Health communication colette Lawler Health communication colette Lawler

Why Good Health Advice Still Doesn’t Change What People Do

People can understand health advice perfectly well and still struggle to act on it. This article explores the gap between knowing and doing, and why timing, friction, confidence and real-life context matter.

In oral health, I see this all the time: people often know exactly what they’re supposed to do, but still struggle to do it consistently.

Most people do not need to be told that brushing twice a day is important.

They probably know they should clean between their teeth too.

They may already understand that frequent sugar exposure increases their risk of decay.

And yet, in clinic, I regularly hear some version of:

“I know what I’m supposed to do. I just don’t manage it.”

That sentence says a lot.

Because when people already understand the advice, giving them more information is unlikely to solve the problem.

The gap is somewhere between knowing and doing.

And that gap matters far beyond oral health.

Health brands, services and education providers can create clear, accurate, evidence-based information and still find that people do not act on it in the way they expected.

The problem is not always the information itself.

Sometimes the more useful question is:

What is getting in the way of someone using it?

Knowledge is only part of behaviour

Health communication often starts from a reasonable assumption:

If people understand what to do and why it matters, they will be more likely to do it.

Sometimes that is true.

But behaviour happens in real life.

On rushed mornings.

At the end of long working days.

Around children, caring responsibilities, financial pressures, health conditions and competing priorities.

Something can make perfect sense in an appointment, training session or product guide and still be difficult to carry into everyday life.

That is why repeating the same advice can sometimes have surprisingly little effect.

The person may already know it.

What they are missing is the ability, opportunity or confidence to turn that knowledge into action.

Friction changes behaviour

One of the things I notice frequently in oral health is how small amounts of friction can derail a good intention.

Interdental cleaning is a simple example.

Someone may genuinely want to do it.

But perhaps the brushes are kept in a cupboard downstairs.

Perhaps they are unsure which size to use.

Perhaps it takes longer than they expected.

Perhaps their gums bleed when they start, so they assume they are doing something wrong.

None of those problems is solved particularly well by telling them once more that interdental cleaning is important.

The useful question is:

What is making this behaviour harder than it needs to be?

That shift matters.

Instead of assuming the communication has failed because somebody did not listen, it looks at the conditions surrounding the behaviour.

[Insert infographic here]

Prevention isn’t willpower. It’s design.

  • Clear information so people know what matters

  • Timely prompts so action happens at the right time

  • Clear next steps so people know what to do next

Reduce friction → habits stick

Timing matters too

Sometimes good advice arrives before someone is ready to use it.

A patient may hear several pieces of information during an appointment but only remember the one that felt most relevant at the time.

A person may skim instructions when they first buy a health product, then realise two weeks later that they are unsure how often they should use it.

A clinician may complete training months before encountering the situation where that information becomes important.

The information was available.

It was understood at the time.

But the point of need came later.

This is why useful health communication often needs to do more than deliver information once.

It needs to consider when that information will become relevant again.

More information can sometimes create more friction

There is also a temptation in healthcare to respond to uncertainty by adding more.

Another leaflet.

Another webpage.

Another explainer.

Another list of instructions.

But more information is not automatically more useful.

If everything feels equally important, people are left to work out what deserves their attention first.

That can be particularly difficult when someone is already worried, overwhelmed or unfamiliar with the subject.

Often, the most useful communication is not the one that explains everything.

It is the one that makes the next useful action clear.

What should I focus on now?

What matters most?

What should I do if this happens?

When do I need help?

Clarity can reduce friction just as much as simplifying the physical process itself.

What people actually do gives you useful information

If health advice is not producing the behaviour expected, there is a lot to learn from what happens next.

Do people keep asking the same question?

Do they create their own workaround?

Do they start but stop after a few days?

Do they avoid one part of the process?

Do they understand the advice but struggle to fit it into their routine?

Those behaviours are not just failures to follow instructions.

They are clues.

They can point towards problems with timing, confidence, complexity, accessibility, perceived value or the environment in which the behaviour is supposed to happen.

And different barriers need different responses.

A knowledge gap might need better explanation.

A confidence gap might need reassurance or practice.

A complicated process might need simplifying.

A poorly timed message might need to reappear later.

More education is only useful when lack of education is actually the problem.

Good communication should make action easier

This is the part of health communication I find increasingly interesting.

Not simply:

Was the information accurate?

But:

What happened after somebody received it?

Did they understand it?

Could they remember it when they needed it?

Did they know what to do next?

Did the behaviour fit realistically into their life?

If not, where did things start to break down?

For health brands, services and clinical education teams, that distinction matters.

Because sometimes the communication has technically done its job.

The information exists.

The evidence is correct.

The explanation is clear.

But if people are still not able to act on it, the answer may not be another piece of content.

It may be worth looking more closely at what is happening between understanding the message and using it in real life.

That is often where the more useful problem sits.

If your organisation has already created the information but people still are not responding or acting as expected, my Communication Clarity Audit looks at where that gap may be — and what might need to change.

