Advertisement

Critical Issues in eHealth Research

      Since the early 1950s, computer technologies have been used to gather, manage, and disseminate health information.
      • Shortliffe E.H.
      • Blois M.S.
      The computer meets medicine and biology: emergence of a discipline.
      The development of microcomputer processing in the 1970s and its subsequent exponential increase in speed and memory, together with the proliferation of electronic network infrastructures to transmit large amounts of data (e.g., Internet, intranets, electronic medical records, telecommunication networks), have created ever-expanding opportunities to assess and deliver health information to individuals, groups, and populations. Computer technologies also have created extraordinary opportunities for real-time assessments of physiology (e.g., ambulatory heart rate monitoring, galvanic skin response), health behaviors (e.g., accelerometry), and self-reports (e.g., personal digital assistants [PDAs] that capture stress levels, diet, medication use) in the real world and to deliver individualized information in response.
      • Stone A.A.
      • Shiffman S.
      • Atienza A.A.
      • Nebeling L.
      • Patrick K.
      • Intille S.S.
      • Zabinsky M.F.
      An ecological framework for cancer communication: implications for research.
      In addition, interventionists can use the rapidly expanding palette of technologic capabilities to deliver evidence-based programs through the Internet in ways that are both individualized and cost-effective. There is evidence that behavior change programs delivered via the Internet, using data provided by users, can be highly effective.
      • Tate D.F.
      • Jackvony E.H.
      • Wing R.R.
      Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: a randomized trial.
      • Tate D.F.
      • Jackvony E.H.
      • Wing R.R.
      A self-regulation program for maintenance of weight loss.
      • Graham A.L.
      • Abrams D.B.
      Reducing the cancer burden of lifestyle factors: opportunities and challenges of the Internet.
      • Cobb N.K.
      • Graham A.L.
      • Bock B.C.
      • Papandonatos G.
      • Abrams D.B.
      Initial evaluation of a real-world Internet smoking cessation system.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Shortliffe E.H.
        • Blois M.S.
        The computer meets medicine and biology: emergence of a discipline.
        in: Shortliffe E.H. Perrault L.E. Widerhold G. Fagan L.M. Medical informatics: computer applications in health care and biomedicine. 2nd ed. Springer, New York2001: 3-40
        • Stone A.A.
        • Shiffman S.
        • Atienza A.A.
        • Nebeling L.
        The science of real-time data capture: self-reports in health research. Oxford, New York2007
        • Patrick K.
        • Intille S.S.
        • Zabinsky M.F.
        An ecological framework for cancer communication: implications for research.
        J Med Internet Res. 2005; 7: 1-7
        • Tate D.F.
        • Jackvony E.H.
        • Wing R.R.
        Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: a randomized trial.
        JAMA. 2003; 289: 1833-1836
        • Tate D.F.
        • Jackvony E.H.
        • Wing R.R.
        A self-regulation program for maintenance of weight loss.
        N Engl J Med. 2006; 12 (355): 1563-1571
        • Graham A.L.
        • Abrams D.B.
        Reducing the cancer burden of lifestyle factors: opportunities and challenges of the Internet.
        J Med Internet Res. 2005; 7: e26
        • Cobb N.K.
        • Graham A.L.
        • Bock B.C.
        • Papandonatos G.
        • Abrams D.B.
        Initial evaluation of a real-world Internet smoking cessation system.
        Nicotine Tob Res. 2005; 7: 207-216
        • Pew Foundation
        Internet penetration and impact. 2006 (Available at: www.pewinternet.org.)
        • Horrigan J.
        • Rainie L.
        A decade of adoption: how the Internet has woven itself into American life.
        (January)Pew Internet and American Life Project. 2005 (Available at: www.pewinternet.org/PPF/r/148/report_display.asp.)
        • Madden M.
        • Fox S.
        Finding answers online in sickness and in health.
        (May)Pew Internet and American Life Project. 2006 (Available at: www.pewinternet.org/PPF/r/183/report_display.asp.)
        • Hesse B.W.
        • Nelson D.E.
        • Kreps G.L.
        • et al.
        Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey.
        Arch Intern Med. 2005; 165: 2618-2624
        • Fox S.
        Online health search 2006.
        Pew Internet and American Life Project. 2005 (Available at: www.pewinternet.org/PPF/r/190/report_display.asp.)
        • Madden M.
        • Fox S.
        Finding answers online in sickness and in health.
        (May)Pew Internet and American Life Project. Pew Internet and American Life Project, Washington DC2006 (f.)
        • Friedman T.L.
        The world is flat: a brief history of the twenty-first century. Farrar, Straus and Giroux, New York2006
        • Spittaels H.
        • De Bourdeaudhuij I.
        Implementation of an online tailored physical activity intervention for adults in Belgium.
        Health Promot Int. 2006; 21: 311-319
        • Baker L.
        • Wagner T.H.
        • Singer S.
        • Bundorf M.K.
        Use of the Internet and e-mail for health care information: results from a national survey.
        JAMA. 2003; 289: 2400-2406
      1. Buller DB, Borland R, Woodall WG, et al. Randomized trials on Consider This, a tailored, Internet-delivered smoking prevention program for adolescents. Health Educ Behav. In press.

