The DOI matches its Crossref record; 102 of the 102 references it cites were found in a registry or an index.
A Meta-Analysis of Web-Delivered Tailored Health Behavior Change Interventions
Abstract
Web-based tailored intervention programs show considerable promise in effecting health-promoting behaviors and improving health outcomes across a variety of medical conditions and patient populations. This meta-analysis compares the effects of tailored versus nontailored web-based interventions on health behaviors and explores the influence of key moderators on treatment outcomes. Forty experimental and quasi-experimental studies (N =20,180) met criteria for inclusion and were analyzed using meta-analytic procedures. The findings indicated that web-based tailored interventions effected significantly greater improvement in health outcomes as compared with control conditions both at posttesting, d =.139 (95% CI = .111, .166, p <.001, k =40) and at follow-up, d =.158 (95% CI = .124, .192, p <.001, k =21). The authors found no evidence of publication bias. These results provided further support for the differential benefits of tailored web-based interventions over nontailored approaches. Analysis of participant/descriptive, intervention, and methodological moderators shed some light on factors that may be important to the success of tailored interventions. Implications of these findings and directions for future research are discussed.
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“Tailoring can have a positive impact on intervention outcomes and engagement, but this varies between studies and contexts.31,52”
From Understanding and Promoting Effective Engagement With Digital Behavior Change Interventions (2016) · cites this paper as [52]
In the citing paper
“Compared to more traditional knowledge transfer methods in digital health (eg, tailored modules), the conversational methods in virtual assistance may be perceived as more personally relevant and humanistic, which is critical given that perceived relevance and the inclusion of social support are associated with increased effect sizes in digital behavior change interventions [7,8].”
From A Physical Activity and Diet Program Delivered by Artificially Intelligent Virtual Health Coach: Proof-of-Concept Study (2020) · cites this paper as [8]
In the citing paper
“Clinically relevant results, such as adopting a healthy lifestyle or adhering to medication, and statistically significant effect sizes of tailored Web-based interventions have been recognized for health behavior change among diverse populations facing chronic disease [20,29,30].”
From Tailored web-based interventions for pain: Systematic review and meta-analysis (2017) · cites this paper as [30]
In the citing paper
“A meta-analysis on tailored Web-based interventions in general found that expert input does not necessarily mean more efficacy [30].”
From Tailored web-based interventions for pain: Systematic review and meta-analysis (2017) · cites this paper as [30]
In the citing paper
“Hence, it has been shown that Web-based tailored interventions that are preventive in nature and targeting a general population, not a specific condition, were more successful [30].”
From Tailored web-based interventions for pain: Systematic review and meta-analysis (2017) · cites this paper as [30]
In the citing paper
“It is generally accepted that user engagement with DBCI is a precursor to improved health outcomes.”
From Understanding Health Behavior Technology Engagement: Pathway to Measuring Digital Behavior Change Interventions (2019) · cites this paper as [5]
In the citing paper
“Growing evidence supports that interaction with DBCI and adherence to intervention features improve the likelihood of reaching desired health outcomes [5].”
From Understanding Health Behavior Technology Engagement: Pathway to Measuring Digital Behavior Change Interventions (2019) · cites this paper as [5]
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“at an individual’s characteristics) web-delivered behaviour change intervention are significantly more effective than non-tailored websites in achieving behavioural outcomes [77].”
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“In addition, previous work measuring posteriori acceptability has demonstrated that participants positively perceive tailored content as enhancing their satisfaction with behavioral interventions; however, little empirical work has focused on investigating how this provision may influence a priori acceptability [33,35…”
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“39 This is likely because people perceive personalized interventions as more relevant 40 ; functional magnetic resonance imaging scans show that exposure to personalized content activates regions of the brain associated with self-relevance.”
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“Finally, future research should systematically examine whether different impulse-focused and reflective techniques including personalized cues and tailoring are more effective, considering the success of tailored health interventions (Lustria et al., 2013).”
