Use of a Website to Accomplish Health Behavior Change: If You Build It, Will They Come? And Will It Work If They Do?

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Figure 1.
CONSORT diagram. *One patient withdrew from the study because they did not want to receive the reminder E-mails or telephone calls associated with prompting patients to return to the website to update their action plans for their behavior changes.

Table 1.

Patient Characteristics at Baseline

Variable	Basic Site (n = 81)	Enhanced Site (n = 88)	Total (n = 169)
Age, yrs	42.5 (13.6)	43.4 (13.1)	—
Male sex (%)	24.7	17.1	20.7
Non-Hispanic white (%)	88.9	82.9	85.8
Some college or college graduate (%)	92.6	84.09	88.2
Income, $ (%)
<25,000	17.3	12.5	14.8
25,000–49,999	22.2	26.1	24.3
≥50,000	60.5	61.4	60.9
BMI	27.5 (5.9)	28.3 (7.2)	27.9 (6.6)
Physical health (unhealthy days)^*	3.0 (4.7)	5.0 (7.8)	4.1 (6.6)
Mental health (unhealthy days)	6.0 (7.7)	5.0 (7.1)	5.5 (7.4)
History of depression (%)	40.1	34.1	37.3
Treated for current depression (%)	24.7	17.1	20.7
Mean PHQ score	5.35 (4.76)	4.77 (4.34)	5.05 (4.54)
PHQ score ≥10 (%)	16.0	13.6	14.8
Baseline depression^†	32.1	25.0	28.4
Chronic medical conditions	0.72 (0.94)	0.72 (0.99)	0.72 (0.98)
Current smoker^* (%)	3.7	12.5	8.3
Underactive (%)	63.0	61.4	62.1
Diet score^‡	5.21 (2.42)	5.15 (2.65)	5.18 (2.54)
Heavy drinking (%)	13.6	10.2	11.8
Risk factors (0–4)	1.68 (0.80)	1.74 (0.93)	1.71 (0.86)

Values provided as mean (SD) unless otherwise indicated.
↵* P < .05.
↵† Currently being treated, 9-item Patient Health Questionnaire (PHQ) score ≥10, or both.
↵‡ Lower is better; range, 0–12.
BMI, body mass index.