A field experiment with a pretest and post-test control group design was used to measure the effects of direct mail messages on awareness and knowledge of health and heart health information. The study was conducted as part of a larger community-wide heart disease risk factor reduction project. The major focus of the research was to analyze the relative effectiveness of direct mail in bridging certain “knowledge gaps” in health information among demographic subgroups.
Generally, direct mail was found to be effective in getting people to read about heart health-specific information in a direct mail letter addressed to them. It also appeared to be effective in narrowing demographic “knowledge gaps” in health information occurring between men and women and between lower- and higher-educated subgroups.
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References
1.
AhoW.R.Relationship of Wives’ Preventive Health Orientation to Their Beliefs About Heart Disease in HusbandsPublic Health Reports921197765–71
2.
AtkinC.K.Research evidence on Mass Mediated Health Communication CampaignsNimmoD.Communication Yearbook31979Transaction BooksNew Brunswick, NJ
BlackburnH.GillumR.Heart DiseaseLastJohn M.Public Health and Preventive Medicine11th ed.1980Appleton-Century-CroftsNew York1168–1201
5.
BrownellK.HeckermanC.WestlakeR.Therapist and Group Contact as Variables in the Behavioral Treatment of ObesityPaper presented at the AABT Annual ConventionNew York, NY1976December
6.
BurnettJ.J.WilkesR.E.Fear Appeals of Segments OnlyJournal of Advertising Research20198021–24
7.
BushM.A.A. ButlerHendersonS.Consumer Acceptance of Mailed Nutrition and Health InformationCanadian Journal of Public Health681977296–300
8.
CampbellD.T.StanleyJ.C.Experimental and Quasi-Experimental Designs For Research1963Rand McNallyChicago
9.
CaponN.S.FarleyJ.U.The Impact of Message on Direct Mail ResponseJournal of Advertising Research165197669–75
10.
ChaffeeS.H.RoserC.Involvement and the Consistency of Knowledge, Attitudes, and BehaviorsCommunication Research1331986373–399
11.
DervinB.Communication Gaps and Inequities: Moving Toward a ReconceptualizationDervinB.VoightM.J.Progress in Communication SciencesVol. II1980Ablex PublishingNorwood, NJ
12.
EttemaJ.S.KlineF.G.Deficits, Differences and Ceilings: Contingent Conditions For Understanding the Knowledge GapCommunication Research41977179–202
13.
EttemaJ.S.BrownJ.LuepkerR.V.Knowledge Gap Effects in a Health Information CampaignPublic Opinion Quarterly471983516–527
14.
FarquharJ.W.Community Education For Cardiovascular HealthLancet119771192–1195
GallowayJ.J.The Analysis and Significance of Communication Effects GapsCommunication Research441977363–386
17.
GillespieA.H.YarbroughJ.P.RoderuckC.E.Nutrition Communication Program: A Direct Mail ApproachJournal of the American Dietetic Association821983254–259
18.
Hammett, R.A., B1acksroneJ.H. (1965), “Responses By Urban Homemakers to Mailed Advertising,” Bulletin 359, Alabama Agriculture Experimental Station, Auburn, AL, September.
19.
HansonR.BordenB.HallS.HallR.Use of Programmed Instruction in Teaching Self-Management Skills to Overweight AdultsBehavior Therapy71976366–373
20.
HartmannG.W.A Field Experiment on the Comparative Effectiveness of ‘Emotional’ and ‘Rational’ Political Leaflets in Determining Election ResultsJournal of Abnormal Social Psychology31193699–114
21.
HovlandC.I.JanisI.L.KelleyH.H.Communication and Persuasion1953Greenwood PressWestport, CT
22.
HymowitzN.Behavioral Approaches to Preventing Heart Disease: Risk Factor ModificationInternational Journal of Mental Health9198127–69
23.
