Internet interventions

Connected Health

• Web-based interventions (eHealth)
• Mobile interventions (mHealth)

Advantages of connectivity

• Self-directed, self-managed care
• More possibilities? 
• Expanded reach?
• Lower cost?

Cost Comparisons

Digital Divide

• Gap in the intensity & nature of IT use 
• No longer means gap in access to internet

Bennett & glasgow (2009)

• Efficacy vs. Effectiveness
• Dissemination Potential
• Website Utilization
• Adoption
• Web 2.0 Considerations

Are they accessible?

• ARIA - W3C Web Accessibility Initiative
• Hearing
• Mobility
• Cognitive
• Visual

adherence & Attrition rates

• Peels et al 2012 JOMIR
• Cluster RCT for 50yr olds - print vs. web
• Tailored advice on 3 occasions
• Adherence: 19% (print) vs. 12% (web)
• Attrition: 39% (print) vs. 53% (web)

web 3.0 (already here)

• Intelligent web-surfing (semantic search)
• Natural language recognition
• Artificial intelligence
• Machine learning
• Ubiquitous connectivity, open source software & data

Concluding Thoughts

• Web-based interventions for self-management?
• Supplemental or Standalone?