{"title":"A Study of Discourse on COVID-19 Vaccines from Conspiracy Communities on Reddit Using Topic Modeling and Sentiment Analysis.","authors":"Chun Zhou, Yuan Zhao","doi":"10.1080/10410236.2025.2505212","DOIUrl":"https://doi.org/10.1080/10410236.2025.2505212","url":null,"abstract":"<p><p>Given the limited research on the content attributes of anti-vaccination discourse regarding COVID-19 vaccines, our study investigated how conspiracy communities on Reddit, which may serve as potential anti-vaccination groups, have framed their discussions about the vaccines. Using topic modeling, we identified six topics including conspiracy theories and vaccine hesitancy, scientific (mis)information, vaccine policies and politics, vaccine efficacy, impact on special groups, and adverse effects. Furthermore, drawing on social identity theory and the concept of echo chambers, we explored the online dynamics of these communities by examining how negative sentiments and user engagement varied across topics. Negative sentiments were strongest in discussions about vaccine efficacy and adverse effects, with vaccine efficacy generating the most fear and sadness, while adverse effects elicited the most anger and disgust. Engagement also varied across topics, with vaccine efficacy and conspiracy theories generating the highest number of comments, and vaccine efficacy receiving the most upvotes. Our study provides valuable insights into the discourse surrounding COVID-19 vaccines within conspiracy communities. The variations across topics offer a more nuanced understanding of this discourse and could inform developing tailored strategies to counter misinformation.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077085","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":"Relational Maintenance Behaviors Mediate the Relationship Between Alzheimer's Diagnosis Severity and Caregivers' Benefit Finding.","authors":"Julie Q Ball, Colter D Ray","doi":"10.1080/10410236.2025.2503401","DOIUrl":"https://doi.org/10.1080/10410236.2025.2503401","url":null,"abstract":"<p><p>Caregivers often experience stress, depression, anxiety, and various physical illnesses stemming from the demands and challenges of their caregiving role. However, adaptive coping mechanisms such as benefit finding can mitigate these outcomes. The present study explored the relationship between Alzheimer's diagnostic severity and caregivers' engaging in benefit finding and, more specifically, whether prosocial relational maintenance behaviors communicated by the patient to the caregiver mediates the relationship between severity and benefit finding. A sample of 152 current or former Alzheimer's caregivers completed an online survey measuring their care recipient's Alzheimer's diagnostic severity, their own propensity for benefit finding, and how often the care recipient performed relational maintenance behaviors toward them as the caregiver. Results showed no direct effect existed between Alzheimer's diagnostic severity and caregivers' benefit finding; however, the extent that patients performed relational maintenance behaviors with their caregiver mediated the relationship between Alzheimer's diagnostic severity and caregivers' benefit finding. The significant influence of relational maintenance behaviors underlines the importance and effect of communication between caregivers and care recipients throughout the progression of a disease like Alzheimer's.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077511","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}
Samee A Hameed, Anna Klyueva, Isabelle S Kusters, Julianna M Dean
{"title":"Examining the Roles of Communication and Trust in Patient-Provider Relationships and Their Association with Patient Satisfaction with Care.","authors":"Samee A Hameed, Anna Klyueva, Isabelle S Kusters, Julianna M Dean","doi":"10.1080/10410236.2025.2502456","DOIUrl":"https://doi.org/10.1080/10410236.2025.2502456","url":null,"abstract":"<p><p>Patient-provider relationships can significantly influence patients' perceptions of quality of care and generally affect patient trust in healthcare providers. The purpose of this study was to investigate how communication based on CAT strategies can enhance the patient-provider relationship, ultimately improving patients' perceptions of the quality of care they receive. Additionally, we examined the relationship between patients' trust in the cancer- and health-related information provided by their doctors and their satisfaction with the quality of care. Data from the 2022 health Information National Trends Survey (HINTS 6, <i>n</i> = 6252 surveys) was used. Results demonstrate that the use of CAT strategies that encompass three domains - emotional expression, interpersonal control, and interpretability - play a larger role in patient satisfaction with quality of care than trust in health-related information from their doctor alone. To improve satisfaction with care, these findings show possible targetable domains of patient-provider relationship building in healthcare.