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Journal of Health Psychology
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Strengths and Weaknesses of Health Behavior Change Programs on the Internet

Kerry E. Evers

Pro-Change Behavior Systems, Inc., USA, kevers{at}prochange.com

Janice M. Prochaska

Pro-Change Behavior Systems, Inc., USA

James O. Prochaska

Pro-Change Behavior Systems, Inc., USA

Mary-Margaret Driskell

Pro-Change Behavior Systems, Inc., USA

Carol O. Cummins

Pro-Change Behavior Systems, Inc., USA

Wayne F. Velicer

Pro-Change Behavior Systems, Inc., USA

Full reviews were conducted on 37 public websites on health behavior change for disease prevention and management. All had at least four of five of the `5A's for effective health behavior change treatment on the Internet' (advise, assess, assist, anticipatory guidance and arrange follow-up) that are assumed to be minimum criteria for a program to have the potential for producing behavior change. The strength of these 37 programs included: rationales provided for assessments; privacy and confidentiality protections; some form of feedback provided; and some form of interactivity. The weaknesses included: few were theory driven; few had individualized tailoring; few had empirically based tailoring; and few were evidence based or reported subsequent plans for evaluation.

Key Words: disease management • evaluation studies • health behavior • health promotion • Internet

Journal of Health Psychology, Vol. 8, No. 1, 63-70 (2003)
DOI: 10.1177/1359105303008001435
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