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An expert system using computers was developed to change di erent health behaviors of elementary school children, and the system was evaluated in a pilot study that was designed to re ne the system. irdand fourthgrade children participated in Study 1 that was designed to demonstrate the processes of developing feedback messages. Eight health behaviors, including outdoor play, sleep, and TV game control were analyzed by using this system. Behavioral elements such as gender, stages of change, facilitators, barriers, costs and bene ts of each behavior were used to develop messages based on previous research. Finally, 6 school nurses and 11 children con rmed the expressions and the nuances of the messages to adjust for gender, the stage of change and age groups of each behavior. en, these messages were incorporated into the system so ware. In Study 2, children (N=97) evaluated their stage of change in each behavior and received message sheets through the expert system. e results indicated high evaluation scores for careful reading, understanding, attention, novelty, and adjustment.

Pilot study on the development of an expert system to change multiple health behaviors in elementary school children