Lauren E Lee, Maria K Venetis, Elizabeth Broadbridge, Katie A Devine, Kathryn Greene
{"title":"Support Person Holding Back Information in Medical Interactions: The Role of Empathic Communication and Disclosure Efficacy.","authors":"Lauren E Lee, Maria K Venetis, Elizabeth Broadbridge, Katie A Devine, Kathryn Greene","doi":"10.1080/10410236.2025.2484256","DOIUrl":"https://doi.org/10.1080/10410236.2025.2484256","url":null,"abstract":"<p><p>Support people are often both physically and emotionally involved in patients' cancer-care trajectories with first-hand knowledge of the patient's health; they also harbor their own fears and concerns. When present in the medical interaction, support people report hesitancy to share patient information and concerns with clinicians, although they deem this information is important for patient care. Framed in the disclosure decision-making model, this study examines how support people's perceptions of clinician empathic communication affect their disclosure efficacy, and how these concepts relate to outcomes of holding back information about patient health or their own fears and concerns. Participants included support people (<i>N</i> = 129) recruited from the Love Research Army® who completed an online survey. Analyses investigated how disclosure efficacy influences the association between perceived clinician empathic communication and support person holding back patient health information (model 1) and support person holding back their own fears and concerns (model 2). Overall, results identify differences in support people's holding back when making disclosure decisions related to patients' physical health versus their own fears and concerns. Greater disclosure efficacy shaped the relationship between perceived clinician empathic communication and lower levels of holding back patient health information, bolstering the importance of clinician empathic communication with support people of cancer patients.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752281","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":"Get Vaccinated Now, But the Choice is Up to You: Framing, Psychological Reactance, and Autonomy Restoration Scripts for COVID-19 Vaccine Hesitancy.","authors":"Amber Marie Reinhart, Yan Tian, Amanda E Lilly","doi":"10.1080/10410236.2025.2485296","DOIUrl":"https://doi.org/10.1080/10410236.2025.2485296","url":null,"abstract":"<p><p>Covid-19 is still a major public health issue in the United States and one of the most effective ways to minimize the damage caused by this illness is through encouraging individuals to receive vaccines and keep up with vaccine boosters. However, many individuals remain vaccine-hesitant. The current project examines the most effective way to persuade vaccine hesitant individuals through a textual message-based experiment. Psychological reactance, messaging framing (loss and gain), and autonomy restoring messages are examined to determine their effectiveness in moving the vaccine-hesitant to vaccine accepting. A 3 (frame: loss/gain/neutral) X 2 (autonomy restoration script/filler) between-subjects experiment was conducted using a sample of 605 participants over the age of 18 who either had not received any COVID-19 vaccine or any type of COVID-19 vaccine booster. Findings suggest that individuals who had not received any vaccination varied in their psychological reactance compared to those who had at least an initial vaccination. Framing was also found to play an important part in feelings of lost autonomy and that restoration messages helped reduce feelings of lost autonomy. Further, feelings of loss of freedom created more psychological reactance and could cause increases in vaccine resistance. Mediation effects were also supported, indicating that message framing and autonomy restoration influenced vaccine hesitancy indirectly through perceived threats to freedom and psychological reactance.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752275","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":"Beyond Narrative Relief: Exploring the Impacts of Lacking Feedback and Perceived Cyber-Ostracism Based on the Temporal Need-Threat Model.","authors":"Xing Zhang, Jinjin Zhao","doi":"10.1080/10410236.2025.2481473","DOIUrl":"https://doi.org/10.1080/10410236.2025.2481473","url":null,"abstract":"<p><p>Social media are increasingly becoming public venues for patients to create and share illness narratives. While prior research has primarily focused on the positive and supportive roles of social media in patients' seeking and obtaining social support, little is known about the possible negative impacts of lacking feedback when sharing illness narratives on these connected and interactive platforms. By incorporating the notion of cyber-ostracism from social psychology and drawing upon Williams's temporal need-threat model (TNTM), this study proposed and tested a series of serial-parallel mediation models that link feedback amount, psychological well-being, and/or various coping intentions (i.e. to withdraw from social media narration sharing and to positively/negatively comment on others' narratives), sequentially through perceived ostracism and different need satisfaction (i.e. for belonging, self-esteem, meaningful existence, and control). Findings of this study move beyond the longstanding focus on the narrative relief effects, shedding light on the backfire effects of sharing illness narratives when such narratives received little or even no feedback from others in the social media environment.