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The Effects of an Online Theory-Based Bone Health Program for Older Adults
Nahm, E., Resnick, B. M., Brown, C. H., Zhu, S., Magaziner, J., Bellantoni, M. F., Brennan, P. F., Charters, K. G., Brown, J., Rietschel, M., et al. (2015) · Journal of Applied Gerontology · doi:10.1177/0733464815617284 · Cited by 29
“Several prior studies also reported similar findings (Lustria et al., 2013; van den Berg et al., 2007; Webb et al., 2010).”
ResultKim, M. (2018) · Human Communication Research · doi:10.1093/hcr/hqy013 · Cited by 40
“Tailored communication (Kreuter & Wray, 2003) is an effective strategy in enhancing persuasion (Lustria et al., 2013; Noar, Benac, & Harris, 2007).”
BackgroundFriederichs, S. A. H., Oenema, A., Bolman, C. A. W., & Lechner, L. (2016) · Psychology and Health · doi:10.1080/08870446.2016.1151018 · Cited by 36
“This approach increases the likelihood of positive PA outcomes compared to a non-tailored, generic approach (Broekhuizen, Kroeze, van Poppel, Oenema, & Brug, 2012; Enwald & Huotari, 2010; Lustria et al., 2013).”
Backgroundde Ruijter, D., Smit, E. S., de Vries, H., Goossens, L., & Hoving, C. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014154 · Cited by 31
Golsteijn, R. H. J., Bolman, C. A. W., Peels, D. A., Volders, E., de Vries, H., & Lechner, L. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7838 · Cited by 31
“A frequently used and proven effective method for Web-based interventions is computer-tailoring [23-26] where participants receive personalized feedback generated automatically using computer-based data-driven decision rules and data collected from questionnaires (eg, individual characteristics, beliefs, and behavior)…”
MethodCappella, J. N., Yang, S., & Lee, S. (2015) · The Annals of the American Academy of Political and Social Science · doi:10.1177/0002716215570573 · Cited by 30
“…interventions are more effective in stimulating and sustaining desirable behavioral changes in domains of smoking cessation, healthy diet main tenance, physical activity, and regular mammography screening (Noar, Benac, and Harris 2007; krebs, prochaska, and Rossi 2010; Lustria et al. 2013).”
BackgroundPetzel, S. V., Vogel, R. I., Cragg, J., McClellan, M. A., Chan, D., Jacko, J. A., Sainfort, F., & Geller, M. A. (2018) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2018.1457125 · Cited by 29
“CBT aims at modifying negative attitudes and promoting realistic thoughts and effective coping (Butler, Chapman, Forman, & Beck, 2006) and demonstrates advantages over other therapies, particularly in treating depression and anxiety (Tolin, 2010).”
BackgroundInfluentialFord, K. L., West, A. B., Bucher, A., & Osborn, C. Y. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.831093 · Cited by 30
Aalbers, T., Li, Q., Baars, M. A. E., de Lange, A. H., Kessels, R. P. C., & Rikkert, M. G. M. O. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5269 · Cited by 30
“For example, recent meta-analyses revealed that some form of tailoring is necessary for improving the personal relevance and extent of health behavior change programs [23] and for increasing the intervention’s effectiveness [24].”
InfluentialNapolitano, M. A., Whiteley, J. A., Mavredes, M. N., Tjaden, A. H., Simmens, S. J., Hayman, L. L., Faro, J. M., Winston, G. J., Malin, S. K., & DiPietro, L. (2021) · Translational Behavioral Medicine · doi:10.1093/tbm/ibab017 · Cited by 29
“Tailored interventions have been shown to outperform nontailored [19], potentially due to the salience of the message, greater perceived relevance, and enhanced motivation to process the message or behavior change [20].”
BackgroundInterventions to Improve Adolescent Vaccination
Dempsey, A. F., & Zimet, G. D. (2015) · Vaccine · doi:10.1016/j.vaccine.2015.09.032 · Cited by 29
Nguyen, M. H., Bol, N., & Lustria, M. L. A. (2020) · Journal of Health Communication · doi:10.1080/10810730.2020.1743797 · Cited by 29
“Tailoring the content of health messages has shown to be more effective in influencing attitudes and behavior change compared to providing non-tailored information although effect sizes often remain small (Lustria et al., 2013; Noar, Benac, & Harris, 2007).”