        • Atkinson N.L.
        • Gold R.S.
        Online research to guide knowledge management planning.
        Health Educ Res. 2001; 16: 747-763
        • Glanz K.
        • Hoelscher D.
        Increasing fruit and vegetable intake by changing environments, policy and pricing: restaurant-based research, strategies, and recommendations.
        Prev Med. 2004; 39: S88-S93
        • Nakajima K.
        • Kurata Y.
        • Takeda H.
        A Web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital.
        Qual Saf Health Care. 2005; 14: 123-129
        • Rimer B.K.
        • Conaway M.
        • Lyna P.
        • et al.
        The impact of tailored interventions on a community health center population.
        Patient Educ Couns. 1999; 37: 125-140
        • Anhoj J.
        • Jensen A.H.
        Using the Internet for life style changes in diet and physical activity: a feasibility study.
        J Med Internet Res. 2004; 6: e28
        • Noah S.A.
        • Abdullah S.N.
        • Shahar S.
        • et al.
        DietPal: a Web-based dietary menu-generating and management system.
        J Med Internet Res. 2004; 6: e4
        • Richardson C.R.
        • Brown B.B.
        • Foley S.
        • Dial K.S.
        • Lowery J.C.
        Feasibility of adding enhanced pedometer feedback to nutritional counseling for weight loss.
        J Med Internet Res. 2005; 7: e56
        • Frank M.S.
        Opinion: a prototype for a computerized national mammography registry and tracking system using telecommunications and the Internet.
        J Digit Imaging. 1995; 8: 127-131
        • Tamm E.P.
        • Raval B.K.
        • Huynh P.T.
        Evaluation of the quality of self-education mammography material available for patients on the Internet.
        Acad Radiol. 2000; 7: 137-141
        • Thomas B.
        • Stamler L.L.
        • Lafreniere K.D.
        • Out J.
        • Delahunt T.D.
        Using the Internet to identify women’s sources of breast health education and screening.
        Women Health. 2002; 36: 33-48
        • Huber J.T.
        • Walsh T.J.
        • Varman B.
        Camp for All Connection: a community health information outreach project.
        J Med Libr Assoc. 2005; 93: 348-352
        • Spatz M.A.
        Providing consumer health information in the rural setting: Planetree Health Resource Center’s approach.
        Bull Med Libr Assoc. 2000; 88: 382-388
        • Stromgren C.
        Community outreach through Web resources: multiple sclerosis.
        Med Ref Serv Q. 2002; 21: 61-70
        • Ahern D.K.
        Challenges and opportunities in eHealth research.
        Am J Prev Med. 2007; 32: S75-S82
        • Hesse B.W.
        • Shneiderman B.
        eHealth research from the user’s perspective.
        Am J Prev Med. 2007; 32: S97-S103
        • Slack W.
        Cybermedicine for the patient.
        Am J Prev Med. 2007; 32: S135-S136
        • Couper M.P.
        Issues of representation in eHealth Research (with a focus on Web surveys).
        Am J Prev Med. 2007; 32: S83-S89
        • Dillman D.A.
        • Smyth J.D.
        Design effects in the transition to Web-based surveys.
        Am J Prev Med. 2007; 32: S90-S96
        • Lobach D.F.
        • Detmer D.E.
        Research challenges for electronic health records.
        Am J Prev Med. 2007; 32: S104-S111
        • Collins L.M.
        • Murphy S.A.
        • Strecher V.
        The Multiphase Optimization Strategy (MOST) and the Sequential Multiple Assignment Randomized Trial (SMART): new methods for more potent eHealth interventions.
        Am J Prev Med. 2007; 32: S112-S118
        • Glasgow R.E.
        eHealth evaluation and dissemination research.
        Am J Prev Med. 2007; 32: S119-S126
        • Curry S.J.
        eHealth research and healthcare delivery: beyond intervention effectiveness.
        Am J Prev Med. 2007; 32: S127-S130
        • Viswanath K.
        • Kreuter M.W.
        Health disparities, communication inequalities, and e-Health: a commentary.
        Am J Prev Med. 2007; 32: S131-S133
        • Crounse B.
        The newspaper, the wristwatch, and the clinician.
        Am J Prev Med. 2007; 32: S134
        • Eysenbach G.
        What is e-health?.
        J Med Internet Res. 2001; 3 (4–5. Available at: www.jmir.org/2001/2/e20.): e20
        • Oh H.
        • Rizo C.
        • Enkin M.
        • Jadad A.
        What is eHealth?.
        World Hosp Health Serv. 2005; 41: 32-40
        • Kelly T.
        • Littman J.
        The art of innovation. Doubleday, New York2001