Problem: Evidence from several literature sources, e.g., Cochrane Database indicates that hospitals' emphasis on discharging ostomy patients sooner into the community presents a special challenge for nurses who have a social responsibility for patient education using interactive computer-technology alone or as an adjunct to written materials. Such innovation ensures that essential information is provided along the continuum of recovery and affects patient's knowledge and self-efficacy. Purpose: Increase knowledge and improve self-efficacy of newly-diagnosed ostomy patients. Methods: A one group pretest/post-test quasi-experimental design will examine the efficacy of the nurse-delivered, interactive computer program on a convenience sample of 250 postoperative ostomy patients with advanced Crohn's Disease, colorectal or bladder cancer, one to three days prior to surgery and again, one-month and three-months following surgery in a hospital in the Midwest. Patients will be recruited through the hospital preadmission testing department by the ostomy educator. Data will be from an adapted version of the General Self-Efficacy Scale and an investigator-developed socio-demographic instrument. Analysis of data includes non-parametric and inferential statistics. The web site will be monitored by the Hospital's Information Systems department and reported to the investigators. The interactive web site is currently under construction and is expected to be in operation by February 2007. Stakeholders are hospitals who must adhere to regulations affecting reimbursement for healthcare, patients and their significant others, and nurses who are challenged to provide innovations in patient education. Method for evaluation of change discussed: Knowledge and self-efficacy will be measured prior to surgery, and again at one-month and three-months following discharge from the hospital. Significance of work to this conference: The development and delivery of an interactive, computer education program that supports nurse's social responsibility to increase patient's knowledge and improve their self-efficacy prior to and following hospitalization will be disseminated with others involved in nursing education.