Using Visual Metaphors in Health Messages: A Strategy to Increase Effectiveness for Mental Illness Communication • Allison Lazard, University of North Carolina at Chapel Hill; Benita Bamgbade; Jennah Sontag, University of North Carolina-Chapel Hill; Carolyn Brown • Depression is highly prevalent among college students. Although treatment is often available on university campuses, many stigma-based barriers prevent students from seeking help. Communication strategies, such as the use of metaphors, are needed to reduce barriers. Using a two-phase approach, this study identified how college students conceptualize mental illness, designed messages with conceptual and visual metaphors commonly used, and tested these message to determine their potential as an effective communication strategy to reduce stigma.
How Journalists Characterize Health Inequalities and Redefine Solutions for Native American Audiences • Amanda Hinnant, University of Missouri, School of Journalism; Roma Subramanian; Rokeshia Ashley, University of Missouri-Columbia; Mildred Perreault, University of Missouri/ Appalachian State University; Rachel Young; Ryan Thomas, University of Missouri-Columbia • This research investigates how journalists for Native American communities characterize health inequalities and the issues with covering determinants of health. In-depth interviews (n = 24) revealed a tension between “medical” and “cultural” models of health, contributing to the oversaturation of certain issues. Interviews also amplified the contexts that shape health inequalities, illuminating the roles of historical trauma and the destruction of indigenous health beliefs and behaviors. Failure to recognize the issues can stymie communication efforts.
Poison or Prevention? Unraveling the Linkages between Vaccine-Negative Individuals’ Knowledge Deficiency, Motivations, and Communication Behaviors • Arunima Krishna • The last few decades have seen growing concerns among parents regarding the safety of childhood vaccines, arguably leading to the rise of the anti-vaccine movement. This study is an effort to understand situational and cross-situational factors that influence individuals’ negative attitudes toward vaccines, referred to as vaccine negativity. In doing so, this study identified two categories of reasons for which individuals display vaccine negativity – liberty-related, and safety-related concerns – and elucidated how situational and cross-situational factors influenced each type of vaccine negativity differently. Specifically, this study tested how knowledge deficiency, or acceptance of scientifically inaccurate data about vaccines, and institutional trust influenced negative attitudes toward vaccines. Using the situational theory of problem solving as the theoretical framework, this also identified and tested a knowledge-attitude-motivation-behavior framework of vaccine negative individuals’ cognitions and behaviors about the issue.
Chronic pain: Sources’ framing of post-traumatic stress disorder in The New York Times • Barbara Barnett, University of Kansas; Tien-Tsung Lee, University of Kansas • Post-traumatic stress disorder (PTSD) is a common reaction after witnessing a violent event. While nearly eight million Americans, including combat veterans, have PTSD, few studies have explored how the condition is represented in mass media. This content analysis examined sources’ characterization of PTSD in New York Times articles. Results show that news stories framed PTSD as a long-term problem, with little chance for recovery, a frame that could negatively affect public policy decisions.
This Is Not A Test: Investigating The Effects Of Cueing And Cognitive Load On Severe Weather Alerts • Carie Cunningham • Climate change is increasing and causing more severe weather events around the globe. Severe weather events require effective communication of incoming dangers and threats to different populations. The current study focuses on investigating ways in which severe weather alerts are attended to and remembered better by audience members. To this end, this study used a 2 (primary task cognitive load: low vs. high) x 2 (weather alert cueing technique: cued vs. non-cued) within-subject experiment to understand how television weather alerts evoke attention and memory from viewers. Participants were exposed to TV films that varied in cognitive load, through which they were exposed to both cued and non-cued weather alerts. The findings show that cognitive load changes viewers’ recognition and memory of the weather alerts, but not of the main content. Furthermore, the interaction of cueing and cognitive load influenced fixation and gaze in attention measures, but not the recall measures for the weather alerts. Results are discussed in the context of dependent variables: visual recognition, information recognition, cued recall, free recall, fixation, and gaze. The findings support some nuances to television viewing under different conditions.
A State-Level Analysis of the Social Media Climate of GMOs in the U.S. • Christopher Wirz, University of Wisconsin-Madison; Xuan Liang, University of Wisconsin-Madison; Michael Xenos; Dominique Brossard, UW-Madison; Dietram Scheufele • This study is a state-level analysis of the relationship between the social media, news, and policy climates related to GMOs. We performed a systematic and exhaustive analysis of geographically-identified tweets related to GMOs from August 1, 2012 through November 30, 2014. We then created a model using a variety of state-level factors to predict pessimistic tweets about GMOs using states as the unit of analysis.
Psychological determinants of college students’ adoption of mobile health applications for personal health management • Chuqing Dong; Lauren Gray; Hao Xu, University of Minnesota – Twin Cities • “Mobile health has been studied for patient care and disease management in the clinical context, but less is known about factors contribute to consumers’ acceptance of mobile health apps for personal health and fitness management.
This study serves as one of the first attempts to understand the psychological determinants of mobile health acceptance among millenials – those most likely to use mobile apps. Built on an extended model combining the Technology Acceptance Model (TAM) and the Reasoned Action approach, this multimethod study aimed to identify which proximal determinants and their underlying salient beliefs were most associated with intention to use mobile health apps in the next twelve months.
Results from the qualitative belief elicitation data analysis indicated 14 different positive and negative consequences (behavioral beliefs) of using mobile health apps, 11 social references (normative beliefs) important to the use of mobile health apps, and 9 behavioral circumstances (behavioral control beliefs) that would enable or make it more difficult to use mobile health apps. Results from the quantitative Reasoned action data indicated perceived ease of use and perceived usefulness of the app were positively correlated with attitude towards mobile health app use and perceived usefulness was also positively correlated with intention to use it in the next twelve months. Instrumental attitudes and perceived behavioral control (capacity), as well as several of their underlying beliefs, were the strongest predictors of intention to use mobile health apps in the next twelve months.”
