{"title":"Enacting an Online Depression Community in China: The Community of Practice Perspective.","authors":"Xin Li, Kaibin Xu","doi":"10.1080/10410236.2024.2448702","DOIUrl":"https://doi.org/10.1080/10410236.2024.2448702","url":null,"abstract":"<p><p>The dilemma of disclosing one's illness experiences in real life has led to a proliferation of online health communities. It is worth exploring the nature of such communities. Drawing on the community of practice (CoP) theory, this article explores how members enact online health communities by studying the support group \"Philosophical Treatment of Depression,\" one of the largest online depression communities in China. The findings show that participants enacted the CoP by constructing negative individual identities and positive collective identities, participating and engaging in the common enterprise, and building a shared repertoire. Constructing negative individual identities and positive collective identities enhanced group cohesion and clarified community goals. Participation and mutual engagement facilitated members' sharing of illness experiences and seeking/providing support in the community. Sharing treatment and coping experiences and tactics contributed to a shared repertoire that sustains the community. This study provides insights into understanding the nature of online health communities. It also has practical implications for social support to people living with depression.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921528","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":"Reactance as a Persuasive Strategy: How Health Communication Can Harness Anger to Leverage Behavior Change.","authors":"Philipp Sprengholz, Dela Bührig","doi":"10.1080/10410236.2024.2446369","DOIUrl":"https://doi.org/10.1080/10410236.2024.2446369","url":null,"abstract":"<p><p>According to psychological reactance theory, individuals who perceive a threat to or loss of valued behavior will experience reactance - an amalgam of anger and negative cognitions that motivates an effort to regain behavioral freedom. The limited effects of health communication interventions have often been attributed to psychological reactance, and previous research has tended to focus on how to design health messages that mitigate this phenomenon. However, the motivational nature of reactance suggests that it might also be used to promote health. When people learn that external influences circumvent a positive health behavior, this information may elicit reactance, motivating them to exhibit that behavior. This idea found support in the results of a preregistered experiment (<i>N</i> = 358), showing that participants were more willing to reduce meat consumption when they experienced reactance after reading about how the food industry undermines self-determined dietary decisions. The findings indicate that harnessing reactance to leverage behavior change may offer a promising alternative to established communication strategies.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-7"},"PeriodicalIF":3.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921535","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 : 2025-01-01Epub Date: 2024-04-01DOI: 10.1080/10410236.2024.2331797
Sasha A Fleary
{"title":"The Relationship Between a Healthy People 2030 Health Literacy-Related Objective (HC/HIT02) and Cancer Prevention and Screening Behaviors.","authors":"Sasha A Fleary","doi":"10.1080/10410236.2024.2331797","DOIUrl":"10.1080/10410236.2024.2331797","url":null,"abstract":"<p><p>Healthy People 2030 highlights the importance of both personal and organizational health literacy (HL) to improving population health. Yet, most research focuses on personal-level HL or fails to study the effect of both types of HL on health behavior. This study explored the relationships between organizational HL (Healthy People 2030 objective: decrease the proportion of adults who report poor communication with their health care provider), personal-level HL, and cancer prevention and screening behaviors. Data were collected using Qualtrics Panel. Participants who indicated they had a non-emergency room provider visit in the last 12 months were included in the analyses. Participants (n=549, Mean age = 41.44 years, SD = 15.91; 51.9% female; 54.3% White, 28.8% Hispanic/Latino/a/x) completed measures of personal and organizational HL and reported on their cancer prevention (e.g., cigarette smoking) and screening (e.g., mammogram) behaviors. Hierarchical linear and logistic regressions predicting cancer prevention and screening behaviors, respectively, from organizational HL, personal HL, and demographic covariates, were estimated. Regarding the results, higher organizational HL was related to higher fruit and vegetables consumption and physical activity after accounting for personal-level HL and demographic covariates. Higher personal-level HL was related to lower physical activity, binge-drinking, and cigarette smoking, and higher odds of pap smear screening, prostate-specific antigen testing, and completing all eligible screenings after accounting for organizational-level HL and demographic covariates. The findings support that personal-level and organizational HL may be differentially important to improving cancer prevention and screening behaviors. Policies that address improving both personal-level and organizational-level HL are needed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"47-58"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335372","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 : 2025-01-01Epub Date: 2024-03-19DOI: 10.1080/10410236.2024.2330130
