Health Communication最新文献

{"title":"Deflecting Before Prescribing: Negotiating About Opioids and Chronic Pain in Primary Care.","authors":"Anne Elizabeth Clark White, Richard L Kravitz, Stephen G Henry","doi":"10.1080/10410236.2026.2615865","DOIUrl":"10.1080/10410236.2026.2615865","url":null,"abstract":"<p><p>In this study, we examine opioid-related treatment negotiations during primary care visits for chronic pain. We video-recorded 86 visits involving established patients on chronic opioids seeing primary care physicians; participants completed post-visit assessments. We used conversation analysis to identify patient requests (direct and indirect) for better pain control, create a taxonomy of eight \"deflection\" practices physicians used to respond before making opioid-related treatment recommendations (gathering information, evaluating pain, quelling, proposing alternative treatment options, empathizing, praising positive behavior change, warning about opioid risks, and discussing the pain contract), and identify seven visit-level physician communication styles (staller, quick-to-decide, positive affirmation, policer, no-stone-left-unturned, forward-focused, and heterogeneous). We used generalized linear mixed models to explore whether deflection frequency or visit style were associated with participant experience. Most patients (96%) used indirect requests to ask for better pain control. On average, physicians produced 67 deflections before articulating treatment recommendations. More total deflections were associated with worse patient and physician visit experience. Specific deflection practices and visit styles were associated with patient and physician visit experience. Physicians do substantial work before making opioid-related treatment recommendations. Attention to negotiation practices may help explain and ultimately identify strategies to reduce unease associated with opioid discussions.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2151-2162"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13175399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Health Information Avoidance Among Older Adults in China: Informational, Social and Psychological Dynamics in the Social Media Landscape.","authors":"Lutong Sun, Yu Wang","doi":"10.1080/10410236.2026.2616279","DOIUrl":"10.1080/10410236.2026.2616279","url":null,"abstract":"<p><p>This study examines the determinants of health information avoidance on social media among Chinese adults aged 50 and above. Drawing on the planned risk information avoidance (PRIA) framework, it examines how informational characteristics-information accessibility, information overload, and interpersonal information exposure-influence avoidance through the internal mechanisms of negative emotion and eHealth literacy. Individuals aged 50 and above were selected due to the statutory retirement age for female workers in China, marking a transition into older adulthood. An anonymous survey of 921 respondents aged 50 and above was conducted, and partial least squares structural equation modeling (PLS-SEM) was used to test the hypotheses. The results show that information accessibility decreases negative emotion and enhances eHealth literacy, whereas information overload heightens negative emotion and reduces eHealth literacy. Interpersonal information exposure directly reduces avoidance and enhances eHealth literacy but has no significant effect on negative emotion. Both negative emotion and eHealth literacy significantly predict health information avoidance. The findings highlight the interplay of emotional and cognitive factors in avoidance behaviors. Addressing information overload, improving e-health literacy, and leveraging interpersonal support are key strategies for reducing avoidance and fostering better engagement with health information among digitally active older adults.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2163-2181"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010037","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":"The Devil is in the Details: Exploring the Impact of Risk Behavior Detail (RBD) in Health Messages Targeting Cannabis-Impaired Driving.","authors":"Hadar Eliash-Fizik, Nehama Lewis, Sharon R Sznitman","doi":"10.1080/10410236.2025.2610730","DOIUrl":"10.1080/10410236.2025.2610730","url":null,"abstract":"<p><p>This study investigates how risk behavior detail (RBD) in health messages affects intentions to drive under the influence of cannabis (DUIC). Based on research on cue reactivity and observational learning, we test whether messages with detailed information about risky behaviors related to DUIC may inadvertently teach high-risk audiences these behaviors, thereby increasing their likelihood of engaging in DUIC. An online experiment surveyed 686 adult drivers, ages 18 to 50, who use cannabis. Participants viewed messages with varying levels of detail about behaviors that may reduce the risk of adverse outcomes of DUIC (High vs. Low RBD), or a control video. Exposure to High-RBD messages was associated with increased DUIC intentions and behaviors, mediated by perceptions that the behaviors would be effective at reducing risk (response efficacy), and self-efficacy to perform these behaviors, both immediately and at two-weeks follow-up. Implications for theory, and for effective and responsible message design are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2075-2087"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145988985","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":"Strengthening Health Science Communication in Sub-Saharan Africa: A Policy and Technology Perspective.","authors":"Musa Touray, Ousman Bajinka, Lamarana Jallow","doi":"10.1080/10410236.2026.2621225","DOIUrl":"10.1080/10410236.2026.2621225","url":null,"abstract":"<p><p>Effective health communication remains a critical challenge across Sub-Saharan Africa (SSA), where systemic barriers hinder disease prevention and healthcare equity. This evidence synthesis evaluates communication interventions through a comprehensive analysis of behavioral strategies, mobile health innovations, and community engagement approaches. Our findings reveal short message service (SMS)-based systems significantly improve malaria management outcomes, while demonstrating limited efficacy for chronic disease contexts. Behavioral