Talkin’ smack: An analysis of news coverage of the heroin epidemic • Erin Willis; David Morris II, University of Oregon • The number of heroin users continues to rise in the United States, creating a public health epidemic that is cause for great concern. Recent heroin use has been linked to opiate abuse and national organizations have identified this issue as a serious public health challenge. The Obama administration recently directed more than $1 billion in funding to expand access to treatment and boost efforts to help those who seek treatment. Newspapers are seen as reliable and credible sources of information, and newspapers’ portrayals of public health problems influence readers’ perceptions about the severity of the problem and solutions to the problem. The current study examined national and city newspapers coverage of heroin. The results of this study inform health communication and public health education efforts and offer practical implications for combatting the heroin epidemic.
Exchanging social support online: A big-data analysis of IBS patients’ interactions on an online health forum from 2008 to 2012 • Fan Yang, Pennsylvania State University; Bu Zhong, Pennsylvania State University • This research conducts a big-data analysis to examine why IBS patients offered social support to peer patients on an online health forum. Social network analysis of 90,965 messages shared among 9,369 patients from 2008-2012 suggests that although having received support from others encourages individuals to offer support in the online community, being able to help others previously also emerges as a significant and long-lasting impetus for social support provision online. Reciprocating support with one another, however, prevents one from keeping offering support on the forum over time. Furthermore, based on sentiment analysis, it is indicated that the extent to which one could freely express emotions for support seeking also serves as a significant predictor for the amount of social support he/she could obtain from others. Theoretical and practical implications are discussed.
To entertain or to scare? A meta-analytic review on the persuasiveness of emotional appeals in health messages • Fan Yang, Pennsylvania State University; Jinyoung Kim, The Pennsylvania State University • This research conducts a meta-analytic review on the how appealing to positive vs. negative emotions in health messages could persuade. Emotional appeals significantly enhance the persuasiveness of health messages on cognition, attitude, and intention, but not on actual behavior. Appealing to negative rather than positive emotions appears to be more persuasive. Furthermore, richer formats of presentations of health messages are significantly more effective than plain texts. Theoretical and practical implications are discussed.
A Disagreement on Consensus: A Measured Critique of the Gateway Belief Model and Consensus Messaging Research • Graham Dixon, Washington State University • The newly developed Gateway Belief Model suggests the key to scientific beliefs is one’s perception of a scientific consensus. However, inconsistent findings question the explanatory power of the model and its application. This paper provides further depth to the explanatory power of the model, suggesting consensus messages affect audience segments in different ways. This nuanced perspective of the model can usher in future research seeking to close belief gaps between the lay public and experts.
Communicating inaction-framed risk: Reducing the omission bias via internal causal attribution • Graham Dixon, Washington State University • Despite identical outcomes derived from actions or inactions, people often experience more intense affective reactions toward action-framed outcomes. This “omission bias” presents challenges to communicating various risks. Reporting on two experiments, findings suggest that the omission bias occurs across various risk topics and message stimuli. Importantly, dimensions of causal attribution, such as locus of causality and stability, play a mediating role on the omission bias. Recommendations are made for more effective risk communication practices.
You Win or We Lose: A Conditional Indirect Effect Model of Message Framing in Communicating the Risks of Hydraulic Fracturing • Guanxiong Huang, Michigan State University; Kang Li; Hairong Li • This study explores the effects of message framing and reference frame on risk perception and associated behavior intent. Using an environmental hazard of hydraulic fracturing as an example, a 2 (message framing: gain vs. loss) × 2 (reference frame: self vs. group) between-subject experiment shows significant interaction effects between message framing and reference frame, in that gain-framed message paired with self-referencing frame is most effective in enhancing risk perception whereas the loss-framed message paired with group-referencing frame is most effective in increasing willingness to sign a petition to ban hydraulic fracturing. More theoretical and practical implications for environmental risk communication and persuasive message design are discussed.
Messages Promoting Genetically Modified Crops in the Context of Climate Change: Evidence for Psychological Reactance • Hang Lu, Cornell University; Katherine McComas; John Besley, Michigan State University • Genetic modification (GM) of crops and climate change are arguably two of today’s most challenging science communication issues. Increasingly, these two issues are connected in messages proposing GM as a viable option for ensuring global food security threatened by climate change. This study examines the effects of messages promoting the benefits of GM in the context of climate change. Further, it examines whether attributing the context to “climate change” vs. “global warming” vs. “no cue” leads to different effects. An online sample of U.S. participants (N=1,050) were randomly assigned to one of four conditions: “climate change” cue, “global warming” cue, no cue, or control (no message). Compared to the control, all other conditions increased positive attitudes toward GM. However, the “no cue” condition led to liberals having more positive attitudes and behavioral intentions toward GM than the “climate change” cue condition, an effect mediated by message evaluations.
An Enhanced Theory of Planned Behaviour Perspective: Health Information Seeking on Smartphones Among Domestic Workers • Hattie Liew; Hiu Ying Christine Choy • This exploratory study investigates the antecedents of health information seeking via mobile smartphone (HISM) among migrant domestic workers. 320 Filipina workers in Hong Kong were surveyed. The Theory of Planned Behaviour (TPB) was extended with health literacy and external factors like needs of workers’ family as predictors of HISM intention. Findings support the TPB as a predictor of HISM and suggest the importance facilitating health information literacy and technical know-how among migrant domestic workers.
Need for Autonomy as a Motive for Valuing Fairness in Risk Communication • Hwanseok Song, Cornell University • Research shows that people strive to restore autonomy after experiencing its deprivation. An experiment was used to test whether people’s need for autonomy explains why they value non-outcome fairness (i.e., procedural, interpersonal, informational) in risk management contexts. Partial support was found for this effect, moderated by attitudes toward the risk itself. After experiencing autonomy-deprivation, participants who were more negative about the risk valued non-outcome fairness more and technical competence of the risk manager less.
Humor Effects in Advertising on Human Papillomavirus (HPV): The Role of Information Salience, Humor Level, and Objective Knowledge • Hye Jin Yoon; Eunjin (Anna) Kim, Southern Methodist University • As human papillomavirus (HPV) is the most common sexually transmitted disease in the United States, it is imperative that health communicators seek message strategies that educate the public on prevention and treatment. Guided by the elaboration likelihood model (ELM), an experimental study tested the effects of sexually transmitted disease (STD) information salience, humor level, and objective knowledge in HPV public service advertisements (PSAs). The findings show objective knowledge moderating responses to advertisements varying in STD information salience and humor levels. Theoretical implications for humor and knowledge effects in health communication and practical implications regarding the design and targeting of HPV campaigns are provided.
