Working mechanisms of computer-tailored health education: evidence from smoking cessation
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.
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Conveying health information without considering individual differences may inhibit behavior change.
“Experts in health behavior change have shown that conveying health information without considering individual differences may inhibit behavior change [20-26].”
From Tailored web-based interventions for pain: Systematic review and meta-analysis (2017) · cites this paper as [23]
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- Authors
- Dijkstra, A.
- Affiliations
- University of Groningen (NL)
- Corresponding author
- Dijkstra, Arie
- ORCID
- Dijkstra, Arie
- Venue
- Health Education Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-02-08
- Volume
- 20
- Issue
- 5
- Pages
- 527-539
- ISSN
- 0268-1153 (ISSN-L)
- 1465-3648
- OpenAlex
- W2100836598
- Cited by
- 193
- References
- 23
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 7 · 2022: 10 · 2021: 6 · 2020: 7 · 2019: 8 · 2018: 7 · 2017: 10 · 2016: 16 · 2015: 13 · 2014: 17 · 2013: 15 · 2012: 15
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education Research (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Keywords
- smoking cessation, operating mechanism, personalization, adaptation, feedback, students, tobacco use, quitting behavior
- MeSH terms
- Adult, Communication, Computer-Assisted Instruction, Female, Health Education, Humans, Male, Netherlands, Surveys and Questionnaires, Smoking Cessation
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