Are Brief e-Health Interventions More Effective Than In-Person Brief Interventions?

Overall, there appears to be no detectable difference between e-health and in-person interventions in the short-term, but in-person brief interventions may be more effective over longer periods of time (i.e., beyond 14 weeks). However, additional research is needed as very few studies directly compare e-health to in-person Brief Interventions. Thus, we recommend that in-person brief interventions should be offered if possible (i.e., the practitioner is trained and there is time) but that brief e-health interventions are offered when time is limited, with hard to reach populations, when another intervention will not be offered, or in conjunction with a brief in-person intervention.

Chapter Recommendation Grade of recommendation
7.3 In-person brief interventions should be preferred to e-health interventions because they may have longer-term impacts than e-health interventions. B
7.4 Brief e-health interventions should be offered when time is limited, as a first step in a longer intervention, with hard to reach populations, when another intervention will not be offered, when it is preferred by the patient, or in conjunction with an in-person brief intervention. GPP
7.5 E-health interventions which include some human assistance (face-to-face, or via text message or email) may be more effective than fully automated interventions, notwithstanding the resource and scalability limitations of doing so. B