Read More
Health communication colette Lawler Health communication colette Lawler

Why the Same Questions Keep Coming Back — and What Health Brands and Services Can Learn From Them

The same question keeps coming back, even though the information already exists. This article explores what repeated questions can reveal about timing, findability, language, consistency and the next step people actually need.

“We’ve already explained that.”

It is an understandable reaction when the same question keeps coming back.

The information is on the website.

It might also be in an FAQ, a leaflet, an onboarding email, a product guide or somewhere else in the customer or patient journey.

And yet people are still asking.

At that point, it is tempting to assume they simply have not read the information.

Sometimes that will be true.

But sometimes the repeated question is telling you something more useful.

Maybe the information is difficult to find.

Maybe it arrives at the wrong point.

Maybe the language makes sense internally but not to the person looking for an answer.

Maybe the information technically answers the question, but does not make the next step clear.

For health brands and services, those repeated questions are not just an inconvenience.

They can be clues.

Because information existing is not the same as information landing.

Repeated questions are useful communication data

If the same question appears again and again, it is worth paying attention to where it is coming from.

Customer support queries.

Search terms.

Online reviews.

Clinician feedback.

Comments on social media.

Questions asked during appointments.

Emails from users.

None of those sources will give you the whole picture on their own.

But together, they can start to show where people are getting stuck.

A health brand may know that a product page contains the answer.

A service may know that a patient information leaflet explains the process.

A digital health company may know that onboarding covers a particular feature.

But if people are still asking the same question, the useful thing to explore is not simply whether the information exists.

It is whether people can find it, understand it and use it when they actually need it.

Timing changes what people are ready to hear

Sometimes the information is perfectly clear.

It is just arriving at the wrong moment.

People do not absorb every piece of information they are given equally.

If something does not feel relevant yet, it is easy for it to pass by.

Then, a few days or weeks later, the same person reaches the point where the information suddenly matters and asks the question again.

That does not necessarily mean they ignored what they were told.

It may simply mean they were not ready to use it yet.

This happens all the time in healthcare.

A patient might be given advice before a procedure, then only think of the practical questions once they are at home recovering.

Someone buying a health product may skim the instructions, then only realise later that they are unsure how often to use it or whether it is suitable alongside something else.

A user may complete digital onboarding, then forget part of it because they have not yet needed that feature.

The information existed.

But the moment it became useful came later.

That is why communication should not only ask:

“Have we told people this?”

It should also ask:

“Will this information appear again when they are most likely to need it?”

People do not always look for information the way organisations expect

Information can be there and still be hard to find.

A brand might organise a website around product categories, clinical terminology or internal departments.

A patient or customer is more likely to be thinking:

Is this normal?

Can I use this every day?

What should I do next?

Is this suitable for me?

That difference matters.

If the information is filed under a heading people would never think to search for, they may never reach it.

The same thing happens with language.

A health service may use technically correct terminology that makes perfect sense internally, while the person looking for an answer is using completely different words.

Neither side is wrong.

They are just speaking from different starting points.

Good communication needs to bridge that gap.

That might mean using the language people actually use in search, FAQs and support queries.

It might mean restructuring information around questions rather than organisational categories.

Or it might simply mean making the most useful answer easier to spot.

Because if people cannot recognise that the information is for them, it does not really matter that it exists.

This shows up in dental patient communication too

I see this clinically quite often.

One example is Corsodyl 0.2% mouthwash.

The product information advises about a month of use for gingivitis and also warns that tooth and tongue discolouration can occur. Medicines.org.uk

Yet I regularly see people who have been using it as part of their everyday routine for months, sometimes much longer.

Often I notice the staining first and ask directly whether they are using Corsodyl.

The answer is usually yes.

When I explain that it is intended as a treatment mouthwash rather than something to use indefinitely, the response is often:

“Oh, I didn’t know.”

And when I mention staining, I sometimes hear the same thing again.

The information exists.

It is on the product information.

But that does not automatically mean it has landed in a way that changes what someone does.

That is the bit that interests me.

Because dental patient communication is not only about whether information is accurate or available.

It is also about whether people notice it, understand its relevance and act on it.

Mixed messages create more questions

Sometimes the problem is not that information is missing.

It is that people are hearing slightly different versions of it in different places.

The website says one thing.

The leaflet phrases it another way.

A clinician explains it differently again.

Customer support adds another interpretation.

None of those versions may be completely wrong.

But together, they can create uncertainty.

And uncertainty usually creates another question.

This is especially important when people are trying to understand something that already feels unfamiliar or slightly worrying.

They are often not looking for more information.

They are looking for reassurance that the information they have is consistent.

For health brands and services, that means it is worth checking whether the same message holds together across the different places people encounter it.

Not word for word.

But clearly enough that the person receiving it does not have to work out which version to trust.

Because when communication starts to contradict itself, even slightly, people notice.

Understanding the information is not always enough

Sometimes people understand the information perfectly well.

They just do not know what to do with it.

A product page may explain how something works.

A leaflet may describe what to expect.

An email may give all the background.

But if the next step is vague, people are still left with a question.

Do I need to do anything now?

Should I contact someone?

Is this something I need to worry about?

