title: A systematic review of randomized controlled trials on the effectiveness of computer-tailored physical activity and dietary behavior promotion programs: an update.
abstract: BACKGROUND
  A review update is necessary to document evidence regarding the effectiveness of computer-tailored physical activity and nutrition education.
  
  
  OBJECTIVE
  The purpose of this study was to summarize the latest evidence on the effectiveness of computer-tailored physical activity and nutrition education, and to compare the results to the 2006 review.
  
  
  METHODS
  Databases were searched for randomized controlled trials evaluating computer-tailored physical activity and nutrition education aimed at primary prevention in adults, published from September 2004 through June 2011.
  
  
  RESULTS
  Compared to the findings in 2006, a larger proportion of studies found positive effects for computer-tailored programs compared to generic or no information, including those for physical activity promotion. Effect sizes were small and generally at short- or medium-term follow-up.
  
  
  CONCLUSIONS
  The results of the 2006 review were confirmed and reinforced. Future interventions should focus on establishing larger effect sizes and sustained effects and include more generic health education control groups and objective measurements of dietary behavior.
authors: EMGO+ Institute for Health and Care Research, Amsterdam, Netherlands. k.broekhuizen@vumc.nl
authors: Karen
authors: K
authors: Broekhuizen
authors: Willemieke
authors: W
authors: Kroeze
authors: Mireille N M
authors: MN
authors: van Poppel
authors: Anke
authors: A
authors: Oenema
authors: Johannes
authors: J
authors: Brug
mesh_terms: D003194:Computer-Assisted Instruction / Q000379:methods; D004032:Diet; D015444:Exercise; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D009043:Motor Activity; D011322:Primary Prevention; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome