{"title":"When Messaging Norms Meet Platform Norms: Two Experiments on Short-Video Persuasion and Misinformation Correction.","authors":"Xizhu Xiao, Ruotong Sun, Xiaoqing Yu","doi":"10.1080/10410236.2026.2668715","DOIUrl":"https://doi.org/10.1080/10410236.2026.2668715","url":null,"abstract":"<p><p>Short-form video platforms such as TikTok are transforming health communication while amplifying the risks of misinformation. This study employs a sequential two-experiment design to examine (1) how norms in messaging (narrative vs. non-narrative descriptive norms) interact with norms on the platform (social endorsement: high vs. low) to shape message credibility, and (2) how misinformation endorsement (high vs. low) interacts with platform intervention labels (present vs. absent) to influence attitudes and intentions toward human papillomavirus (HPV) vaccination. Study I (<i>N</i> = 255) shows that high social endorsement enhances credibility, whereas narrative framing provides no additional persuasive benefit, suggesting that algorithmic popularity cues overshadow narrative effects. Study II (<i>N</i> = 299) reveals that highly endorsed misinformation undermines affective attitude when labels are absent, but subtle warnings reverse this effect. Affective attitude primarily drives behavioral intention under misinformation exposure. The findings extend norm-based persuasion and misinformation correction theories within algorithmic short-form video environments.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On the Impact of Chronic Message Fatigue on Informational and Behavioral Outcomes.","authors":"Shaochun Li, Lijiang Shen","doi":"10.1080/10410236.2026.2668012","DOIUrl":"https://doi.org/10.1080/10410236.2026.2668012","url":null,"abstract":"<p><p>Message fatigue is an aversive motivational state associated with chronic overexposure to similar messages. Most extant research has relied on cross-sectional designs, precluding causal inferences about the relationship among exposure, fatigue, and persuasive outcomes. To address this limitation, we conducted a two-wave online survey using a nationwide U.S. adults sample in the context of COVID-19 and influenza vaccine messaging (Wave 1: <i>N</i> = 601; Wave 2: <i>N</i> = 305). Cross-lagged panel analyses revealed a positive association between exposure and fatigue within Wave 2, whereas exposure at Wave 1 negatively predicted fatigue at Wave 2. Within each wave, fatigue was negatively associated with adaptive behavioral intentions. Information-induced emotions, including hope, anger, and fear, significantly correlated with fatigue. Unexpectedly, information-seeking intent at Wave 1 predicted lower message fatigue at Wave 2. Implications for message fatigue research and effective health communication are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Memorable Messages in Childhood Cancer Narratives: How Communication Shapes Survivors' Self-Concept, Mortality Views, and Understanding of Their Illness Experience.","authors":"Bailey Hughlett, Sydney O'Shay","doi":"10.1080/10410236.2026.2668014","DOIUrl":"https://doi.org/10.1080/10410236.2026.2668014","url":null,"abstract":"<p><p>Childhood cancer is a prevalent disease in the United States with lasting impacts on survivors. This study explores how communication during the childhood cancer experience shapes survivors into adulthood. Interviews were conducted with 13 survivors of childhood cancer to investigate the types of memorable messages in their cancer narratives and how those messages shaped survivors' emotions and understanding of their cancer experience. Five types of memorable messages were identified through reflexive thematic analysis: diagnosis delivery, battle metaphors, caring, harmful, and expectation-setting. Participants' experiences reflected how these messages shaped the: (a) reconstruction of one's self concept, (b) reorientation of their relationships, and (c) meaning they made from their illness experience. Findings highlight implications related to pediatric cancer diagnosis delivery, fostering patients' resilience, (dis)trust of medical professionals, reframing parent-child communication, and reevaluating the battle metaphor.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Systematic Review of Research on Communication in Traditional Chinese Medicine.","authors":"Lu Chen, Deborah Chinn, Chris Tang","doi":"10.1080/10410236.2026.2655768","DOIUrl":"https://doi.org/10.1080/10410236.2026.2655768","url":null,"abstract":"<p><p>Traditional Chinese Medicine (TCM) has garnered significant attention globally for its holistic approach to healthcare and potential benefits for various health conditions. While much research has focused on its clinical efficacy, there is growing recognition for the importance of examining communication within TCM practice to ensure delivery of patient-centered care in cross-cultural healthcare settings. This systematic review aims to fill this gap by summarizing existing research on communication in TCM. Four databases, namely Medline, Web of Science (WoS), Linguistics and Language Behavior Abstracts (LLBA), and Chinese National Knowledge Infrastructure (CNKI), were systematically searched using key terms related to \"TCM\" and \"communication.