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Promoting Men's Health With the "Don't Change Much" e-Program.

John L Oliffe1,2, Nick Black3, Jeffrey Yiu3

  • 1School of Nursing, University of British Columbia, Vancouver, BC, Canada.

American Journal of Men'S Health
|March 22, 2021
PubMed
Summary

Men using the Don't Change Much (DCM) e-health program showed significant improvements in recent and intended health behaviors. Higher engagement with DCM correlated with increased positive changes, particularly in physical activity and stress reduction.

Keywords:
Men’s health behaviorshealth behavior changemen’s e-healthmen’s health promotion

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Area of Science:

  • Health Behavior Change
  • Digital Health Interventions
  • Men's Health

Background:

  • E-health promotion programs offer anonymity and autonomy, supporting men's health behavior change.
  • The Don't Change Much (DCM) program is an e-health tool designed for men's health promotion.
  • Understanding usage levels and demographic moderators is crucial for optimizing e-health interventions.

Purpose of the Study:

  • To examine the association between men's usage levels of the DCM e-health program and their recent/intended health behavior changes.
  • To explore how demographic variables moderate the relationship between DCM usage and health behavior changes.

Main Methods:

  • Classified DCM users into limited, low, and high exposure groups based on self-reported usage.
  • Compared health behavior changes (recent and intended) of DCM users against a benchmark cohort.
  • Conducted exploratory analysis on the moderating effects of demographic variables.

Main Results:

  • High-exposure DCM users showed significantly increased odds for 8/9 recent behavior changes (e.g., increased physical activity) and 8/9 intended behavior changes (e.g., stress reduction) compared to the benchmark cohort.
  • High-exposure users reported significantly greater total numbers of recent and intended behavior changes, even after adjusting for demographics.
  • Younger age, employment, and lower household income (<$120,000) positively moderated the number of intended behavior changes among DCM users.

Conclusions:

  • The DCM e-health program is associated with positive health behavior changes in men, particularly at higher usage levels.
  • Demographic factors like age, employment, and income can influence the effectiveness of e-health interventions for behavior change.
  • Findings support the utility of e-health programs in promoting men's health and highlight the need for personalized approaches.