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":"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":"170-179"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","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}
{"title":"Inoculating Against Misleading News Reports About the COVID-19 Vaccine: The Roles of Temporal Frames and Actively Open-Minded Thinking.","authors":"Stella Juhyun Lee","doi":"10.1080/10810730.2025.2514842","DOIUrl":"10.1080/10810730.2025.2514842","url":null,"abstract":"<p><p>Misleading news reports about COVID-19 vaccines may hinder acceptance of COVID-19 vaccines. The present study aimed to first assess the impact of these misleading news reports on people's attitudes and intentions toward getting the COVID-19 vaccine. The second goal was to determine whether inoculation messages could confer resistance to these misleading reports. In addition, the roles of temporal frames in inoculation messages and the individual characteristic of actively open-minded thinking were examined. A randomized experiment that exposed South Korean participants to different types of inoculation messages was carried out (<i>N</i> = 500). Viewing only misleading news articles about the COVID-19 vaccine led to negative attitudes and intentions to avoid it. In contrast, exposure to standard inoculation messages significantly reduced negative attitudes and intentions to avoid the vaccine. Temporal frames did not make a difference. However, those with high actively open-minded thinking styles responded more favorably to future-framed inoculation messages.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"209-218"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234339","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":"Solving a Controversial Health Problem May Be Tricky: Examining Social Media News Use, Gender, Fear, and Information Behaviors in HPV Prevention.","authors":"Xizhu Xiao, Yan Wang, Wenyuan Yang, Yi Zhu","doi":"10.1080/10810730.2025.2496386","DOIUrl":"10.1080/10810730.2025.2496386","url":null,"abstract":"<p><p>Guided by the Situational Theory of Problem Solving (STOPS), this study surveys 1,853 Chinese individuals to identify factors influencing active information behaviors and HPV prevention intentions. Results show that involvement recognition is the key driver of situational motivation, leading to active information behaviors, which in turn significantly predict HPV vaccination intentions. Although fear does not directly impact information behaviors, it mediates the effect of perceptual variables on situational motivation. The study also highlights the different impacts of Chinese versus foreign social media news consumption on perceptual variables and the unique effect of gender on involvement recognition. These findings support the applicability of STOPS in HPV prevention and provide insights for improving health communication strategies.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"186-199"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029371","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":"157-169"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254013/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The \"Whole-Of-Society\" Approach for Misinformation Correction: How Expert Didactic TikTok Videos Motivate Citizen Fact-Checking and Vaccine Promotion.","authors":"Gaofei Li, Mengyu Li, Sijia Yang","doi":"10.1080/10810730.2025.2503179","DOIUrl":"https://doi.org/10.1080/10810730.2025.2503179","url":null,"abstract":"<p><p>This study employs an experimental design to examine the effects of expert didactic corrective TikTok videos on motivating people's intentions to engage in citizen fact-checking and vaccine promotion. Our findings reveal that participants who watched expert didactic debunking videos, compared to those viewing layperson testimonial videos, reported higher intentions to correct others' misperceptions of COVID-19 vaccines and promote COVID-19 vaccines to those who have not completed the recommended vaccination. The impacts of expert didactic videos on fact-checking and vaccine-promoting intention are mediated by participants' perceived expertise of the video's source. Our findings contribute to the theoretical understanding of how multimodal correction messages motivate individuals' intentions for interpersonal behavioral outcomes. Practically, our research emphasizes the \"whole-of-society\" approach to combating health misinformation on video-based platforms such as TikTok.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969586","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}
Meghan D McGurk, Gail Ogawa, Katherine Inoue, Colin Wills, Lance K Ching, Alena K Shalaby, Naomee Kong, Heidi Hansen Smith, Jessica Lee, Lola Irvin, L Brooke Keliikoa
{"title":"Sweet Lies! Lessons Learned from Hawai'i's Sweetened Fruit Drink Countermarketing Campaign.","authors":"Meghan D McGurk, Gail Ogawa, Katherine Inoue, Colin Wills, Lance K Ching, Alena K Shalaby, Naomee Kong, Heidi Hansen Smith, Jessica Lee, Lola Irvin, L Brooke Keliikoa","doi":"10.1080/10810730.2025.2461588","DOIUrl":"10.1080/10810730.2025.2461588","url":null,"abstract":"<p><p>Beverage industry marketing tactics can cause caregivers to misperceive sweetened fruit drinks (SFDs) as healthy, increasing the likelihood they give their children SFDs. The <i>Sweet Lies!</i> countermarketing campaign sought to educate Hawai'i caregivers of children ages 0-8 about the industry's misleading tactics and the harms of SFDs. Focus groups were held to develop messages for Hawai'i caregivers. The campaign ran January-April 2023 on television, digital and social media, radio, and in malls. Campaign effects were assessed with media metrics and pre-/post-campaign cross-sectional surveys. Pre-surveys were conducted November-December 2022 (<i>n</i> = 458) and post-surveys were conducted in May 2023 (<i>n</i> = 482) to evaluate campaign effects on caregivers' perceptions of SFD health risks and SFD purchases in a simulated store. Pre-/post-survey samples were demographically different precluding comparisons and post-survey data were unable to show differences in health risk ratings and SFD purchases by exposure. The campaign produced 32,155,747 impressions across media outlets. Post-survey data showed campaign recall of 36.9% and informed campaign revisions. Lessons learned, including the importance of formative research for campaign tailoring and evaluation for real-world campaign implementation, the value of panel surveys for rapid evaluations, and to plan for low exposure rates, are shared to inform other campaign and evaluation efforts.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"30 sup1","pages":"14-27"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753002","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}
