Health Communication最新文献_第7页

Understanding the Effects of Digital Storytelling on OUD Stigma Reduction: Exploring Character and the Recovery Plot.

IF 3 3区医学

Health Communication Pub Date : 2025-02-14 DOI: 10.1080/10410236.2025.2463535

Rachel A Smith, Ruth A Osoro, Glenn Sterner

{"title":"Understanding the Effects of Digital Storytelling on OUD Stigma Reduction: Exploring Character and the Recovery Plot.","authors":"Rachel A Smith, Ruth A Osoro, Glenn Sterner","doi":"10.1080/10410236.2025.2463535","DOIUrl":"https://doi.org/10.1080/10410236.2025.2463535","url":null,"abstract":"Stigma interferes with all aspects of opioid use disorder (OUD) recovery. One way to reduce public stigma of OUD is through exposure to a type of digital storytelling, in which the public is exposed to outgroup storytellers sharing their experiences with recovery in short videos or narratives posted online. The past two decades have seen an explosion in digital storytelling projects, but we still have much to understand about why exposure to digital stories reduces public stigma. We drew upon theorizing in narrative persuasion, mediated intergroup contact, and character construction to make a predictive model. In addition, we considered how differences in the end of a recovery plot (e.g., abstinence) shape narrative processes and effects. The theorized model and research questions were tested with an experiment (N = 232) informed by a real digital story from the StoryPowered Initiative. The results showed support for the theoretical model: exposure to a digital recovery story reduced negative stereotypes and promoted willingness to have future interactions with people living with OUD via narrative involvement, character fluidity, intergroup anxiety, intergroup ease, and outgroup variability. The results also showed that, compared to other conditions, a recovery plot that included medications for opioid use disorder (MOUDs) then abstinence resulted in stronger perceptions of character fluidity, which, in turn, predicted the mechanisms and outcomes of stigma reduction. We consider the theoretical and practical implications of these results.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414024","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

Impact of UK National Clinical Communication Guidelines on Adults' Perceptions of Doctors and Treatment Commitment.

IF 3 3区医学

Health Communication Pub Date : 2025-02-11 DOI: 10.1080/10410236.2025.2458647

Andrew Prestwich, Chloe Flanagan, Sania Khan

{"title":"Impact of UK National Clinical Communication Guidelines on Adults' Perceptions of Doctors and Treatment Commitment.","authors":"Andrew Prestwich, Chloe Flanagan, Sania Khan","doi":"10.1080/10410236.2025.2458647","DOIUrl":"https://doi.org/10.1080/10410236.2025.2458647","url":null,"abstract":"UK national guidelines recommend how healthcare professionals should communicate with patients. However, the impact of following, or violating, these guidelines on how much the healthcare professional is respected, liked, or trusted, and the mechanisms underpinning, and consequences of, these perceptions have not been tested. To address these gaps, two UK-based, pre-registered studies using within-subjects designs required participants to rate how much they respect, like and trust general practitioners (GPs), as well as how competent, assertive, moral, and warm they are, and their commitment to adhere to their advice. After these baseline assessments, participants were presented with a series of vignettes where hypothetical GPs violated (Study 1, N = 329, and Study 2, N = 329) and followed (Study 2 only) recommended communication guidelines. Violations reduced respect for GPs more than liking and liking more than trust. Following communication guidelines increased liking for GPs the most followed by trust and respect the least. Violations of, and following, communication guidelines impacted (reduced/increased, respectively) patients' commitment to treatment adherence via trust, primarily, as well as respect. Summarizing information and checking patients have understood the most important information impacted how GPs were evaluated more than the other tested communication recommendations, suggesting this specific recommendation could be prioritized over the other tested recommendations. Furthermore, by impacting how much patients trust and, to a lesser extent, respect their GP, how committed patients are to following treatment advice could be affected by how GPs communicate with their patients.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390390","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

Strong Fears, Weak Ties, and Nonsuicidal Self-Injury: Medical Inquiries About Injury, Wound, and Scar Care from a Self-Harm Subreddit.