Media Use and Antimicrobial Resistance Misinformation and Misuse: Survey Evidence of Information Channels and Fatalism in Augmenting a Global Health Threat • Jacob Groshek, Boston University; James Katz; Chelsea Cutino; Qiankun Zhong • Antimicrobial resistance (AMR) is giving rise to a global public health threat that is not reflected in public opinion of AMR. This study thus proceeds to examine which individuals among the general public are more likely to be misinformed about AMR and report misusing AMR-related products. Specifically, traditional media (newspaper, radio, television) consumption and social media use are modeled as factors which may not only reinforce but perpetuate AMR misinformation and misuse.
Who is Scared of the Ebola Outbreak? The Influence of Discrete Emotions on Risk Perception • Janet Yang; Haoran Chu • Utilizing the appraisal tendency framework, this study analyzed discrete emotion’s influence on the U.S. public’s risk perception and support for risk mitigation measures. An experimental survey based on a nationally representative sample showed that discrete emotions were significantly related to public risk perception. Further, fear exhibited an inhibitive effect on the relationship between systematic processing of risk information and institutional mitigation support. Systematic processing, in contrast, had the most consistent impact on mitigation support.
Sexual Health Intervention Messaging: Proof Positive that Sex Negative Messages are Less Persuasive • Jared Brickman • As comprehensive sexual health education programs are adopted by universities, there is a need to evaluate what messaging approaches might connect best with students. This study measured reactions to sex positive or negative messages, framed as a gain or loss. Participants evaluated 24 messages on their mobile phones. Gain framing was preferred over loss framing, and sex positive messages were rated as more believable and persuasive. An interaction between the two concepts was also found.
Examining the Differential Effects of Emotions: Anxiety, Despair, and Informed Futility • Jay Hmielowski, Washington State University; Rebecca Donaway, Washington State University; Yiran Wang, Washington State University • Using survey data collected during the fall of 2015, we examine the role of different emotions in increasing and decreasing active information seeking and processing behaviors. We replicate results from the Risk Information Seeking and Processing (RISP) model focusing on anxiety as a key variable that triggers these active information seeking behaviors. We also test the informed futility hypothesis, which proposes that learning about an issue leads people to become disengaged with solving the problem.
Public Support for Energy Portfolios in Canada: How Cost and National Energy Portfolios Affect Public Perception of Energy Technologies • Jens Larson; Jiawei Liu, Washington State University; Zena Zena Edwards; Kayla Wakulich; Amanda Boyd, Washington State University • In this study, we examine current energy perceptions in Canada, exploring how regional differences of current electricity-producing energy portfolios and evaluable information affect support for energy sources. Our results show that individuals support electricity-producing energy portfolios that vary significantly by region. We demonstrate through the use of a portfolio approach that evaluable information could significantly change support for electricity-producing energy technologies.
The effects of gain vs. loss framed medical and religious breast cancer survivor testimonies on attitudes and behaviors of African-American female viewers • Jensen Moore, University of Oklahoma • African-American women are at elevated risk for the most advanced form of breast cancer due to late detection. This 2 (Message Type: Religious/Medical) X 2 (Message Frame: Loss/Gain) X 4 (Message Replication) experiment examined breast cancer narratives aimed at African-American women ages 35-55 who had not had breast cancer. Narratives contained medical/religious messages and gain/loss frames. Effects of the narratives on attitude, credibility, behavioral intent, arousal and emotions were examined. Results suggest medical, gain framed narratives were the most effective. Specifically, gain framed narratives increased attitudes, mammogram behavioral intentions, arousal, and positive emotions while medical narratives increased credibility, mammogram behavioral intentions, and arousal.
Gap in Scientific Knowledge and the Role of Science Communication in South Korea • Jeong-Heon Chang; Sei-Hill Kim; Myung-Hyun Kang; Jae Chul Shim; Dong Hoon Ma • Using data from a national survey of South Koreans, this study explores the role of science communication in enhancing three different forms of scientific knowledge (factual, procedural, and subjective). We first assess learning effects, looking at the extent to which citizens learn science from different channels of communication (interpersonal discussions, traditional newspapers, television, online newspapers, and social media). We then look closely into the knowledge gap hypothesis, investigating how different channels of communication can either widen or narrow the gap in scientific knowledge between social classes. Our data indicated that among the four mass media channels examined, television was the most heavily-used source for science information in South Korea. Also, television was found to function as a “knowledge leveler,” narrowing the gap between highly and less educated individuals. The role of online newspapers in science learning is pronounced in our research. Reading newspapers online indicated a positive relationship to all three measures of scientific knowledge. Contrary to the knowledge-leveling effect of television viewing, reading online newspapers was found to increase, rather than decrease, the gap in knowledge. Implications of our findings are discussed in detail.
Beyond the worried well: Emotional states and education levels predict online health information seeking • Jessica Myrick, Indiana University; Jessica Willoughby • This study combined conceptual frameworks from health and risk information seeking, appraisal theory of emotions, and social determinants of health literatures to examine how emotional states and socioeconomic status individually and jointly predict online health information seeking. Using nationally representative data from the Health Information National Trends Survey (HINTS 4, Cycle 3), we found that different discrete emotions predicted information seeking in different ways. Moreover, education levels interacted with anxiety to predict online information seeking.
The Effect on Young Women of Public Figure Health Narratives regarding HPV: An Application of the Elaboration Likelihood Model • Jo-Yun Queenie Li • “The Genital Human Papillomavirus (also called HPV), the most common STD which causes virtually all cases of cervical cancer in the U.S, has been overlooked by society due to a lack of knowledge and stigma surrounding STDs. This study explores the effectiveness of public figure health narratives and different media platforms on young women’s awareness of HPV and their behavioral intentions to receive vaccination. An online between-groups experiment with
275 participants based on the Elaboration Likelihood Model revealed that the effectiveness of public figure health narratives on individuals’ awareness and behavioral intentions are maximized when the messages appear in newspapers rather than in social media, and when the
message recipients are in high involvement conditions. The interaction among the three variables is discussed, along with implications for health communication and HPV promotion campaigns.”