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752244","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}
Yuan Sun, Nicholas Eng, Taylor S Vasquez, Jessica Gall Myrick
{"title":"A Picture is Worth a Thousand \"Likes\": Examining the Effects of Social Media Content Type and Social Norm Cues on Workout Intentions.","authors":"Yuan Sun, Nicholas Eng, Taylor S Vasquez, Jessica Gall Myrick","doi":"10.1080/10410236.2025.2484024","DOIUrl":"https://doi.org/10.1080/10410236.2025.2484024","url":null,"abstract":"<p><p>Image-based social media hold significant potential for promoting physical activity given their visually appealing content alongside social endorsement metrics such as \"likes.\" However, research on how visual and social cues on social media jointly influence viewers' emotions and behavioral intentions remains limited. Are before-and-after fitspiration posts more inspiring if they receive a lot of \"likes\"? We examined this question through a 2 (Visual cues: before-and-after comparison vs. after-only) × 2 (Social norm cues: High vs. Low) × 2 (Influencer gender: Female vs. Male) between-subjects experiment. Findings revealed that before-and-after posts enhanced perceived trustworthiness and inspiration, which positively predicted workout intentions. Furthermore, exploratory findings showed that the number of likes moderated the effects of picture type on norm perception and inspiration, subsequently promoting workout intentions.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729795","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}
Sofia Fontoura Dias, Maria Barbosa, Filipa Júlio, Angus Clarke, Alison Metcalfe, Jorge Sequeiros, Milena Paneque, Liliana Sousa, Álvaro Mendes
{"title":"Communicating Genetic Information in Families with Inherited Late-Onset Neurodegenerative Diseases: A Scoping Review.","authors":"Sofia Fontoura Dias, Maria Barbosa, Filipa Júlio, Angus Clarke, Alison Metcalfe, Jorge Sequeiros, Milena Paneque, Liliana Sousa, Álvaro Mendes","doi":"10.1080/10410236.2025.2475565","DOIUrl":"https://doi.org/10.1080/10410236.2025.2475565","url":null,"abstract":"<p><p>Communicating genetic information within families living with inherited genetic conditions (IGCs), especially incurable and progressive late-onset neurodegenerative diseases (LONDs), presents significant challenges. To date, no literature review has specifically addressed this issue in families with LONDs. To fill this gap, a scoping review was conducted following PRISMA and JBI guidelines. Four databases (Scopus, Web of Science, PubMed, and PsycInfo) were searched, resulting in 31 articles for analysis. Six categories were identified: (i) from whom to whom: communication transmitters and receivers, (ii) what to tell: content and details of communication, (iii) how to tell: communication approach, (iv) when to tell: timing of communication, (v) barriers and reasons for not communicating, and (vi) facilitators and reasons for communicating. Sharing information about LONDs is a multi-step, deliberative process involving several transmitters and receivers. It typically begins with first-degree relatives, with women often assuming a pivotal role in the gathering and dissemination of information, and extends to the wider family. This process includes assessing the family member's subjective experiences and the potential impact of the information. Fear of stigmatization and discrimination are notable barriers, while feelings of responsibility and moral obligation toward family members are strong motivators for transmitters to communicate. The studies included in this review were all retrospective, primarily utilized a qualitative design, and predominantly focused on families with Huntington's disease. Prospective studies are needed to investigate disclosure decision-making in families with other LONDs and to explore how the potential availability of clinical trials for testing new drugs might influence family communication.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-23"},"PeriodicalIF":3.