Belinda M. Reininger|Laurel Person Mecca|Kendra M. Stine|Kevan Schultz|Luke Ling|David Halpern
A Type 2 Diabetes Prevention Website for African Americans, Caucasians, and Mexican Americans: Formative Evaluation
Brownsville Public Library|University of Pittsburgh|Brownsville Public Library|University of Pittsburgh|University of Pittsburgh Medical Center|University of Pittsburgh
backgroundthe majority americans access internet thereby expanding prospects webbased healthrelated education interventionhowever remains digital divide among lower income education among spanishspeaking populations united statesadditional concerns low ehealth literacy rate among populations interest internetdelivered interventions componentsgiven factors combined prevalence type 2 diabetes among low socioeconomic status spanishspeaking americans strides need taken reach populations online tools diabetes prevention management accessible efficaciousobjective using formative evaluation ehealth diabetes prevention control website tested extent african americans caucasians mexican americans risk type 2 diabetes gained knowledge intended modify dietary intake physical activity subsequent viewing websitewe also examined general internet use patterns related type 2 diabetesmethods mixed methods approach undertakenthe diabetes prevention control website provided educational behavioral change information english spanishfor study eligible participants 1 completed prequantitative survey 2 interacted website 3 completed qualitative interview 4 completed postquantitative surveyresults finding significant differences posttest diabetes knowledge scores p001 regression analysis controlling pretest score health literacy ethnicity transtheoretical model stage exercise fruit vegetable consumption internet literacy conductedinternet literacy score p04 fruit vegetable consumption stage p001 significantly associated posttest scores indicating precontemplation stage low internet literacy scores less likely show improved diabetes knowledge scoreswe found significant difference posttest intention eat healthy diet day next 2 months controlling pretest score health literacy ethnicity transtheoretical model stage fruit vegetable consumption internet literacythose action stage transtheoretical model exercise