“I believe what I see:” Students’ use of media, issue engagement, and the perceived responsibility regarding campus sexual assault • Jo-Yun Queenie Li; Jane O’Boyle, University of South Carolina; Sei-Hill Kim • “Abstract
The topic of campus sexual assault has received much news media attention recently, prompting scholars to examine media effects on students’ attitudes and behaviors regarding the issue. Our survey with 567 college students examines how students’ media use have influenced their engagement with the issue of campus sexual assault and their perceived responsibility regarding the issue, looking particularly at the question of who is responsible and the perceptions of rape myths. Results revealed that newspapers’ coverage regarding campus sexual assault may contribute to college students’ victim-blaming and enduring victim myths. However, these may be minimized by raising students’ perceived importance about the issue. And the most effective media channel in which to increase students’ perceived importance is social media. Theoretical and practical implications are discussed.”
Cultural Representations of Gender and Science: Portrayals of Female STEM Professionals in Popular Films 2002-2014 • Jocelyn Steinke, Western Michigan University; Paola Paniagua Tavarez, Western Michigan University • This study focused on a textual analysis that examined representations of female STEM (science, technology, engineering and mathematics) characters in speaking roles and portrayals of female STEM characters in lead, co-lead, and secondary roles in popular films that featured STEM characters from 2002 to 2014. Findings indicated that female were outnumbered by male STEM characters in speaking roles by 2 to 1. Portrayals of female STEM characters were varied. Some portrayals revealed gender stereotypes although scientist stereotypes were rare. Most female STEM character were portrayed as equal members of research teams, almost all portrayals focused on their attractiveness, and about half of the portrayals highlighted their romantic relationships. The findings from this study were compared with those from previous research in order to trace changes in cinematic representation and portrayals of female STEM characters over time. A discussion of the implications for future research in this area and implications for broadening participation in STEM will be addressed.
“You Made Me Want to Smoke”: Adaptive and Maladaptive Responses to Tweets from an Anti-Smoking Campaign using Protection Motivation Theory • Jordan Alpert, Virginia Commonwealth University; Linda Desens • The F.D.A. developed the Real Cost campaign to prevent and reduce the number of teens who experiment with smoking and become lifelong tobacco users. The $115 multimedia campaign utilizes channels such as television, radio, print and online, including social media. Since social media allows for interaction and immediate feedback, this study analyzed how Twitter users responded to anti-smoking messages containing fear-appeals created by the Real Cost. Over 300 tweets exchanged between a Twitter user and @KnowtheRealCost were gathered between 2015 and 2016. Through the lens of Protection Motivation Theory, content analysis discovered that 67% (220) of responses were maladaptive and 33% (111) of tweets were adaptive (intercoder reliability, κ = .818). Iterative analysis was also performed to identify and categorize themes occuring within threat and coping appraisals. For threat appraisals, it was found that perceived vulnerability was lessened due to incidence of the boomerang effect, perceived severity was reduced by comparison to other dangerous activities, and rewards included relaxation and reduced anxiety. Coping appraisals included evidence of self-efficacy and social support. Results of the study indicated that although users reacted in a maladaptive manner, Twitter can be a powerful platform to test messages, interact with users and reinforce efficacious behavior.
“Pass the Ban!” An Examination of the Denton, Texas, Fracking Ban • Judson Meeks, Texas Tech University • This paper examines how groups on both sides of the fracking debate presented their cases to the public by conducting a visual and textual analysis to examine campaign materials. The study found that anti-fracking advocates presented the issue as one about local control and unity, whereas the pro-fracking advocates presented the issue as an economic threat the local community and the financial well-being of future generations.
Promoting Healthy Behavior through Social Support in Mobile Health Applications • Jung Won Chun, University of Florida; Jieun Cho; Sylvia Chan-Olmsted, University of Florida • Mobile health applications serve as a venue for promoting personal well-being by allowing users to engage in health-promoting behavior, such as sharing health information and health status/activities with each other. Through social interactions enabled by mobile health apps, people are likely to engage in healthy behavior and well-being with support from others. The current study explored which factors of smartphone use and motives for using health applications influence the perceived social support from mobile health applications. It also investigated the effect of perceived control as a mediating variable on the relationship between perceived social support in the applications and healthy behavior and well-being. The results showed that perceived social interaction and technological convenience were the main predictors of perceived social support in mobile health apps, which have indirect effects on exercise and perception of well-being. Perceived control positively mediated the relationship between perceived social support in the applications of both exercise and well-being.
Are you talking to me? Testing the value of Asian-specific messages as benefits to donating healthy breast tissue • Kelly Kaufhold, Texas State University; Yunjuan Luo; Autumn Shafer, University of Oregon • The Komen Tissue Bank at the Indiana University collects breast tissue samples from volunteers but suffers from a dearth of donations from Asian women. This two-part study was devised to test messages targeting Asian women. Applying Health Belief Model to a survey and five focus groups, low perceived susceptibility and severity yielded increased barriers and lower benefits among Asian women. Asian-specific messages showed significantly higher benefits for Asian women who suggested even more Asian-specific messaging.
Sources of Information About Emergency Contraception: Associations with Women’s Knowledge and Intentions to Use • Kyla Garrett, University of North Carolina; Laura Widman; Jacqueline Nesi; Seth Noar • Emergency contraception (EC) is a highly effective form of birth control that may lower rates of unintended pregnancy among young women. Currently, lack of adequate information and misunderstandings about EC hamper efforts to disseminate EC to women who need it. The purpose of this study was to determine the sources from which women had learned about EC (including health care providers, friends or interpersonal sources, media sources, or no information sources), and to examine whether source credibility was associated with accuracy of knowledge about EC and intentions to use EC. Participants were 339 college women (M age = 18.4) who reported where they had received information about EC, if anywhere, along with their EC knowledge and behavioral intentions. In total, 97% of women had heard of EC from at least one source and 49% indicated they were highly likely to use EC in the future, if needed. Results demonstrated significant positive relationships among higher credibility of EC information sources, more accurate EC knowledge, and greater intentions to use EC. Moreover, EC knowledge mediated the relationship between source credibility and intentions to use EC. Future EC education efforts should capitalize on credible information sources to positively influence EC knowledge and increase uptake of EC in emergency situations. Additional research is needed to examine the content, quality, and frequency of messages young women receive about EC.
