{"title":"From Attention to Intention: Evaluating the Effectiveness of Social Media and Website Strategies in the Radon Buster Campaign.","authors":"Sofie Apers, Michelle Symons, Heidi Vandebosch, Tanja Perko","doi":"10.1080/10810730.2025.2562844","DOIUrl":"https://doi.org/10.1080/10810730.2025.2562844","url":null,"abstract":"<p><p>This study investigates the effectiveness of different social media communication strategies in promoting radon information-seeking behaviors and intentions to test for radon. Guided by the Elaboration Likelihood Model, the study explores the interaction between the peripheral and the central routes of persuasion in promoting radon protection behaviors across four European countries: Austria, Belgium, Ireland, and Slovenia (<i>N</i>=1,677). The \"Radon Buster campaign,\" containing Facebook advertisements and a website, was specifically developed for this study. An online survey experiment evaluated the impact of the Facebook advertisements on radon information-seeking intentions and the impact of the website on radon testing intentions. Participants were randomly assigned to one of three experimental conditions (narratives, humor, or norm nudges), or included in a prior-exposure control group, followed by interaction with the website. The results show a direct positive effect of the exposure and appreciation of the posts on information-seeking intentions. However, mixed effects were found regarding the moderation of website appreciation and counterarguing on the effect of the website on the intention to test. Overall, the findings underscore the importance of engaging communication strategies that are designed to evoke both peripheral and central route processing to effectively promote radon awareness and testing behaviors.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-17"},"PeriodicalIF":2.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Don't Call Them \"Unclean\" Or \"Unkempt\": Analyzing the Harmful Direct and Indirect Effects of Opioid Stigma Marks on Stigmatizing Attitudes and Behavioral Intentions.","authors":"Victoria A Ledford","doi":"10.1080/10810730.2025.2552949","DOIUrl":"https://doi.org/10.1080/10810730.2025.2552949","url":null,"abstract":"<p><p>This study examined the effects of opioid stigma marks (e.g. \"dirty,\" \"unclean\") on stigma-related outcomes among a sample of Amazon Mechanical Turk workers (<i>N</i> = 371). Using a 2 (stigma mark: yes, no) by 3 (opioid type: prescription opioid, heroin, fentanyl) between subjects factorial experiment, results indicated that compared to those in the no mark conditions, participants in the mark conditions expressed greater desire for social distance from and behavioral regulation of people with opioid use disorders. Opioid stigma marks were also indirectly associated with more behavioral regulation, more stigma message sharing, and less support for opioid-related public health policies through stigma beliefs. Results advance theoretical understandings of the stigma message effects process and offer practical recommendations for public health communicators and journalists.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":2.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conditional Effect of Need for Affect and Perceived Prior Knowledge in Processing HPV Messages.","authors":"Tae Kyoung Lee, Hye Kyung Kim","doi":"10.1080/10810730.2025.2552492","DOIUrl":"https://doi.org/10.1080/10810730.2025.2552492","url":null,"abstract":"<p><p>This study examines the role of need for affect (NFA) and perceived prior knowledge about HPV in processing messages about the vaccine. In an experiment with 479 US parents of unvaccinated children, participants were assigned to one of the three conditions (narrative, non-narrative, or no message). Results showed that perceived prior knowledge and NFA were positively correlated with transportation, vaccination intentions, and information-seeking. The effects of NFA were stronger in the narrative condition. For parents with low perceived prior knowledge, NFA was linked to transportation and intentions in the narrative condition, but this was not observed for those with high prior knowledge or in non-narrative conditions. The study discusses its theoretical and practical implications.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using Theater as a Health Promotion Tool: A Scoping Review.","authors":"Yixian Guo, Christopher Sonn, Michaela Pascoe","doi":"10.1080/10810730.2025.2547052","DOIUrl":"https://doi.org/10.1080/10810730.2025.2547052","url":null,"abstract":"<p><p>This scoping review synthesizes evidence from 40 studies on theater's role in health promotion. Key findings reveal that non-interactive theater (e.g. traditional scripted performances) predominates and is used widely across contexts. Interactive theater (e.g. forum theater) is primarily employed for healthy lifestyle promotion. Community-based interventions target broad age ranges (7-94 years) and emphasize disease prevention (e.g. HIV/cancer), while school-based projects focus on children/adolescents and social health (e.g. bullying). Theater consistently improves health-related knowledge, attitudes, intentions, and behaviors. The gaps of current literature include underrepresentation of marginalized populations (e.g. immigrants and LGBTQI+), limited focus on mental health, and over-reliance on quantitative evaluation methods. Longitudinal impact assessment is rare. The findings underscore theater's versatility in addressing health topics but highlight the need for culturally tailored frameworks, mixed-methods evaluation, and inclusive co-design approaches. These findings guide health practitioners, artists, and policymakers in developing effective theater-based health promotion.