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Configurational Pathways to Reader Engagement with Online Weight Management Promotion in China: A Crisp-Set Qualitative Comparative Analysis. 在中国,读者参与网络体重管理推广的配置途径:一项脆皮集定性比较分析。
IF 2.9 3区 医学
Health Communication Pub Date : 2026-10-01 DOI: 10.1080/10410236.2026.2741103
Xinyue Dai
{"title":"Configurational Pathways to Reader Engagement with Online Weight Management Promotion in China: A Crisp-Set Qualitative Comparative Analysis.","authors":"Xinyue Dai","doi":"10.1080/10410236.2026.2741103","DOIUrl":"https://doi.org/10.1080/10410236.2026.2741103","url":null,"abstract":"<p><p>Abnormal body weight has become an increasingly prominent public health concern in China. In response, national health authorities launched a three-year Weight Management Year campaign, disseminating extensive online risk communication to promote public awareness and healthier lifestyles. Despite these efforts, reader engagement (RE) varies substantially, raising questions about how health risk can be communicated more effective. Previous studies have explored various antecedents of RE, but often in isolation, making it difficult to capture the complex interplay of factors in real-world settings. Grounded in the heuristic-systematic model, this study applies crisp-set qualitative comparative analysis to examine conjunctural causation among three systematic and two heuristic cues in shaping RE across 61 WeChat articles issued by health authorities and hospitals. The analysis identifies four pathways leading to strong engagement and six pathways resulting in weak engagement. Strong RE appears to emerges through systematic-dominant, heuristic-compensatory, and dual-cue reinforcing configurations, whereas weak RE reflect mismatches between message features and audience expectations or limited heuristic support. Overall, the findings reveal causal asymmetry and multiple conjunctural causation in RE, highlighting the complexity of online health communication and the need for context-sensitive communication strategies.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108812","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}
引用次数: 0
Health Message Outcomes of Humor Appeals: A Systematic Review. 幽默诉求的健康信息结果:一项系统综述。
IF 2.9 3区 医学
Health Communication Pub Date : 2026-10-01 Epub Date: 2026-01-04 DOI: 10.1080/10410236.2025.2609216
Yam B Limbu, Christopher McKinley, Bruce A Huhmann
{"title":"Health Message Outcomes of Humor Appeals: A Systematic Review.","authors":"Yam B Limbu, Christopher McKinley, Bruce A Huhmann","doi":"10.1080/10410236.2025.2609216","DOIUrl":"10.1080/10410236.2025.2609216","url":null,"abstract":"<p><p>To address inconclusive prior research, we conduct a comprehensive evaluation and systematic review of humor appeals' usefulness in health communication on message processing, attitudinal, and behavioral outcomes. Specifically, we investigate previously examined boundary conditions and intervening processes. Following PRISMA guidelines, this systematic review examines the state of knowledge based on 48 eligible articles presenting 62 experimental studies that manipulate humorous message appeals. We find that humor appeals influence attitudinal and behavioral message outcomes but caution against their use with certain audiences (e.g., youth and parents), severe or high-risk health conditions, or conditions that affect vulnerable populations. In addition, fear arousal, anxiety, argument strength, and reactance intervene in humor appeals' relationships with message processing and persuasion outcomes in health communication campaigns. Findings identify some advantages of humor appeals for public health message design strategies. First, humor appeals appear particularly useful among audiences who lack the motivation or ability to process health messages. Second, humor appeals help defuse emotional distress related to health conditions or treatments.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2040-2058"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900225","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}
引用次数: 0
Dual-Pathway Mechanisms of Cancer Screening Decisions Among Family Caregivers in China: A Mixed-Methods Study. 中国家庭照顾者癌症筛查决策的双途径机制:一项混合方法研究
IF 2.9 3区 医学
Health Communication Pub Date : 2026-10-01 Epub Date: 2026-01-06 DOI: 10.1080/10410236.2025.2606895
Sheng Bao, Yubing Chen
{"title":"Dual-Pathway Mechanisms of Cancer Screening Decisions Among Family Caregivers in China: A Mixed-Methods Study.","authors":"Sheng Bao, Yubing Chen","doi":"10.1080/10410236.2025.2606895","DOIUrl":"10.1080/10410236.2025.2606895","url":null,"abstract":"<p><p>This study used an exploratory sequential mixed-methods design to investigate the dual-pathway mechanisms influencing cancer screening decisions among family caregivers of cancer patients. A dual-pathway model was developed through qualitative interviews (<i>N</i> = 20) and subsequently validated with quantitative surveys (<i>N</i> = 705). Key findings revealed two distinct pathways. The cognitive pathway showed that caregiving experience promoted screening intentions by enhancing information literacy self-efficacy via health information acquisition. In contrast, the affective pathway indicated that fear of cancer progression predicted greater emotional exhaustion, which in turn suppressed screening decisions. Furthermore, interaction between the two pathways was identified: information literacy self-efficacy buffered the negative impact of emotional exhaustion on screening decisions (β = -.18, <i>p</i> < .01), while emotional exhaustion attenuated the positive effect of information literacy self-efficacy (β = -.15, <i>p</i> < .05). These results reveal the interplay between cognitive and affective units, providing a theoretical foundation for designing dual-pathway (\"cognitive empowerment-affective regulation\") intervention.