Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Aug;38(1):18-27.
doi: 10.1007/s12160-009-9133-4. Epub 2009 Oct 4.

A behavior change model for internet interventions

Lee M Ritterband  1 , Frances P Thorndike, Daniel J Cox, Boris P Kovatchev, Linda A Gonder-Frederick
Affiliations

A behavior change model for internet interventions

Lee M Ritterband et al. Ann Behav Med. 2009 Aug.

Abstract

Background: The Internet has become a major component to health care and has important implications for the future of the health care system. One of the most notable aspects of the Web is its ability to provide efficient, interactive, and tailored content to the user. Given the wide reach and extensive capabilities of the Internet, researchers in behavioral medicine have been using it to develop and deliver interactive and comprehensive treatment programs with the ultimate goal of impacting patient behavior and reducing unwanted symptoms. To date, however, many of these interventions have not been grounded in theory or developed from behavior change models, and no overarching model to explain behavior change in Internet interventions has yet been published.

Purpose: The purpose of this article is to propose a model to help guide future Internet intervention development and predict and explain behavior changes and symptom improvement produced by Internet interventions.

Results: The model purports that effective Internet interventions produce (and maintain) behavior change and symptom improvement via nine nonlinear steps: the user, influenced by environmental factors, affects website use and adherence, which is influenced by support and website characteristics. Website use leads to behavior change and symptom improvement through various mechanisms of change. The improvements are sustained via treatment maintenance.

Conclusion: By grounding Internet intervention research within a scientific framework, developers can plan feasible, informed, and testable Internet interventions, and this form of treatment will become more firmly established.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Model of Internet interventions
See this image and copyright information in PMC

Comment in

References

    1. Murray E, Burns J, See TS, Lai R, Nazareth I. Interactive Health Communication Applications for people with chronic disease. Cochrane Database Syst Rev. 2005;(4):CD004274. - PubMed
    1. Wantland D, Portillo C, Holzemer W, Laughter R, McGhee E. The effectiveness of web-based vs. non-web-based interventions: A meta-analysis of behavioral change outcomes. J Med Internet Res. 2004;6:e40. - PMC - PubMed
    1. Griffiths KM, Christensen H. Review of randomised controlled trials of Internet interventions for mental health disorders and related conditions. Clin Psychol. 2006;10:16–29.
    1. Marks IM, Cavanagh K, Gega L. Hands-On Help: Computer-Aided Psychotherapy. New York: Psychology; 2007.
    1. Stinson J, Wilson R, Gill N, Yamada J, Holt J. A systematic review of Internet-based self-management interventions for youth with health conditions. J Pediatr Psychol. 2009;34:495–510. - PubMed

Publication types