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-22"},"PeriodicalIF":2.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessie Heneghan, Danielle C John, Tej D Shah, Nicolaas P Pronk, Kevin L Chin, Samuele Petruccelli, Sarah M Bartsch, Kavya Velmurugan, Colleen Weatherwax, Emily Faulhaber, Kelly J O'Shea, Alexis Dibbs, Sheryl A Scannell, Kayla De La Haye, Bruce Y Lee
{"title":"How Systems Mapping Can Be an Important Health Communication Tool.","authors":"Jessie Heneghan, Danielle C John, Tej D Shah, Nicolaas P Pronk, Kevin L Chin, Samuele Petruccelli, Sarah M Bartsch, Kavya Velmurugan, Colleen Weatherwax, Emily Faulhaber, Kelly J O'Shea, Alexis Dibbs, Sheryl A Scannell, Kayla De La Haye, Bruce Y Lee","doi":"10.1080/10810730.2025.2538531","DOIUrl":"https://doi.org/10.1080/10810730.2025.2538531","url":null,"abstract":"<p><p>Many health and public health issues involve heterogeneous factors and processes that interact with one another and combine to form complex systems that make them challenging to communicate to the public. Words alone often aren't enough to communicate what's happening with a complex system, which is where and how visualizations can play an important role. A systems map is one such visualization tool that can be useful as it graphically shows the different components that make up a complex system and their relationships with one another. While systems mapping is not new as a concept or tool and in fact is used in other fields, its potential for health and public health communications still remains largely untapped. There is a series of sequential steps to follow to develop a systems map for health communications that allows for various perspectives to be included and minimizes bias, setting up a process to create a fuller representation of the system. Future directions of systems mapping for public health communications should leverage emerging technologies like artificial intelligence (AI) and virtual and extended reality (VR/XR) to further advance the usefulness systems mapping can have to improve our understanding of complex systems in public health and better communicate them to the public.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-16"},"PeriodicalIF":2.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victoria N Yi, Angel P Scialdone, Ann Marie Flusche, Kendall Reitz, Holly C Lewis, William M Tian, Elda Fisher, Kristen Rezak, Ash Patel
{"title":"Comparing Large Language Models as Health Literacy Tools: Evaluating and Simplifying Texts on gender-Affirming Surgery.","authors":"Victoria N Yi, Angel P Scialdone, Ann Marie Flusche, Kendall Reitz, Holly C Lewis, William M Tian, Elda Fisher, Kristen Rezak, Ash Patel","doi":"10.1080/10810730.2025.2547321","DOIUrl":"10.1080/10810730.2025.2547321","url":null,"abstract":"<p><p>Patient-facing materials in gender-affirming surgery are often written at a level higher than the NIH-recommended eighth grade reading level for patient education materials. In efforts to make patient resources more accessible, ChatGPT has successfully optimized linguistic content for patients seeking care in various medical fields. This study aims to evaluate and compare the ability of large language models (LLMs) to analyze readability and simplify online patient-facing resources for gender-affirming procedures. Google Incognito searches were performed on 15 terms relating to gender-affirming surgery. The first 20 text results were analyzed for reading level difficulty by an online readability calculator, Readability Scoring System v2.0 (RSS). Eight easily accessible LLMs were used to assess texts for readability and simplify texts to an eighth grade reading level, which were reevaluated by the RSS. Descriptive statistics, t-tests, and one-way ANOVA tests were used for statistical analyses. Online resources were written with a mean reading grade level of 12.66 ± 2.54. Google Gemini was most successful at simplifying texts (8.39 ± 1.49), followed by Anthropic Claude (9.53 ± 1.85) and ChatGPT 4 (10.19 ± 1.83). LLMs had a greater margin of error when assessing readability of feminizing and facial procedures and when simplifying genital procedures (<i>p</i> < .017) Online texts on gender-affirming procedures are written with a readability more challenging than is recommended for patient-facing resources. Certain LLMs were better at simplifying texts than others. Providers should use caution when using LLMs for patient education in gender-affirming care, as they are prone to variability and bias.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-19"},"PeriodicalIF":2.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dying in Silence: Black Maternal Mortality in the United States.","authors":"Jaime Loke, Tania Cantrell Rosas-Moreno","doi":"10.1080/10810730.2025.2541832","DOIUrl":"https://doi.org/10.1080/10810730.2025.2541832","url":null,"abstract":"","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.4,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth A Hintz, Lili R Romann, Rachel V Tucker, Madeline J Moore