BackgroundSelf-citationPeacock, O. J., Western, M. J., Batterham, A. M., Stathi, A., Standage, M., Tapp, A., Bennett, P., & Thompson, D. (2015) · Trials · doi:10.1186/s13063-015-0892-x · Cited by 30
Smit, E. S., Zeidler, C., Resnicow, K., & de Vries, H. (2019) · Journal of Medical Internet Research · doi:10.2196/14074 · Cited by 28
“Digital forms of health communication, for example, Web-based computer-tailored interventions, can be a cost-effective strategy for health promotion [1-3].”
Elison, S., Ward, J., Williams, C., Espie, C., Davies, G., Dugdale, S., Ragan, K., Chisnall, L., Lidbetter, N., & Smith, K. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016392 · Cited by 33
Martinello, N., Saunders, S., & Reid, R. D. (2019) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000404 · Cited by 27
Seixas, A. A., Connors, C., Chung, A., Donley, T., & Jean‐Louis, G. (2020) · JMIR mhealth and uhealth · doi:10.2196/16429 · Cited by 27
“Tailored approaches have proved effective in obtaining adherence across a wide variety of health outcomes [78,79].”
BackgroundRodrigues, T. C., de Buisonjé, D. R., Keesman, M., Reijnders, T., van der Geer, J. E., Janssen, V. R., Kraaijenhagen, R. A., Atsma, D. E., & Evers, A. W. M. (2021) · Journal of Medical Internet Research · doi:10.2196/25646 · Cited by 27
“Furthermore, meta-analyses have demonstrated a positive relationship between both an autonomy-supportive health care climate and personalization of digital intervention content and successful behavior change [41,42].”
Web-Based Interventions to Promote Healthy Lifestyles for Older Adults: Scoping Review
Lavoie, A., & Dubé, V. (2022) · Interactive Journal of Medical Research · doi:10.2196/37315 · Cited by 25
“Although some authors have published syntheses of the literature focused on web-based interventions designed to promote lifestyle changes in adults [11,23], to our knowledge, no synthesis of knowledge has focused on people aged ≥65 years.”
BackgroundAlbada, A., van Dulmen, S., Spreeuwenberg, P. M. M., & Ausems, M. G. E. M. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.10.005 · Cited by 27
“Pre-counseling information might become even more effective by tailoring such information to the individual, since tailored information is better recalled than generic information [20,21].”
Impact of a Parent Text Messaging Program on Pre-Kindergarteners’ Literacy Development
Cabell, S. Q., Zucker, T. A., DeCoster, J., Copp, S. B., & Landry, S. H. (2019) · AERA Open · doi:10.1177/2332858419833339 · Cited by 28
“Future programs may also be tailored to suit parents’ expressed needs as text messaging programs in the health field report positive effects of tailoring based on participant characteristics and situational factors (e.g., readiness for change, capacity; Lustria et al., 2013; Mistry, Sweet, Rhodes, & Latimer-Cheung, 20…”
Background“Just-in-time” but a bit delayed: Personalizing digital nudges for healthier online food choices
de Vries, R., Bol, N., & van der Laan, L. N. (2025) · Appetite · doi:10.1016/j.appet.2025.107852 · Cited by 28
“One approach is to incorporate a (brief) self-report baseline inventory into the retail app during the onboarding process; an approach common in the tailoring literature for health behavior change (e.g., Lustria et al., 2013).”
Advancing adolescent health promotion in the digital era
Raeside, R. (2024) · Health Promotion International · doi:10.1093/heapro/daae172 · Cited by 26
“Digital health promotion interventions typically support individuals to improve health outcomes through behaviour change (Webb et al ., 2010; Lustria et al ., 2013).”
Kok, D. J. (2015) · Urolithiasis · doi:10.1007/s00240-015-0842-9 · Cited by 26
“It, however, became clear that the induced behavior varies with the individual’s attitudes towards behavior, subjective norms and perceived behavioral control [48].”