JacobsD.R.LuepkerR.V.MittlemarkM.B.FolsomA.R.PirieP.MascioliS.R.HannanP.J.PechacekT.F.BrachtN.CarlawR.KlineF.G.BlackburnH.B.Community-Wide Prevention Strategies: Evaluation Design of the Minnesota Heart Health ProgramJournal of Chronic Disease39101986775–788
24.
JeffreyR.GerberW.Group and Correspondence Treatments For Weight Reduction Used in the Multiple Risk Factor Intervention TrialBehavior Therapy13198224–30
25.
KeysA.Seven Countries: A Multivariate Analysis of Death and Coronary Heart Disease1980Harvard UniversityCambridge, MA
26.
KotlerP.A Generic Concept of MarketingJournal of Marketing36197246–54
27.
MayfieldB.GillespieA.H.A Direct Mail Nutrition In-Service Program For County Extension AgentsJournal of Nutrition Education161984119–122
28.
McMullenP.A.GrossA.E.Sex Differences, Sex Roles and Health-Related Help-SeekingDePauloBellaNadlerArieFisherJeffreyNew Directions in HelpingVol. 21983Academic PressNew York
29.
Meyer, M., et al (1980), Health Education b Television and Radio: A Bibliography (Munich: Internationales Zentralinstitut fur das Jugend - und Bildungsfernsehen).
30.
MittlemarkM.LuepkerR.V.JacobsD.BrachtN.CarlawR.CrowR.FinneganJ.R.GrimmR.JeffreyR.KlineF.G.MurrayD.M.MullisR.PerryC.PirieP.PechacekT.F.BlackburnH.B.Community-wide Prevention of Cardiovascular Disease: Education Strategies of the Minnesota Heart Health ProgramPreventive Medicine1519861–17
31.
NewellG.K.FoxH.BrewerW.JohnsonN.Strategies to Improve Nutrition Knowledge and Food Behaviors of MothersJournal of Nutrition Education17198510–14
32.
OlienC.DonohueG.TichenorP.Structure, Communication and Social Power: Evolution of the Knowledge Gap HypothesisMassacommunicatie103198281–87
33.
PlacekP.J.Direct Mail and Information Diffusion: Family PlanningPublic Opinion Quarterly3841974548–561
34.
RobertsonL.S.A Controlled Study of the Effect of Television Messages on Safety Belt UseAmerican Journal of Public Health6419741071–1080November
35.
RogersT.KillenJ.CameronR.WeinbergerE.Community-based Correspondence Courses For Weight ControlPaper presented at AABT Annual ConventionLos Angeles1982November
36.
RothschildM.Marketing Communications in Non-business Situations or Why It's So Hard to Sell Brotherhood Like SoapJournal of Marketing43197911–20
37.
SalmonC.T.LokenB.FinneganJ.R.The Effects of Direct Mail Appeals on Awareness, Readership, and Cognitive Response Content in a Community Heart Health CampaignJournal of Evaluation & the Health Professions841985438–452
38.
SalmonC.T.NicholsJ.S.A paper presented at a meeting of the Midwest Association for Public Opinion ResearchChicagoRespondent Selection Techniques For Telephone Surveys1980
39.
SchlingerP.The Role of Mass Communication in Promoting Public HealthAndesonG.Advances in Consumer Research 31976Association For Consumer ResearchCincinnati, OH302–305
40.
SteiberS.R.BoscarinoJ.A.For Healthcare, Mass Media Bolster Image, Direct Mail Delivers PatientsMarketing News198411July 6
41.
SuchmanE.A.Preventive Health Behavior: A Model For Research on Community Health CampaignsJournal of Health and Social Behavior81967197–209
42.
SwinyardW.R.ConeyK.A.Promotional Effects on a High Versus Low-Involvement ElectorateJournal of Consumer Research5197841–48
43.
WadeS.SchrammW.The Mass Media As Sources of Public Affairs, Science and Health KnowledgePublic Opinion Quarterly331969197–209
44.
WilliamsB.T.Are Public Health Education Campaigns Worth While?British Medical Journal2881984170–171