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990487","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":"It's Not Just the Demographics: Psychological and Attitudinal Determinants, and Social Influence Most Strongly Affect COVID-19 Vaccination Intention.","authors":"Jack J Barry, Linjuan Rita Men","doi":"10.1080/10410236.2025.2499962","DOIUrl":"https://doi.org/10.1080/10410236.2025.2499962","url":null,"abstract":"<p><p>Over the course of the COVID-19 pandemic, a larger than anticipated number of people had the hesitancy to take a SARS-CoV-2 (COVID-19) vaccine even when the vaccines have been strongly recommended by the medical community. Our study examined the demographic, psychological, and attitudinal determinants, and social influence on COVID-19 vaccine intent. Through an online survey with a nationwide diverse sample of 4,024 adult respondents during the height of the pandemic, our results showed that perceived confidence in COVID-19 vaccines regarding their safety, perceived benefits of getting vaccinated, collective responsibility and perceived convenience in getting the COVID-19 vaccine all showed significant positive effects on respondents' vaccine intent. The psychological, attitudinal and social factors showed much stronger effects on vaccine intent than demographic variables. Our study contributes to the understanding of vaccine intention which can help guide where framing can be most effective and where limited resources should be devoted to increasing vaccination in future pandemics. From a practical standpoint, our study isolates which factors are influencing intention the most and our findings can help guide practitioners to create communication strategies that can be both more focused on the psychological determinants and social influences to ensure higher efficacy.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967905","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":"Social Support as Assemblage at the Public Library: How an Organization of Human and More-Than-Human Weak Ties Impacts Health.","authors":"James Pepper Kelly","doi":"10.1080/10410236.2025.2499098","DOIUrl":"https://doi.org/10.1080/10410236.2025.2499098","url":null,"abstract":"<p><p>This study responds to a dual emphasis within social support literature on computer-mediated-communication and logocentric messaging by focusing on contextual, in-person social support. Specifically, this study examines how social support is provided within an organization of weak ties, namely a rural library system located in Central Appalachia. The study uses qualitative and postqualitative analysis to consider how both human and more-than-human kinds together confer support toward the goal of improving health outcomes. Ultimately, it finds that these agents variously complement and contradict each other within a posthuman assemblage of social support. It also identifies <i>invitational social support</i>, a communication strategy for destigmatizing social support, and <i>non-normative social support</i>, a counterintuitive form of support that involves the disruption of normative approaches. The study concludes with a call for the development of an ecological model of social support.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994334","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}
Braidyn Lazenby, Erin E Donovan, Jacinta Tran, Sun Young Park, Hussain Alkhafaji, Renee Alducin, Chloe Gonzales, Joon Kim, Anusha Naeem, Faiza Sarwar, Kayleigh Spaulding
{"title":"\"I Don't Know Who Everyone's Been Around\"…\"and if You Ask, it's Like Stepping on Glass\": Applying & Expanding the Tripartite Model of Uncertainty in the Novel Coronavirus Era.","authors":"Braidyn Lazenby, Erin E Donovan, Jacinta Tran, Sun Young Park, Hussain Alkhafaji, Renee Alducin, Chloe Gonzales, Joon Kim, Anusha Naeem, Faiza Sarwar, Kayleigh Spaulding","doi":"10.1080/10410236.2025.2499708","DOIUrl":"https://doi.org/10.1080/10410236.2025.2499708","url":null,"abstract":"<p><p>Uncertainty is a central feature of the novel coronavirus era and a primary cause of stress and anxiety. Understanding the uncertainties that people are experiencing is important to provide support and help them cope; it is also a valuable opportunity to contribute to health communication theory. Guided by the Tripartite Model of Uncertainty (TMU), this project was designed to examine different forms of uncertainty that the COVID-19 pandemic created. Interviews were conducted with 62 individuals. Findings provide some support for the TMU, in that medical and personal uncertainty were salient to people's lives during the pandemic. Findings also indicated prospects for expanding the TMU to reflect (a) systems uncertainty and (b) deeply intertwined medical-social uncertainties that may be unique to this particular type of health crisis.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961725","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":"Unveiling America's Silent Struggle: Help-Seeking During Material Hardship.","authors":"Yeha Kim, Michelle Shumate, Peixin Hua","doi":"10.1080/10410236.2025.2499954","DOIUrl":"https://doi.org/10.1080/10410236.2025.2499954","url":null,"abstract":"<p><p>Health-related social needs are increasingly recognized as significantly influencing healthcare outcomes. Material hardship, defined as the inability to meet basic needs for physiological functioning, such as food and shelter, affects many Americans. This study explores the dynamics of help-seeking behavior, focusing on the perceived effectiveness of different help-seeking channels and the primary barriers associated with each. As part of a larger research project, we interviewed 27 participants aged 18 to 70 to compare help-seekers' experiences in referral programs (<i>n</i> = 14) with those without such support (<i>n</i> = 13). Our findings indicate that people turn to formal channels for complex needs, expecting tangible solutions. They resort to informal channels for less complicated issues with lower expectations. Because expectations are lower, people often describe informal support as helpful, even when the support fails to adequately address their material hardship. In contrast, individuals find help from organizations ineffective when inadequate or too slow. Stigma significantly impedes help-seeking across both channels. Systemic barriers pose the most significant barrier within formal channels, and social isolation is the most prevalent barrier within informal channels. This research provides insights into the challenges help-seekers face by identifying and understanding the barriers associated with formal and informal help-seeking channels.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2025-05-01Epub Date: 2024-07-25DOI: 10.1080/10410236.2024.2379159
