This is a four-year project to create and disseminate twelve multimedia prevention programs covering such topics as cancer prevention and screening, disease management, and general health practices to live a healthy life. Channels will be created for both adults and adolescents. One hundred kiosks will be deployed throughout the State of Michigan for use by the general public.

cancer prevention, breast cancer, colorectal cancer, prostate cancer, Alzheimer's disease, diet, nutrition, exercise, heart disease, stroke, immunization, tobacco, smoking cessation, bike safety, injury, alcohol use, STDs

1. Develop health promotion/prevention programs that customize and deliver information through the use of a computer kiosk, an interactive computer system. Topics include:
   
• Childhood Bicycle Helmet Safety
• Breast Cancer Screening
• Smoking Cessation and Prevention
• Prostate Cancer Screening
• Childhood Immunization
• Heart Disease & Stroke Prevention
• Alzheimer's Awareness
• Physical Activity
• Cancer Risks Prevention
• Nutrition
• STD Prevention: Tips for Teens
• Adolescent Alcohol Use Prevention
2. Deploy 100 computer health promotion systems in places that are highly accessible to the public, including populations at high risk for breast and prostate cancer, cigarette smoking, lack of childhood immunization, and childhood bicycle injuries.
3. Promote the use of the computer systems by underserved populations through the use of advisory and community groups and appropriate media channels.
4. Monitor use of the kiosks and develop methods to determine impact of the health promotion/prevention messages.

Residents throughout the State of Michigan.

The Health 'o' Vision interactive kiosk is designed to bring health information to Michigan residents. The kiosks are stand alone computers, created for touch-screen use, that will provide in-depth health information on 12 topics, four of which provide tailored estimation of risk for disease (breast cancer, prostate cancer, coronary heart disease, and STD).

One hundred kiosks will be located throughout the entire state of Michigan (including the Upper Peninsula) in urban, suburban, and rural locations. They will be placed in high-traffic, publicly accessible locations, such as community centers, supermarkets, shopping malls, YMCAs, and local health departments. Kiosks will be accessible at no cost to any person in the vicinity of the kiosk who is curious about it. Each interactive kiosk will also provide information about local, regional and statewide screening and prevention resources.

The kiosk project will put into practice an entirely new method for creating public awareness of health risks and associated behaviors and for presenting personalized solutions for improving individual health. The kiosk topics will allow users to tailor their own educational experiences. For all health topics, a user's experience will be tailored in two ways:

1. through user-tailored navigation and
2. in some instances (breast cancer screening, smoking cessation and prevention, and prostate cancer screening), through expert-tailored assessments, which solicit information from the user and process this information to provide specifically tailored feedback.

Focus groups, intercept interviews, and usability testing were completed for all of the channels before final dissemination into the kiosks. Feedback was reviewed and improvements, clarifications, and updates were implemented into each channel as appropriate.

After dissemination, findings for all channels provided in the kiosk include:

• Pilot assessments of all kiosk users showed that over 400,000 individuals use the kiosks each year.
• When comparing users with the population exposed to the kiosks, we find that kiosk users tend to be younger (over 50% of users are under 21 years of age). Users do not, however, differ from nonusers by ethnic or gender status.
• Because of the ethnic compositions where the kiosks are placed, over 50% of kiosk users are nonwhite. Satisfaction levels with the kiosks do not differ by ethnic status or by gender.
• Kiosk users report that the information provided is useful and easy to understand.
• Users rate information from the kiosk as equally as or more trustworthy than information received from physicians or television news shows.
• The vast majority of users enjoyed using the HOV modules and thought they were easy to use.

The Michigan Interactive Health Kiosk Project is one example of how interactive multimedia technology can be made available to a broader spectrum of the public. The data suggests that interactive multimedia would be used by the public most in need of preventive services - those who do not have ready access to computers.

Strecher, V. J., Greenwood, T., Wang, C., & Dumont, D. (1999). Interactive multimedia and risk communication. Journal of the National Cancer Institute Monographs, 25, 134-139.

Strecher, V. J. (1999). Michigan Interactive Health Kiosk Demonstration Project: Annual Report. Prepared for the Michigan Department of Community Health.

Strecher, V. J. (1998). Michigan Interactive Health Kiosk Demonstration Project: Annual Report. Prepared for the Michigan Department of Community Health.