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":"102-111"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","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":"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":"93-101"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","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}
{"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":"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":"120-132"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","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}
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":"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":"133-145"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","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":"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":"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":"112-119"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","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}
Tracy M Scull, Christina V Dodson, Janis B Kupersmidt, Reina Evans-Paulson, Kathryn N Stump, Liz C Reeder
{"title":"A Media Literacy Education Approach to Sexual Health Promotion: Immediate Effects of <i>Media Aware</i> on the Sexual Health Cognitions of Young Adult Community College Students.","authors":"Tracy M Scull, Christina V Dodson, Janis B Kupersmidt, Reina Evans-Paulson, Kathryn N Stump, Liz C Reeder","doi":"10.1080/10810730.2024.2433527","DOIUrl":"10.1080/10810730.2024.2433527","url":null,"abstract":"<p><p>This study evaluates the efficacy of <i>Media Aware</i>, a comprehensive sex education program with a media literacy education approach, for improving sexual health cognitions among 1139 U.S. community college students (ages 18-19) from 23 campuses. Students were randomized to condition (intervention or delayed-intervention control) and completed pretest and posttest questionnaires. Several main effects of the intervention were found at posttest, including reduced perceived realism of media messages, positive attitudes about risky sex, and descriptive normative beliefs about unprotected and risky sexual activity, and increased self-efficacy to use dental dams. Gender and pretest levels moderated some intervention effects. Women in the intervention group reported less identification with media messages compared to women in the control group. Students in the intervention group who reported lower pretest levels of self-efficacy to use dental dams and to refuse unprotected sex had higher posttest levels on those outcomes as compared with the control group. Students in the intervention group who reported higher pretest levels of normative beliefs about risky sexual activity had lower posttest levels on those outcomes as compared with the control group. Results suggest that <i>Media Aware</i> is a promising method to improve the sexual health of young adults attending community college.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"29 11-12","pages":"716-725"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11701888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801082","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":"Correction.","authors":"","doi":"10.1080/10810730.2024.2424591","DOIUrl":"10.1080/10810730.2024.2424591","url":null,"abstract":"","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"726"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621947","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":"Opinion Leadership and Sharing Positive and Negative Information About Vaccines on Social Media: A Mixed-Methods Approach.","authors":"Xiaohui Wang, Zhihuai Lin, Jingyuan Shi, Ye Sun","doi":"10.1080/10810730.2024.2426810","DOIUrl":"10.1080/10810730.2024.2426810","url":null,"abstract":"<p><p>In our research, we examined how three dimensions of opinion leadership-connectivity, maven, and persuasiveness-are associated with sharing positive and negative information about vaccines among parents in Hong Kong through a mixed-methods approach. In two studies, we assessed opinion leadership following a sociometric approach that involved using data from social media (Study 1) and a self-assessment using survey data (Study 2), which yielded largely consistent results. In particular, whereas connectivity and maven were significantly associated with sharing positive information about vaccines, all three dimensions were significantly associated with sharing negative information about vaccines. Those findings suggest that different dimensions of opinion leadership play different roles in information sharing depending on the information's valence. Moreover, the similar pattern of findings from both studies suggested that the sociometric approach and self-assessment may capture the multidimensional nature of opinion leadership equally well. In sum, the findings advance theoretical discussions on the role of opinion leadership in information sharing and offer practical insights into promoting vaccination for children among parents.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"693-701"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668290","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":"Intersectionality in Health Communication: How Health Communication Influences the Association Between Intersectional Discrimination and Health Information Seeking.","authors":"Yangsun Hong, Courtney A FitzGerald","doi":"10.1080/10810730.2024.2426805","DOIUrl":"10.1080/10810730.2024.2426805","url":null,"abstract":"<p><p>With an intersectional orientation, we examine associations between discrimination, health communication, and information-seeking intention about HIV prevention in the context of pre-exposure prophylaxis (PrEP) among cisgender women through an online survey (<i>N</i> = 341). We elaborate on the idea that intersectional discrimination is a social determinant of health by considering the context with differing power relations-day-to-day life and the healthcare field-based on Bourdieu's field theory, and explore moderating roles of health communication in this relationship according to the structural influence model of communication (SIM). The relationships between intersectional discrimination and intention show different patterns by the <i>context</i> in which intersectional experiences are considered, and the relationships are moderated differently by the <i>mode</i> of health communication. We discuss how to conduct intersectionality-informed health communication research without sacrificing intersectionality's foundational foci.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"683-692"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621948","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}
Brittany Ming Chu Chan, Barbara C Schouten, Mark Boukes, Alessandra C Mansueto, Julia C M Van Weert
{"title":"Online Media Consumption, Fear, Mental Wellbeing, and Behavioral Compliance During the COVID-19 Pandemic: A Longitudinal Study.","authors":"Brittany Ming Chu Chan, Barbara C Schouten, Mark Boukes, Alessandra C Mansueto, Julia C M Van Weert","doi":"10.1080/10810730.2024.2428973","DOIUrl":"10.1080/10810730.2024.2428973","url":null,"abstract":"<p><p>This study explored how online media consumption, fear, mental wellbeing, and behavioral compliance with COVID-19 measures were related to one another during the COVID-19 pandemic. Employing a four-wave longitudinal survey research design (<i>n</i> = 1,092), this study found positive relationships between online media consumption and fear of COVID-19, between fear of COVID-19 and behavioral compliance, and between behavioral compliance and mental wellbeing in the general Dutch population. Results showed a negative relationship between fear of COVID-19 and mental wellbeing. Repeated measures ANOVAs indicated that participants' online media consumption, fear of COVID-19, and behavioral compliance with COVID-19 measures all gradually decreased as the pandemic progressed, while mental wellbeing gradually recovered as the pandemic progressed. Recognizing the negative relationship between fear of COVID-19 and mental wellbeing, policymakers may be encouraged to focus on implementing interventions and communication strategies to support mental health during pandemics. Using other types of appeals (e.g. hope appeals) in addition to the commonly used fear appeals when developing online public health messages could ensure behavioral compliance during pandemics without triggering high levels of fear. This can contribute to maintaining people's mental wellbeing when they have to cope with life-threatening public health crises while still promoting behavioral compliance with necessary public health measures.</p>","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"702-715"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716395","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}