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This article discusses the rationale for, and the potential benefits and li
mitations of, computer-based interactive health communication (IHC) program
s for health behavior counseling. We describe common barriers to health beh
avior counseling in medical settings and show how IHCs can address these is
sues. Following an overview of current and likely near-future IHCs, the pot
ential impact of IHCs on the patient-provider relationship is considered. R
esults from evaluations of IHCs are summarized and important and unique iss
ues in evaluating IHCs are discussed. We conclude with recommendations for
clinical applications, including recommendations for consumers considering
purchase or adoption of IHCs and recommendations for future research.