Journal of Health Communication最新文献_第8页

A Scalability Assessment of an Organizational Health Literacy Initiative to Support Health Professionals in Developing Quality Consumer Information. 支持卫生专业人员开发高质量消费者信息的组织健康素养倡议的可扩展性评估。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-06-23 DOI: 10.1080/10810730.2026.2670324

Sarah Marshall, Dana Mouwad, Heather L Shepherd, Karen Lee, Julie Ayre, Kirsten McCaffery, Andrew Milat, Don Nutbeam, Danielle M Muscat

{"title":"A Scalability Assessment of an Organizational Health Literacy Initiative to Support Health Professionals in Developing Quality Consumer Information.","authors":"Sarah Marshall, Dana Mouwad, Heather L Shepherd, Karen Lee, Julie Ayre, Kirsten McCaffery, Andrew Milat, Don Nutbeam, Danielle M Muscat","doi":"10.1080/10810730.2026.2670324","DOIUrl":"10.1080/10810730.2026.2670324","url":null,"abstract":"Scalable initiatives are needed to support health professionals in developing quality health information for patients. The electronic Patient Communication Portal (ePCP) is an evidence-based organizational health literacy digital platform and process to support staff in creating quality, accessible health information that adheres to health literacy principles. This study applied the Intervention Scalability Assessment Tool (ISAT) to explore scalability and identify enablers and constraints for scaling the ePCP in an Australian jurisdiction. Focus groups with key informants were conducted to examine the 10 ISAT domains, which provide a framework for assessing scalability. Informants answered predefined questions (scored 0-3) and engaged in open-ended discussions for each domain. Mean domain scores ranged from 1.4 to 3.0, with \"The problem\" domain scoring highest (3.0/3.0) and the \"Innovation costs\" domain scoring lowest (1.4/3.0). Key informants expressed strong consensus on a multifaceted challenge in delivering quality health information that justified scaling the ePCP, as well as a favorable policy environment supporting expansion. Factors needing further consideration in scale-up planning were primarily related to implementation, such as workforce capacity and infrastructure. To our knowledge, this is the first scalability assessment of an organizational health literacy initiative globally. Our findings will inform ePCP scale-up planning and may offer generalizable insights into scaling initiatives that target quality health information in healthcare settings.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"31 4","pages":"160-169"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308405","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}

引用次数: 0

Assessing Reactance to Culturally Tailored Anti-Smoking Messages in Sexual and Gender Minority Young Adults. 评估性少数和性别少数年轻人对文化上适合的反吸烟信息的抗拒程度。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-03-26 DOI: 10.1080/10810730.2026.2651093

Qijia Ye, Jiaxi Wu, Elaine Hanby, Bob Gordon, Shoba Ramanadhan, Jennifer Potter, Mitchell R Lunn, Juno Obedin-Maliver, Sixiao Liu, Andy S L Tan

{"title":"Assessing Reactance to Culturally Tailored Anti-Smoking Messages in Sexual and Gender Minority Young Adults.","authors":"Qijia Ye, Jiaxi Wu, Elaine Hanby, Bob Gordon, Shoba Ramanadhan, Jennifer Potter, Mitchell R Lunn, Juno Obedin-Maliver, Sixiao Liu, Andy S L Tan","doi":"10.1080/10810730.2026.2651093","DOIUrl":"10.1080/10810730.2026.2651093","url":null,"abstract":"High smoking rates among sexual and gender minority (SGM) people call for anti-smoking campaigns for the population. Although cultural tailoring is an effective strategy, SGM-tailored health messages may lead to unintended effects such as psychological reactance. This study investigates whether different SGM gender groups experience reactance to tailored anti-smoking messages using different gender expressions. We conducted a between-subjects experiment in 1190 SGM young adults (18-30 years) with four conditions (transgender/nonbinary expression versus feminine expression versus masculine expression versus multiple gender expressions). We found that SGM-tailored messages elicited low levels of perceived threat to freedom, anger, negative thoughts, and counterarguing. In most cases, these outcomes were not different between conditions across gender groups. Our findings suggest that it is possible to design culturally tailored messages that elicit low reactance among SGM individuals regardless of gender identity. Additionally, using multiple gender expressions in cultural tailoring appears to be a promising approach to mitigating reactance.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"222-232"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147521154","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}

引用次数: 0

Journal of Health Communication: 2025 Year in Review. 健康传播杂志：2025年回顾。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-04-20 DOI: 10.1080/10810730.2026.2661694

Rebecca Katherine Ivic

引用次数: 0

Making High-Quality Health Information More Visible - A Proposal for a Set of Criteria to Assess Information Provider Methods. 使高质量的健康信息更加可见——一套评估信息提供者方法的标准建议。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-04-27 DOI: 10.1080/10810730.2026.2663933

Corinna Schaefer, Klaus Koch, Roland Büchter, Sebastian Schmidt-Kaehler, Inga Münch, Joseph L Mathew

{"title":"Making High-Quality Health Information More Visible - A Proposal for a Set of Criteria to Assess Information Provider Methods.","authors":"Corinna Schaefer, Klaus Koch, Roland Büchter, Sebastian Schmidt-Kaehler, Inga Münch, Joseph L Mathew","doi":"10.1080/10810730.2026.2663933","DOIUrl":"10.1080/10810730.2026.2663933","url":null,"abstract":"The internet has become a primary source of health information, with over 50% of European Union citizens and 68-80% of U.S. adults searching for health information online. However, the quality of online health information varies greatly, and inaccurate, outdated, or misleading information is widespread. While existing guidelines like the International Patient Decision Aid Standards (IPDAS) and the German Good Practice Guidelines for Health Information (GPGI) aim to improve the quality of patient decision aids and health information, current efforts are insufficient to address the scale of low-quality information. Recent approaches include consumer education and resilience-building strategies, but these remain difficult to implement widely. This paper proposes criteria for evaluating the credibility of health information providers, focusing on structural and procedural quality, rather than comprehensive content assessment. These criteria, inspired by frameworks from IPDAS, GPGI, and the National Academy of Medicine (NAM), emphasize transparency, evidence-based methodology, and the accountability of information sources. Implementing a certification and accreditation system based on these criteria could incentivize providers to adopt high standards, improve online health information quality, and ensure trustworthy content is prioritized by search engines, AI, and social media platforms.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"194-198"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773650","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}

