The aim of this project is to create a multimedia intervention for Heart Attack awareness to be deployed as a new channel on the 100 kiosks that are part of the Michigan Interactive Health Kiosk Project. The kiosks are located throughout the State of Michigan.

heart disease, heart attack, prevention, heart health, kiosk

1. Develop a computer-based, interactive multimedia program that delivers informative and memorable Heart Attack Alert education through the use of a kiosk.
2. Develop algorithms for tailoring the Heart Attack Alert Channel information based on distinguishing user characteristics.
3. Develop plans to pilot the Heart Attack Alert Channel in Phase II.
4. Develop plans to produce CD-ROM and web versions of the Heart Attack Alert Channel.
5. Promote utilization of the computer systems by at-risk populations through the use of advisory and community groups and appropriate promotional efforts.
6. Monitor use of the kiosks and propose methods to evaluate the impact of the Heart Attack Alert Channel.

Residents throughout the State of Michigan.

The Heart Attack Channel aims to build an interactive multimedia program to:

• Increase the knowledge and skills of the general public for early recognition and intervention in Acute Myocardial Infarction.
• Provide individualized personal risk for dying from heart disease or stroke
• Include detailed information on how to reduce risk of disease

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.