Claire J McCreavy, Victoria Swyers Merritt, Robin Spratling, Nicole Richardson-Smith, Erin Burns, Laura A Randall
{"title":"<i>Wild to Mild</i>: CDC's Influenza Vaccination Campaign Highlights Value of Messaging Around Attenuation of Illness.","authors":"Claire J McCreavy, Victoria Swyers Merritt, Robin Spratling, Nicole Richardson-Smith, Erin Burns, Laura A Randall","doi":"10.1080/10810730.2025.2453840","DOIUrl":"10.1080/10810730.2025.2453840","url":null,"abstract":"<p><p>The Centers for Disease Control and Prevention's (CDC) 2023-2024 influenza vaccination campaign emphasized outreach to pregnant and parent audiences due to significant recent drops in influenza vaccination coverage. Pre-testing of campaign concepts in June 2023 included 15 moderator-led, virtual focus groups (9 groups of parents and 6 groups of pregnant women). The <i>Wild to Mild</i> concept was selected based on the findings of this testing, which suggested this concept could successfully reset public expectations around the benefits of influenza vaccination by emphasizing attenuation of illness. For this study, we conducted a thematic analysis of these formative research findings to explore the major themes, which informed the selection of the <i>Wild to Mild</i> campaign concept. Formative research findings provided insight into participants' knowledge, attitudes, and beliefs about influenza and influenza vaccination, as well as their willingness to speak to a healthcare provider about influenza vaccination or get vaccinated after seeing campaign assets. Unexpected findings also strengthened messaging around influenza vaccination to be more persuasive to parents of children and pregnant women.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-17"},"PeriodicalIF":2.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753570","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}
{"title":"Misfluencers, the Human Agents Behind AI-Driven Infodemics.","authors":"H M V E Combrink, P Mkungeka","doi":"10.1080/10810730.2025.2538529","DOIUrl":"https://doi.org/10.1080/10810730.2025.2538529","url":null,"abstract":"<p><p>This article explores the intricate dynamics of \"misfluencers,\" a term we defined to describe opinion leaders who disseminate misinformation in health communication. The advent of artificial intelligence (AI) in communication technology has exponentially magnified the reach and influence of these misfluencers, thereby posing significant challenges. The phenomenon of infodemics, characterized by information voids, misinformation, and disinformation, is largely propelled by these misfluencers. Potential threats associated with AI, such as the generation of prejudiced models and the swift propagation of misinformation, have raised global concerns for health communication. In addition to this, the accessibility of these technologies to both opinion leaders and misfluencers implies that the dissemination of misinformation has a global impact. However, the evolution of \"Health Communication AI\" as a distinct field offers a promising solution. This innovative field amalgamates the credibility of influential opinion leaders with the power of AI to deliver timely and pertinent health information. This article provides an exploration of these challenges and potential solutions, offering valuable insights into the complex interplay between AI, misfluencers, and health communication.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-7"},"PeriodicalIF":2.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742265","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}
Sara Rubinelli, Rebecca K Ivic, Kenneth Rabin, Brian Butler, Ruth Parker, Lawrence O Gostin, Scott C Ratzan
{"title":"Watching Our Language.","authors":"Sara Rubinelli, Rebecca K Ivic, Kenneth Rabin, Brian Butler, Ruth Parker, Lawrence O Gostin, Scott C Ratzan","doi":"10.1080/10810730.2025.2516724","DOIUrl":"https://doi.org/10.1080/10810730.2025.2516724","url":null,"abstract":"","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-3"},"PeriodicalIF":2.4,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731749","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}
Rachael Piltch-Loeb, Trenton M White, Katarzyna Wyka, Shawn G Gibbs, Sara Gorman, Jeffrey V Lazarus, John J Lowe, Scott Ratzan, Ayman El-Mohandes
{"title":"Urban and Rural Perceptions of Potential H5N1 Vaccination and Dietary Changes in the United States.","authors":"Rachael Piltch-Loeb, Trenton M White, Katarzyna Wyka, Shawn G Gibbs, Sara Gorman, Jeffrey V Lazarus, John J Lowe, Scott Ratzan, Ayman El-Mohandes","doi":"10.1080/10810730.2025.2526849","DOIUrl":"https://doi.org/10.1080/10810730.2025.2526849","url":null,"abstract":"<p><p>Since 2021, the United States has experienced a significant increase in H5N1 (\"avian flu\") infections, spreading from wild fowl to domestic poultry, dairy cattle, and some humans, primarily agricultural workers. This study examines urban-rural differences in willingness to receive an H5N1 vaccine and change dietary behavior based on potential CDC recommendations. A survey (Aug 5-15, 2024) sampled 5,000 urban and 5,000 rural participants via online panels and live operator calls. Key measures included willingness to vaccinate and change diet related to dairy or egg consumption in line with potential CDC recommendations, with residence classification as the