interventions show particular promise for maternal care delivery and neglected tropical diseases, though implementation challenges persist due to workforce shortages and health system fragmentation. Emerging solutions include youth-focused digital platforms and intercultural competency training, though their potential remains constrained by persistent stigma and infrastructure limitations. The analysis identifies three key policy opportunities: (1) scaling interoperable mHealth tools with community feedback mechanisms, (2) institutionalizing cultural competency standards for health workers, and (3) integrating youth platforms with national HIV and maternal health programs. Successful models combine technological innovation with participatory design, as demonstrated by indigenous language adaptations and contextually-appropriate social media outreach. These findings provide policymakers with actionable pathways to strengthen health system resilience through coordinated investments in digital infrastructure and human-centered communication strategies. The evidence underscores that sustainable progress requires dual focus on technological capability building and policy reform to achieve equitable health outcomes across the region.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2248-2259"},"PeriodicalIF":2.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146093028","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":"Who Do We Trust to Correct Health Misinformation? Credibility of AI-Generated Fact-Checking Messages.","authors":"Won-Ki Moon, Hayoung Sally Lim","doi":"10.1080/10410236.2026.2744351","DOIUrl":"https://doi.org/10.1080/10410236.2026.2744351","url":null,"abstract":"<p><p>As artificial intelligence (AI)-generated messages are increasingly used to correct health misinformation, it remains unclear when such messages are perceived as credible and how credibility shapes subsequent information behaviors. This study examines how source labeling (AI vs. human scientists) influences the perceived credibility of health-related fact-checking messages and whether these effects depend on perceived AI objectivity and trust in science. Using a 2 × 2 between-subjects experiment with U.S. adults (<i>N</i> = 231), we assessed credibility perceptions and three information responses: accuracy-oriented information seeking, fact-checking message sharing, and issue-relevant information avoidance. Source labeling alone did not affect perceived credibility. Instead, credibility judgments were conditional. Perceived credibility was positively associated with message sharing and negatively associated with information avoidance but was not robustly related to accuracy-oriented information seeking. Independent of credibility, AI-labeled fact-checking messages elicited greater intentions to seek additional information. These findings highlight the conditional nature of AI credibility in health communication and underscore the importance of aligning AI-based fact-checking with audience trust orientations.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.9,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227692","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":"The Effectiveness of Narrative Messages for Promoting End-of-Life Communication.","authors":"Byeong-Hyeon Lee, Melanie C Green, Kelly E Tenzek, Elaine Paravati","doi":"10.1080/10410236.2026.2747849","DOIUrl":"https://doi.org/10.1080/10410236.2026.2747849","url":null,"abstract":"<p><p>Engaging in an end-of-life (EOL) conversation with a close other has multiple advantages, yet persuading individuals to have an EOL conversation remains a challenge. We examined how narrative messages shape attitudes and behavioral intentions to initiate an EOL conversation compared to informational messages. We conducted an online experiment using a between-subjects design with four conditions: (a) a narrative with role modeling, (b) a narrative without role modeling, (c) information-only, and (d) no-message control. All message conditions produced more favorable EOL attitudes than the no-message control, whereas only narratives produced higher EOL behavioral intentions. The role modeling effect was not supported in the current study. Transportation and identification were positively associated with EOL attitudes and EOL behavioral intentions, although only transportation statistically significantly predicted behavioral intentions in a regression including both variables. Findings suggested that narrative messages may be especially useful for motivating intentions to initiate difficult conversations.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.9,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223869","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":"Words That Heal: A Systematic Review of Healthcare Providers-Patient Communication to Enhance Chronic Care Management and Practice Recommendations.","authors":"Giada Pietrabissa, Giada Rapelli, Gloria Marchesi, Gianluca Castelnuovo","doi":"10.1080/10410236.2026.2749455","DOIUrl":"https://doi.org/10.1080/10410236.2026.2749455","url":null,"abstract":"<p><p>Chronic diseases represent a major global health burden, and suboptimal treatment adherence remains a key obstacle to long-term management. Healthcare provider (HCP)-patient communication is a modifiable determinant of adherence and psychological functioning, yet evidence remains fragmented across conditions and communication domains. This review builds on patient-centered communication scholarship and established models of communication functions and pathways linking clinician-patient communication to health outcomes. This systematic review synthesizes empirical evidence on HCP-patient communication strategies associated with treatment adherence and psychological outcomes among adults with chronic diseases, including diabetes, cancer, cardiovascular, and respiratory conditions. Following PRISMA guidelines and PROSPERO registration (CRD42020171690), five databases (Scopus, PubMed, PsycINFO, Cochrane Library, Google Scholar) were searched. <i>Results</i>: Twenty-seven studies met the inclusion criteria. Communication strategies clustered into four macro-domains: (1) trust and interpersonal relationship; (2) information exchange and decision processes; (3) active involvement, empowerment, and autonomy; and (4) change processes, emotional regulation, and management of difficulties. Domains were defined a priori from patient-centered communication, self-management, and behavior-change literature and refined during data extraction. Across conditions, integrated communication patterns addressing multiple domains were generally associated with favorable adherence, self-management, clinical, quality-of-life, and healthcare-utilization outcomes, although evidence strength varied by study design, disease context, and methodological quality. Findings support a provisional, evidence-informed framework in which HCP-patient communication strategies, organized within relational, informational, participatory, and change-regulatory macro-domains, may engage proximal regulatory processes that, in turn, may be associated with adherence and other chronic-care outcomes. Prospective studies are needed to test these pathways.