetiology to public health. Oxford: Oxford University Press; 2005: 654–668. Hu FB, Willet WC. Prevention of coronary heart disease: Findings from the nurses’ health study and health professionals’ follow-up study. In: Marmot M, Elliot P, eds. Coronary heart disease epidemiology. From aetiology to public health. Oxford: Oxford University Press; 2005: 654–668.
4.
Zurück zum Zitat Eyre H, Kahn R, Robertson RM, et al. Preventing cancer, cardiovascular disease, and diabetes: A common agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association. Circulation. 2004; 109: 3244–3255.PubMedCrossRef Eyre H, Kahn R, Robertson RM, et al. Preventing cancer, cardiovascular disease, and diabetes: A common agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association. Circulation. 2004; 109: 3244–3255.PubMedCrossRef
5.
Zurück zum Zitat STIVORO. Annual report 2004. The Hague: STIVORO; 2004, (in Dutch). STIVORO. Annual report 2004. The Hague: STIVORO; 2004, (in Dutch).
6.
Zurück zum Zitat Health Council of the Netherlands. Dietary reference intakes: Energy, proteins, fats and digestible carbohydrates. Publication No. 2001/19. The Hague: Health Council of the Netherlands; 2001, (in Dutch). Health Council of the Netherlands. Dietary reference intakes: Energy, proteins, fats and digestible carbohydrates. Publication No. 2001/19. The Hague: Health Council of the Netherlands; 2001, (in Dutch).
7.
Zurück zum Zitat Ooijendijk W. Physical activity in the Netherlands 2000–2003. In: Hildebrandt V, Ooijendijk W, Stiggelbout M, Hopman-Rock M, eds. Trendrapport Bewegen en Gezondheid 2002/2003. Hoofddorp: TNO Arbeid; 2004: 25–50, (in Dutch). Ooijendijk W. Physical activity in the Netherlands 2000–2003. In: Hildebrandt V, Ooijendijk W, Stiggelbout M, Hopman-Rock M, eds. Trendrapport Bewegen en Gezondheid 2002/2003. Hoofddorp: TNO Arbeid; 2004: 25–50, (in Dutch).
8.
Zurück zum Zitat Pronk NP, Anderson LH, Crain AL, et al. Meeting recommendations for multiple healthy lifestyle factors. Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med. 2004; 27(2 Suppl): 25–33.PubMedCrossRef Pronk NP, Anderson LH, Crain AL, et al. Meeting recommendations for multiple healthy lifestyle factors. Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med. 2004; 27(2 Suppl): 25–33.PubMedCrossRef
9.
Zurück zum Zitat Beer-Borst S, Hercberg S, Morabia A, et al. Dietary patterns in six European populations: Results from EURALIM, a collaborative European data harmonization and information campaign. Eur J Clin Nutr. 2000; 54: 253–262.PubMedCrossRef Beer-Borst S, Hercberg S, Morabia A, et al. Dietary patterns in six European populations: Results from EURALIM, a collaborative European data harmonization and information campaign. Eur J Clin Nutr. 2000; 54: 253–262.PubMedCrossRef
10.
Zurück zum Zitat Varo JJ, Martinez-Gonzalez MA, De Irala-Estevez J, et al. Distribution and determinants of sedentary lifestyles in the European Union. Int J Epidemiol. 2003; 32: 138–146.PubMedCrossRef Varo JJ, Martinez-Gonzalez MA, De Irala-Estevez J, et al. Distribution and determinants of sedentary lifestyles in the European Union. Int J Epidemiol. 2003; 32: 138–146.PubMedCrossRef
11.
Zurück zum Zitat Danaei G, Vander Hoorn S, Lopez AD, Murray CJ, Ezzati M. Causes of cancer in the world: Comparative risk assessment of nine behavioural and environmental risk factors. Lancet. 2005; 366: 1784–1793.PubMedCrossRef Danaei G, Vander Hoorn S, Lopez AD, Murray CJ, Ezzati M. Causes of cancer in the world: Comparative risk assessment of nine behavioural and environmental risk factors. Lancet. 2005; 366: 1784–1793.PubMedCrossRef
12.
