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

Working mechanisms of computer-tailored health education: evidence from smoking cessation
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DOI:
10.1093/her/cyh014
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发表时间:
2005-10-01
影响因子:
2.4
通讯作者:
Dijkstra, A
Dijkstra, A
中科院分区:
医学4区
文献类型:
--
作者:
Dijkstra, A

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为了进一步制定有针对性的干预措施,必须确定其工作机制。在本研究中,三个定制的信息都包含一种潜在的工作机制--个性化、适应或反馈--与标准信息条件进行了比较。202名每天吸烟的学生被随机分成四组。在电脑前测问卷后,他们阅读自己的情况并填写即时的后测。4个月后,他们被发给一份跟踪调查问卷,评估他们的戒烟活动。数据显示,个性化(44.5%)和反馈(48.7%),而不是适应(28.6%),导致4个月后的戒烟活动显著多于标准信息(22.9%)。此外,条件对戒烟活动的影响完全通过个体对裁剪的评价来中介。
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.