When should I use this?

What happens next?

This is where communication can feel complete from the organisation’s side but still feel unfinished to the person receiving it.

The facts are there.

The action is not.

For health brands and services, that means useful communication should not just explain.

It should also make the next step obvious.

Sometimes that next step is to use the product in a certain way.

Sometimes it is to wait.

Sometimes it is to contact a clinician or support team.

Sometimes it is simply to know that no action is needed.

But if that is not clear, people will often come back and ask.

And that repeated question may be less about missing information and more about missing direction.

Look for the pattern before you look for the solution

If the same question keeps appearing, the useful part is not just the question itself.

It is the pattern around it.

Does it always appear at the same point in the journey?

Is it linked to one particular product, page or message?

Are people using the same words when they ask?

Does the confusion appear after a particular appointment, email or onboarding step?

Are clinicians or support teams hearing the same thing repeatedly?

That starts to tell you where to look.

One isolated question may not mean much.

But repeated confusion around the same moment, message or decision can point towards a communication gap worth investigating.

Sometimes the answer will be to create something new.

But sometimes the more useful change is to adjust what already exists: its timing, wording, location or the action it asks people to take next.

Information being available is not the same as communication working

It is easy to measure communication by what has been created.

A webpage exists.

An FAQ has been written.

The onboarding email has been sent.

The leaflet has been approved.

But none of those things, on their own, tell you whether the information has actually landed.

That is why repeated questions are worth paying attention to.

They can show you where people are still uncertain, where information is arriving too early, where language is not matching the way people think, or where the next step is not clear enough.

Sometimes the answer is to create something new.

Sometimes it is to make what already exists easier to find, easier to understand or better timed.

And sometimes the most useful thing you can do is simply stop treating the repeated question as a nuisance and start treating it as a clue.

Read More
Health communication colette Lawler Health communication colette Lawler

Why “Clinically Proven” Isn’t Enough — And What Actually Builds Trust in Health Products

Clinically proven’ sounds reassuring — but it often isn’t enough to build trust or drive real-world use. Here’s why strong evidence alone doesn’t guarantee adoption, and what actually makes health products easier to understand, recommend, and use.

Over the past few months, I’ve noticed how often health products lean on the phrase “clinically proven.”

It sounds reassuring. It feels scientific. It ticks a box.

But increasingly, it isn’t doing the job brands think it is.


The Real Problem

Most health brands aren’t trying to mislead anyone.

They invest in formulation.
They commission research.
They follow regulatory guidance.

The science is often solid.

And yet… adoption is slower than expected.

Clinicians hesitate.
The people using the product day to day feel unsure.

Not because the product doesn’t work — but because trust hasn’t quite landed.

This is where many strong products start to lose momentum.


Why “Clinically Proven” Isn’t Enough

From a clinician’s perspective, “clinically proven” is only the starting point.

If I’m going to recommend something to a patient, I need two things:

  • To be confident that solid research has actually been done

  • A clear, simple explanation I can pass on in plain English

If I can’t quickly understand it myself, I can’t confidently explain it to someone sitting in my chair.

And if I’m not confident… I won’t recommend it.


What Happens in Real Life

I see this all the time in practice.

Patients come in confused by claims, ingredients, and competing messages — especially around toothpaste, electric toothbrushes, and newer oral health technologies.

They’ll say things like:

  • “I saw this online… is it actually any good?”

  • “There are so many options — I don’t know what to choose.”

So they turn to clinicians as their trusted source.

But here’s the key:

If clinicians don’t feel equipped to explain a product clearly, it often stays on the shelf.

Not because it’s ineffective.

But because it’s poorly communicated.


A Practical Lens for Evaluating Product Messaging

When reviewing health product content, I often come back to three simple questions:

  • Can a clinician quickly understand the evidence?

  • Can they explain it to a patient in 30 seconds?

  • Does it sound honest, balanced, and realistic?

If the answer to any of these is “no,” trust weakens.


The Trust–Information Paradox

There’s an interesting paradox in healthcare communication.

Too little information confuses people.
Too much information overwhelms them.

And in both cases, trust drops — leading to the same outcome:

No action.
No recommendation.
No purchase.
No traction.

Good products quietly stall.


What Builds Real Trust in Health Products

The strongest health brands don’t rely on slogans alone.

They:

  • show their evidence clearly

  • explain what it does — and what it doesn’t mean

  • respect clinicians’ time

  • respect the intelligence of the people using the product

They make it easy for professionals to feel confident passing the message on.

And that’s what builds real trust.


Bringing It Together

If this feels familiar, the issue is rarely the product itself.

It’s how the evidence is being translated, understood, and used in practice.

When communication is clear, clinically grounded, and relevant to real-world use, adoption becomes much easier.


What to Do Next

If you’re working on a health product and want to understand where trust may be breaking down, I’ve created a practical framework to help you assess and improve your messaging:

👉 5 Things Trusted Oral Health Brands Get Right

You can also explore why strong digital health products often struggle with adoption in practice:

👉 5 Reasons Your Digital Health Product Isn’t Being Used

Read More