Zurück zum Zitat van Dam RM. The epidemiology of lifestyle and risk for type 2 diabetes. Eur J Epidemiol. 2003; 18: 1115–1125.PubMed van Dam RM. The epidemiology of lifestyle and risk for type 2 diabetes. Eur J Epidemiol. 2003; 18: 1115–1125.PubMed
13.
Zurück zum Zitat Ezzati M, Vander Hoorn S, Rodgers A, et al. Estimates of global and regional potential health gains from reducing multiple major risk factors. Lancet. 2003; 362: 271–280.PubMedCrossRef Ezzati M, Vander Hoorn S, Rodgers A, et al. Estimates of global and regional potential health gains from reducing multiple major risk factors. Lancet. 2003; 362: 271–280.PubMedCrossRef
14.
Zurück zum Zitat Stampfer MJ, Hu FB, Manson JE, Rimm EB, Willett WC. Primary prevention of coronary heart disease in women through diet and lifestyle. N Engl J Med. 2000; 343: 16–22.PubMedCrossRef Stampfer MJ, Hu FB, Manson JE, Rimm EB, Willett WC. Primary prevention of coronary heart disease in women through diet and lifestyle. N Engl J Med. 2000; 343: 16–22.PubMedCrossRef
15.
Zurück zum Zitat Brug J, Oenema A, Campbell M. Past, present and future of computer-tailored nutrition education. Am J Clin Nutr. 2003; 77: 1028S–1034S.PubMed Brug J, Oenema A, Campbell M. Past, present and future of computer-tailored nutrition education. Am J Clin Nutr. 2003; 77: 1028S–1034S.PubMed
16.
Zurück zum Zitat Kreuter M, Farrell D, Olevitch L, Brennan L. Tailoring health messages: Customizing communication with computer technology. Mahwah: Erlbaum; 2000. Kreuter M, Farrell D, Olevitch L, Brennan L. Tailoring health messages: Customizing communication with computer technology. Mahwah: Erlbaum; 2000.
17.
Zurück zum Zitat de Vries H, Brug J. Computer-tailored interventions motivating people to adopt health promoting behaviors: Introduction to a new approach. Patient Educ Couns. 1999; 36: 99–105.PubMedCrossRef de Vries H, Brug J. Computer-tailored interventions motivating people to adopt health promoting behaviors: Introduction to a new approach. Patient Educ Couns. 1999; 36: 99–105.PubMedCrossRef
18.
Zurück zum Zitat Dijkstra A. Working mechanisms of computer-tailored health education: Evidence from smoking cessation. Health Educ Res. 2005; 20: 527–539.PubMedCrossRef Dijkstra A. Working mechanisms of computer-tailored health education: Evidence from smoking cessation. Health Educ Res. 2005; 20: 527–539.PubMedCrossRef
19.
Zurück zum Zitat Kreuter MW, Bull FC, Clark EM, Oswald DL. Understanding how people process health information: A comparison of tailored and non-tailored weight-loss materials. Health Psychol. 1999; 18: 487–494.PubMedCrossRef Kreuter MW, Bull FC, Clark EM, Oswald DL. Understanding how people process health information: A comparison of tailored and non-tailored weight-loss materials. Health Psychol. 1999; 18: 487–494.PubMedCrossRef
20.
Zurück zum Zitat Lancaster T, Stead L. Self-help interventions for smoking cessation. Cochrane Database Syst Rev. 2005; 3: CD001118.PubMed Lancaster T, Stead L. Self-help interventions for smoking cessation. Cochrane Database Syst Rev. 2005; 3: CD001118.PubMed
21.
Zurück zum Zitat Kroeze W, Werkman A, Brug J. A systematic review of randomized trials on the effectiveness of computer-tailored education on physical activity and dietary behaviors. Ann Behav Med. 2006; 31: 205–233.PubMedCrossRef Kroeze W, Werkman A, Brug J. A systematic review of randomized trials on the effectiveness of computer-tailored education on physical activity and dietary behaviors. Ann Behav Med. 2006; 31: 205–233.PubMedCrossRef
22.
Zurück zum Zitat Campbell MK, Tessaro I, DeVellis B, et al. Tailoring and targeting a worksite health promotion program to address multiple health behaviors among blue-collar women. Am J Health Promot. 2000; 14: 306–313.PubMed Campbell MK, Tessaro I, DeVellis B, et al. Tailoring and targeting a worksite health promotion program to address multiple health behaviors among blue-collar women. Am J Health Promot. 2000; 14: 306–313.PubMed
23.