Stymied by a wealth of health information: How viewing conflicting information online diminishes efficacy • Laura Marshall, UNC Chapel Hill; Maria Leonora Comello, UNC Chapel Hill • Confusing information about cancer screening proliferates online, particularly around mammography and prostate antigen testing. Whereas some online content may highlight the effectiveness of these tests in preventing cancer, other sources warn these tests may be ineffective or may cause harm. Across two experiments, we found support for the notion that exposure to conflicting information decreases self-efficacy and response efficacy, potentially discouraging the likelihood of behavior change that could prevent cancer.
Thematic/Episodic and Gain/Loss Framing in Mental Health News: How Combined Frames Influences Support for Policy and Civic Engagement Intentions • Lesa Major • This current research tests whether changing the way online stories frame depression affects how audience members attribute responsibility for depression and their civic engagement intentions towards policy solutions for depression. This study uses two framing approaches: 1) emphasis on an individual diagnosed with and living with depression (individualizing the coverage or episodic framing) and 2) emphasis on depression in more general or broader context (thematic or societal framing).This research examines gain (emphasizes benefits – e.g. lives saved) and loss (emphasizes costs – lives lost) frames to measure the interaction effects of frames (e.g. thematic-loss coverage or episodic-gain coverage) in news stories .A significant contribution of this research is the construction of the episodic frame. Findings of this research indicated loss-framed stories increased support for mental health policy solutions for depression, but the episodic frame increased societal attribution of responsibility for causes associated with depression.
Obesity News: The Effects of Framing and Uncertainty on Policy Support and Civic Engagement Intentions • Lesa Major • This study examined the effects of episodic (individual) frames and thematic (societal) frames in news on the causes (causal attribution) of and treatments (treatment attribution) for obesity. Interactions are investigated in this research by including gain and loss frames. Gain and loss frames have been examined in health messages, but have not received as much scholarly attention in terms of framing effects in health news. Finally, this study explored the effects of uncertainty and certainty on responsibility attribution. Findings suggest combined frames could influence support for obesity related policies.
Examining Ad Appeals in Over-the-Counter Drug Advertising in Japan • Mariko Morimoto, Sophia University • A quantitative content analysis of Japanese OTC drug TV commercials broadcasted during prime time was conducted to provide an overview of pharmaceutical advertising in Japan. In the sample of 204 ads, nutritional supplement drinks were the most frequently advertised drug category. Ad appeals including effective, safe, and quick-acting were popular. Additionally, these ads predominantly used a product merit approach, and celebrity endorsers, particularly actors/actresses and “talents” (such as TV personnel and comedians), were frequently featured.
Effects of Persuasive Health Information on Attitude Change and Health Behavioral Intentions in Mobile Social Media • Miao Miao; Qiuxia Yang; Pei-Shan Hsieh • Previous research has shown that online health information suffers from low credibility. Drawing on the elaboration-likelihood model (ELM), the central and peripheral routes were operationalized in this study using the argument quality and source credibility constructs respectively. We further examined how these influence processes were moderated by receivers’ health expertise. A between-groups, 2 (argument quality) × 4 (source of credibility) factorial design was tested from WeChat which is the dominant mobile social media in China.
Health Literacy and Health Information Technology Adoption: The Potential for a New Digital Divide • Michael Mackert, The University of Texas at Austin; Amanda Mabry, The University of Texas at Austin; Sara Champlin, The University of North Texas; Erin Donovan, The University of Texas at Austin; Kathrynn Pounders, The University of Texas at Austin • Approximately one-half of American adults exhibit low health literacy. Health information technology (HIT) makes health information available directly to patients through electronic forms including patient portals, wearable technology, and mobile apps. In this study, patients with low health literacy were less likely to use HIT or perceive it as easy/useful, but perceived information on HIT as private. There is room to improve HIT so that health information can be managed among patients of all abilities.
Sharing Health-Related Information on Facebook: An Integrated Model • Ming-Ching Liang, Metropolitan State University • This study proposes a model that explains proactive and reactive information sharing behaviors. In the context of sharing influenza-related information on Facebook, a survey study (N=338) was conducted. Results confirmed the applicability of the proposed information sharing model in current research context. Perceived norms of information sharing, need for self-presentation on SNSs, and sense of virtual community were identified as predictors for proactive and reactive information sharing behaviors. Theoretical and practical implications are discussed.
The Impact of Fear Appeals in The Tailored Public Service Announcements Context • Nam Young Kim, Sam Houston State University • In the context of an anti-binge drinking health campaign, this study particularly tested how the emotional content (i.e., fear appeals) in tailored messages influences people’s messages processing as well as their attitudinal/behavioral changes. Using a 2 (regulatory fit: fit vs. non-fit) X 2 (level of fear appeals: low vs. high) experimental design, the findings indicate that the influence of tailored messages should be discussed cautiously, because the tailored message’s effectiveness is reduced when combined with a high fear appeal. The findings have theoretical and practical implications on the use of emotional appeals in tailored communication.
Testing the effects of dialogic communication on attitudes and behavioral intentions related to polarized and non-polarized scientific issues • Nicole Lee, Texas Tech University • Dialogue has been presented as an alternative to the deficit model. This online experiment tested the impact of dialogue on trust in science, relationship qualities, and behavioral intentions. In order to examine the influence of political polarization, the issues of climate change and space exploration were compared. Dialogue significantly affected relationship qualities and behavioral intentions for space exploration, but not climate change. Results serve to integrate public relations theory and science communication scholarship.
