@Article{信息:doi 10.2196 / / jmir。3458，作者=“Liu, Sam and Hodgson, Corinne and Zbib, Ahmad M and Payne, Ada YM and Nolan, Robert P”，标题=“忠诚奖励促进基于互联网的心脏健康计划使用的有效性”，期刊=“J Med Internet Res”，年=“2014”，月=“7月”，日=“02”，卷=“16”，数=“7”，页数=“e163”，关键词=“互联网;心血管疾病的风险;预防;背景:基于互联网的健康项目已被证明能有效降低心血管疾病的风险。然而，他们的入学率和参与度仍然很低。目前尚不清楚，来自现有忠诚计划的奖励是否可以作为一种条件刺激，以提高免费的互联网计划的使用。目的:本研究的目的是:(1)检查有条件奖励组和对照组之间的我的健康支持计划的入学率和参与水平，(2)调查忠诚奖励和参与者特征对参与水平和项目参与的影响。方法:研究样本(n=142,726)包括在完成心脏和中风基金会网站上的心脏中风风险评估后，被提供参加基于互联网的健康干预(My health eSupport)的个人。我的健康支持项目为改变生活方式提供了鼓励和建议。 This is a free, self-guided, fully automated program that proactively delivers tailored email messages at 2-week intervals based on the participant's stage of motivational ``readiness'' and priority for lifestyle change. Participants in the Conditioned Reward group were offered a single exposure of 20 loyalty reward points from the Air Miles loyalty program for completing the Heart{\&}Stroke Risk Assessment (10 reward points) and enrolling in the Internet-based program (10 reward points). Meanwhile, no rewards were given to the Control group participants. All data were collected between February 1, 2011 and February 10, 2012. Results: In total, 51.38{\%} (73,327/142,726) of individuals in the Conditioned Reward group and 48.62{\%} (69,399/142,726) of individuals in the Control group completed the Heart{\&}Stroke Risk Assessment. Subsequently, significantly more individuals from the Conditioned Reward group (52.96{\%}, 38,835/73,327) enrolled in the My Health eSupport program than Controls (4.07{\%}, 2826/69,399). Regression analyses indicated that individuals were 27.9 times (95{\%} CI 26.4-29.4; P<.001) more likely to join the My Health eSupport program when presented with loyalty rewards controlling for gender, age, education, ethnicity, employment, and number of modifiable risk factors. However, ongoing engagement level was low in both groups and it was not influenced by loyalty rewards. Instead, individuals were more likely to engage with the My Health eSupport program if they were greater than 60 years of age (OR 12.56, 95{\%} CI 5.66-27.8; P<.001), were female (OR 1.27, 95{\%} CI 1.09-1.46; P=.002), or had one or more modifiable risk factors (OR 1.38, 95{\%} CI 1.31-1.45; P<.001). Conclusions: Our findings suggest that a single exposure of loyalty rewards may be used to encourage individuals to enroll in an Internet-based preventative health program, but additional strategies are required to maintain engagement level. Future studies need to examine the schedules of loyalty reward reinforcement on the long-term engagement level of Internet-based health programs. ", issn="1438-8871", doi="10.2196/jmir.3458", url="//www.mybigtv.com/2014/7/e163/", url="https://doi.org/10.2196/jmir.3458", url="http://www.ncbi.nlm.nih.gov/pubmed/24989982" }