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PACE+: interactive communication technology for behavior change in clinical settings.

J J Prochaska1, M F Zabinski, K J Calfas

  • 1Joint Doctoral Program in Clinical Psychology, San Diego State University and University of California, 92120, USA. prochask@sunstroke.sdsu.edu

American Journal of Preventive Medicine
|July 29, 2000
PubMed
Summary
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Interactive health programs like Patient-centered Assessment and Counseling for Exercise plus Nutrition (PACE+) are acceptable for adolescents and adults in primary care. These programs can help overcome barriers to preventive services.

Area of Science:

  • Health Communication
  • Preventive Medicine
  • Digital Health

Background:

  • Interactive health communication technologies can reduce barriers to preventive care delivery.
  • This paper details the development and evaluation of interactive health communication programs for primary care.
  • Examples include the Patient-centered Assessment and Counseling for Exercise plus Nutrition (PACE+) programs.

Purpose of the Study:

  • To describe the development and evaluation process of interactive health communication programs.
  • To assess the acceptability of the PACE+ programs among adolescents, adults, and healthcare providers.
  • To identify modifications for improving the PACE+ programs.

Main Methods:

  • The PACE+ programs utilize interactive technology for behavior screening, intervention prioritization, and initiation.

Related Experiment Videos

  • Patient information is synthesized for clinician efficiency.
  • Program acceptability was evaluated with adolescents (n=252), adults (n=285), and their healthcare providers.

    • Main Results:

    • The PACE+ programs underwent iterative development, evaluation, modification, and re-evaluation.
    • Feasibility testing confirmed that diverse adolescents and adults found the PACE+ computer programs acceptable.
    • Modifications were identified to shorten and refine the programs.

    Conclusions:

    • Interactive health technology development is an iterative process requiring user and system feedback.
    • Interactive health communication technologies are suitable for integration into clinical settings.