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1958-1976"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911092","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}
引用次数: 0
When AI and Humans Produce Partial Truths: Examining Acceptability of Perceived Error and Perceived Associated Harms. 当人工智能和人类产生部分真理:检查感知错误和感知相关危害的可接受性。
IF 2.9 3区 医学
Health Communication Pub Date : 2026-10-01 Epub Date: 2026-01-02 DOI: 10.1080/10410236.2025.2608202
Isabelle Freiling, Sara K Yeo, Haoning Xue
{"title":"When AI and Humans Produce Partial Truths: Examining Acceptability of Perceived Error and Perceived Associated Harms.","authors":"Isabelle Freiling, Sara K Yeo, Haoning Xue","doi":"10.1080/10410236.2025.2608202","DOIUrl":"10.1080/10410236.2025.2608202","url":null,"abstract":"<p><p>Existing research on misinformation often focuses on messages that are completely false. For greater external validity, our experiment examines reactions to messages that contain both false and accurate information. Using a framework of uncertainty attributes of truth claims, we examine perceptions of how acceptable error is when the source is (perceived to be) human-only, generative artificial intelligence-only, or a combination of the two. We examine the acceptability of perceived error and harms associated with the message and its topic, and how they interact as predictors of intentions to engage with the message or intervene.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1992-2003"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145892392","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}
引用次数: 0
Social Media, Citizens' Distrust in the Government, and Misinformation During a National Crisis: An Experimental Test of a COVID-19 Case. 社交媒体、公民对政府的不信任和国家危机期间的错误信息:对COVID-19病例的实验测试。
IF 2.9 3区 医学
Health Communication Pub Date : 2026-10-01 Epub Date: 2025-12-29 DOI: 10.1080/10410236.2025.2606898
Geiguen Shin, Yong-Chan Rhee
{"title":"Social Media, Citizens' Distrust in the Government, and Misinformation During a National Crisis: An Experimental Test of a COVID-19 Case.","authors":"Geiguen Shin, Yong-Chan Rhee","doi":"10.1080/10410236.2025.2606898","DOIUrl":"10.1080/10410236.2025.2606898","url":null,"abstract":"<p><p>This study tests whether misinformation on social media undermines citizens' capability to perceive the factual public health information provided by the government during the pandemic and whether such misinformation impacts citizens' distrust in the government. The results of the survey experiment indicate that the simple presence of misinformation on a social media platform distorts citizens' perceptions of factual pandemic information, while the frequent use of social media shows the opposite but a smaller effect. Also, we find that perceptual distortion due to misinformation does not directly impact citizens' distrust in the government, while political polarization appears to have a larger effect. We discuss the implications of the behavioral and cognitive mechanisms of information distortion and citizens' distrust in the government in an international setting.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1977-1991"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855536","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}
引用次数: 0
The Representation of Help Givers in First Aid Instruction Materials: A Multimodal Reception Study. 急救教材中施救者的表现:一项多模式接受研究。
IF 2.9 3区 医学
Health Communication Pub Date : 2026-10-01 Epub Date: 2025-12-18 DOI: 10.1080/10410236.2025.2602078
Dušan Stamenković, Ielka van der Sluis, Janina Wildfeuer
{"title":"The Representation of Help Givers in First Aid Instruction Materials: A Multimodal Reception Study.","authors":"Dušan Stamenković, Ielka van der Sluis, Janina Wildfeuer","doi":"10.1080/10410236.2025.2602078","DOIUrl":"10.1080/10410236.2025.2602078","url":null,"abstract":"<p><p>This study explores how far a variety of choices in the visualization of help givers in first aid instruction materials can be associated the perception of these help givers in viewers. We present a reception study, in which we analyze 40 images from a first aid corpus by focusing on variations in their image type, perspective, camera angle, shot size, color, facial expression visibility, and gender. A total of 107 participants evaluated these images using 20 pairs of trait adjectives on a 6-point scale. Results indicate that drawings had a slightly higher positive composite score than photographs. Bird's-eye perspectives, front-facing camera angles, and full-body shots all yielded a higher positive composite score, which suggests a preference for visual cues related to directness and completeness. Color images were favored over grayscale. Interestingly, images with obscured facial expressions were rated higher, potentially due to reduced emotional cues allowing for individual interpretation. Images portraying female help givers consistently received higher positive scores than male help givers. These findings show the relation between visual design and the perceived positive characteristics of help givers. The insights can be useful in the process of optimizing first aid material design.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1897-1909"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774368","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}
