Developing internet-based eHealth promotion programs: the Spiral Technology Action Research (STAR) model

Health Promot Pract. 2006 Oct;7(4):406-17. doi: 10.1177/1524839905278889. Epub 2006 Jul 13.


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 (, a youth smoking prevention and cessation Web site.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Health Services / organization & administration*
  • Health Education / methods*
  • Health Promotion / methods*
  • Humans
  • Internet*
  • Models, Organizational
  • Organizational Case Studies
  • Planning Techniques
  • Program Development
  • Program Evaluation
  • Psychological Theory
  • Smoking Prevention*
  • Social Marketing*