Science in the social media age: Profiles of science blog readers • Paige Jarreau, Louisiana State University; Lance Porter, Louisiana State University • Science blogs have become an increasingly important component of the ecosystem of science news on the Internet. Yet we know little about science blog users. The goal of this study was to investigate who reads science blogs and why. Through a survey of 2,955 readers of 40 randomly selected science blogs, we created profiles of science blog users based on demographic and science media use patterns. We identified three clusters of science blog readers. Super users indicated reading science blogs for a wide range of reasons, including for community seeking purposes. One-way entertainment users indicated reading blogs more for entertainment and ambiance. Unique information seeking users indicated reading blogs more for specific information not found elsewhere. But regardless of science blog users’ motivations to read, they are sophisticated consumers of science media possessing high levels of scientific knowledge.
Using Weight-of-Experts Messaging to Communicate Accurately about Contested Science • Patrice Kohl; Sharon Dunwoody, University of Wisconsin-Madison • Research indicates that balanced news coverage of opposing scientific claims can result in heightened uncertainty among audiences about what is true. In this study, we test the ability of a weight-of-experts statement to enhance individuals’ ability to distinguish between more and less valid claims. An experiment found that the WOE narrative led participants to greater certainty about what scientists believed to be true, which made participants more likely to “buy in” to that belief.
Framing climate change: Competitive frames and the moderating effects of partisanship on environmental behavior • Porismita Borah • The present study conducted both focus groups and experiments to understand the influence of frames on environmental behavior intention. The focus groups and the first experiment were conducted with undergraduate students for pilot testing while the main experiment used an U.S. national sample. Findings show that a message with elements from both problem-solving and catastrophe frames increases individuals’ environmental behavior intention. This relationship is moderated by political ideology, such that only those participants who identified as Democrats and Independents showed more willingness to pro-environmental behavior. Over all, Republications were low on pro-environmental behavior intention compared to the Democrats. But within the Republicans, participants showed more likelihood for pro-environmental behavior intention in the catastrophe framed condition. Implications are discussed.
Abstract or Concrete? A Construal-level Perspective of Climate Change Images in U.S. Print Newspapers • Ran Duan, Michigan State University; Bruno Takahashi; Adam Zwickle; Kevin Duffy, Michigan State University; Jack Nissen, Michigan State University • Climate change is one of the most severe societal environmental risks that call for immediate actions in our age; however, the impacts of climate change are often perceived to be psychologically distant at a high level of construal. This research presents an initial exploration of newspapers’ visual representations of climate change using a construal-level perspective. Focusing on the recent years from 2012 to 2015, this study content analyzed a total of 635 news images with regards to image themes and nine other factors in relation to construal level (e.g., image formats, chromatic characteristics, etc.) Unexpectedly, the results show that overall, climate change has been visually portrayed as a relatively concrete rather than abstract issue and has mostly been portrayed with a high level of specificity. In particular, USA Today visually covered the issue as most concrete, followed by the New York Times, and Wall Street Journal. Human themed images were the most concrete images as compared to nature themed and industry themed images. Findings indicate that construal level aspects in the news images provide another way of understanding and interpreting climate change imagery in the media in the U.S.
“Standing up for science”: The blurring lines between biotechnology research, science communication, and advocacy • Rebecca Harrison, Cornell University • Targeted for their vocal support for genetic engineering and their work in science outreach, upwards of 50 academic agricultural biotechnologists have received Freedom of Information (FOIA) requests since February 2015. The U.S. Right to Know (US-RTK), a self-described watchdog organization who filed the requests, sought to uncover any conflicts of interest (COI) between industry and tax-payer-funded scientific research on genetically modified organisms (GMOs). The action has been called a “witch hunt” and “bullying” by supporters of the scientists, and an October 2015 Nature Biotechnology Editorial challenges its audience to “stand up for science” in the wake of this “smear campaign.” The dominant view of science communication is rooted in the idealized assumption that the very act of communication is nothing more than an apolitical transfer of a simplified version of scientific knowledge. The conceptualization of general COI by the scientific community often reflects this outdated framework. But, as scientists become politically engaged as advocates for their own work, this framework is challenged. Using the 2015 case of biotechnology researchers and records requests, this paper explores the question: Why is “scientific outreach” often considered categorically different than “research” — both structurally at the university level, but also as a distinction internalized by these particular scientists — and therefore perceived as immune to charges of COI?
Effects of Heuristic-Systematic Information Processing about Flu and Flu Vaccination • SangHee Park, University of Michigan, Dearborn • This study applied the heuristic-systematic model (HSM) in order to explore risk perceptions of flu and the flu vaccination because the HSM explains individual’s information processing as an antecedent to attitude. Accordingly, this study examined how people process different types of risk information applying a 2 (Message framing: heuristic information message vs. systematic information message) by 2 (expert source vs. non-expert source) online experiment. The experiment found that risk perception of flu illness was positively related to benefit perception of the flu vaccination. The result also indicated that heuristic messages affected risk perception of the flu vaccination, but not flu illness perception. Implications and limitations of these findings were discussed.
Exploring the Multi-Faceted Interpersonal Communication Strategies Used By College Students to Discuss Stress • Sara Champlin, The University of North Texas; Gwendelyn Nisbett, University of North Texas • Mental health issues are a prevalent problem on college campuses yet stigma remains. We examine patterns of college students either seeking help for personal stress or providing help to a stressed friend. Textual analysis was used to extract themes of participant comments and identify common behaviors. Results suggest that students use direct, indirect, and avoidant approaches to addressing stress with friends. Distinctions are blurred in self help-seeking behavior. Implications for creating interpersonal campaigns are discussed.
“Warrior Moms”: Audience Engagement and Advocacy in Spreading Information About Maternal Mental Illness Online • Sarah Smith-Frigerio, University of Missouri • One in seven women will experience a maternal mental illness, yet little is known about why individuals seek information about maternal mental illness and treatments, or how they make use of messages they find. By employing a grounded theoretical approach, involving a close reading of Postpartum Progress, the world’s most read online site concerning maternal mental illness, as well as analysis of semi-structured audience interviews of 21 users of the site, this study contributes a more nuanced understanding of how participants use information and peer support on the site. In addition, the research explores how participants move beyond seeking information anonymously online about a stigmatized mental illness or use private support forums for peer support, to engage in online and offline advocacy efforts.
