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This version was published on October 1, 2006
Health Promotion Practice, Vol. 7, No. 4, 406-417 (2006)
DOI: 10.1177/1524839905278889

Developing Internet-Based eHealth Promotion Programs: The Spiral Technology Action Research (STAR) Model

Harvey A. Skinner, PhD

Department of Public Health Sciences at the University of Toronto in Ontario

Oonagh Maley, MISt

Canadian Tobacco Control Research Initiative (CTCRI) in Toronto, Canada

Cameron D. Norman, PhD

Vancouver Coastal Health Research Institute, University of British Columbia and the Centre for Global eHealth Innovation, University Health Network, University of Toronto in Ontario

Health education and health promotion have a tradition of using information and communication technology (ICT). In recent years, the rapid growth of the Internet has created innovative opportunities for Web-based health education and behavior change applications—termed eHealth promotion. However, many eHealth promotion applications are developed without an explicit model to guide the design, evaluation, and ongoing improvement of the program. The spiral technology action research (STAR) model was developed to address this need. The model comprises five cycles (listen, plan, do, study, act) that weave together technological development, community involvement, and continuous improvement. The model is illustrated by a case study describing the development of the Smoking Zine (www.SmokingZine.org), a youth smoking prevention and cessation Web site.

Key Words: adolescent health • Web site development • Internet health information • eHealth • youth smoking prevention


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