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709627","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":"Assessing Fitspiration Content: A Mixed Methods Study on the Effects of an Ecological Momentary Assessment on Body Appreciation, Social Comparison, and Media Literacy Among Young Women.","authors":"Jessica Fitts Willoughby, Leticia Couto","doi":"10.1080/10410236.2025.2480685","DOIUrl":"https://doi.org/10.1080/10410236.2025.2480685","url":null,"abstract":"<p><p>Viewing fitness content on social media is associated with body dissatisfaction among young women. Ecological momentary assessment (EMA), a form of intensive longitudinal measurement, can allow for the examination of differential media effects. EMAs about media in conjunction with health topics may influence participants' awareness of the content to which they are exposed and possibly impact behaviors. We conducted an explanatory sequential mixed methods study to see whether an EMA focused on experiences with fitspiration content and body appreciation would be associated with changes in body appreciation, social comparison, and media literacy. We conducted a pretest posttest field experiment (<i>N</i> = 40) in which young women (ages 18-24) in Washington state completed a pretest sent via text message followed by two daily surveys over 4 days, followed by a posttest. We then conducted follow-up interviews with a subset of participants (<i>N</i> = 7) about their experiences. Paired samples t-tests revealed that the experience of completing the EMAs reduced participants' social comparison. Our thematic analysis highlighted that participants' study experiences impacted their awareness of the content to which they were exposed. They also were aware of potential mechanisms through which impacts may occur (e.g., self-comparison). The use of EMAs can positively impact outcomes relevant to body image, specifically, social comparison. Asking participants to reflect on their perceptions of the content to which they are exposed can call attention to such content as well as potential effects, serving an intervention function and potentially benefiting participants.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700302","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":"Support Network Typology and Psychological Well-Being Among Young Adults.","authors":"Jiaqi Qin, Jingbo Meng","doi":"10.1080/10410236.2025.2480684","DOIUrl":"https://doi.org/10.1080/10410236.2025.2480684","url":null,"abstract":"<p><p>The psychological well-being of young adults is a growing concern in the United States. Social networks, comprising relationships that provide various types of support, are crucial predictors of their psychological well-being. A network typology offers a pattern-centered approach to classify relational compositions into subgroups with similar patterns. Using longitudinal data from the UC Berkeley Social Networks Study (UCNets), this study identified a network typology for young adults' support networks and examined its relationship with psychological well-being across four functional support networks: confidant, advice-seeking, practical support, and companionship networks. Clustering analysis identified six support network types: family-focused, friends-focused, partner-friends, friends-family, partner-family, and peers-focused (friends and schoolmates) networks. Multilevel regression analyses indicated that family-focused networks were the most beneficial confidant and companionship network type for improving young adults' psychological well-being. In addition, relying on peers-focused networks for advice-seeking and practical support was associated with lower psychological well-being compared to family-focused networks. The findings provide important practical implications for developing health interventions.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700304","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":"Empowering Voice Poor Through Participatory Rural Communication Appraisal (PRCA): Analyzing Situation and Promoting Infant Feeding Health Literacy.","authors":"Anindya Deb, Ayush Anand","doi":"10.1080/10410236.2025.2482284","DOIUrl":"https://doi.org/10.1080/10410236.2025.2482284","url":null,"abstract":"<p><p>Communicative inequality and voice poverty constitute and reinforce health disparities. This research aims to invert the erasure of Bhuiyan and Paswan, the marginalized communities of northern India (that have been erased from the mainstream communicative spaces), by co-creating platforms of listening. Drawing from the Culture Centered Approach (CCA), this study explores the community's articulation of IYCF (Infant and Young Child feeding) health literacy to highlight the interplay between the structure, culture, and agency in creating the dominant discursive spaces and finding avenues for marginalized voices to acquire autonomy. We have adopted Participatory Rural