main independent variable. Logistic regression assessed associations, controlling for demographics and health-related factors. Rural residents were more likely to have heard of bird flu but less likely to perceive it as a threat to humans generally or to themselves personally. After adjusting for sociodemographic characteristics, rural residents were less likely to be willing to change their diets due to potential CDC recommendations, but their vaccination intent relative to a potential H5N1 vaccine was on par with urban populations. Findings highlight the potential to modify behaviors in respect to consuming raw milk products and undercooked foods and accepting potential H5N1 vaccination may reflect institutional trust gaps and cultural dietary norms. Targeted public health messaging is needed to engage rural communities where the epicenters of the current outbreak are occurring.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.1,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667804","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}
Brady D Lund, Nishith Reddy Mannuru, Malavika Katta, Sesha Sai Leela Madhuri Hota, Akshaya Pamukuntla, Sravya Uppala, Sai Madhav Kola, Aashrith Mannuru
{"title":"Bringing Artificial Intelligence (AI) into Health Information Seeking Behavior: A Study of AI and Information Seeking Research.","authors":"Brady D Lund, Nishith Reddy Mannuru, Malavika Katta, Sesha Sai Leela Madhuri Hota, Akshaya Pamukuntla, Sravya Uppala, Sai Madhav Kola, Aashrith Mannuru","doi":"10.1080/10810730.2025.2533820","DOIUrl":"https://doi.org/10.1080/10810730.2025.2533820","url":null,"abstract":"<p><p>This paper explores the impact of artificial intelligence (AI) on information seeking behavior research and practice, including the need to scrutinize existing information seeking theory, challenge the understood behavioral norms, and consider redefining information literacy and information retrieval education. The historical examination spans from the 1950s to the present, with a specific focus on recent developments in health information seeking and the evaluation of medical information sources. Key to this exploration are ongoing debates in healthcare, ethics, and AI and information literacy education, which represent important dimensions of the impact of emerging technology on information-seeking behavior. The insights provided by this research can be useful for both researchers and practitioners, aiding them in navigating the evolving landscape shaped by AI technology.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-6"},"PeriodicalIF":3.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626532","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}
Jana Kaden, Julia Peper, Anne C Rahn, Birte Berger-Höger
{"title":"Informed Decision-Making About COVID-19 Vaccination - Development and Feasibility of a Decision Support Intervention: A Mixed-Methods Study.","authors":"Jana Kaden, Julia Peper, Anne C Rahn, Birte Berger-Höger","doi":"10.1080/10810730.2025.2515533","DOIUrl":"https://doi.org/10.1080/10810730.2025.2515533","url":null,"abstract":"<p><p>Many people, particularly from vulnerable groups, experienced decisional conflict regarding COVID-19 vaccination. To support informed decision-making, we developed and pilot-tested a decision support intervention consisting of a patient decision aid and non-directive decision coaching led by a trained health professional. We developed a training program to prepare healthcare professionals to implement the intervention. To assess the decisional needs of unvaccinated individuals, a literature review and a focus group with community health workers were conducted. The results informed the development of the intervention and the associated training for health professionals, which were then tested regarding their comprehensibility, feasibility, and acceptance. Fourteen health professionals completed a 540-minute training and participated in guided focus groups. The decision support intervention was subsequently tested with laypeople through guided interviews. Data were analyzed via qualitative content analysis. The training was feasible and well accepted, and the competencies to provide decision coaching were acquired. The decision coaching offer was tested in two real and seven simulated sessions. The patient decision aid, comprising an evidence-based COVID-19 information sheet and a decision guidance, was comprehensible and highly accepted by all participants. While the intervention proved feasible, access to vulnerable groups and their willingness to participate remained low.