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BENEFITS AND LIMITATIONS OF PRETESTING<br />
Benefits<br />
Examples of benefits derived from pretests include:<br />
• Assess attention. Central location intercept interviews conducted by the National Heart,<br />
Lung, and Blood Institute showed that using symbols/analogies was a promising way to<br />
gain attention and to convey a message. However, the message itself must be fairly<br />
simple, or the use of an analogy becomes a complicating liability. For example, using a<br />
freeze frame and reverse action to “reverse” the risk of high blood pressure was attention<br />
getting, but no analogies for multiple risk factor messages proved straightforward<br />
enough to work successfully.<br />
• Assess comprehensibility. When developing the USDA food pyramid, extensive pretesting<br />
revealed that the pyramid shape conveyed key concepts more clearly than a bowl or<br />
other shapes. In addition, planners learned that representing fats, oils, and sugars as a<br />
bottle of salad dressing, a can of soda, and a bowl of sugar created widespread<br />
misunderstanding. Substituting a stick of butter, a droplet of oil, and a spoonful of sugar<br />
improved comprehension.<br />
• Assess motivation. Research conducted for the National Bone Health Campaign, Powerful<br />
Bones, Powerful Girls, explored campaign concepts designed to increase calcium<br />
consumption and weight-bearing physical activity among 9- to 12-year-old girls. Girls<br />
identified strength—in the form of self-confidence and physical strength—as a key<br />
benefit of bone-healthy behaviors. The campaign theme, “Powerful Bones, Powerful<br />
Girls,” was perceived as motivating, as were examples set in real-world settings and<br />
during social activities.<br />
• Assess recall. In a test of a <strong>book</strong>let on lung cancer, patients could recall on average 2 out<br />
of 12 ideas presented; half the patients could recall none. Too many technical terms, the<br />
density of concepts, and too little differentiation between diagnostic and treatment<br />
procedures inhibited intended audience recall. Another problem was the inclusion of<br />
concepts unimportant to readers. Although they wanted more information on outcomes<br />
and treatment, they had no interest in a description of the disease.<br />
• Determine personal relevance. When the National Bone Health Campaign research team<br />
explored the credibility of a spokesperson among girls 9–12 years old, the intended<br />
audience wanted to hear from “a girl like me.” Girls said they wanted to hear the<br />
message from a female who was strong, bold, confident, active, healthy, and popular.<br />
This guided the development of Carla, a cartoon spokes-character whose name means<br />
strong. Carla speaks to girls as a peer working to build powerful bones. In the pretesting<br />
of a Web site featuring Carla, girls from varied backgrounds described her as “powerful,”<br />
“fun,” “busy like girls I know,” and “someone who feels good about herself”—someone<br />
they'd like to know and be like.<br />
Continued on next page...<br />
80 Developing and Pretesting Concepts, Messages, and Materials