Advancing tailored health communication: A persuasion and message effects perspective
Advancing tailored health communication: A persuasion and message effects perspective
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DOI：
10.1111/j.1460-2466.2006.00289.x
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发表时间：
2006-01-01
影响因子：
7.9
通讯作者：
Kreuter, Matthew W.
中科院分区：
文献类型：
--
作者：
Rimer, Barbara K.;Kreuter, Matthew W.
定制健康沟通(THC)是信息和行为改变策略的任何组合，旨在根据特定人独特的信息，与感兴趣的结果相关，并从个人评估中获得。THC被认为是一种通过影响行为结果之前的一些关键中间步骤来促进行为改变的手段。这些因素包括人们对沟通的关注程度、对沟通的思考程度、对沟通的相关性和重要性以及采取行动的意愿。有证据表明，THC在改变一些与癌症相关的行为方面取得了一定的成功，包括吸烟、饮食、锻炼和癌症筛查。然而，如果对信息效应和我们所说的行为途径有更多的理解，THC可能会更有效。信息效应方法将帮助研究人员确定影响说服和屈服等中间结果的关键杠杆点，而不是使用单一的方法来影响行为变化。这样的策略也可用于确定THC何时是首选方法，以及THC和目标通信的通用、目标或组合何时可能合适。从行为路径的角度看THC可能表明使用了不同的信息、来源和格式来影响路径上不同时间点的不同人。我们提供了THC的简要历史，并建议如何整合更广泛的健康行为和健康传播理论来丰富THC。
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.