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}
Asos Mahmood, Nikhil A Ahuja, Satish Kedia, James E Bailey
{"title":"Patient-Centered Communication and Cancer Information Overload Among Adults without a History of Cancer in the United States.","authors":"Asos Mahmood, Nikhil A Ahuja, Satish Kedia, James E Bailey","doi":"10.1080/10810730.2025.2465491","DOIUrl":"https://doi.org/10.1080/10810730.2025.2465491","url":null,"abstract":"<p><p>Patient-centered communication (PCC) plays a pivotal role in improving healthcare quality and health outcomes. A plethora of cancer prevention-related information is publicly available, potentially leading to cancer information overload (CIO). However, little is known about whether experience with PCC can help prevent or reduce CIO among adults without a history of cancer. Pooled data from the Health Information National Trends Survey (HINTS 5, Cycles 1-4, 2017 through 2020) were utilized for 10,636 non-institutionalized U.S. adults (≥18 years) without a history of cancer. The CIO was constructed based on respondents' experiences of difficulties following myriad cancer prevention recommendations. Experience of PCC was measured on a composite score scale of 0 to 100 based on elements of the PCC model for patient-healthcare provider encounters. A multivariable logistic regression model was fitted to investigate associations between PCC and CIO. Approximately 75.0% of the study respondents with a lower mean PCC expressed experiencing CIO (79.1 vs. no-CIO = 82.1, <i>p</i> < .001). With each one-unit score increase on the PCC scale, the odds of experiencing CIO decreased by approximately 1% (adjusted OR = 0.993; 95% CI: 0.988, 0.997; <i>p</i> < .01). The findings highlight that higher levels of PCC are associated with reduced odds of experiencing CIO. Increased PCC could help individuals better navigate cancer prevention-related information, thus reducing stress and improving informed decision-making. Healthcare providers and policy initiatives should promote tailored cancer prevention communication practices that prioritize patient-centeredness.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.1,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425458","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":"Methods for Co-designing Health Communication Initiatives with People with Disability: A Scoping Review.","authors":"Kelsey Chapman, Connie Allen, Elizabeth Kendall","doi":"10.1080/10810730.2025.2462679","DOIUrl":"https://doi.org/10.1080/10810730.2025.2462679","url":null,"abstract":"<p><p>Co-design, a collaborative approach where end-users are actively involved in design processes, has gained traction in health communication. Its integration into health communication initiatives holds promise for amplifying the voices of people with disability. Despite this, its application remains inconsistent. This scoping literature review explores how people with disability are included, when and through what methods to co-design health communication interventions. Principles of importance are considered and identified. Thirty articles published between 2018 and 2023 were reviewed. The review identified a range of methods used in health communication initiatives, with people with disability engaging at different stages and in different ways. While co-design offers potential for improved health communication, challenges such as unpredictable outcomes, diversity of participant needs, and barriers to full engagement persist. Improved transparency and consistency in reporting co-design processes are recommended to enhance rigor and effectiveness of future initiatives.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.1,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382730","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":"Visual Art and Medical Narratives as Universal Connectors in Health Communication: An Exploratory Study.","authors":"Tracey Beck, Steven Giese, Tien K Khoo","doi":"10.1080/10810730.2025.2459845","DOIUrl":"https://doi.org/10.1080/10810730.2025.2459845","url":null,"abstract":"<p><p>Health-related information can often be overwhelming for consumers resulting in difficulty in interpretation and application. Historically, art and narratives have played key roles in communication within diverse populations however collectively have received little recognition as a means to enable health literacy. This study aims to investigate patient/caregiver narratives and visual art as a modality to improve knowledge translation and health literacy in the wider community. Nine recently discharged patients and 1 caregiver from a regional hospital were paired with 10 tertiary visual arts students for interview. Each narrative was transformed into visual art and exhibited at a community art gallery and to high school art students. Self-reported questionnaires generated data in subjective experience and learning outcomes. Health literacy was evaluated via voluntary gallery viewer and school student response surveys post-exhibition exposure. Exhibition surveys revealed 96.9% of gallery observers had learnt something new about illness or injury. High school students found the activity had improved (42%) or somewhat improved (38%) their understanding of illness and injury. Our findings suggest patient/caregiver narratives and visual art are equitable and effectual modalities for health service organizations to facilitate, affective and experiential learning, and improve health literacy within the community.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-8"},"PeriodicalIF":3.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066068","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}
Emma Cox, Christopher Calabrese, Erin Ash, Kathryn E Anthony, Joshua B Hill