引用次数: 0
Expanding the Theory of Persuasive Hope: Identifying Mechanisms of Hope's Effect on Non-Invasive Prenatal Testing Intentions. 说服性希望理论的拓展:希望对无创产前检测意愿影响的机制识别。
IF 2.9 3区 医学
Health Communication Pub Date : 2026-10-01 Epub Date: 2025-12-17 DOI: 10.1080/10410236.2025.2601803
Helen M Lillie, Courtney L Scherr, Chelsea L Ratcliff, Jakob D Jensen
{"title":"Expanding the Theory of Persuasive Hope: Identifying Mechanisms of Hope's Effect on Non-Invasive Prenatal Testing Intentions.","authors":"Helen M Lillie, Courtney L Scherr, Chelsea L Ratcliff, Jakob D Jensen","doi":"10.1080/10410236.2025.2601803","DOIUrl":"10.1080/10410236.2025.2601803","url":null,"abstract":"<p><p>Emotional reactions to health information significantly influence health decisions. The theory of persuasive hope details how messages can influence behaviors and intentions by evoking hope. Messaging about noninvasive prenatal testing (NIPT) has begun to include hope-focused appeals, and scholars have recommended using hope appeals in messaging about genetic testing. The current study extends the theory of persuasive hope by testing if critical reflection, perceived benefits, and perceived barriers serve as mechanisms of hope's effect on NIPT intentions. Women who were planning to or considering becoming pregnant (<i>N</i> = 744) participated in a message experiment where they received an informational message about NIPT that either included or did not include a hope-focused narrative. The narrative had a positive indirect effect on NIPT intention via hope. Hope influenced intention through greater perceived benefits and lower perceived personal and ethical barriers. Findings further hope theorizing by identifying mechanisms through which hope persuades. Practically, health messaging could gain from using hope-focused narratives to emphasize the benefits and minimize the barriers to engaging in a recommended health behavior. Findings also highlight the ethical ramifications of hope messaging. Hope diminished ethical concerns about NIPT even though messaging did not discuss the ethics of NIPT.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1886-1896"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145767925","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}
引用次数: 0
The Digital Shift in Breast-Milk Substitute Marketing in the Czech Republic: Persuasion Techniques and Regulatory Challenges in Online Consumer Influence. 捷克共和国母乳代用品营销的数字化转变:在线消费者影响中的说服技术和监管挑战。
IF 2.9 3区 医学
Health Communication Pub Date : 2026-10-01 Epub Date: 2026-01-06 DOI: 10.1080/10410236.2025.2608204
Denisa Hejlová, Markéta Kaclová, Adéla Lemrová
{"title":"The Digital Shift in Breast-Milk Substitute Marketing in the Czech Republic: Persuasion Techniques and Regulatory Challenges in Online Consumer Influence.","authors":"Denisa Hejlová, Markéta Kaclová, Adéla Lemrová","doi":"10.1080/10410236.2025.2608204","DOIUrl":"10.1080/10410236.2025.2608204","url":null,"abstract":"<p><p>Misleading marketing practices and ethically ambiguous persuasion techniques have shaped consumer perceptions of breast-milk substitutes (BMS), despite the well-documented health benefits of breastfeeding. A recent evaluation of BMS producers' marketing activities in the Czech Republic and their compliance with the International Code of Marketing of Breast-Milk Substitutes by World Health Organization revealed widespread use of \"grey-zone\" tactics on social media and in product reviews. Our findings suggest that influencer and nano-influencer marketing and word-of-mouth product testing should be included in monitoring and regulation due to their growing role in peer-to-peer recommendations. Unlike traditional advertising, where commercial intent is clear, digital marketing relies on embedded persuasion, blurring the line between organic consumer recommendations and paid promotions. These tactics contribute to declining breastfeeding rates and raise concerns about transparency, consumer protection, and regulatory oversight. Existing policies, including WHO guidelines, have yet to adapt to the evolving digital marketing landscape, enabling companies to bypass traditional restrictions. To address these challenges, policymakers should establish clear disclosure requirements, stricter penalties for noncompliance, and AI-driven monitoring systems to track undisclosed promotional activities. Strengthening regulatory frameworks is essential to combat misinformation and uphold breastfeeding as the optimal infant feeding method.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2004-2013"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911126","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}
