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Journal of Pediatric Psychology Advance Access published online on August 22, 2008

Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn085
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Association of Multiple Behavioral Risk Factors with Adolescents’ Willingness to Engage in eHealth Promotion

Kenneth P. Tercyak, PhD1, Anisha A. Abraham, MD, MPH2, Amanda L. Graham, PhD1, Lara D. Wilson, BA1 and Leslie R. Walker, MD3

1Lombardi Comprehensive Cancer Center, 2Georgetown University Hospital, Georgetown University Medical Center, Washington, DC, USA, and 3Children's Hospital and Regional Medical Center, Seattle, WA, USA

All correspondence concerning this article should be addressed to Kenneth P. Tercyak, PhD, Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 3300 Whitehaven Street, NW, Suite 4100, Washington, DC 20007-2401, USA. E-mail: tercyakk{at}georgetown.edu


   Abstract

Objective This study examines adolescents’ willingness to use the internet and other forms of technology for health promotion purposes (i.e., "eHealth promotion" willingness) and determines if a relationship exists between adolescents’ behavioral risks and their eHealth promotion willingness. Methods A total of 332 adolescents provided data at a routine medical check-up, including assessments of technology access, eHealth promotion willingness, and multiple behavioral risk factors for child- and adult-onset disease (body mass index, physical activity, smoking, sun protection, depression). Results The level of access to technology among the sample was high, with moderate willingness to engage in eHealth promotion. After adjusting for adolescents’ access to technology, the presence of multiple behavioral risk factors was positively associated with willingness to use technology for health promotion purposes (β =.12, p =.03). Conclusions Adolescents with both single and multiple behavioral risk factors are in need of health promotion to prevent the onset of disease later in life. eHealth appears to be an acceptable and promising intervention approach with this population.

Key words: adolescents; behavioral risk factors; disease prevention; eHealth; health promotion.

Received January 24, 2008; revision received July 13, 2008; accepted July 14, 2008


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