Zurück zum Zitat Campbell MK, Tessaro I, DeVellis B, et al. Effects of a tailored health promotion program for female blue-collar workers: Health works for women. Prev Med. 2002; 34: 313–323.PubMedCrossRef Campbell MK, Tessaro I, DeVellis B, et al. Effects of a tailored health promotion program for female blue-collar workers: Health works for women. Prev Med. 2002; 34: 313–323.PubMedCrossRef
24.
Zurück zum Zitat Campbell MK, James A, Hudson MA, et al. Improving multiple behaviors for colorectal cancer prevention among African American church members. Health Psychol. 2004; 23: 492–502.PubMedCrossRef Campbell MK, James A, Hudson MA, et al. Improving multiple behaviors for colorectal cancer prevention among African American church members. Health Psychol. 2004; 23: 492–502.PubMedCrossRef
25.
Zurück zum Zitat Prochaska JO, Velicer WF, Redding C, et al. Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms. Prev Med. 2005; 41: 406–416.PubMedCrossRef Prochaska JO, Velicer WF, Redding C, et al. Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms. Prev Med. 2005; 41: 406–416.PubMedCrossRef
26.
Zurück zum Zitat Brug J, Oenema A, Kroeze W, Raat H. The Internet and nutrition education: Challenges and opportunities. Eur J Clin Nutr. 2005; 59: S130–S139.PubMedCrossRef Brug J, Oenema A, Kroeze W, Raat H. The Internet and nutrition education: Challenges and opportunities. Eur J Clin Nutr. 2005; 59: S130–S139.PubMedCrossRef
27.
Zurück zum Zitat Anderson ES, Winett RA, Wojcik JR, Winett SG, Bowden T. A computerized social cognitive intervention for nutrition behavior: Direct and mediated effects on fat, fiber, fruits and vegetables, self-efficacy, and outcome expectations among food shoppers. Ann Behav Med. 2001; 23: 88–100.PubMedCrossRef Anderson ES, Winett RA, Wojcik JR, Winett SG, Bowden T. A computerized social cognitive intervention for nutrition behavior: Direct and mediated effects on fat, fiber, fruits and vegetables, self-efficacy, and outcome expectations among food shoppers. Ann Behav Med. 2001; 23: 88–100.PubMedCrossRef
28.
Zurück zum Zitat Campbell MK, Honess Morreale L, Farrell D, Carbone E, Brasure M. A tailored multimedia nutrition education pilot program for low-income women receiving food assistance. Health Educ Res. 1999; 14: 257–267.PubMedCrossRef Campbell MK, Honess Morreale L, Farrell D, Carbone E, Brasure M. A tailored multimedia nutrition education pilot program for low-income women receiving food assistance. Health Educ Res. 1999; 14: 257–267.PubMedCrossRef
29.
Zurück zum Zitat Campbell MK, Carbone E, Honess Morreale L, et al. Randomized trial of a tailored nutrition education CD-ROM program for women receiving food assistance. J Nutr Educ Behav. 2004; 36: 58–66.PubMedCrossRef Campbell MK, Carbone E, Honess Morreale L, et al. Randomized trial of a tailored nutrition education CD-ROM program for women receiving food assistance. J Nutr Educ Behav. 2004; 36: 58–66.PubMedCrossRef
30.
Zurück zum Zitat Irvine AB, Ary DV, Grove DA, Gilfillan Morton L. The effectiveness of an interactive multimedia program to influence eating habits. Health Educ Res. 2004; 19: 290–305.PubMedCrossRef Irvine AB, Ary DV, Grove DA, Gilfillan Morton L. The effectiveness of an interactive multimedia program to influence eating habits. Health Educ Res. 2004; 19: 290–305.PubMedCrossRef
31.
Zurück zum Zitat Oenema A, Brug J. Feedback strategies to raise awareness of personal dietary intake: Results of a randomized controlled trial. Prev Med. 2003; 36: 429–439.PubMedCrossRef Oenema A, Brug J. Feedback strategies to raise awareness of personal dietary intake: Results of a randomized controlled trial. Prev Med. 2003; 36: 429–439.PubMedCrossRef
32.