{"title":"Examining Character Assassination in Patient-Clinician Interactions About Chronic Pain.","authors":"Elizabeth A Hintz, Lili R Romann, Rachel V Tucker, Madeline J Moore","doi":"10.1080/10810730.2025.2546375","DOIUrl":"https://doi.org/10.1080/10810730.2025.2546375","url":null,"abstract":"<p><p>Female chronic pain patients often report perceiving that their character (i.e. credibility, reputation) has been attacked by clinicians during healthcare interactions. Although initially developed to examine political communication, we argue that character assassination (CA) is an inherently communicative phenomenon that also occurs within patient-clinician interactions. Utilizing CA as a sensitizing concept, this study examined experiences of CA among a racially, socioeconomically, and globally diverse sample of 450 female chronic pain patients during their interactions with clinicians. Our findings illuminate specific tactics employed by clinicians to attack patients' character, including making false attributions, lying and misquoting, triggering stereotypes, bullying, and emphasizing alleged flaws. Our findings also illustrate how CA might catalyze other deleterious outcomes, including fueling self-doubt, delaying further help-seeking and diagnosis, intensifying physical and mental health conditions, and turning relationally close others against the patient. We offer theoretical implications for utilizing CA as a conceptual lens and practical implications for patients and clinicians.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-7"},"PeriodicalIF":2.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Meme Exposure on Social Media Associated with More Positive E-Cigarette Perceptions and Greater Usage Among Youth.","authors":"Xia Zheng, Meng Yang, Wenbo Li, Hsien-Chang Lin","doi":"10.1080/10810730.2025.2543168","DOIUrl":"https://doi.org/10.1080/10810730.2025.2543168","url":null,"abstract":"<p><p>Internet memes, viral and mutable messages online, have been used by individuals and organizations to disseminate health messages. Specifically, both companies and public health organizations have used memes to influence e-cigarette behaviors. How does exposure to e-cigarette memes on social media shape related perceptions and behaviors among youth? This study extracted data from restricted-use file of Wave 7 (2022-2023) of the Population Assessment of Tobacco and Health (PATH) study, a nationally representative study that collected information about tobacco use and associated health behaviors among adults (≥18 years) and youth (12-17 years) in the United States. Our analyses investigated the association between youth participants' exposure to various sources of memes related to e-cigarette use and their e-cigarette-related expectancies, perceptions, use, and cessation, while controlling for parental and youth factors. Exposure to memes posted by friends and celebrities were all associated with lower perceived harmfulness, higher descriptive norms, more positive injunctive norms of using e-cigarettes, and more ease for purchasing e-cigarettes (<i>p</i>s<.05). For youth who do <i>not</i> use e-cigarettes, exposure to e-cigarette memes was associated with higher susceptibility of using e-cigarettes (<i>p</i>s<.01). Additionally, exposure to memes posted by friends was also associated with lower e-cigarette quit intentions. E-cigarette memes may influence youth's perceptions about e-cigarettes and contribute to initiation among youth. Future research is needed for identifying strategies in using Internet memes for e-cigarette prevention and health campaigns.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When ChatGPT Speaks About Health: Examining Perceptions of Warmth and Competence Toward AI as a Health Information Source.","authors":"Buduo Wang, Bruce Wang Shibo, Jiwan Kafle","doi":"10.1080/10810730.2025.2540864","DOIUrl":"https://doi.org/10.1080/10810730.2025.2540864","url":null,"abstract":"<p><p>Recent research indicates that a majority of individuals (78.4%) are willing to use generative AI tools such as ChatGPT for health-related purposes. However, how individuals perceive and evaluate AI as a source of health information remains less understood. Drawing on literature from AI aversion and the stereotype content model, this study compares perceptions of warmth and competence between ChatGPT and human doctors. Results indicate that when delivering the same health information on moderate drinking, ChatGPT is perceived as less warm and competent than human doctors. This perception further leads to decreased intentions to share the information. Additionally, we examine the moderating effect of prior AI exposure, finding that discrepancies in perceived warmth and competence disappear for those with extensive AI exposure. Individuals with substantial AI experience perceive similar levels of warmth and competence and are equally likely to share health information from ChatGPT as from a human doctor.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":2.4,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}