{"title":"Foreword.","authors":"Scott C Ratzan","doi":"10.1080/10810730.2025.2470489","DOIUrl":"https://doi.org/10.1080/10810730.2025.2470489","url":null,"abstract":"","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"30 sup1","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753017","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}
Je'Kylynn S Steen, Holli H Seitz, Mary Nelson Robertson, David R Buys
{"title":"Explanations for Failure to Detect Effects of a Prescription Medication Disposal Intervention for Rural Adults.","authors":"Je'Kylynn S Steen, Holli H Seitz, Mary Nelson Robertson, David R Buys","doi":"10.1080/10810730.2024.2446998","DOIUrl":"10.1080/10810730.2024.2446998","url":null,"abstract":"<p><p>Prescription opioid misuse has had a substantial impact on morbidity and mortality in the United States, but proper disposal of unused medications can reduce the risk of misuse. This commentary reflects on potential explanations for our failure to detect effects of a mailed communication intervention promoting the use of prescription medication take-back boxes among a rural population of adults. This field experiment included adults (Intervention: <i>N</i> = 3,255; Comparison: <i>N</i> = 3,325) in six counties in Mississippi. Pretest and posttest surveys measured use of take-back boxes, intention to use take-back boxes, and Reasoned Action Approach predictors of intention: attitudes, descriptive norms, injunctive norms, and perceived behavioral control. Analyses indicated that the intervention failed to increase participants' intention to use prescription medication take-back boxes. Possible explanations for these null effects include intervention design, low response rates, methodological challenges, and stigma related to the topic area. This commentary provides insights into these explanations and implications for health communication campaigns.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"30 sup1","pages":"68-69"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753014","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":"How Message-Evoked Emotions Undermine Persuasion: The Mediating Role of Fear and Anger in Health Message Effects Among Older Adults.","authors":"Xiaodong Yang, Lai Wei","doi":"10.1080/10810730.2024.2438274","DOIUrl":"10.1080/10810730.2024.2438274","url":null,"abstract":"<p><p>Guided by literature on framing, this study explored how the presence of age labels in different message frames influenced message-evoked fear and anger responses, particularly for older adults with different levels of need for autonomy (NFA), which ultimately affected their physical activity intentions. The results of a three-factor between-subjects experiment, with message frame (gain versus loss) and age label (present versus absent) as manipulated variables and NFA (low versus medium versus high) as quasi-experiment variable (<i>N</i> = 237) revealed that loss-framed message evoked higher levels of fear and anger as compared to gain-framed message. Furthermore, the anger elicited by loss-framing was more pronounced when age labels were present, especially among older adults with low NFA. The moderated mediation analysis revealed that, among older adults with low NFA, loss-framed messages decreased physical activity intentions through message-evoked anger. Notably, this mediating effect was more pronounced when age labels were present.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"5-13"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791980","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}
Andrew A Bayor, Fidelis A Da-Uri, Alloysius T Gumah, George N Gyader
{"title":"Optimizing Public Health Crisis Communication: Insights from Technology-Mediated COVID-19 Messaging in Rural Ghana.","authors":"Andrew A Bayor, Fidelis A Da-Uri, Alloysius T Gumah, George N Gyader","doi":"10.1080/10810730.2024.2431310","DOIUrl":"10.1080/10810730.2024.2431310","url":null,"abstract":"<p><p>This paper examines the efficacy of different messaging formats in the context of public health crises and emergencies in rural context. By analyzing usage statistics and user feedback, we assessed the effectiveness of various technology-mediated COVID-19 audio message formats (songs, expert interviews, endorsements, and dramas) delivered using the Amplio Talking Book device to rural communities in Ghana during the COVID-19 pandemic. Our findings indicate that different messaging formats resulted in varying levels of user engagement and interest. Shorter audio messages (1-5 minutes) and endorsements from credible and familiar community stakeholder significantly fostered trust and adoption. Establishing a consistent user feedback loop was essential for providing clarifications, addressing queries, and diffusing disinformation and misinformation, especially considering the unprecedented nature of the COVID-19 outbreak. Reflecting on these insights, we discuss effective strategies for creating engaging technology-mediated public health and behavior change messages during public health crises.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"50-58"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710261","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}
Janel S Schuh, Emma C Prus, Cindy Abello, Katy Evans, Kathleen Walker, Mark Miller, Brian C Castrucci