\" Articles were then screened based on predetermined criteria. Studies in English and Chinese were included if they focus on communication within TCM published in peer-reviewed journal articles. Quality of included studies was assessed through the Mixed Methods Appraisal Tool (MMAT). Due to the heterogeneity of included studies, narrative synthesis was employed to synthesize 25 included articles with 6 key themes emerged, namely (a)symmetry in TCM communication, communication strategies in TCM, relationship building, small talk and self-care, comparison and integration of TCM and Western Medicine (WM), and sociocultural factors. TCM communication emphasizes holism in the building of therapeutic relationships. Theoretically, this review deepens understanding of TCM communication and its key influences. Practically, the findings inform professional training programs that equip TCM practitioners with effective communication skills tailored to patient-centered, individualized and culturally competent care. Future research can explore TCM communication nuances at a more fine-grained level.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-22"},"PeriodicalIF":2.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Silent Stigma in Depression Communication: Mechanisms Shaping Public Understanding in Chinese and U.S. Media.","authors":"Cheng Chen, Renping Liu","doi":"10.1080/10410236.2026.2666884","DOIUrl":"https://doi.org/10.1080/10410236.2026.2666884","url":null,"abstract":"<p><p>This study investigates how stigma surrounding depression is subtly produced in news discourse and how such communicative practices frame public representations of mental health. Drawing on a corpus-based discursive news values analysis integrated with multimodal analysis, we examine English-language media coverage of depression in China and the United States. Rather than relying on overtly negative labeling, stigma is enacted through implicit communicative strategies: expert voices dominate while people with lived experience are marginalized, referential patterns repeatedly associate depression with postpartum women and suicide, and visual resources index emotional distance and role-bound femininity. Together, these discursive and visual configurations constitute what we term silent stigma-a mode of meaning-making that constrains interpretive possibilities, structures audience stance, and normalizes limited social representations of depression. Cross-national comparison further reveals culturally patterned strategies. Chinese media tend to externalize depression through foreign exemplars and symbolic imagery, while U.S. media personalize it through maternal identity and individual narratives, reflecting different communicative logics of distancing versus individualization. The findings suggest communicative considerations for mental health reporting, including broadening narrative voices, avoiding narrow demographic framing, and adopting culturally responsive textual and visual strategies. The study thus contributes to health communication scholarship by showing how everyday media practices discursively configure the visibility and legitimacy of depression in public news discourse.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information Avoidance in the Context of Mental Health: Applying the Planned Risk Information Avoidance Model.","authors":"Elena Link, Anna Freytag","doi":"10.1080/10410236.2026.2666889","DOIUrl":"https://doi.org/10.1080/10410236.2026.2666889","url":null,"abstract":"<p><p>Depression is among the most common mental health conditions worldwide. Despite the availability of effective treatments, many individuals delay or avoid seeking help. One important, yet underexplored, factor contributing to this treatment gap is information avoidance. Especially in the early stages of depression, the decision to avoid health information may hinder symptom recognition, self-management, and timely access to care. Therefore, the present study applies and refines the planned risk information avoidance (PRIA) model to explain depression-related information avoidance. The refined model was tested in a cross-sectional online survey (<i>N</i> = 471) among individuals currently experiencing depressive symptoms. The refined PRIA model accounted for 54.8% of the variance in avoidance intention, with attitudes toward avoidance and avoidance-related subjective norms serving as the strongest predictors of avoidance intention. Furthermore, cognitive load and anticipated regret over seeking information were found to be positively related to avoidance. These findings highlight the importance of affective and cognitive predictors and suggest that addressing social norms, attitudes, and regret over seeking may be key to reducing information avoidance and narrowing the mental health treatment gap.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-18"},"PeriodicalIF":2.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jizhou Francis Ye, Shenting Zheng, Piper Liping Liu