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-15"},"PeriodicalIF":3.1,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553752","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":"Identifying Reference Groups in Social Norms Campaigns Intended to Promote College Students' Mental Health Help-Seeking in South Korea.","authors":"Rayun Kim, Hyojin Lee, Chul-Joo Lee, Minkyung Koo","doi":"10.1080/10810730.2025.2518216","DOIUrl":"https://doi.org/10.1080/10810730.2025.2518216","url":null,"abstract":"<p><p>This study examines which types of perceived social norms are strongly associated with professional mental health help-seeking (PMHS), and whether and how such associations are moderated by evaluative identification among college students. We conducted an online survey with 638 Korean adults. Results show that general college students' perceived injunctive norms (<i>β = </i>.37, <i>p <</i> .001) have the strongest associations with intentions, followed by close friends' perceived descriptive norms (<i>β =</i> .22, <i>p < </i>.001). Also, there was a significant positive interaction between perceived injunctive norms among general college students and evaluative identification (<i>β</i> = .18, <i>p</i> < .001), between friends' perceived descriptive norms and evaluative identification (<i>β</i> = .07, <i>p</i> < .001), as well as between family perceived injunctive norms and evaluative identification (<i>β</i> = .13, <i>p</i> < .01). The findings suggest that distal reference group norms and evaluative identification are crucial in promoting PMHS.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-21"},"PeriodicalIF":3.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528272","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}
Scott C Ratzan, Rebecca K Ivic, Sara Rubinelli, Kenneth H Rabin, Hye Kyung Kim, Ruth M Parker
{"title":"Advancing Health communication, a Call for the Future: 30 Years of the <i>Journal of Health Communication: International Perspectives</i>.","authors":"Scott C Ratzan, Rebecca K Ivic, Sara Rubinelli, Kenneth H Rabin, Hye Kyung Kim, Ruth M Parker","doi":"10.1080/10810730.2025.2515206","DOIUrl":"https://doi.org/10.1080/10810730.2025.2515206","url":null,"abstract":"<p><p>The 30th anniversary of the Journal of Health Communication: International Perspectives occurs at a pivotal moment. In our inaugural issue in 1996, founding editor Scott Ratzan described his vision \"to promote global health with effective communication strategies to improve health outcomes and well-being.\" Since then, JOHC has consistently championed rigorous and forward-thinking research and perspectives that have helped shape today's multi-disciplinary practice. As we mark this milestone and honor the Journal's legacy, we must also confront the pressing challenges that define the current landscape of health communication. We live in an era where scientific reasoning is increasingly questioned by policymakers, patients, and the public alike. The institutions that have traditionally upheld evidence-based practice have lost trust, respect and authority. In this evolving context, health communication cannot remain a static field. In the decades ahead, the Journal must take an active and unapologetic stance-maintaining the highest ethics while driving innovation in digital health communication, scientific methodology, data interpretation and translation for better uptake. Its mission must be to accelerate measurable global health gains by advancing communication strategies that not only inform, but inspire trust, foster agency, and empower individuals and populations to make evidence-based choices they willingly and confidently adopt.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-6"},"PeriodicalIF":3.1,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325970","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}
Stacey J T Hust, J F Willoughby, L Couto, S Kang, C Nickerson, R Price, O Johnson, S Ross-Viles
{"title":"Washington State Teens' Perceptions of Cannabis-Infused Product Packaging: A Qualitative Study.","authors":"Stacey J T Hust, J F Willoughby, L Couto, S Kang, C Nickerson, R Price, O Johnson, S Ross-Viles","doi":"10.1080/10810730.2025.2514835","DOIUrl":"https://doi.org/10.1080/10810730.2025.2514835","url":null,"abstract":"<p><p>The use of recreational cannabis is becoming legal in more states across the United States. With that, many cannabis-infused products were developed, and regulation surrounding cannabis product packaging was created to ensure packaging was not especially appealing to young people. We conducted small group online focus groups and in-depth interviews with 28 Washington teens (13-17 years-old) about their perceptions of cannabis edible product packages, such as gummies and pretzels, and analyzed the data using thematic analysis. We found that many teens perceived cannabis packages to be appealing because of their aesthetics such as bright colors and the pictures on the package, as well as the lifestyles the products promoted. Additionally, we identified that teens with greater cannabis knowledge and product literacy were more skeptical of the cannabis product packages. Our findings have implications for health educators and policymakers. Efforts to include teen perspectives in the regulatory process could be beneficial, and prevention specialists may want to focus efforts on improving teens' cannabis knowledge and product literacy to empower them to be more critical of cannabis product packaging.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.1,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325971","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":"Why Health Institutions Must Learn from Social Media Influencers. A Paradigm Shift in Health Communication.","authors":"Sara Rubinelli","doi":"10.1080/10810730.2025.2517385","DOIUrl":"https://doi.org/10.1080/10810730.2025.2517385","url":null,"abstract":"","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-4"},"PeriodicalIF":3.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317105","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}