{"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}
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}
{"title":"For Myself or for Others? The Influence of Family Communication Patterns on Family Health History Communication and Online Health Information Seeking.","authors":"Yulei Feng","doi":"10.1080/10810730.2025.2450617","DOIUrl":"10.1080/10810730.2025.2450617","url":null,"abstract":"<p><p>With innovations in health information technology, there are increasing opportunities to search for health information online, with the potential to reduce health care costs and improve health outcomes for the family. This study aims to investigate how family communication processes influence online health information seeking for oneself (self OHIS) and for another person (surrogate OHIS). An online survey was conducted among 325 adults in China. The results showed that <i>family conversation orientation</i> was positively related to family health history (FHH) communication intentions, whereas <i>family conformity orientation</i> was negatively related to FHH communication intentions. <i>Family conversation orientation</i> was positively related to self and surrogate OHIS through the partial and masking mediation effects of FHH communication intentions, respectively. <i>Family conformity orientation</i> was negatively related to self OHIS through the full mediating effect of FHH communication intentions, while FHH communication intentions played a masking mediating role between <i>conformity orientation</i> and surrogate OHIS. Implications for extending family communication patterns research to health communication and cultural forces on OHIS are discussed.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"72-81"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971167","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":"Fear in Media Headlines Increases Public Risk Perceptions but Decreases Preventive Behaviors: A Multi-Country Study During the COVID-19 Pandemic.","authors":"Sijia Qian, Kaiping Chen, Jingbo Meng, Cuihua Shen, Anfan Chen, Jingwen Zhang","doi":"10.1080/10810730.2024.2439468","DOIUrl":"10.1080/10810730.2024.2439468","url":null,"abstract":"<p><p>The perception of reality could matter more than reality itself when it comes to disease outbreaks. News media are important sources of information during global disease outbreaks, such as the COVID-19 pandemic. Drawing on theories of fear appeals and the social ecological model, we conducted multilevel modeling analyses to examine how media-level and community-level factors influenced the public's risk perceptions of COVID-19 and frequencies of preventive behaviors in the United States, United Kingdom, Canada, Australia, and India. We combined a large-scale multi-wave cross-country survey (<i>N</i> = 161,374) with a COVID-19 media coverage archive (<i>N</i> = 10,015,187) to test these relationships. We found that fear in media headlines was positively correlated with people's perceptions of risk but negatively correlated with frequencies of preventive behaviors, controlling for individual-, community-, and cultural-level factors. Similar patterns were consistently identified within each individual country. We also show that community factors interacted with the media environment to influence public risk perceptions and behaviors. Our findings highlight a strong mass media influence during the pandemic, and we discuss the implications of our findings for health communication during crisis times.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"29-39"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846885","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":"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":"82-92"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","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}