Communication Appraisal (PRCA) as our research methodology to explore the differences in dominant and communities' perceptions of IYCF health literacy and investigate how the marginalized communities empower themselves when their voices are restored through congenial dialogic-democratic spaces. For this purpose, a preliminary assessment was carried out by analyzing the secondary sources and interviewing officials- government and NGO (pre-PRCA) followed by participatory sessions with the villagers, in-depth interviews with the key respondents, and a baseline survey of key interaction groups (during PRCA) in the Siadih village, Gaya, India. A participatory group, with members of the marginalized communities, was formed for discussion, intervention, and evaluation (post-PRCA). The findings revealed that the communities' perceptions of IYCF health literacy widely differ from dominant perspectives. The current study extends CCA to develop a community-driven, context-specific communication intervention for IYCF within marginalized communities in the global south.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692073","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}
Halie Wenhold, Amelia C Couture Bue, Ciera E Kirkpatrick
{"title":"#Bopo or Bounce Back?: Investigating the Impact of Social Media Videos on Postpartum Mothers.","authors":"Halie Wenhold, Amelia C Couture Bue, Ciera E Kirkpatrick","doi":"10.1080/10410236.2025.2475856","DOIUrl":"https://doi.org/10.1080/10410236.2025.2475856","url":null,"abstract":"<p><p>In a society where \"bounce back\" culture (i.e. expectations to return to pre-baby weight) is normalized, and postpartum social media content often features thin-ideal imagery and videos, postpartum mothers are at risk of negative effects from social media exposure. Prior research indicates that exposure to fitspiration (#fitspo) content has adverse effects for postpartum individuals, but there is less evidence established in research of the effects of body positive (#bopo) content. The current online experiment randomly assigned 193 postpartum mothers to see social media videos from either #fitspo, #bopo, or control conditions - offering a comparison of the effects of fitspiration versus body positive content on participants' body image and emotion. Results indicated that mothers who viewed #fitspo videos reported more upward social comparisons, increased state anxiety, and lower body satisfaction, while mothers who viewed #bopo videos reported more downward social comparisons and increased body satisfaction. These findings were moderated by social comparison orientation, with participants who reported higher social comparison orientations exhibiting more extreme effects in both conditions. These high social comparison orientation mothers reported the lowest body satisfaction of any group in the #fitspo condition and the highest body satisfaction of any group in the #bopo condition. The discussion explores how postpartum mothers' use of social media can either benefit or harm their mental health.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669811","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":"Patient-Centered Communication and Mental Health of Sexual Minority Adults: A Moderated Mediation Model.","authors":"Piper Liping Liu, Tien Ee Dominic Yeo","doi":"10.1080/10410236.2025.2476791","DOIUrl":"https://doi.org/10.1080/10410236.2025.2476791","url":null,"abstract":"<p><p>Health and health care disparities confronting sexual minority (i.e. non-heterosexual identified) adults are well-documented. Meanwhile, patient-centered communication (PCC) is shown to be effective for health care delivery and health promotion among sexual minority individuals. However, there remains a dearth of research that links PCC and sexual minority adults' mental health. This study examines the relationship between PCC and mental health among sexual minority adults by focusing on the mediating role of health self-efficacy and the moderating role of eHealth. Data from all non-heterosexual identified respondents (<i>N</i> = 350; mean age = 56.23 years; 65.7% female) of the Health Information National Trends Survey collected in 2017 (HINTS 5 Cycle 1) were analyzed. Results indicate that after controlling for respondents' age, gender, and education, health self-efficacy mediated the relationship between PCC and mental health. Meanwhile, the mediating effect of health self-efficacy was moderated by eHealth. Findings from this study provide a more precise understanding of the mechanism that underlies the relationship between PCC and sexual minority adults' mental health as well as inform the development of interventions to address their health care disparities.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648290","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}