Alive! A Lifestyle Intervention Via Email
Author Information
Author(s): Gunther Eysenbach, Gianluca Castelnuovo, Marieke Verheijden, Machiko Tomita, Gladys Block, Barbara Sternfeld, Clifford H Block, Torin J Block, Jean Norris, Donald Hopkins, Charles P Quesenberry Jr, Gail Husson, Heather Anne Clancy
Primary Institution: Kaiser Permanente Division of Research
Hypothesis
Does the Alive! email-based intervention improve health-related quality of life, presenteeism, and other behavioral outcomes?
Conclusion
The Alive! program significantly improved health-related quality of life, presenteeism, self-efficacy, and stage of change among participants.
Supporting Evidence
- Mean SF-8 Physical quality of life score increased significantly more in the intervention group than in the control group.
- Odds ratio for improvement in self-assessed health status was 1.57 for the intervention group compared to the control group.
- Participants in the intervention group were 1.47 times more likely to report improvement in presenteeism.
Takeaway
Alive! is a program that sends emails to help people eat better and be more active, and it really helps them feel healthier and happier.
Methodology
Participants were randomized to either the intervention group or a wait-list control group, and their health-related quality of life, presenteeism, self-efficacy, and stage of change were assessed using pre-post questionnaires.
Potential Biases
Potential conflict of interest as some authors have financial interests in the program.
Limitations
The requirement for email and Internet access limits applicability, and there are no objective measures of outcomes like self-efficacy or productivity.
Participant Demographics
Participants were aged 19 to 65 years, with a mean age of 44, and 74.3% were female.
Statistical Information
P-Value
P = .02
Confidence Interval
95% CI 0.96-2.72
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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