Tricia J Burke, Jocelyn M DeGroot, Kristen L Farris, Abigail J Mellow
{"title":"The Rare Life: Examining Parents' Grief, Barriers, and Facilitators Associated with Caring for Medically Complex Children.","authors":"Tricia J Burke, Jocelyn M DeGroot, Kristen L Farris, Abigail J Mellow","doi":"10.1080/10410236.2024.2330130","DOIUrl":"10.1080/10410236.2024.2330130","url":null,"abstract":"<p><p>Caring for medically complex children (MCC) involves physical, financial, and emotional challenges for parents, who are often grieving the loss of their expectations or vision for a healthy child. We applied Miles' parental grief model to explore the experiences of 25 parent-caregivers who were interviewed for <i>The Rare Life</i>, a podcast in which a mother of a MCC interviews parents about their experiences caring for their MCC. We characterize parent-caregivers' experiences of <i>shock</i>; their <i>intense grief</i>, including yearning, helplessness, physical symptoms, behavioral changes, and a search for meaning; and the <i>reorganization</i> that helped them accept their parenting reality. In addition, we identified communicative barriers and facilitators that hindered and supported parent-caregivers' movement through the phases of grief.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"36-46"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140157973","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 : 2025-01-01Epub Date: 2024-03-27DOI: 10.1080/10410236.2024.2332817
Kathryn Heley, Wen-Ying Sylvia Chou, Heather D'Angelo, Nicole Senft Everson, Abigail Muro, Jacob A Rohde, Anna Gaysynsky
{"title":"Mitigating Health and Science Misinformation: A Scoping Review of Literature from 2017 to 2022.","authors":"Kathryn Heley, Wen-Ying Sylvia Chou, Heather D'Angelo, Nicole Senft Everson, Abigail Muro, Jacob A Rohde, Anna Gaysynsky","doi":"10.1080/10410236.2024.2332817","DOIUrl":"10.1080/10410236.2024.2332817","url":null,"abstract":"<p><p>Literature on how to address misinformation has rapidly expanded in recent years. The aim of this scoping review was to synthesize the growing published literature on health and science misinformation mitigation interventions. English-language articles published from January 2017 to July 2022 were included. After title/abstract screening, 115 publications (148 empirical studies) met inclusion criteria and were coded for sample characteristics, topics, mitigation strategies, research methods, outcomes, and intervention efficacy. A marked increase in misinformation mitigation research was observed in 2020-2022. COVID-19, vaccines, and climate change were the most frequently addressed topics. Most studies used general population samples recruited online; few focused on populations most vulnerable to misinformation. Most studies assessed cognitive outcomes (e.g., knowledge), with fewer assessing health behavior, communication behavior, or skills. Correction (k = 97) was the most used misinformation mitigation strategy, followed by education and other literacy initiatives (k = 39) and prebunking/inoculation (k = 24). Intervention efficacy varied, with 76 studies reporting positive, 17 reporting null, and 68 reporting mixed results. Most misinformation mitigation interventions were limited to short-term online experiments focused on improving cognitive outcomes. Priority research areas going forward include expanding and diversifying study samples, scaling interventions, conducting longitudinal observations, and focusing on communities susceptible to misinformation.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"79-89"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140293360","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":"\"You Have to Find a Way for This Child to Be at the Center\": Pediatric Cardiologists' Views on Triadic Communication in Consultations on Congenital Heart Defects.","authors":"Yael Karni-Visel, Rachel Dekel, Yaara Sadeh, Liat Sherman, Uriel Katz","doi":"10.1080/10410236.2024.2329422","DOIUrl":"10.1080/10410236.2024.2329422","url":null,"abstract":"<p><p>Congenital heart defects (CHDs) are present at birth and require ongoing management of personal, family, and medical aspects of care, including communication between family and medical staff. Effective communication is considered one of the main objectives of patient-centered care. Communication in pediatric medicine is especially challenging because it includes children and their parent(s), and children's cognitive and communication skills are still developing. Based on the model of behavior in pediatric communication , this study focused on pediatric cardiologists' views of the roles of children, parents, and physicians in the triadic encounter and their experiences in communicating information on pediatric CHDs in medical encounters. Semi-structured interviews were conducted with 17 experienced pediatric cardiologists and cardiac surgeons (five women and 12 men) at three medical centers in Israel. The grounded theory approach was used to identify three main categories: (1) the positioning (centrality) of the child in the setting (ideal vs. actual situation), (2) addressing parents' emotional needs, and (3) the physician's role as mediator between parent(s) and child. In each category, three elements are discussed: The physician's agenda, obstacles and challenges, and the physician's practical methods. Physicians strongly support children's involvement in triadic encounters yet face challenges in effectively integrating them into the information exchange process during cardiology consultations. Struggling to balance the principles of patient- and family-centered care, and without clear guidelines, they rely on their personal beliefs and experiences to formulate communication strategies that address parents' and children's needs.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"15-26"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335269","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 : 2025-01-01Epub Date: 2024-03-19DOI: 10.1080/10410236.2024.2329423