IF 3 3区医学

Health Communication Pub Date : 2025-02-11 DOI: 10.1080/10410236.2025.2462063

Lindsay A Lundeen, Lizy Humphrey, Amanda L Sams

{"title":"Strong Fears, Weak Ties, and Nonsuicidal Self-Injury: Medical Inquiries About Injury, Wound, and Scar Care from a Self-Harm Subreddit.","authors":"Lindsay A Lundeen, Lizy Humphrey, Amanda L Sams","doi":"10.1080/10410236.2025.2462063","DOIUrl":"https://doi.org/10.1080/10410236.2025.2462063","url":null,"abstract":"Through the theoretical lens of the Strength of Weak Ties Theory, this study examined medical advice sought within a self-harm subreddit. Using a social constructionist epistemology and employing a Reflexive Thematic Analysis, we explored 596 inquiries for medical advice about nonsuicidal self-injury-related injuries, wounds, and scar care. Five overarching themes were identified: (a) pleading for wound care help from weak-ties, (b) expressing fear of hospitalization deterring requests to strong-ties, (c) seeking validation for harm-reduction from weak-ties (d) asking weak-ties how to navigate unexpected outcomes, and (e) requesting help from weak-ties to conceal wounds, injuries, and scars from strong-ties. Our findings align with previous research by describing Reddit as a valuable resource when strong-ties are inaccessible or unapproachable. They extend the existing literature by highlighting users' frequently asserted preference for online medical inquiries due to stigma and involuntary hospitalization fears often associated with medical and mental health providers. We discuss the need for injury and wound care best practices in accessible spaces while offering theoretical and practical implications for key stakeholders. Given the frequent spread of mis/disinformation on user-generated social networks, we also emphasize the importance of users' verifying the accuracy of medical advice received before implementing suggestions received online from anonymous weak ties connections. Ultimately, this study highlights the nuances between online medical inquiries, social support, and barriers to accessible and empathetic healthcare for individuals engaging in nonsuicidal self-injury.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398874","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

Reporting on the "Next Generation of Nicotine Addicts": A Mixed-Methods Analysis of How the Australian Media has Covered and Constructed Youth Vaping (2018-2023).

IF 3 3区医学

Health Communication Pub Date : 2025-02-11 DOI: 10.1080/10410236.2025.2458648

Samuel Brookfield, Nathan A Chye, Nicholas Carah, Coral Gartner

{"title":"Reporting on the \"Next Generation of Nicotine Addicts\": A Mixed-Methods Analysis of How the Australian Media has Covered and Constructed Youth Vaping (2018-2023).","authors":"Samuel Brookfield, Nathan A Chye, Nicholas Carah, Coral Gartner","doi":"10.1080/10410236.2025.2458648","DOIUrl":"https://doi.org/10.1080/10410236.2025.2458648","url":null,"abstract":"In May 2023, the Australian Federal Government announced further restrictions on the sale of vaping devices, partly due to concern over widespread use by young people. We conducted a mixed methods study to examine how youth vaping has been reported in the Australian news media and compare these articles to media guidelines on responsible reporting of drug use. Drawing a sample from the Factiva database, we conducted quantitative content analysis on stories published in the Australian news media from 2018 to 2023, comparing them against guidelines published by the organization Mindframe. We also conducted a qualitative social semiotic analysis on four exemplar articles purposively sampled from a 10% subset of the articles analyzed in the content analysis. The content analysis sample included 410 articles. News Corp published 242 stories compared to 74 for Nine Entertainment, 69 for independent sources, 19 for the Australian Broadcasting Corporation and six for the Australian Associated Press. News Corp also recorded the highest prevalence of sensationalist language (43.8%), and the lowest frequency of seeking expert opinion (57.9%) or including help-seeking information (4.1%). The qualitative image analysis demonstrated how stock and promotional photography can sometimes glamourise vaping in ways that are reductive and emotive, while also being potentially promotional for younger audiences. The risks of sensationalist coverage include normalizing youth vaping, increased public confusion regarding the likely relative risks of vaping and smoking, and an emphasis on policies that focus on narrow policy goals.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390766","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

Prioritizing the Values, Wishes, and Needs of Patients with Advanced Cancer: A Secondary Linguistic Analysis.

