@article{16190,
  author = {Briffa T. and Ascanio R. and Bauman A. and Clark A. and Freedman B. and Neubeck Lis and Redfern J},
  title = {Planning locally relevant Internet programs for secondary prevention of cardiovascular disease},
  abstract = {<p>
BACKGROUND: Although the Internet has been shown to be an effective tool for supporting behavioural change in other chronic diseases, less in known about the efficacy of, or need for, Internet-based interventions in the prevention of coronary heart disease (CHD). AIMS: We investigated computer literacy, consumer need and perceived usefulness of the Internet as a secondary prevention tool in people with CHD. METHODS: A two-step mixed-method process was used that included a survey and two focus groups. The 12-item survey explored participants' access and confidence using the Internet. For the focus groups, we used standard methodology. RESULTS: We recruited 66 (88% response rate) consecutive cardiac patients; age 36-73 years (mean 64+/-13), mostly male (85%), whose primary language was predominantly English (67%). Seventy percent had a home computer with Internet access but only 20% reported researching their heart-health online. There was polarity between those with and without Internet access. Further, we found less women than men could complete online forms (p=0.03) and that participants aged over 65 years were less likely to access the Internet (p&lt;0.01) and had lower confidence (p&lt;0.01) than younger counterparts. Focus groups revealed challenges of an online secondary prevention service, but participants valued relevant, practical advice and placed strong emphasis on simple web design. CONCLUSION: Using a mixed-methods process we collected locally sensitive information about Internet usage and recommendations for future online health-management strategies. Some patients have more confidence using the Internet, therefore a range of multi-technological secondary prevention interventions should be considered based on individual need.
</p>
},
  year = {2011},
  journal = {European Journal of Cardiovascular Nursing},
  volume = {10},
  edition = {2010/09/03},
  number = {4},
  pages = {213-20},
  isbn = {1873-1953 (Electronic)1474-5151 (Linking)},
  note = {Neubeck, LisAscanio, RhodaBauman, AdrianBriffa, TomClark, Alexander MFreedman, BenRedfern, JulieCanadian Institutes of Health Research/CanadaResearch Support, Non-U.S. Gov'tNetherlandsEur J Cardiovasc Nurs. 2011 Dec;10(4):213-20. Epub 2010 Sep 1.},
  language = {eng},
}