Tamara Tabbakh, Sarah J Durkin
{"title":"The Effect of Anti-Tobacco Ad Length and Skippability on Perceived Message Effectiveness and Emotional Responsiveness.","authors":"Tamara Tabbakh, Sarah J Durkin","doi":"10.1080/10410236.2024.2379159","DOIUrl":"10.1080/10410236.2024.2379159","url":null,"abstract":"<p><p>The media landscape changes have resulted in significantly more people viewing content in shorter and skippable formats. There is limited evidence about the impact of these formats on anti-tobacco campaign effectiveness. This study examined the effect of anti-tobacco ad length and skippability on perceived message effectiveness (PME) and emotional responsiveness among people who smoke. Initially, 805 people who smoke were randomized to a message type (anti-tobacco vs. control) × message length (15 vs. 30 seconds) condition. A week later, participants saw the same message, but were randomized to a skippable or non-skippable version. Following ad exposure, outcomes were measured and examined in mixed-effects linear regression models. We found that at initial exposure, participants in the 30-second anti-tobacco condition reported significantly higher scores on personal relevance (75% cf. 68%), motivation to act (61% cf. 52%), action-oriented negative emotion (62% cf. 53%) and positive emotion (37% cf. 28%) relative to participants in the 15-second anti-tobacco condition. At repeated exposure, there was no effect of ad skippability on PME or emotional responsiveness regardless of message type condition. However, participants in the 30-second anti-tobacco condition reported significantly higher scores on action-oriented negative emotion (60% cf. 50%) and inaction-oriented negative emotion (54% cf. 46%) relative to participants in the 15-second anti-tobacco condition. Our findings suggest that initial exposure to non-skippable and longer novel anti-tobacco messages can lead to stronger personal relevance, motivation to act and emotional arousal, and ongoing negative emotional arousal, which may attenuate the negative effects of allowing individuals to skip later.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"931-939"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2025-05-01Epub Date: 2024-07-21DOI: 10.1080/10410236.2024.2380617
Ilwoo Ju, Laura A Downey
{"title":"The Role of Optimistic Bias and Affect on Social Media Searches About COVID-19.","authors":"Ilwoo Ju, Laura A Downey","doi":"10.1080/10410236.2024.2380617","DOIUrl":"10.1080/10410236.2024.2380617","url":null,"abstract":"<p><p>The preventive health behavior people adopt is partly a result of the risk they perceive from the threat, and health behavior theory has shown that risk communication is a critical part of that outcome. But risk to self and risk to others are often judged differently. Optimistic bias, which describes an unrealistic level of optimism about a threat, is a well described and frequently observed phenomenon in the study of health behavior. Traditional measurements of this construct have typically used the difference in self and other risk levels, which may obscure the impact. This study used a moderated mediation path with other-risk as a moderator of self-risk to study how optimistic bias and emotion about a rapidly changing risk may impact information seeking about it through social medial channels, which represent a still nascent but evolving media for credible health information. Results showed that optimistic bias about developing symptoms of COVID was indeed present and that the effect of perceived self-risk was mediated by fear and anxiety to predict social media searches about the threat. Further, affect and social media search behavior decreased with increasing levels of perceived other risk, indicating optimistic bias served to dampen a person's motivation to seek information. The implications of the results on health behavior theory, risk communication, and public health practice are discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"945-955"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health CommunicationPub Date : 2025-05-01Epub Date: 2024-07-22DOI: 10.1080/10410236.2024.2381672
Lai Wei, Xiaodong Yang
{"title":"\"I Will Exercise to Look Great!\": The Impact of Message Frame, Message Focus, and Age Label on Enhancing Older Adults' Physical Activity Intentions.","authors":"Lai Wei, Xiaodong Yang","doi":"10.1080/10410236.2024.2381672","DOIUrl":"10.1080/10410236.2024.2381672","url":null,"abstract":"<p><p>Promoting physical activity (PA) in older adults is a long-standing and crucial aspect of public health. It is essential for improving quality of life and maintaining overall health as people age. This study aims to identify an effective message strategy for enhancing PA intentions in aging population. Using a between subjects, 2 [message frame: gain versus loss] × 2 [message focus: health versus appearance] × 2 [age label: presence versus absence] full factorial survey experiment, this study uncovered a significant main effect for message framing. Gain-framed messages elicited more positive PA attitudes than loss-framed messages among older adults, and this effect of message frame further varied upon different message focuses and age label conditions. Moreover, moderated mediation analyses showed that gain-framed messages exerted a stronger indirect effect on PA intentions through PA attitudes when older adults received appearance-focused messages with age labels than without. The theoretical and practical implications of tailoring health promotion messages targeting older adults were discussed.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"965-979"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747868","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}