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Do tailored behavior change messages enhance the effectiveness of health risk appraisal? Results from a randomized trial
Open accessAbstract
Health risk appraisal (HRA) remains one of the most widely used health promotion tools despite only equivocal evidence for its effectiveness. Theories of behavior change predict conventional HRA's ineffectiveness because risk information alone is seldom sufficient to change complex behaviors. In this study, a randomized trial compared the effects of feedback from an enhanced HRA with a typical HRA and a control group among adult patients from eight family medicine practices. The enhanced HRA assessed behavior-specific psychosocial factors and provided patients with computer-generated, individually-tailored behavior change information in addition to typical HRA risk feedback. Changes in seven behaviors were assessed at a 6 month follow-up. Overall, patients receiving enhanced HRA feedback were 18% more likely to change at least one risk behavior than were patients receiving typical HRA feedback or no feedback (OR = 1.18, 95% CI = 1.00, 1.39). The enhanced HRA feedback appeared to promote changes in cholesterol screening, dietary fat consumption and physical activity, but not in smoking, seat belt use, mammography and Pap smears. We conclude that the addition of theory-based, individually-tailored behavior change information may improve the effectiveness of HRA.
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Cites
Stages and processes of self-change of smoking: Toward an integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.3.390 · Cited by 9,098
Cited by
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Noar, S. M., Benac, C. N., & Harris, M. S. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.4.673 · Cited by 2,136
A meta-analysis of computer-tailored interventions for health behavior change
Krebs, P., Prochaska, J. O., & Rossi, J. S. (2010) · Preventive Medicine · doi:10.1016/j.ypmed.2010.06.004 · Cited by 854
One size does not fit all: the case for tailoring print materials
Kreuter, M. W., Strecher, V. J., & Glassman, B. (1999) · Annals of Behavioral Medicine · doi:10.1007/bf02895958 · Cited by 831
Self-citation(2002) · Cited by 770
An experimental design for the development of adaptive treatment strategies
Murphy, S. A. (2005) · Statistics in Medicine · doi:10.1002/sim.2022 · Cited by 746
Metadata
- Authors
- Kreuter, M. W., & Strecher, V. J.
- Venue
- Health Education Research
- Publisher
- Oxford University Press (OUP)
- Published
- 1996
- Volume
- 11
- Issue
- 1
- Pages
- 97-105
- ISSN
- 0268-1153 (ISSN-L)
- 1465-3648
- OpenAlex
- W2144128735
- Cited by
- 305
- References
- 1
- FWCI
- 13.90
- Type
- journal article
- Language
- en
- Open access
- bronze
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