Cited by 531Media Influence and HealthBehavioral Health and InterventionsPatient-Provider Communication in Healthcare

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Advancing Tailored Health Communication: A Persuasion and Message Effects Perspective

Rimer, Barbara K., Kreuter, Matthew W.·2006·Journal of Communication

DOI 10.1111/j.1460-2466.2006.00289.x

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Abstract

Tailored health communication (THC) is any combination of information and behavior change strategies intended to reach one specific person based on information unique to that person, related to the outcome of interest, and derived from an individual assessment. THCs have been studied as a means to facilitate behavior change by influencing some key intermediate steps that precede the behavioral outcome. These include the extent to which people attend to communications, think about them, find them relevant and salient, and intend to take action. Evidence shows that THCs have achieved modest success in changing a number of cancer-related behaviors, including smoking, diet, exercise, and cancer screening. However, it is likely that THCs could be more effective if they were developed with a greater understanding of message effects and what we refer to as the behavioral pathway. Instead of using unidimensional approaches to influence behavior change, a message effects approach would help researchers identify key leverage points for impact on such intermediate outcomes as persuasion and yielding. Such a strategy also might be used to determine when THCs are the preferred approach and when generic, targeted, or combinations of THCs and targeted communications might be appropriate. Viewing THCs from the perspective of the behavioral pathway might indicate use of different messages, sources, and formats to influence different people at different points on the pathway. We provide a brief history of THCs and suggest how integrating a broader perspective of health behavior and health communication theories could enrich THCs.

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Authors: Rimer, B. K., & Kreuter, M. W.
Affiliations: University of North Carolina at Chapel Hill (US)
Saint Louis University (US)
ORCID: Kreuter, Matthew W.
Venue: Journal of Communication
Publisher: Oxford University Press (OUP)
Published: 2006-08-01
Volume: 56
Issue: suppl_1
Pages: S184-S201
ISSN: 0021-9916 (ISSN-L)
1460-2466
DOI: 10.1111/j.1460-2466.2006.00289.x
OpenAlex: W1973492382
Cited by: 531
References: 67
Citations by year: 2026: 13 · 2025: 19 · 2024: 26 · 2023: 22 · 2022: 39 · 2021: 45 · 2020: 30 · 2019: 43 · 2018: 34 · 2017: 23 · 2016: 30 · 2015: 28 · 2014: 36 · 2013: 39 · 2012: 23
FWCI: 323.18
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 3318 d)
Locations: Journal of Communication (publishedVersion)
Funders: Saint Louis University
Korea Electrotechnology Research Institute
National Cancer Institute
Topics: Social Sciences › Communication › Media Influence and Health
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords: tailored health communication, message effects, persuasion, behavioral pathways, health behavior change, smoking, diet, physical activity, cancer screening, targeted communication, health communication theory

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Advancing Tailored Health Communication: A Persuasion and Message Effects Perspective

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