{"title":"Public Health Communication and Trust: Opportunities for Understanding.","authors":"Janel S Schuh, Emma C Prus, Cindy Abello, Katy Evans, Kathleen Walker, Mark Miller, Brian C Castrucci","doi":"10.1080/10810730.2025.2466098","DOIUrl":"10.1080/10810730.2025.2466098","url":null,"abstract":"<p><p>The COVID-19 pandemic highlighted the importance of effective communication to build and strengthen public trust in the field of public health. To address this need, we conducted virtual qualitative message testing via focus groups and individual in-depth interviews with a demographically and psychographically diverse mix of 100 English-speaking U.S. adults in March and April 2024. Following best practices in health literacy and plain language, we developed and tested 20 primary messages that focused on core values of the public health field and public health activities. Throughout message testing, participants demonstrated an unexpectedly limited or inaccurate understanding of public health, which shaped their reactions to messages. Although participants expressed positive reactions to some aspects of messages that humanize public health professionals, reflect audiences' lived experiences, provide clear and specific examples of public health activities, and highlight public health efforts within a local context, their limited or inaccurate understanding of public health made it difficult to assess message efficacy and resonance. After participants reviewed the messages, researchers observed that participants exhibited negligible shifts in their trust in the public health field and perceptions of its value and still had trouble articulating core public health concepts. Findings reveal substantial information gaps related to public health - that is, what public health is, what public health professionals do, and how it impacts lives and communities - and provide new insights about public health literacy and opportunities for developing effective messaging strategies about the public health field.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"30 sup1","pages":"76-89"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753020","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}
Helen M Lillie, Manusheela Pokharel, Jakob D Jensen
{"title":"A Missing Mechanism of Effect: How People Who Habitually Replot Stories React Differently (Or Not so Differently) to Melanoma Narratives.","authors":"Helen M Lillie, Manusheela Pokharel, Jakob D Jensen","doi":"10.1080/10810730.2024.2427395","DOIUrl":"10.1080/10810730.2024.2427395","url":null,"abstract":"<p><p>When stories have undesirable endings, readers often engage in replotting, meaning they imagine alternative plotlines that could change the unwanted ending. Recent research has found that both the cognitive and emotional components of replotting serve as mechanisms of narrative persuasion. Building on this work, the current study assessed if people who habitually replot are more persuaded by a tragic story ending than those who do not, testing hypotheses with melanoma narratives. Cognitive and emotional (i.e., anger, anxiety, sadness, and hope) aspects of replotting were tested as mechanisms of this proposed interaction. Participants (<i>N</i> = 432) were randomized into a 2 (protagonist death vs. survival) x 6 (specific melanoma story) between-subjects online narrative message experiment. Participants who habitually replot had significantly higher melanoma prevention intentions after reading a death (compared to a survival) ending. This effect was not present for other participants. However, counter to hypotheses, the cognitive and emotional aspects of actual replotting did not explain the effect, meaning habitual replotters were not more likely to replot the death ending or experience replotting emotion than other participants were. Future research is needed to determine why habitual replotters are more persuaded by unwanted story endings than other audience members are.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"59-67"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Stgeorge, Jason Dizon, Lucy Leigh, Jacqui A Macdonald, Richard Fletcher
{"title":"Characterizing Engagement Measures and Profiles in a Mobile Health Intervention, SMS4dads.","authors":"Jennifer Stgeorge, Jason Dizon, Lucy Leigh, Jacqui A Macdonald, Richard Fletcher","doi":"10.1080/10810730.2025.2480155","DOIUrl":"https://doi.org/10.1080/10810730.2025.2480155","url":null,"abstract":"<p><p>mHealth interventions can efficiently distribute healthcare information to broad populations. However, take-up, adherence or engagement can be hard to assess. Building on previous efforts to create mHealth engagement indices, we developed an engagement metric to measure men's participation in SMS4dads, a message service for men in transition to fatherhood. Data were collected from 3261 fathers in NSW Australia in 2020-2021. An engagement metric was computed as a proportion of interactions across links and texts. Hazard ratios of dropping out were applied as external validity. To further understand men's engagement, we explored characteristics related to engagement in the program. Engagement scores did not significantly differ for rural or urban fathers. Engagement scores differed for Indigenous status, education level, first child status, antenatal enrollment, smoking status, alcohol use, and psychological distress score. The range of Engagement scores suggests that some men respond to few prompts, while others respond to almost all prompts. Understanding characteristics associated with mHealth engagement can improve precision when tailoring interventions to individual needs and vulnerable groups.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692417","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}
