Working mechanisms of computer-tailored health education: evidence from smoking cessation

Health Educ Res. 2005 Oct;20(5):527-39. doi: 10.1093/her/cyh014. Epub 2005 Feb 8.

Abstract

To further develop tailored interventions, their working mechanisms must be identified. In the present study, three tailored messages that each contained one potential working mechanism--personalization, adaptation or feedback--were compared with a standard information condition. Two hundred and two students who smoked tobacco daily were randomly divided over four conditions. After the computer pre-test questionnaire, they read the information in their condition and filled in the immediate post-test. After 4 months, they were sent a follow-up questionnaire assessing their quitting activity. The data show that personalization (44.5%) and feedback (48.7%), but not adaptation (28.6%), led to significantly more quitting activity after 4 months than did the standard information (22.9%). Moreover, the effect of condition on quitting activity was completely mediated by individuals' evaluations of the tailoring.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Communication
  • Computer-Assisted Instruction*
  • Female
  • Health Education / methods*
  • Humans
  • Male
  • Netherlands
  • Smoking Cessation*
  • Surveys and Questionnaires