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Health Education Research Advance Access originally published online on February 8, 2005
Health Education Research 2005 20(5):527-539; doi:10.1093/her/cyh014
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© The Author 2005. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oupjournals.org

Working mechanisms of computer-tailored health education: evidence from smoking cessation

Arie Dijkstra1,2

1 Social and Organizational Psychology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS Groningen, The Netherlands

2 Correspondence to: A. Dijkstra; E-mail: a.dijkstra{at}ppsw.rug.nl

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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