Chelsea L Ratcliff, Andy J King, Rebekah Wicke, Manusheela Pokharel, Dallin R Adams, Jakob D Jensen
{"title":"Examining Reactance to Visual and Verbal Features of Mask Promotion PSAs.","authors":"Chelsea L Ratcliff, Andy J King, Rebekah Wicke, Manusheela Pokharel, Dallin R Adams, Jakob D Jensen","doi":"10.1080/10810730.2024.2437039","DOIUrl":"10.1080/10810730.2024.2437039","url":null,"abstract":"<p><p>Research on reactance to health promotion messages has focused almost exclusively on the freedom-threatening properties of language, with little attention paid to the visual elements of these messages. For instance, while health campaigns often feature images of people, researchers rarely systematically study whether the characteristics of these people influence perceived freedom threat and reactance. In this experiment, we tested the impact of both verbal and visual message features on U.S. adults' (<i>N</i> = 856) reactions to a public service announcement (PSA) about wearing a mask to slow the spread of COVID-19. We varied the forcefulness of the verbal appeal as well as the nonverbal gesture of the PSA models (i.e. hand raised in a \"stop\" gesture vs. in a neutral position). Compared to a courteous verbal appeal, a forceful verbal appeal produced lower masking intentions via psychological reactance. However, the forceful gesture was not perceived as freedom-threatening. Unexpectedly, demographic characteristics of the depicted models (gender and race) also influenced reactions to the PSAs. These findings raise important questions for future research on the effects of visual features of health promotion messages.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"30 sup1","pages":"28-38"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753013","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":"Revisiting the U.S. Department of Health and Human Services COVID-19 Public Education Media Campaign: Successes and New Lessons Learned.","authors":"Mark A Weber, Thomas E Backer","doi":"10.1080/10810730.2024.2436427","DOIUrl":"10.1080/10810730.2024.2436427","url":null,"abstract":"<p><p>Communication professionals in Federal agencies must have a seat at their agency's budget formulation table - to inform the budget process from the beginning and to advise on funding for the communications required to achieve program goals. This is one of nine lessons learned from US Department of Health and Human Services (USDHHS) systems change efforts that were applied to help create the \"We Can Do This\" COVID-19 Public Education Media Campaign (Campaign), and these lessons were presented in a 2022 <i>Journal of Health Communication</i> article. Now that substantial evaluation data are available in eight recent research articles to verify the Campaign's success, this lesson can be revisited to identify more specific ways in which it can be applied, along with two additional lessons identified from the Campaign implementation. In light of the Campaign's success, these learnings all can contribute to creating a new framework for guiding quality USDHHS health communication activities in the future - inspired also by four previously-published communication frameworks. The new framework can then be used to build an enhanced structure within USDHHS to handle future public education media campaigns and other communication activities, a matter of particular urgency given the likelihood of a future public health and humanitarian crisis requiring rapid and effective communication responses.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"70-75"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801079","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}
Miao Feng, Chandler C Carter, Simon Page, Sherry L Emery, Hy Tran, Ganna Kostygina
{"title":"Tweeted, Trolled, Twisted: Battling for Narrative Control in E-Cigarette Use Prevention Campaigns (2014-2020).","authors":"Miao Feng, Chandler C Carter, Simon Page, Sherry L Emery, Hy Tran, Ganna Kostygina","doi":"10.1080/10810730.2025.2462682","DOIUrl":"10.1080/10810730.2025.2462682","url":null,"abstract":"<p><p>This study identifies and analyzes X (formerly Twitter) posts related to 14 e-cigarette use prevention campaigns from 2014 to 2020, assessing message volume, content, sources, potential reach and engagement. Using supervised machine learning, we classified 618,965 tweets, finding 43% contained opposition messaging. Two regional campaigns received the highest levels of opposition, with over 99% of related tweets classified as opposition. However, prevention/neutral messages exhibited 92% higher potential reach than opposition messages. Geolocation analysis suggested that regional campaigns may have struggled to focus their impact within targeted jurisdictions. These findings illustrate the dual role of social media as both an amplifier of prevention messages and a platform for oppositional narratives, underscoring the need for public health practitioners to develop adaptive strategies to enhance the impact of digital campaigns.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"39-49"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365091","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}
Brian G Southwell, Sung-Yeon Park, Ashani Johnson-Turbes, Jennifer A Bishop, Dana J Chomenko, Michael Grela
{"title":"The Importance of Assessing Failure, Unexpected Results, and Lessons Learned for Advancing Health Communication Science.","authors":"Brian G Southwell, Sung-Yeon Park, Ashani Johnson-Turbes, Jennifer A Bishop, Dana J Chomenko, Michael Grela","doi":"10.1080/10810730.2025.2469980","DOIUrl":"https://doi.org/10.1080/10810730.2025.2469980","url":null,"abstract":"","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"30 sup1","pages":"2-4"},"PeriodicalIF":3.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753007","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}