Effects of tailored, personalized and general health messages on physical activity
Abstract
Physical inactivity is a major public health problem. Patient education programs and materials that are customized to address the unique needs and concerns of specific patients have shown promise in changing a range of health related behavior, although findings to date for physical activity have been equivocal. In this study a randomized controlled trial was conducted among 272 adult primary care patients to compare the effectiveness of tailored, personalized and general health messages, and usual medical care in promoting leisure time physical activity (LTA) and physical activities of daily living (PADLs). Patients in the tailored group were more likely to increase PADLs than were patients in the personalized, general and control groups (65% vs. 46% vs. 56% vs. 54%) and less likely to being doing fewer PADLs at follow-up (18% vs. 38% vs. 38% vs. 38%; chi 2 = 12.2, df = 6, p = 0.056). There were no significant differences for LTAs. To help maximize the effectiveness of future tailored interventions on physical activity, studies should seek to identify the social, psychological and environmental variables that are most important to include in tailored materials.
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Which characteristics can be used to tailor which messages depends largely on the target population's needs and preferences.
“Which characteristics can be used to tailor which messages depends largely on the target population’s needs and preferences [66,67].”
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- Authors
- Bull, F. C., Kreuter, M. W., & Scharff, D. P.
- Affiliations
- The University of Western Australia (AU)
- Saint Louis University (US)
- Corresponding author
- Kreuter, Matthew W
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 1999-02
- Volume
- 36
- Issue
- 2
- Pages
- 181-192
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2081274845
- Cited by
- 221
- References
- 58
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 9 · 2019: 11 · 2018: 4 · 2017: 5 · 2016: 7 · 2015: 6 · 2014: 9 · 2013: 5 · 2012: 12
- FWCI
- 4.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Funders
- Centers for Disease Control and Prevention (U48/CCU 710806)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Keywords
- tailored health messages, physical activity, physical inactivity, leisure-time physical activity, patient education, primary care, health behavior change, patient education materials
- MeSH terms
- Activities of Daily Living, Adult, Analysis of Variance, Family Practice, Female, Follow-Up Studies, Health Education, Humans, Male, Middle Aged, Missouri, Motivation, Patient Care Planning, Surveys and Questionnaires, Program Evaluation, Health Behavior, Exercise
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