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Health Promotion Practice
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Lessons Learned From Developing a Tailored Print Intervention: A Guide for Practitioners and Researchers New to Tailoring

Arada K. Halder, MPH

Center for Health Promotion and Prevention Research at the University of Texas School of Public Health in Houston, Texas

Jasmin A. Tiro, PhD, MPH

Division of Cancer Control and Population Sciences at the National Cancer Institute in Bethesda, Maryland

Bernard Glassman, MAT

William Rakowski, PhD

Department of Community Health at Brown University in Providence, Rhode Island

Maria E. Fernandez, PhD

Diversity Programs at the University of Texas School of Public Health in Houston, Texas

Catherine A. Perez, PhD

School of Arts & Sciences at the University of Houston in Victoria, Texas

Sally W. Vernon, PhD

Division of Health Promotion & Behavioral Sciences at the University of Texas School of Public Health in Houston, Texas

Although some "how-to" guides have been written on tailored messaging, we found no reports on lessons learned from the process of developing a tailored intervention. Such lessons may be useful for practitioners and researchers who are new to tailored intervention development. The authors describe lessons gleaned from the process of developing a repeat mammography tailored print intervention. Lessons learned include the following: Selection of determinants appropriate for tailoring should be based on a theoretic framework and refined through assessment of the target population; researchers should anticipate threats to fidelity of intervention delivery because of incomplete or illogical survey data; fingerprinting enables assessment of intervention dose and how it relates to effectiveness of the tailored intervention; and a systematic process for conducting a systems test is needed to check for inconsistencies and errors before final tailored letter production. These lessons are discussed in the context of challenges and possible solutions for tailored health communication.

Key Words: tailored • process evaluation • lessons learned • repeat mammography

This version was published on July 1, 2008

Health Promotion Practice, Vol. 9, No. 3, 281-288 (2008)
DOI: 10.1177/1524839906289042
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