BackgroundXie, B., Champion, J. D., Kwak, J., & Fleischmann, K. R. (2018) · Journal of Medical Internet Research · doi:10.2196/11682 · Cited by 26
“Such a trend is unfortunate because meta-analyses provide strong evidence that tailored health behavioral interventions outperform nontailored ones [59-61]; recent developments in mHealth offer unprecedented opportunities for providing tailored health behavioral interventions to hard-to-reach…”
Altendorf, M. B., van Weert, J. C. M., Hoving, C., & Smit, E. S. (2019) · Digital Health · doi:10.1177/2055207619832767 · Cited by 31
“Many online computer-tailored alcohol reduction interventions, such as the intervention that provides the context for the current study, already satisfy the need for competence by providing suggestions for action and coping plans to manage (sustained) behaviour change, also in situations when it is difficult to refrai…”
InfluentialCustomization versus Personalisation of Digital Health Information
Nguyen, M. H., Bol, N., & King, A. J. (2020) · European Journal of Health Communication · doi:10.47368/ejhc.2020.003 · Cited by 26
“…reviews have shown that tailored online health information tools, typically providing people with content adapted to their unique characteristics, needs and/or preferences, are more effective than non-tailored tools (Krebs et al., 2010; Lustria et al., 2013; Noar et al., 2007; Sohl & Moyer, 2007).”
BackgroundNetemeyer, R. G., Lynch, J. G., Lichtenstein, D. R., & Dobolyi, D. G. (2024) · Journal of Public Policy & Marketing · doi:10.1177/07439156241228197 · Cited by 30
Vromans, R., Pauws, S. C., Bol, N., van de Poll-Franse, L. V., & Krahmer, E. (2020) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-020-01296-7 · Cited by 25
Harnessing Machine Learning to Personalize Web-Based Health Care Content
Guni, A., Normahani, P., Davies, A. H., & Jaffer, U. (2021) · Journal of Medical Internet Research · doi:10.2196/25497 · Cited by 28
“…which used personalized strategies including interactive multimedia content, tailored feedback, discussion groups, and personalized management plans, showed a positive impact on behavior outcomes related to smoking cessation, alcoholism, physical activity, diet, and chronic disease management [34].”
Tzelepis, F., Mitchell, A., Wilson, L., Byrnes, E., Haschek, A., Leigh, L., & Oldmeadow, C. J. (2021) · Journal of Medical Internet Research · doi:10.2196/23513 · Cited by 25
Ryan, K. D., Dockray, S., & Linehan, C. (2022) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3491102.3501864 · Cited by 27
“Tailoring is one strategy to deliver content in a personalized manner that has been identified as being effective in behavior change interventions [29, 30] and specifically within weight loss interventions [31-34].”
BackgroundWozney, L., McGrath, P. J., Newton, A. S., Huguet, A., Franklin, M., Perri, K., Leuschen, K., Toombs, E., & Lingley‐Pottie, P. (2015) · Health Informatics Journal · doi:10.1177/1460458215586803 · Cited by 26
Metadata
- Authors
- Lustria, M. L. A., Noar, S. M., Cortese, J., Van Stee, S. K., Glueckauf, R. L., & Lee, J.
- Affiliations
- Florida State University (US)
- University of North Carolina at Chapel Hill (US)
- Yonsei University (KR)
- Corresponding author
- Lustria, Mia Liza A.
- Venue
- Journal of Health Communication
- Publisher
- Informa UK Limited
- Published
- 2013-09
- Volume
- 18
- Issue
- 9
- Pages
- 1039-1069
- ISSN
- 1081-0730 (ISSN-L)
- 1087-0415
- OpenAlex
- W2057902960
- Cited by
- 689
- References
- 102
- Citations by year
- 2026: 25 · 2025: 63 · 2024: 45 · 2023: 62 · 2022: 68 · 2021: 69 · 2020: 61 · 2019: 68 · 2018: 52 · 2017: 57 · 2016: 41 · 2015: 49 · 2014: 25 · 2013: 3
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health Communication (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- personalized interventions, online intervention, health behavior change, health-promoting behaviors, health outcomes, treatment moderators, online health interventions
- MeSH terms
- Adolescent, Adult, Behavior Therapy, Child, Female, Follow-Up Studies, Health Promotion, Humans, Male, Middle Aged, Program Evaluation, Health Behavior, Randomized Controlled Trials as Topic, Treatment Outcome, Internet, Young Adult
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