title: Food, Fun and Fitness Internet program for girls: influencing log-on rate.
abstract: Internet-based interventions hold promise as an effective channel for reaching large numbers of youth. However, log-on rates, a measure of program dose, have been highly variable. Methods to enhance log-on rate are needed. Incentives may be an effective method. This paper reports the effect of reinforcement schedule and recruitment method on log-on rates to an 8-week Internet-based obesity prevention program. It also explores trends in log-on rate. Girls were randomized to receive immediate (weekly) or delayed (program end) incentives ($5). The study was powered to detect a moderate-to-large effect (0.65). Overall log-on rate was 74.5%. A higher but not statistically different log-on rate was observed in the immediate incentive group (79%) than in the delayed incentive group (70%) (P = 0.118), and among girls recruited via media (80%) as opposed to non-media methods (69%) (P = 0.058). Trend analysis indicated a significant drop in log-on rate between weeks 4 and 5 among all participants (P = 0.009). Although an acceptable log-on rate was achieved in this program, there was a substantial drop between weeks 4 and 5. Identifying the reason that this occurred may provide insight into how to further enhance log-on rate. Recruitment method may influence log-on rate.
authors.affiliation: Children's Nutrition Research Center, Baylor College of Medicine, 1100 Bates Street, Houston, TX 77030, USA. dit@bcm.tmc.edu
authors.forename: Debbe
authors.initials: D
authors.lastname: Thompson
authors.forename: Tom
authors.initials: T
authors.lastname: Baranowski
authors.forename: Karen
authors.initials: K
authors.lastname: Cullen
authors.forename: Kathy
authors.initials: K
authors.lastname: Watson
authors.forename: Ashanti
authors.initials: A
authors.lastname: Canada
authors.forename: Riddhi
authors.initials: R
authors.lastname: Bhatt
authors.forename: Yan
authors.initials: Y
authors.lastname: Liu
authors.forename: Issa
authors.initials: I
authors.lastname: Zakeri
mesh_terms: D001741:Black or African American; D002648:Child; D004032:Diet / Q000208:ethnology*; D015444:Exercise; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D020407:Internet; D009042:Motivation