Zurück zum Zitat Oenema A, Tan F, Brug J. Short-term efficacy of a web-based computer-tailored nutrition intervention: Main effects and mediators. Ann Behav Med. 2005; 29: 54–63.PubMedCrossRef Oenema A, Tan F, Brug J. Short-term efficacy of a web-based computer-tailored nutrition intervention: Main effects and mediators. Ann Behav Med. 2005; 29: 54–63.PubMedCrossRef
33.
Zurück zum Zitat De Bourdeaudhuij I, Stevens V, Vandelanotte C, Brug J. Evaluation of an interactive computer-tailored nutrition intervention in a real-life setting. Ann Behav Med. 2007; 33: 39–48.PubMedCrossRef De Bourdeaudhuij I, Stevens V, Vandelanotte C, Brug J. Evaluation of an interactive computer-tailored nutrition intervention in a real-life setting. Ann Behav Med. 2007; 33: 39–48.PubMedCrossRef
34.
Zurück zum Zitat Vandelanotte C, De Bourdeaudhuij I, Brug J, Sallis JF, Spittaels H. Efficacy of sequential or simultaneous interactive computer-tailored interventions for increasing physical activity and decreasing fat intake. Ann Behav Med. 2005; 29: 138–146.PubMedCrossRef Vandelanotte C, De Bourdeaudhuij I, Brug J, Sallis JF, Spittaels H. Efficacy of sequential or simultaneous interactive computer-tailored interventions for increasing physical activity and decreasing fat intake. Ann Behav Med. 2005; 29: 138–146.PubMedCrossRef
35.
Zurück zum Zitat Napolitano MA, Fotheringham M, Tate D, et al. Evaluation of an Internet-based physical activity intervention: A preliminary investigation. Ann Behav Med. 2003; 25: 92–99.PubMedCrossRef Napolitano MA, Fotheringham M, Tate D, et al. Evaluation of an Internet-based physical activity intervention: A preliminary investigation. Ann Behav Med. 2003; 25: 92–99.PubMedCrossRef
36.
Zurück zum Zitat Spittaels H, De Bourdeaudhuij I, Vandelanotte C. Evaluation of a website-delivered computer-tailored intervention for increasing physical activity in the general population. Prev Med. 2007; 44: 209–217.PubMedCrossRef Spittaels H, De Bourdeaudhuij I, Vandelanotte C. Evaluation of a website-delivered computer-tailored intervention for increasing physical activity in the general population. Prev Med. 2007; 44: 209–217.PubMedCrossRef
37.
Zurück zum Zitat Marshall AL, Leslie ER, Bauman AE, Marcus BH, Owen N. Print versus website physical activity programs: A randomized trial. Am J Prev Med. 2003; 25: 88–94.PubMedCrossRef Marshall AL, Leslie ER, Bauman AE, Marcus BH, Owen N. Print versus website physical activity programs: A randomized trial. Am J Prev Med. 2003; 25: 88–94.PubMedCrossRef
38.
Zurück zum Zitat Spittaels H, De Bourdeaudhuij I, Brug J, Vandelanotte C. Effectiveness of an online computer-tailored physical activity intervention in a real-life setting. Health Educ Res. 2007; 22: 385–396.PubMedCrossRef Spittaels H, De Bourdeaudhuij I, Brug J, Vandelanotte C. Effectiveness of an online computer-tailored physical activity intervention in a real-life setting. Health Educ Res. 2007; 22: 385–396.PubMedCrossRef
39.
Zurück zum Zitat Strecher VJ, Shiffman S, West R. Randomized controlled trial of a web-based computer-tailored smoking cessation program as a supplement to nicotine patch therapy. Addiction. 2005; 100: 682–688.PubMedCrossRef Strecher VJ, Shiffman S, West R. Randomized controlled trial of a web-based computer-tailored smoking cessation program as a supplement to nicotine patch therapy. Addiction. 2005; 100: 682–688.PubMedCrossRef
40.