{"title":"Multifunctional Online Medical Record Use and Patient Empowerment: Examining the Mediating Role of Patient-Centered Communication Across the Life Span in the Greater China Region.","authors":"Jizhou Francis Ye, Shenting Zheng, Piper Liping Liu","doi":"10.1080/10410236.2026.2668013","DOIUrl":"https://doi.org/10.1080/10410236.2026.2668013","url":null,"abstract":"<p><p>The Greater China region represents the fastest-growing market for online medical records (OMR) implementation. However, the implications of these technologies for patient-centered care remain unclear. This study examined the relationships among different types of OMR usage (online patient-provider interactions, health information management, self-health management, and decision-making), patient-centered communication (PCC), and patient empowerment using a national sample (<i>N</i> = 6,271) of patients from Mainland China, Taiwan, Hong Kong, and Macao. Results revealed that OMR usage for online patient-provider interactions, self-health management, and decision-making was associated with patient empowerment among younger (18-34) and middle-aged (35-59) cohorts, with PCC mediating these relationships. eHealth literacy (eHL) moderated the relationship between self-health management and PCC in younger and middle-aged cohorts, while also moderating the association between decision-making and PCC across all age cohorts. Framed within the ecological model of health communication and life span perspectives, these findings suggest that future OMR studies would benefit from more nuanced and dialectical approaches. Practical implications are also discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lifting the Screen on Fitspiration: A Meta-Analysis.","authors":"Valerie Gruest, Nathan Walter","doi":"10.1080/10410236.2026.2653191","DOIUrl":"https://doi.org/10.1080/10410236.2026.2653191","url":null,"abstract":"<p><p>Fitspiration content is widespread across social media platforms, showcasing fitness imagery intertwined with beauty ideals, inspiring individuals to be fit. Despite the popularity of this content and scholarly efforts to understand its characteristics, little is known about the causal impact of fitspiration on users' health. The present meta-analysis (<i>k</i> = 26, <i>N</i> = 6,111) addresses this question by synthesizing the growing body of causal evidence published between 2015 and 2023. The results paint a dire image, revealing that exposure to fitspiration among young adults leads to increased social comparisons and unhealthy dieting and exercise motivations, as well as negatively influencing self-esteem, body image, appearance satisfaction, and affect. These findings set the agenda for future research, offering empirical evidence regarding a widespread, albeit undertheorized, feature of growing up in today's social media landscape.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":2.7,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2026-05-01Epub Date: 2025-08-07DOI: 10.1080/10410236.2025.2530738
Jiaxi Wu, Elaine Hanby, Qijia Ye, Julia M Applegate, Juno Obedin-Maliver, Mitchell R Lunn, Jennifer Potter, Andy S L Tan
{"title":"One Size Does Not Fit All: Mediating Effects of Perceived Character Similarity in Tailored Health Messages for Sexual and Gender Minority Young Adults.","authors":"Jiaxi Wu, Elaine Hanby, Qijia Ye, Julia M Applegate, Juno Obedin-Maliver, Mitchell R Lunn, Jennifer Potter, Andy S L Tan","doi":"10.1080/10410236.2025.2530738","DOIUrl":"10.1080/10410236.2025.2530738","url":null,"abstract":"<p><p>This research examines how gender expressions in health messages influence perceived message effectiveness (PME) for sexual and gender minority (SGM) young adults through perceived character similarity. In an online experiment, 1,113 SGM young adults were randomly assigned to view six anti-smoking messages portraying one of four gender expressions: feminine, masculine, gender expansive, or multiple gender. Findings indicated that messages with multiple gender expressions increased perceived character similarity among SGM young adults compared to messages showing masculine expressions; perceived character similarity mediated the relationship between message exposure and PME. However, messages with multiple gender expressions were associated with lower PME than all other conditions. Furthermore, moderation analysis revealed nuanced differences in responses based on participants' gender identities. Theoretically, this study underscores the mediating role of perceived character similarity in tailored communication, while suggesting that other factors may also contribute to PME. The findings have practical implications for designing health campaigns that resonate with the diverse gender identity groups within the SGM community.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"713-725"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2026-05-01Epub Date: 2026-04-10DOI: 10.1080/10410236.2026.2655417
Scott C Ratzan, Rebecca K Ivic, Kenneth H Rabin, Ruth M Parker, Sara Rubinelli, Rafael Obregon, Lawrence O Gostin, Michael G Baker, Samantha Thomas, Don Nutbeam, Ilona Kickbusch, J Gregory Payne, Vivianne Ihekweazu, Kirsten J McCaffery, Richard L Street, Sir Cary Cooper
{"title":"Safeguarding Quality in Health and Medical Science Information Today.","authors":"Scott C Ratzan, Rebecca K Ivic, Kenneth H Rabin, Ruth M Parker, Sara Rubinelli, Rafael Obregon, Lawrence O Gostin, Michael G Baker, Samantha Thomas, Don Nutbeam, Ilona Kickbusch, J Gregory Payne, Vivianne Ihekweazu, Kirsten J McCaffery, Richard L Street, Sir Cary Cooper","doi":"10.1080/10410236.2026.2655417","DOIUrl":"10.1080/10410236.2026.2655417","url":null,"abstract":"","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"933-935"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}