Olivia McAnirlin
{"title":"'It Feels Really Vulnerable and a Little Dangerous': When Words Are Not Enough.","authors":"Olivia McAnirlin","doi":"10.1080/10410236.2024.2329423","DOIUrl":"10.1080/10410236.2024.2329423","url":null,"abstract":"<p><p>Imagine being given the immense responsibility and gift as a researcher to deliver a person's final nature experience. People living with severe chronic obstructive pulmonary disease (COPD) are often sheltered from nature experiences due to their disease status; however, they have rich memories of past nature experiences. The goals of this overall journey of co-creation were two-fold: (1) co-create personalized nature-based utilizing immersive 360-degree virtual reality (VR) experiences based on participants' experiences in outdoor spaces; (2) utilize a narrative approach to explore the lived realities of people living with severe COPD. Throughout this collaborative research process, I made home visits, phone calls, and many trips to four people's personalized outdoor places in the Upstate of South Carolina. In doing so, I lived the experience of person-centered research. This essay focuses specifically on one participant, David, his wife and caregiver, Anne, and the co-creation of David's last virtual trip to his most cherished places in nature. Re-gifting David's last nature experience in his favorite outdoor places profoundly changed my research approach. This essay considers how I reconciled the disconnect between the \"scientific\" language used in health research and the lived experience of being a researcher during end-of-life processes, specifically attending to the terms: <i>attrition</i>, <i>participant</i>, and <i>researcher</i>.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"165-168"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140157971","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 : 2025-01-01Epub Date: 2024-03-21DOI: 10.1080/10410236.2024.2332004
Timothy Curran, John S Seiter, Rebecca E Elwood, MaKayla Chadwick Lindsay
{"title":"Negative Social Exchanges During the Pandemic, Loneliness, and the Mediating Role of Stress and Feeling Misunderstood Among People at High-Risk for COVID-19 Related Complications.","authors":"Timothy Curran, John S Seiter, Rebecca E Elwood, MaKayla Chadwick Lindsay","doi":"10.1080/10410236.2024.2332004","DOIUrl":"10.1080/10410236.2024.2332004","url":null,"abstract":"<p><p>The goal of this study was to investigate the links between social interactions and mental health for people who are high-risk for COVID-19 complications. Specifically, we tested the relationships between negative social exchanges during the pandemic and loneliness through two mediators: stress and feeling misunderstood about one's health status. Data were collected via Amazon's MTurk from participants (<i>N</i> = 271) who self-identified as being high-risk for COVID-19. The results from our model showed both a direct association between negative social interactions and loneliness, and an indirect link between these variables through stress. Overall, these results highlight the importance of understanding social interactions for people who are at high-risk for COVID-19 and their mental well-being. The results and implications are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"71-78"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140184196","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 : 2025-01-01Epub Date: 2024-03-21DOI: 10.1080/10410236.2024.2330121
Robert McKeever, Beth Sundstrom, Matthew E Rhodes, Emily Ritter, Brooke W McKeever
{"title":"\"A Victim of Our Own Success:\" Testing <i>Jenny's First Sleepover's</i> Dark Satire to Improve Attitudes Toward Childhood Vaccination.","authors":"Robert McKeever, Beth Sundstrom, Matthew E Rhodes, Emily Ritter, Brooke W McKeever","doi":"10.1080/10410236.2024.2330121","DOIUrl":"10.1080/10410236.2024.2330121","url":null,"abstract":"<p><p>The COVID-19 pandemic resulted in substantially lower uptake of childhood vaccinations in the U.S. As vaccination rates struggle to rebound, childhood vaccine hesitancy continues to grow. Addressing vaccine disinformation and increasing catch-up vaccination is an urgent public health priority. The purpose of this study was to evaluate the effectiveness of \"Jenny's First Sleepover,\" a darkly humorous satirical book about childhood vaccinations, to influence attitudes of vaccine hesitant parents. This study implemented a randomized pretest - posttest experimental design using a web-based survey with one intervention and one control. \"Jenny's First Sleepover\" improved attitudes toward vaccination among vaccine hesitant parents. Negative emotions were an important mediator of attitudes toward vaccinations. Findings identify mechanisms that increase effectiveness of satirical approaches, including the presentation of novel information about serious vaccine-preventable diseases with a dark narrative twist. Health communicators may consider a darkly humorous satirical approach to improve attitudes toward childhood vaccination among vaccine hesitant parents.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"27-35"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140184195","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}