Zurück zum Zitat Etter JF. Comparing the efficacy of two Internet-based, computer-tailored smoking cessation programs: A randomized trial. J Med Internet Res. 2005; 7: e2.PubMedCrossRef Etter JF. Comparing the efficacy of two Internet-based, computer-tailored smoking cessation programs: A randomized trial. J Med Internet Res. 2005; 7: e2.PubMedCrossRef
41.
Zurück zum Zitat Kypri K, McAnally HM. Randomized controlled trial of a web-based primary care intervention for multiple health risk behaviors. Prev Med. 2005; 41: 761–766.PubMedCrossRef Kypri K, McAnally HM. Randomized controlled trial of a web-based primary care intervention for multiple health risk behaviors. Prev Med. 2005; 41: 761–766.PubMedCrossRef
42.
43.
Zurück zum Zitat Glanz K, Brug J, van Assema P. Are awareness of dietary fat intake and actual fat consumption associated? A Dutch–American comparison. Eur J Clin Nutr. 1997; 51: 542–547.PubMedCrossRef Glanz K, Brug J, van Assema P. Are awareness of dietary fat intake and actual fat consumption associated? A Dutch–American comparison. Eur J Clin Nutr. 1997; 51: 542–547.PubMedCrossRef
44.
Zurück zum Zitat Ronda G, van Assema P, Brug J. Stages of change, psychological factors and awareness of physical activity levels in the Netherlands. Health Promot Int. 2001; 16: 305–314.PubMedCrossRef Ronda G, van Assema P, Brug J. Stages of change, psychological factors and awareness of physical activity levels in the Netherlands. Health Promot Int. 2001; 16: 305–314.PubMedCrossRef
45.
Zurück zum Zitat Dijkstra A, Roijackers J, de Vries H. Smokers in four stages of readiness to change. Addict Behav. 1998; 23: 339–350.PubMedCrossRef Dijkstra A, Roijackers J, de Vries H. Smokers in four stages of readiness to change. Addict Behav. 1998; 23: 339–350.PubMedCrossRef
46.
Zurück zum Zitat Rose G. Strategies of prevention: The individual and the population. In: Marmot M, Elliot P, eds. Coronary heart disease epidemiology. From aetiology to public health. Oxford: Oxford University Press; 2005: 631–641. Rose G. Strategies of prevention: The individual and the population. In: Marmot M, Elliot P, eds. Coronary heart disease epidemiology. From aetiology to public health. Oxford: Oxford University Press; 2005: 631–641.
47.
Zurück zum Zitat van Assema P, Brug J, Ronda G, Steenhuis I. The relative validity of a short Dutch questionnaire as a means to categorise adults and adolescents to total and saturated fat intake. J Hum Nutr Diet. 2001; 14: 377–390.PubMedCrossRef van Assema P, Brug J, Ronda G, Steenhuis I. The relative validity of a short Dutch questionnaire as a means to categorise adults and adolescents to total and saturated fat intake. J Hum Nutr Diet. 2001; 14: 377–390.PubMedCrossRef
48.
Zurück zum Zitat Craig CL, Marshall AL, Sjostrom M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35: 1381–1395.PubMedCrossRef Craig CL, Marshall AL, Sjostrom M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35: 1381–1395.PubMedCrossRef
49.
Zurück zum Zitat Gollwitzer PM. Implementation intentions: Strong effects of simple plans. Am Psychol. 1999; 54: 493–503.CrossRef Gollwitzer PM. Implementation intentions: Strong effects of simple plans. Am Psychol. 1999; 54: 493–503.CrossRef
50.
Zurück zum Zitat Dijkstra A, Conijn B, de Vries H. A match–mismatch test of a stage model in tobacco smoking. Addiction. 2006; 101: 1035–1043.PubMedCrossRef Dijkstra A, Conijn B, de Vries H. A match–mismatch test of a stage model in tobacco smoking. Addiction. 2006; 101: 1035–1043.PubMedCrossRef
51.
Zurück zum Zitat Dijkstra A, de Vries H, Roijackers J. Targeting smokers with low readiness to change with tailored and nontailored self-help materials. Prev Med. 1999; 28: 203–211.PubMedCrossRef Dijkstra A, de Vries H, Roijackers J. Targeting smokers with low readiness to change with tailored and nontailored self-help materials. Prev Med. 1999; 28: 203–211.PubMedCrossRef
52.