{"title":"A Narrative Persuasion Approach to Promoting COVID-19- Related Policy Support.","authors":"Emma Cox, Christopher Calabrese, Erin Ash, Kathryn E Anthony, Joshua B Hill","doi":"10.1080/10810730.2025.2459119","DOIUrl":"10.1080/10810730.2025.2459119","url":null,"abstract":"<p><p>Communication scholars warn against focusing on individual behaviors when discussing health issues, arguing that doing so can reduce affect and policy support. Although COVID-19 outcomes are linked to structural barriers to treatment, policy interventions appear to improve outcomes for vulnerable groups. Thus, strategic messages must promote public understanding of social determinants and policy support related to COVID-19. Using concepts from attribution theory and narrative persuasion, we employed an experiment (<i>N</i> = 435) testing the effects of personal responsibility (high, moderate, and low) on affective engagement and COVID-19 policy support. Namely, the manuscript examines (a) affective responses to characters displaying varying levels of personal responsibility for COVID-19 prevention, (b) the impact of these affective responses on policy support, and (c) the moderating role of audience political ideology on these effects. Analyses revealed that a highly responsible protagonist elicited empathy and perceived similarity, increasing policy support. While participants' political ideology moderated protagonist responsibility on perceived similarity, a more responsible protagonist evoked empathy independently of political leaning. Theoretical and practical implications are offered.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-10"},"PeriodicalIF":3.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059340","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":"Finding My Way: Black Doulas' Communication with Other Birthing Care Providers in an Interprofessional Work Environment.","authors":"Mary Bresnahan, Krista Walker, Jie Zhuang","doi":"10.1080/10810730.2025.2455953","DOIUrl":"https://doi.org/10.1080/10810730.2025.2455953","url":null,"abstract":"<p><p>Black women suffer more complications and birthing harms compared to other race-ethnic groups. Even when birthing equity initiatives are implemented, many Black families choose to work with a Black doula to reduce harms linked to obstetric racism. Most Black doulas described their role as helping women have the kind of birth they want; however, problems doulas experience in communicating with other birthing team members are not well understood. Situated in the interprofessional team communication model, this study asked fifty Black doulas to respond to two open-ended questions about their communication experiences with other birthing care providers. Thematic analysis identified six themes including efforts to establish legitimacy as a doula, responding to provider use of power strategies, negotiating roles and responsibilities on the birthing team, conflict from difference in birthing philosophies, impact of hospital regulation of doulas on their practice, and how doula advocacy was conducted. While Black doulas reported successful communication with other providers, they also described microaggressions experienced from members of predominantly White birthing teams. Preemptive communication strategies that doulas used to encourage other birthing team members to accept them onto the team were identified. Suggestions for how Black doulas can be more fully integrated into birthing teams were also presented.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032970","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}
Jorn Hermans, Gabry Kuijten, Liese Vandeborne, Klara Rombauts, Guy Buyens, Manuel Bollue, Patrick Deroost, Isabelle Huys, Rosanne Janssens
{"title":"Information Service \"My Cancer Navigator\" to Support Shared Decision-Making: An Online Survey Among Patients with Cancer and Their Caregivers.","authors":"Jorn Hermans, Gabry Kuijten, Liese Vandeborne, Klara Rombauts, Guy Buyens, Manuel Bollue, Patrick Deroost, Isabelle Huys, Rosanne Janssens","doi":"10.1080/10810730.2025.2450618","DOIUrl":"https://doi.org/10.1080/10810730.2025.2450618","url":null,"abstract":"<p><p>The personalized information service My Cancer Navigator (MCN) answers therapy-related questions of patients with cancer and their caregivers, to address information needs and contribute to shared decision-making (SDM). An explorative and descriptive cross-sectional study using online surveys was conducted to assess whether users perceived a change in factors contributing to SDM after using the service. Of 253 invited MCN users, 109 (43.1%) filled out the survey (64.2% patients and 35.8% caregivers). Most participants experienced a positive change in their emotional well-being (72.5%) and knowledge level (86.3%). The majority (68.5%) of patients reported being able to cope better with their disease while 76.4% of caregivers felt more able to support the patient throughout the disease process. Discussing treatment preferences and making decisions with health-care professionals (HCPs) became easier for 48.5% and 44.0% of patients, respectively. Of all participants, 52.0% reported a change in disease management. These findings suggest that most participants perceived MCN as impactful. The service facilitated the implementation of SDM from the patient perspective by improving communication with HCPs, increasing knowledge level, improving emotional well-being, and helping them cope better with the disease. Further research should explore how this type of service can be integrated in the care pathway.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-11"},"PeriodicalIF":3.1,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006248","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}