Olivia Britton, Shawnika J Hull, Michelle Xu, Rachel K Scott
{"title":"Identifying Provider-Level Barriers to Provision of PrEP Services for Cisgender Women: Application of the Disclosure Decision-Making Model.","authors":"Olivia Britton, Shawnika J Hull, Michelle Xu, Rachel K Scott","doi":"10.1080/10810730.2025.2478919","DOIUrl":"10.1080/10810730.2025.2478919","url":null,"abstract":"<p><p>HIV pre-exposure prophylaxis (PrEP) is highly effective but underutilized by cisgender women. Physicians are important gatekeepers to PrEP access. Factors that shape providers' decisions to discuss PrEP with female patients are not well elucidated in the literature. We sought to understand these decisions through the lens of the Disclosure Decision-Making Model because discussion of PrEP with a patient shares many commonalities with HIV status disclosure. We interviewed physicians caring for women in HIV endemic regions in the US (<i>N</i> = 21). When adapted to reflect the clinical context, the DD-MM was well suited to characterize the factors influencing providers' willingness to disclose PrEP information. Assessments of information, receiver, clinical recommendation, and efficacy of disclosure-shaped providers' decision to disclose. We describe the unique considerations and articulate theoretical and practical implications to inform the development of interventions to improve equity in PrEP provision.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.1,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676881","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}
Kristina Medero, Shelly Hovick, Sandra Stranne Miller, Jacob Andrew Charlton, Emily Moyer-Gusé, Tasleem J Padamsee
{"title":"Examining the Impact of a Culture-Centric Narrative on COVID-19 Vaccines and Mental Wellness Among Latinos in the Midwest.","authors":"Kristina Medero, Shelly Hovick, Sandra Stranne Miller, Jacob Andrew Charlton, Emily Moyer-Gusé, Tasleem J Padamsee","doi":"10.1080/10810730.2025.2478914","DOIUrl":"https://doi.org/10.1080/10810730.2025.2478914","url":null,"abstract":"<p><p>The model of culture-centric narratives in health promotion (CNHP) is argued to be most effective for homogenous cultural communities. This study a) compares the impact of narratives designed to speak to two different cultures (i.e. Latindad v. white, Anglo-Saxon culture in the Midwest), and b) examines the potential influence of acculturation on those narrative effects. English-proficient, Latino-identifying adult participants living in the Midwest of the United States (<i>n</i> = 189) were randomly assigned to one of the two narratives about a family's struggles during COVID-19. Participants exposed to the culture-centric narrative found the characters more culturally similar to themselves than those exposed to the white, Anglo-Saxon narrative (<i>t</i> (212) = 3.22, <i>Mean Diff</i>. = .45, <i>SE</i> = .14, <i>p</i> = .001). Some evidence was also found to suggest that acculturation may influence character engagement (<i>F</i> (5, 178) = 2.81, R<sup>2</sup> = .10, <i>p</i> = .003). Implications based on these findings may expand the potential application of the CNHP model, as we discuss the heterogeneity of cultural groups and the impact of demographic representation versus the presentation of cultural values like <i>familismo</i>.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663671","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}
Lourdes S Martinez, Aachal Devi, Gerardo Maupomé, Melody K Schiaffino, Guadalupe X Ayala, Vanessa L Malcarne, Kristin S Hoeft, Tracy L Finlayson
{"title":"Using a Social Network Approach to Characterize Oral Health Behavior Social Support Among Mexican-Origin Young Adults.","authors":"Lourdes S Martinez, Aachal Devi, Gerardo Maupomé, Melody K Schiaffino, Guadalupe X Ayala, Vanessa L Malcarne, Kristin S Hoeft, Tracy L Finlayson","doi":"10.1080/10810730.2024.2433528","DOIUrl":"10.1080/10810730.2024.2433528","url":null,"abstract":"<p><p>Using a social network approach, we characterize who Mexican-origin young adults perceive as social support sources for oral health behaviors and provide additional validity evidence for Oral Health Behavior Social Support Scales (OHBSS). From April to September 2022, we gathered social network data from 62 Mexican-origin adults (21-40 years old) through Zoom interviews about their perceived received social support for three oral health behaviors (toothbrushing, flossing, and obtaining dental care) from three potential sources of support (family, health providers, and others/friends). Overall, we found similar results across all three oral health behaviors. We also found evidence for convergent and discriminant validity of OHBSS scales using social network measures. Implications of findings are discussed.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"13-28"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}