引用次数: 0
Pills, Rebel Yells, and Red Dye Spills: Preventing the Misuse of Antibiotics via Language and Color Cues. 药片、反抗者的吼叫和红色染料的泄漏:通过语言和颜色线索防止抗生素的滥用。
IF 2.9 3区 医学
Health Communication Pub Date : 2026-10-01 Epub Date: 2026-01-04 DOI: 10.1080/10410236.2025.2609954
Zhengyu Zhang, Mian Jia, Matthew S McGlone
{"title":"Pills, Rebel Yells, and Red Dye Spills: Preventing the Misuse of Antibiotics via Language and Color Cues.","authors":"Zhengyu Zhang, Mian Jia, Matthew S McGlone","doi":"10.1080/10410236.2025.2609954","DOIUrl":"10.1080/10410236.2025.2609954","url":null,"abstract":"<p><p>Antibiotic resistance is an urgent global health crisis that requires effective communication strategies to encourage public engagement in preventive behaviors. The current study explores the impact of multimodal design features, including threat agency (human <i>vs</i>. bacteria), nominalized forms (antibiotic misuse <i>vs</i>. antibiotic misuser), and color cues (blue <i>vs</i>. red) in health communication messages about antibiotic resistance. A 2 × 2 × 2 between-subjects experimental design was employed with a sample of 386 participants randomly assigned to one of eight conditions. Results indicated that messages assigning agency to humans led to greater perceived freedom threat compared to assigning bacteria as the agent. The interaction effects between threat agency and nominalized forms predicted perceived response efficacy and self-efficacy. The interaction between threat agency and color cues predicted intention to engage in antibiotic misuse. Additionally, the combination of nominalized forms and color cues predicted negative emotional reactions toward the fact sheet. The key takeaways from the study are that linguistic and sensory features often interact with each other to shape people's health beliefs, and it is important to understand how to strategically present (or mask) human involvement when humans are a primary cause of the health threat. The study's implications, limitations, and future research directions are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"2059-2071"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900204","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}
引用次数: 0
What Does the Proxyseeker Tell to Whom, in Which Channel, and with What Effect? Understanding Information Transfer for Others' Health Issues Based on Lasswell's Communication Model. 代理探索者对谁说什么,用什么渠道说,有什么效果?基于laswell沟通模型理解他人健康问题的信息传递。
IF 2.9 3区 医学
Health Communication Pub Date : 2026-09-29 DOI: 10.1080/10410236.2026.2732108
Doreen Reifegerste, Leonie Bernhoerster, Lisa Ludorf, Marie Dette, Lisa Huber, Linda Maier
{"title":"What Does the Proxyseeker Tell to Whom, in Which Channel, and with What Effect? Understanding Information Transfer for Others' Health Issues Based on Lasswell's Communication Model.","authors":"Doreen Reifegerste, Leonie Bernhoerster, Lisa Ludorf, Marie Dette, Lisa Huber, Linda Maier","doi":"10.1080/10410236.2026.2732108","DOIUrl":"https://doi.org/10.1080/10410236.2026.2732108","url":null,"abstract":"<p><p>While proxy health information-seeking (proxyseeking) is common, little is known about the subsequent communication transfer between the proxy and the health-affected person. Thus, this study applies Lasswell's communication model-examining who communicates <i>what, to whom, through which channel</i>, and <i>with what effect</i>-alongside Tomasello's concept of communication as cooperation to analyze shared intentions across different relationship types. We conducted semi-structured online interviews with <i>n</i> = 53 proxyseekers and <i>n</i> = 25 corresponding health affected persons. With regard to the <i>what</i>, proxies in our sample are most likely to share information about acute issues, while chronic diseases or prevention are less likely. The information-sharing channels proxies choose are manifold. Although some proxies clearly prefer either face-to-face or telephone or certain instant messengers, most of them combine channels to deepen the information transfer. With regard to the effects of proxyseeking we identified three topics: (a) health consequences for the health affected person, (b) health-related actions of both, and (c) effects on the relationship dynamics. Comparing the different types of relationships and their (non-)shared intentions, we see a high level of trust and social support between all types of dyads but also conflicts and taboos. This indicates that proxies' behavior is often not limited to information transfer but also includes actions to help and forms of informal caregiving and shared intentionality, which has important theoretical and practical implications for the research on the exchange after proxy health information-seeking, an important yet understudied aspect of health communication.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":2.9,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080603","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}
引用次数: 0
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