Evaluating a tailored message intervention for improving hypertension
outcomes
Authors
E. Cappelletti
P. Steca
M. D'Addario
L. Pancani
D. Monzani
A. Greco
A. Vaccarella
M. Destro
C. Cuspidi
Abstract
Background: Hypertension is a major health problem leading to high
rates of mortality, morbidity and impaired quality of life; assisting patients to improve
compliance with their self-care regimens can improve these poor outcomes. One tool to promote a
culture of health is tailored communication, based on needs, preferences and personal
characteristics of the target. Methods: A theory-based tailored message intervention to improve
lifestyle habits was developed and evaluated at one and six months post-intervention. One
hundred fifty-two patients with hypertension (48%women; mean age=61.49, SD=10.1) were randomly
assigned to one of two conditions: a)tailored print materials; b)general print materials. A
series of t-test analysis were conducted in order to identify differences in patients’
judgments about the materials. Findings: At one and six months post-intervention, tailored
materials were perceived significantly more personalized and clear compared to general
materials. Discussion: Tailored intervention has become an important strategy in promoting
health. These results show that patients’ judgments on tailored materials are positive; a
larger randomized trial is still in progress to evaluate the effectiveness of this intervention
in improving patients’ lifestyle habits.