IF 3 3区医学

Health Communication Pub Date : 2025-02-11 DOI: 10.1080/10410236.2025.2462065

Sita de Vries, Krista Francke, Sigrid Vervoort, Laury Pijnappel, Megan Milota, Yvette van der Linden, Saskia Teunissen, Everlien de Graaf

{"title":"Prioritizing the Values, Wishes, and Needs of Patients with Advanced Cancer: A Secondary Linguistic Analysis.","authors":"Sita de Vries, Krista Francke, Sigrid Vervoort, Laury Pijnappel, Megan Milota, Yvette van der Linden, Saskia Teunissen, Everlien de Graaf","doi":"10.1080/10410236.2025.2462065","DOIUrl":"https://doi.org/10.1080/10410236.2025.2462065","url":null,"abstract":"Linguistic research on communication regarding the values, wishes, and needs of patients with advanced cancer in the palliative phase is limited, resulting in an inadequate understanding of clinicians' communication. To explore the verbal expressions used by hospital oncology clinicians regarding the VWN of patients with advanced cancer in the palliative phase and to examine the clinician's speech acts and speech act patterns employed during outpatient consultations. A secondary linguistic analysis was performed. Physicians, nurse practitioners and nurses were previously recruited. Content analysis was performed to explore what clinicians expressed verbally about VWN during semi-structured interviews (N = 7). Functional pragmatic analysis was conducted to identify the clinician's speech acts and speech act patterns employed during outpatient consultations (N = 7). Speech acts encompass words/phrases used to perform functions in communication. Speech act patterns were combinations of speech acts used to achieve communicative goals. Clinicians were interviewed once and/or observed multiple times. Eleven clinicians participated. Three findings reveal clinicians' expressions about VWN: 1) Prioritizing patients' VWN in patient-clinician interactions, 2) Trying to understand perspectives of advanced illness, and 3) Seeking to facilitate dialogue on coping with advanced illness. Four findings describe the clinician's speech acts and patterns: 1) Discussing the treatment goal, 2) Focusing on action, 3) Providing Limited Space to Discuss Patients' VWN and 4) Responding to patient emotions. Clinicians did not adequately address patients' VWN in their communication, thereby limiting opportunities for patients to discuss it. The study's findings contribute to improving communication training materials in palliative care.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390661","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

Thinking Outside of Yourself: The Potential of Awe in Mitigating Psychological Reactance Via Inspiring Self-Transcendence.

IF 3 3区医学

Health Communication Pub Date : 2025-02-07 DOI: 10.1080/10410236.2025.2456490

Yao Yao, Jian Raymond Rui

{"title":"Thinking Outside of Yourself: The Potential of Awe in Mitigating Psychological Reactance Via Inspiring Self-Transcendence.","authors":"Yao Yao, Jian Raymond Rui","doi":"10.1080/10410236.2025.2456490","DOIUrl":"https://doi.org/10.1080/10410236.2025.2456490","url":null,"abstract":"Awe, a self-transcendent emotion that can transform our egocentric perspective, has the potential to reduce the resistance to freedom-threatening messages. However, no research has yet offered empirical evidence in health and environmental communication contexts. The present research aims to bridge this gap by explicating whether and how awe alleviates psychological reactance induced by threat-to-freedom messages. We conducted a survey (N = 353, Study 1) and an online experiment (N = 419, Study 2) to examine whether trait awe and video-induced state awe can improve persuasion outcomes by mitigating psychological reactance. Results showed that trait awe was negatively associated with trait reactance. Additionally, state awe dampened state reactance by elevating self-transcendence and diminishing the perceptions of threat to freedom and reactance, which improved one's attitudes toward the message advocacy and behavioral intentions. However, this effect was only supported with the issue of climate change rather than sun protection. Theoretical contributions and practical implications for leveraging awe appeal in strategic communication are discussed.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364560","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

In Whom We Trust: The Effect of Trust, Subjective Norms, and Socioeconomic Status on Attitudes and COVID-19 Vaccination Intentions.

IF 3 3区医学

Health Communication Pub Date : 2025-02-04 DOI: 10.1080/10410236.2025.2456995

Neil Talbert, Norman Wong

{"title":"In Whom We Trust: The Effect of Trust, Subjective Norms, and Socioeconomic Status on Attitudes and COVID-19 Vaccination Intentions.","authors":"Neil Talbert, Norman Wong","doi":"10.1080/10410236.2025.2456995","DOIUrl":"https://doi.org/10.1080/10410236.2025.2456995","url":null,"abstract":"As COVID-19 vaccination hesitancy remains a major public health issue, understanding the factors influencing attitudes and COVID-19 vaccination intentions is a public health priority. Applying the theory of planned behavior (TPB), this study examined the role of two forms of social trust - namely, particularized trust toward relationally close others and generalized trust toward people in general - in moderating the relationship between social norms (injunctive and descriptive) and COVID-19 vaccination attitudes and intent. In two studies (n = 235 for Study 1, n = 273 for Study 2, total N = 508), we found some support for the TPB in the context of COVID-19 vaccination, with attitudes and injunctive norms significantly predicting vaccination intention. However, perceived behavioral control was not a significant predictor of COVID-19 vaccination intention. Extending the TPB, we found that trust in others had an amplifying effect on the relationship between descriptive norms and COVID-19 vaccination attitudes. However, trust attenuated the link between injunctive norms and attitudes toward COVID-19 vaccination. The implications of these findings are discussed.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-14"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189107","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