From Scientific Evidence to Art: Guidelines to Prevent Digital Manipulation in Cell Biology and Nanoscience Journals • Shiela Reaves, University of Wisconsin-Madison; Steven Nolan, University of Wisconsin-Madison • As technological advances have made it easier to digitally manipulate images, the scientific community faces a major issue regarding ethics of visual data. A content analysis of editorial guidelines for the scientific images in cell biology and nanoscience journals demonstrates differences between the two disciplines. Cell biology images in high impact journals receive detailed guidelines about digital manipulation. However, nanoscience journals and low-impact journals have less detailed instructions to prevent misleading visual data.
The Influence of Internal, External, and Response Efficacy on Climate Change-Related Political Participation • Sol Hart, University of Michigan; Lauren Feldman, Rutgers University • This study examined how changing the type and valence of efficacy information in climate change news stories may impact political participation through the mediators of perceived internal, external, and response efficacy. Stories including positive internal efficacy content increased perceived internal efficacy, while stories including negative external efficacy content lowered perceived external efficacy. Perceived internal, external, and response efficacy all offered unique, positive associations with intentions to engage in climate change-related political participation.
Recycling Intention Promotes Attitudinal and Procedural Information Seeking • Sonny Rosenthal; Leung Yan Wah • Information seeking is more likely to occur when the information has utility to the seeker. Prior scholarship discusses this property of information in terms of instrumental utility and, more recently, informational utility. Research on information seeking describes various factors that may motivate information search, but none has directly modeled behavioral intention as an antecedent. The current study examines the effect of recycling intention on intention to seek two kinds of information: attitudinal and procedural. Results show strong effects, which suggest that in the context of recycling, information seeking may serve functions of behavioral and defensive adaptation. Additional findings suggest that recycling personal norms and recycling-related negative affect influence information seeking, albeit indirectly, as forms of cognitive and affective adaptation. Results have implications for selective exposure theory and the practice of environmental communication.
The Effects of Environmental Risk Perception, and Beliefs in Genetic Determinism and Behavioral Action on Cancer Fatalism • Soo Jung Hong, Huntsman Cancer Institute • This study investigates the effects of environmental risk perception, and beliefs in genetic determinism and behavioral action regarding cancer development on cancer fatalism, as well as the moderation effect of education and the mediating role of environmental risk perception on those associations. Nationally representative data from the National Cancer Institute’s (NCI) 2013 Health Information National Trends Survey (HINTS) was employed. Findings reveal interesting and meaningful dynamics between those variables and suggest directions for future research.
Perceptions of Sexualized and Non-Sexualized Images of Women in Alcohol Advertisements: Exploring Factors Associated with Intentions to Sexually Coerce • Stacey Hust; Kathleen Rodgers; Stephanie Ebreo; Nicole O’Donnell, Washington State University • The purpose of this study was to identify factors associated with college students’ intentions to sexually coerce. An experiment was conducted with (N= 1,234) participants from a college sample. One condition was exposed to sexualized alcohol advertisements and a second condition to non-sexualized alcohol advertisements. Identifying as a man, adherence to traditional gender roles and heterosexual scripts, and exposure to alcohol advertisements with sexualized images of women were positively associated with intentions to sexually coerce.
Enabling Tailored Message Campaigns: Discovering and Targeting the Attitudes and Behaviors of Young Arab Male Drivers • Susan Dun, Northwestern University in Qatar; Syed Owais Ali, Northwestern University in Qatar; Rouda almeghaiseeb, Northwestern University in Qatar • Citing the preventable nature of traffic accidents and the unacceptably high number of causalities, the World Health Organization recently issued an international call for action to combat the needless loss of life and injuries (Nebehay, 2015). Because of dangerous driving behaviors 18-25 year old men are the highest the risk group for accidents, yet they are resistant to typical risk communications. Young Arab men are particularly at risk within this group. The study reported here discovered the driving attitudes and behavioral intentions of young Arab men to enable communication campaigns to specifically tailor persuasive messages for this high-risk yet understudied group in a bid to save lives and decrease the injuries from accidents. We suspected that they are high sensation seeking, fatalistic, and as members of a collectivistic, masculine culture, likely to engage in risking driving behaviors. Using a culturally contextualized focus group setting, we confirmed that they fatalistic, value assertive driving by equating good driving with high-risk behaviors, dislike fear appeals and blame other drivers for accidents. Suggestions for risk communication campaigns are provided. We discovered tensions in their belief systems that could provide an avenue for persuasive messaging, by exposing the contradictions and resolving them in a pro-attitudinal direction. Basic safety beliefs need to be targeted as well, such as the importance of seat belts and defensive driving. Finally, a novel campaign that is not recognizable as a dramatic or sad safe driving campaign is a must, especially initially, or the message is likely to be ignored.
MERS and the Social Media Impact Hypothesis: How Message Format and Style Affect TPE & Perceived Risk • T. Makana Chock, Syracuse University; Soojin Roh, Syracuse University • This study examined the effects of narrative transportation and message context on third person effects (TPE), perceived risk, and behavioral intentions. A 2 (Format: Narrative/Factual news) X 2 (Context: news site, news story on Facebook page) plus 1 (personal account on a Facebook page) between-subject experimental design (N=269) conducted in South Korea examined the differences between reading news stories about the risks of The Middle East Respiratory Syndrome (MERS) in different media contexts – online news sites and Facebook pages – and different formats — narrative, factual, and personal accounts. TPE were found for factual news stories read on news sites, but not for the same story when it was read on a Facebook page. Narrative versions of the story elicited greater transportation and limited TPE regardless of whether the news stories were read on news sites or Facebook pages. TPE was found for personal accounts read on a Facebook page. Source credibility and identification were found to partially mediate the relationship between narrative transportation and perceived story effects on self. In turn, perceived effects on self contributed to personal risk perceptions and risk-prevention behaviors.
