Does locus of control moderate the effects of tailored health education materials?

Research in health communication has shown that individually tailored health education materials are more effective than traditional or generic materials in producing changes in health-related behaviors. However, tailored materials have not been equally effective for all individuals. Because locus of control affects behavioral outcomes in other self-change interventions, its effect on individuals' responses to tailored messages is of particular interest. The present study examined differences in cognitive responses to tailored and non-tailored weight loss materials among 198 overweight individuals. Weight locus of control significantly interacted with study group (who received either tailored or non-tailored materials), suggesting that externals may respond to tailored health education materials with counter-arguments. Implications for the development and application of tailored health communication materials are discussed.

[1]  V. Strecher,et al.  One size does not fit all: The case for tailoring print materials , 1999, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[2]  F. Bull,et al.  Understanding how people process health information: a comparison of tailored and nontailored weight-loss materials. , 1999, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[3]  David D. Potenziani,et al.  Varying the message source in computer-tailored nutrition education. , 1999, Patient education and counseling.

[4]  F. Bull,et al.  Effects of tailored, personalized and general health messages on physical activity. , 1999, Patient education and counseling.

[5]  Gerjo Kok,et al.  The Impact of Computer-Tailored Feedback and Iterative Feedback on Fat, Fruit, and Vegetable Intake , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[6]  P Norman,et al.  Health Locus of Control and Health Behaviour , 1998, Journal of health psychology.

[7]  B H Marcus,et al.  Evaluation of Motivationally Tailored vs. Standard Self-Help Physical Activity Interventions at the Workplace , 1998, American journal of health promotion : AJHP.

[8]  R. Blum,et al.  The utility of locus of control for predicting adolescent substance use. , 1997, Research in nursing & health.

[9]  J. Abbott,et al.  Health perceptions and treatment adherence in adults with cystic fibrosis. , 1996, Thorax.

[10]  J. Brug,et al.  The impact of a computer-tailored nutrition intervention. , 1996, Preventive medicine.

[11]  V. Strecher,et al.  Do tailored behavior change messages enhance the effectiveness of health risk appraisal? Results from a randomized trial. , 1996, Health education research.

[12]  D. Stewart,et al.  Cigarette Smoking during Pregnancy , 1995, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[13]  E H Wagner,et al.  A randomized trial of self-help materials, personalized feedback, and telephone counseling with nonvolunteer smokers. , 1995, Journal of consulting and clinical psychology.

[14]  L. Neumann,et al.  Relationship among self-esteem, internal-external locus of control, and weight change after participation in a weight reduction program. , 1995, Journal of clinical psychology.

[15]  H. Dobson,et al.  Tailored Written Invitations for Second round Breast Cancer Screening: A Randomised Controlled Trial , 1994, Journal of medical screening.

[16]  V. Strecher,et al.  The effects of computer-tailored smoking cessation messages in family practice settings. , 1994, The Journal of family practice.

[17]  V. Strecher,et al.  Improving dietary behavior: the effectiveness of tailored messages in primary care settings. , 1994, American journal of public health.

[18]  W F Velicer,et al.  Standardized, individualized, interactive, and personalized self-help programs for smoking cessation. , 1993, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[19]  T. Wadden,et al.  Etiology and treatment of obesity: understanding a serious, prevalent, and refractory disorder. , 1992, Journal of consulting and clinical psychology.

[20]  D. Brinberg,et al.  Increasing the consumption of dietary fiber: a decision theory analysis , 1990 .

[21]  E. Saltzer The weight locus of control (WLOC) scale: a specific measure for obesity research. , 1982, Journal of personality assessment.

[22]  B Lakey,et al.  Locus of control as a stress moderator: The role of control perceptions and social support , 1982, American journal of community psychology.

[23]  J. Cacioppo,et al.  Issue involvement can increase or decrease persuasion by enhancing message-relevant cognitive responses. , 1979 .

[24]  D. Jeffrey,et al.  Processes in the maintenance of weight loss with behavior therapy , 1979 .

[25]  Kenneth A. Wallston,et al.  Development of the Multidimensional Health Locus of Control (MHLC) Scales , 1978, Health education monographs.

[26]  A. Bandura Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[27]  Robert S. Baron,et al.  Distraction Can Enhance or Reduce Yielding to Propaganda: Thought Disruption Versus Effort Justification , 1976 .

[28]  K. Wallston,et al.  Development and validation of the health locus of control (HLC) scale. , 1976, Journal of consulting and clinical psychology.

[29]  M. Gargan,et al.  Denial, anxiety, locus of control, and the discrepancy between aspirations and achievements as components of depression. , 1975, Journal of abnormal psychology.

[30]  S. Sherman Internal-external control and its relationship to attitude change under different social influence techniques. , 1973, Journal of Personality and Social Psychology.

[31]  N. Feather Some personality correlates of external control , 1967 .

[32]  S. Shiffman,et al.  Real-world efficacy of computer-tailored smoking cessation material as a supplement to nicotine replacement , 2000 .

[33]  V. Strecher,et al.  Changing inaccurate perceptions of health risk: results from a randomized trial , 1995 .

[34]  V. Strecher,et al.  Physicians' recommendations for mammography: do tailored messages make a difference? , 1994, American journal of public health.

[35]  E.,et al.  To Think or Not to Think: Exploring Two Routes to Persuasion. , 1994 .

[36]  A. Waitzman in Primary Care , 1993 .

[37]  H. Lefcourt,et al.  Locus of control. , 1991 .

[38]  F. M. Kramer,et al.  Behavioral management of obesity. , 1989, The Medical clinics of North America.

[39]  J. Kincey Compliance with a behavioural weight-loss programme: target setting and locus of control. , 1983, Behaviour research and therapy.

[40]  J. Cacioppo,et al.  Attitudes and Persuasion: Classic and Contemporary Approaches , 1981 .

[41]  Eleanor B. Saltzer,et al.  Cognitive moderators of the relationship between behavioral intentions and behavior. , 1981 .

[42]  J. Kincey Target setting, self-reinforcement pattern and locus of control orientation as predictors of outcome in a behavioural weight-loss programme. , 1980, Behaviour research and therapy.

[43]  A. R. Weiss Characteristics of successful weight reducers: a brief review of predictor variables. , 1977, Addictive behaviors.

[44]  H. Lefcourt Locus of control: Current trends in theory and research , 1976 .

[45]  H. Lefcourt,et al.  Internal versus external control of reinforcement and the deployment of attention in experimental situations. , 1969 .

[46]  J. Rotter Generalized expectancies for internal versus external control of reinforcement. , 1966, Psychological monographs.