Zurück zum Zitat Strecher V, Wang C, Derry H, Wildenhaus K, Johnson C. Tailored interventions for multiple risk behaviors. Health Educ Res. 2002; 17: 619–626.PubMedCrossRef Strecher V, Wang C, Derry H, Wildenhaus K, Johnson C. Tailored interventions for multiple risk behaviors. Health Educ Res. 2002; 17: 619–626.PubMedCrossRef
53.
Zurück zum Zitat Gillman MW, Pinto BM, Tennstedt S, et al. Relationships of physical activity with dietary behaviors among adults. Prev Med. 2001; 32: 295–301.PubMedCrossRef Gillman MW, Pinto BM, Tennstedt S, et al. Relationships of physical activity with dietary behaviors among adults. Prev Med. 2001; 32: 295–301.PubMedCrossRef
54.
Zurück zum Zitat Ussher M, West R, McEwen A, Taylor A, Steptoe A. Efficacy of exercise counselling as an aid for smoking cessation: A randomized controlled trial. Addiction. 2003; 98: 523–532.PubMedCrossRef Ussher M, West R, McEwen A, Taylor A, Steptoe A. Efficacy of exercise counselling as an aid for smoking cessation: A randomized controlled trial. Addiction. 2003; 98: 523–532.PubMedCrossRef
55.
Zurück zum Zitat Spring B, Pagoto S, Pingitore R, et al. Randomized controlled trial for behavioral smoking and weight control treatment: Effect of concurrent versus sequential intervention. J Consult Clin Psychol. 2004; 72: 785–796.PubMedCrossRef Spring B, Pagoto S, Pingitore R, et al. Randomized controlled trial for behavioral smoking and weight control treatment: Effect of concurrent versus sequential intervention. J Consult Clin Psychol. 2004; 72: 785–796.PubMedCrossRef
56.
Zurück zum Zitat Prochaska JJ, Velicer WF, Prochaska JO, Delucchi K, Hall SM. Comparing intervention outcomes in smokers treated for single versus multiple behavioral risks. Health Psychol. 2006; 25: 380–388.PubMedCrossRef Prochaska JJ, Velicer WF, Prochaska JO, Delucchi K, Hall SM. Comparing intervention outcomes in smokers treated for single versus multiple behavioral risks. Health Psychol. 2006; 25: 380–388.PubMedCrossRef
57.
Zurück zum Zitat King TK, Marcus BH, Pinto BM, Emmons KM, Abrams DB. Cognitive-behavioral mediators of changing multiple behaviors: Smoking and a sedentary lifestyle. Prev Med. 1996; 25: 684–691.PubMedCrossRef King TK, Marcus BH, Pinto BM, Emmons KM, Abrams DB. Cognitive-behavioral mediators of changing multiple behaviors: Smoking and a sedentary lifestyle. Prev Med. 1996; 25: 684–691.PubMedCrossRef
58.
Zurück zum Zitat Emmons KM, Marcus BH, Linnan L, Rossi JS, Abrams DB. Mechanisms in multiple risk factor interventions: Smoking, physical activity, and dietary fat intake among manufacturing workers. Prev Med. 1994; 23: 481–489.PubMedCrossRef Emmons KM, Marcus BH, Linnan L, Rossi JS, Abrams DB. Mechanisms in multiple risk factor interventions: Smoking, physical activity, and dietary fat intake among manufacturing workers. Prev Med. 1994; 23: 481–489.PubMedCrossRef
Metadaten
Titel
Efficacy and Use of an Internet-delivered Computer-tailored Lifestyle Intervention, Targeting Saturated Fat Intake, Physical Activity and Smoking Cessation: A Randomized Controlled Trial
verfasst von
Anke Oenema, Ph.D.
Johannes Brug, Ph.D.
Arie Dijkstra, Ph.D.
Inge de Weerdt, Ph.D.
Hein de Vries, Ph.D.
Publikationsdatum
01.04.2008
Verlag
Springer-Verlag
Erschienen in
Annals of Behavioral Medicine / Ausgabe 2/2008
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-008-9023-1

Weitere Artikel der Ausgabe 2/2008

Annals of Behavioral Medicine 2/2008 Zur Ausgabe