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-18"},"PeriodicalIF":2.9,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227743","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":"Pairing Fear-Appeal Messages with Different Meme Types: Examining the Effects of Memes and Emotions on the Persuasive Outcomes of Health Communication.","authors":"Shu-Chu Sarrina Li, Shih-Yu Lo, Huai-Kuan Zeng, Tai-Yee Wu","doi":"10.1080/10410236.2026.2748951","DOIUrl":"https://doi.org/10.1080/10410236.2026.2748951","url":null,"abstract":"<p><p>This study integrated the extended parallel process model and associative-network memory theory to examine how meme types-cute, disease-congruent (fit), and frightening-interact with fear-appeal levels (high vs. low) to influence the persuasive outcomes of lung cancer prevention messages. A 2 (high vs. low fear-appeal messages) × 4 (frightening meme, fit meme, cute meme, and no meme) experimental design was employed. A reputable polling company recruited at least 60 participants per condition, and the online experiment yielded 576 valid responses. Four main conclusions were obtained: (1) When fear-appeal messages are well designed, the fear-appeal framework alone is sufficiently persuasive and does not require memes to enhance effectiveness. (2) Fit memes enhanced persuasion under low fear-appeal conditions, and they weakened the persuasive effects under high fear-appeal conditions. (3) Pairing fear-appeal messages with cute memes undermines their persuasive power. (4) Across all models, hope consistently promotes systematic processing while discouraging heuristic processing.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":2.9,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220327","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":"Transforming Adverse Event Response: A Narrative Systematic Review of Healthcare Communication-And-Resolution Program Outcomes, Barriers, and Recommendations.","authors":"Maggie A Unruh, Leslie Carranza, Heather J Carmack","doi":"10.1080/10410236.2026.2750879","DOIUrl":"https://doi.org/10.1080/10410236.2026.2750879","url":null,"abstract":"<p><p>Communication following adverse events and medical errors can be complex as patients desire openness, transparency, and accountability. Healthcare organizations have begun to implement communication-and-resolution programs (CRPs) designed to offer apology and disclosure, conduct investigations into the causes of the error, and prevent future errors. In this narrative systematic review, we screened 2,238 articles from PubMed, MEDLINE, Scopus, and Web of Science, identifying 56 articles related to CRP implementation, assessment, and provider training. CRP trainings focus on mastery of disclosure and apology knowledge and skills as well as improvements in self-reported communication confidence. Program interventions report values and organizational culture, practice impact, workplace engagement, and economic outcomes. Articles discussed the effects of state and federal legislation and regulations on CRP implementation. They also identify multiple barriers to and recommendations for CRP implementation, trainings, and research. The results of this review highlight the need for more empirical research and methodological development for the study of CRPs, which creates opportunities for health communication researchers to contribute to the development of CRP research.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":2.9,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220352","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":"Examining the Impact of Perceived Patient-Centered Communication and Institutional Trust on Digital Health Engagement Behaviors.","authors":"Lisa Jihyun Hwang, Rachel McKenzie","doi":"10.1080/10410236.2026.2748945","DOIUrl":"https://doi.org/10.1080/10410236.2026.2748945","url":null,"abstract":"<p><p>This study investigates the relationship between perceived patient-centered communication, institutional trust, and digital health engagement behaviors. Specifically, we examine whether patient-centered communication is associated with digital health engagement behaviors: a) viewing test results, b) reading clinical notes, and c) sharing health data with providers, and whether institutional trust is associated with these relationships. Data used were from the 2024 Health Information National Trends Survey cycle 7. Path analysis was conducted using the lavaan package in R. Out of the 3,475 participants, perceived patient-centered communication significantly predicted sharing health data. Patient-centered communication influenced patients' use of online medical records to view test results indirectly through institutional trust, suggesting that trust may play a selective role in certain health engagement behaviors. Results have practical implications for designing communication strategies, underscoring the importance of both interpersonal communication and institutional trust in promoting active digital health engagement. This study contributes to a better understanding of factors related to how patients engage with digital healthcare systems, providing insights into how communication experiences and institutional trust may shape digital health participation.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.9,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149215758","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}