Tracking public attitudes toward climate change over time: The declining roles of risk perception and concern • Tsung-Jen Shih, National Chengchi University; Min-Hsin Su; Mei-Ling Hsu • Increasing public risk perception of and concern over climate change has long been regarded as an effective strategy to motivate environmental-friendly behaviors. However, the levels of risk perception and concern may be volatile. For one thing, people may deny the existence of climate change when they feel threatened and, at the same time, do not know what to do. Furthermore, the concept of “issue fatigue” may occur when people are chronically exposed to threatening information. Based on two nationally representative telephone surveys conducted in Taiwan (2013 and 2015), this study examines how people’s risk perception and concern may change over time and whether the impacts on the adoption of pro-environmental behaviors will be different. The results indicate that, although people were more likely to take actions aimed at mitigating climate change in 2015 than in 2013, the levels of risk perception and concern declined significantly. Regression analyses also showed that the effects of risk perception and concern were moderated by time. Implications of the findings will be discussed.
On the Ever-growing Number of Frames in Health Communication Research: A Coping Strategy • Viorela Dan; Juliana Raupp • Recent years have brought a large number of studies citing framing as a theoretical guide in science and health communication research. Keeping track of this literature has become increasingly difficult due to a “frustrating tendenc[y]… to generate a unique set of frames for every study” (Hertog & McLeod, 2001, p. 151). In this study, in an attempt to assist those intending to keep track of this literature, we report the results of a systematic review of literature on news frames in the media coverage of health risks. In the studies scrutinized (k = 35), we found forty-five frame-names for just fifteen frames. They were: attribution of responsibility, action, thematic, episodic, medical, consequences, human interest, health severity, economic consequences, gain, loss, conflict, uncertainty, alarmist, and reassurance. In the paper, we address the overlap between some of these frames and other concepts and frameworks. Also, as some frames entail others or intersect with others, we provide a visualization of how frames relate to each other (see Figure 1). We suggest that building framing theory is stalled by the use of various frame-names for the same frames; yet, we realize that scholars using framing in their studies may follow other goals than building framing theory. However, those new to the field may have difficulty coping with the ever-growing number of frames. In this regard, we hope that our systematic review can help towards reaching consistency, a characteristic indispensable to any theory.
Who Are Responsible for HPV Vaccination? Examination of Male Young Adults’ Perceptions • Wan Chi Leung • HPV vaccination is an important public health issue, but past research has mostly been done on the HPV vaccination for females. An online survey was conducted on Amazon Mechanical Turk, and responses from 656 males aged 18-26 in the United States were analyzed. Attributing the responsibilities for getting HPV-related diseases more to women and to the self were associated with weaker support for the HPV vaccination for males. Attributing the responsibilities for getting the HPV vaccine more to women and to the self were associated with stronger support for the HPV vaccination for males. Findings point to suggestions for future promotions of the HPV vaccination for males.
Media Use, Risk Perception and Precautionary Behavior toward Haze Issue in China • Xiaohua Wu; Xigen Li • The study examined to what degree people’s risk perception of the haze in China was affected by mass media exposure, social network sites involvement and direct experience towards haze. The risk perception was examined in two levels: social risk perception and personal risk perception. Impersonal Impact Hypothesis was tested in the digital media context. The study also explores the influencing factors of precautionary behaviors. The key findings include: 1) mass media exposure and SNS involvement regarding haze issue mediate the effect of direct experience on risk perception; 2) Impersonal Impact Hypothesis was not supported in the context of multi-channel and interactive communication; 3) vulnerability slightly moderates the effect of mass media exposure on personal risk perception; 4) mass media exposure and SNS involvement positively affect precautionary behavior mediated through personal risk perception.
Expanding the RISP Model: Examining the Conditional Indirect Effects of Cultural Cognitions • Yiran Wang, Washington State University; Jay Hmielowski, Washington State University; Rebecca Donaway, Washington State University • This paper attempts to connect literature from the Risk Information Seeking and Processing model with the cultural cognitions literature. We do this by assessing the relationship between cultural cognitions and risk perceptions, then examine whether these risk perceptions are associated with the three outcomes of interest relative to the RISP model: Information seeking, systematic processing, and heuristic processing, through a full serial mediation model using 2015 data collected from ten watersheds communities across the U.S.
Introducing benefit of smoking in anti-smoking messages: Comparing passive and interactive inoculation based on Elaboration Likelihood Model • Yuchen Ren • This study tested the effect of message interactivity in inoculation (interactive inoculation message versus passive inoculation message) on children’s attitude towards smoking based on elaboration likelihood model. Eighty-two primary school students were recruited from Shenzhen, China. Experiment results showed that compared with passive inoculation message, interactive inoculation message generated more negative attitude towards smoking and higher involvement in both central route and peripheral route. Moreover, mediation analysis showed that only the central route indicator mediates the effect of message interactivity on children’s attitude towards smoking. In conclusion, this study not only introduces message interactivity to inoculation theory in smoking prevention context, but also reveals the mechanism of the proposed persuasion effect.
Adolescents’ Perceptions of E-cigarettes and Marketing Messages: A Focus Group Study • Yvonnes Chen; Chris Tilden; Dee Vernberg • “Prior research about e-cigarettes has rarely focused on young adolescents exclusively and explored their perceptions of the industry’s marketing efforts. This focus group study with adolescents (n=39) found that factors that motivate them to experiment with e-cigarettes (e.g., looking cool, curiosity, flavors) are identical to traditional tobacco uptake among adolescents. E-cigarette advertising was memorable because of color contrast, sleek design, and promised benefits. Restricting flavors and advertising may reduce e-cigarette experimentation and future tobacco use.”
Is a Picture Worth a Thousand Texts? Investigating the Influence of Visuals on Text-Based Health Intervention Content • Zhaomeng Niu; Yujung Nam; QIAN YU, Washington State University; Jared Brickman; Shuang Liu • Healthy eating and exercise among young people could curb obesity. Strong messaging is needed for weight loss interventions. This study evaluated the usefulness of visual appeals in text messages. A 2 (gain vs. loss) X 2 (picture vs. no picture) design with pretest and posttest questionnaires (N=107) revealed text-only messages with loss frames had an influence on affective risk response, while text messages with pictures had a positive effect on attitudes, intentions, and self-efficacy.