ArticleJMIR formative research2022
Message Frame-Tailoring in Digital Health Communication: Intervention Redesign and Usability Testing.
Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Mapping the digital determinants of health: a machine learning analysis of YouTube narratives on child undernutrition in Pakistan.Journal of global health · 2026Article
- Framing effects on smoking cessation intentions: A quasi-experimental study of gain- versus loss-framed text messages among male smokers in China.Tobacco induced diseases · 2026Article
- Designing Patient-Friendly Messages: Tutorial on Applying Human-Centered, Self-Determination Theory With AI Considerations.Journal of medical Internet research · 2025Article
- Strategies for engaging "hard-to-reach" populations in a panel for digital health research: A qualitative study among experts.PLOS digital health · 2025Article
- Message Framing Analysis: Recommendations for Dental Health PSAs.Oral health & preventive dentistry · 2025Article
- Autonomy support in telehealth: an evolutionary concept analysis.Frontiers in public health · 2025Review
- An economic evaluation of an online computer-tailored smoking cessation intervention that includes message frame-tailoring: A randomized controlled trial.PLOS digital health · 2022Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMessage frame-tailoring based on the need for autonomy is a promising strategy to improve the effectiveness of digital health communication interventions. An example of a digital health communication intervention is Personal Advice in Stopping smoking (PAS), a web-based content-tailored smoking cessation program. PAS was effective in improving cessation success rates, but its effect sizes were small and disappeared after 6 months. Therefore, investigating whether message frame-tailoring based on the individual's need for autonomy might improve effect rates is worthwhile. However, to our knowledge, this has not been studied previously.
objectiveTo investigate whether adding message frame-tailoring based on the need for autonomy increases the effectiveness of content-tailored interventions, the PAS program was redesigned to incorporate message frame-tailoring also. This paper described the process of redesigning the PAS program to include message frame-tailoring, providing smokers with autonomy-supportive or controlling message frames-depending on their individual need for autonomy. Therefore, we aimed to extend framing theory, tailoring theory, and self-determination theory.
methodsExtension of the framing theory, tailoring theory, and self-determination theory by redesigning the PAS program to include message frame-tailoring was conducted in close collaboration with scientific and nonscientific smoking cessation experts (n=10), smokers (n=816), and communication science students (n=19). Various methods were used to redesign the PAS program to include message frame-tailoring with optimal usability: usability testing, think-aloud methodology, heuristic evaluations, and a web-based experiment.
resultsThe most autonomy-supportive and controlling message frames were identified, the cutoff point for the need for autonomy to distinguish between people with high and those with low need for autonomy was determined, and the usability was optimized.
conclusionsThis resulted in a redesigned digital health communication intervention that included message frame-tailoring and had optimal usability. A detailed description of the redesigning process of the PAS program is provided.
trial registrationNetherlands Trial Register NL6512 (NRT6700); https://www.trialregister.nl/trial/6512.
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