Dynamic Relations Between Negative News Media Experiences and Mental Distress? Examining Transactional Effects During Times of Health Crises.

IF 3 3区医学

Health Communication Pub Date : 2025-02-03 DOI: 10.1080/10410236.2025.2457557

Sophia Schaller, Christina Schumann, Dorothee Arlt

{"title":"Dynamic Relations Between Negative News Media Experiences and Mental Distress? Examining Transactional Effects During Times of Health Crises.","authors":"Sophia Schaller, Christina Schumann, Dorothee Arlt","doi":"10.1080/10410236.2025.2457557","DOIUrl":"https://doi.org/10.1080/10410236.2025.2457557","url":null,"abstract":"The current study concentrates on individual's media experiences during public health crises - especially media experiences of fear and issue fatigue regarding COVID-19 news media coverage - and their relationship to mental distress. Specifically, we aim to examine potential transactional effects and ask whether media experiences are only a cause or also a consequence of mental distress throughout a health crisis. Utilizing a three-wave panel survey of German citizens (n = 856), the study employs two random intercept cross-lagged panel models (RI-CLPMs). RI-CLPMs distinguish stable between-person differences from temporal within-person changes, facilitating a nuanced understanding of transactional dynamics. Our study shows distinct relationships between media experiences and mental distress. While the respondents' experiences of issue fatigue led to subsequent changes in their depressive symptoms, which, in turn, influenced subsequent changes in their issue fatigue at the within-person level, media-related fear experience was strongly associated with depressive symptoms only at the between-person level. Thus, our findings demonstrate a causal transactional relationship between media experiences of issue fatigue and mental distress that evolves over time. Media experiences of fear, however, appear to be a consequence of trait-like differences between individuals rather than a result of intraindividual change.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122750","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

An Art Exhibition on Creative Activities of Family Members of Persons with Dementia as an Effective Tool for Science Communication: A Qualitative Assessment Study.

IF 3 3区医学

Health Communication Pub Date : 2025-02-03 DOI: 10.1080/10410236.2025.2460849

Fabian Hutmacher, Stefanie Aufschnaiter

引用次数: 0

"Sharing Is Caring Even When It's Wrong": The Factors Influencing Health Misinformation Sharing and Relational Correction Among Chinese Older Adults from a Cultural Perspective.

IF 3 3区医学

Health Communication Pub Date : 2025-02-03 DOI: 10.1080/10410236.2025.2457188

Yidi Wang, Yimeng Xu, Shiwen Wu

{"title":"\"Sharing Is Caring Even When It's Wrong\": The Factors Influencing Health Misinformation Sharing and Relational Correction Among Chinese Older Adults from a Cultural Perspective.","authors":"Yidi Wang, Yimeng Xu, Shiwen Wu","doi":"10.1080/10410236.2025.2457188","DOIUrl":"https://doi.org/10.1080/10410236.2025.2457188","url":null,"abstract":"It is known that older adults are more susceptible to misinformation, and older adults sharing health misinformation is a growing concern. This study explores the factors influencing health misinformation sharing and relational correction among Chinese older adults from a cultural perspective. Guided by the PEN-3 cultural model, we conducted focus groups and in-depth interviews with 79 participants in China to understand the cultural and contextual factors of misinformation sharing. We found that (a) older adults actively shared health misinformation influenced by negative factors such as values of familial ties, need for respect, reciprocity, and initiation of conversation; (b) existential factors such as fact-checking tendency; (c) positive factors such as fatal information avoidance, political identify, awareness of marketing targeting, and social responsibility. Additionally, we found that older adults tend to switch to a silent mode of relational correction for factors such as harmony and face. This research extends the model's applicability and provides localized insights for developing culturally sensitive health communication strategies to mitigate the spread of health misinformation.","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079480","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