引用次数: 0

What Drives Users' Intention to Discern AI-Generated Health Misinformation? Evidence from a Scenario-Based Experiment and SEM-ANN Analysis. 是什么驱使用户去识别人工智能生成的健康错误信息？基于场景的实验证据和SEM-ANN分析。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-06-06 DOI: 10.1080/10810730.2026.2681655

Chenyu Gu, Xiaojie Zhuo, Kunling Jiang

{"title":"What Drives Users' Intention to Discern AI-Generated Health Misinformation? Evidence from a Scenario-Based Experiment and SEM-ANN Analysis.","authors":"Chenyu Gu, Xiaojie Zhuo, Kunling Jiang","doi":"10.1080/10810730.2026.2681655","DOIUrl":"10.1080/10810730.2026.2681655","url":null,"abstract":"GenAI has become a crucial channel for health information, and people are increasingly relying on and uncritically accepting AI-generated health content. This automation bias in the AI era has triggered a global AI-driven infodemic. Therefore, activating users' proactive discernment of misinformation is essential to maintaining cognitive sovereignty and collaborative governance. Based on the Elaboration Likelihood Model (ELM), this study investigates the underlying mechanisms and key factors influencing users' intention to discern AI-generated health misinformation. Using a scenario-based experiment (N = 594) with Structural Equation Modeling (SEM) and Artificial Neural Networks (ANN), the study finds that AI's perceived diagnostic capability reduces users' intention to discern misinformation by lowering information uncertainty, with AI cognitive tendency acting as a moderator. Additionally, older users show a lower intention to discern. Among information factors, quality has the greatest impact on perceived diagnostic capability, followed by explainability. Transparency and accountability also influence perceived diagnostic capability, but fairness does not, which contrasts with prior studies. The effect of transparency and accountability differs between SEM and ANN, suggesting nonlinear effects. By focusing on the user perspective, this study provides a comprehensive view for understanding the complexity of AI-driven health misinformation communication and its governance.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"363-377"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148194787","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}

引用次数: 0

Research Priorities for Readability Assessment of Health Information: A Modified eDelphi Study. 健康信息可读性评估的研究重点：一项修正eDelphi研究。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-06-23 DOI: 10.1080/10810730.2026.2670325

Olivia Mac, Julie Ayre, Kirsten McCaffery, Corine S Meppelink, Danielle M Muscat

{"title":"Research Priorities for Readability Assessment of Health Information: A Modified eDelphi Study.","authors":"Olivia Mac, Julie Ayre, Kirsten McCaffery, Corine S Meppelink, Danielle M Muscat","doi":"10.1080/10810730.2026.2670325","DOIUrl":"10.1080/10810730.2026.2670325","url":null,"abstract":"Readability assessments are routinely used in health contexts to evaluate and revise written health information. However, there are many research gaps, as well as a lack of consensus and limited guidelines regarding how to conduct readability assessments. This study uses an eDelphi methodology to identify and gain expert consensus on research priorities to determine the role of readability assessment in health literate document design. Panelists participated in two rounds of online surveys to rate the importance of 25 candidate research questions pertaining to five broad categories (the effect of readability on outcomes, readability in practice, conducting readability analyses, grade reading level thresholds, and readability and translation). We analyzed responses for consensus (70% agreement), with research questions not achieving consensus re-fielded in subsequent rounds. Two survey rounds were completed by 35 and 30 participants, respectively. Of the 31 research questions rated in at least one round, 20 (65%) achieved consensus and were considered a research priority. Four of the top five research priorities related to understanding the effect of improving readability on cognitive, behavioral and health-related outcomes. Another top priority was understanding the role of AI in improving readability. Consensus demonstrated a need to understand the effect of improving readability on cognitive, behavioral and health-related outcomes. By identifying a list of research priorities, these findings provide a clear and actionable list of future directions.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"31 4","pages":"183-190"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308345","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}

引用次数: 0

Misinformation Measures Matter: How Question Wording and Response Options Influence Estimates of Corrections on Social Media. 错误信息测量很重要：问题措辞和回答选项如何影响对社交媒体更正的估计。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-06-23 DOI: 10.1080/10810730.2026.2675027

Rita Tang, Leticia Bode, Emily K Vraga

{"title":"Misinformation Measures Matter: How Question Wording and Response Options Influence Estimates of Corrections on Social Media.","authors":"Rita Tang, Leticia Bode, Emily K Vraga","doi":"10.1080/10810730.2026.2675027","DOIUrl":"10.1080/10810730.2026.2675027","url":null,"abstract":"Research demonstrates that correction consistently reduces misperceptions, increasing the importance of understanding how often people see such corrections. To answer this, researchers often rely on self-reported measures through surveys. However, there is little consistency in these measures across studies, hindering comparability and theory development. To investigate whether different measures of self-reported correction experiences affect their estimated frequency, this study uses a preregistered online survey experiment to examine two key factors: the question wording (\"corrected\" vs. \"told they shared misinformation\") and the response options (binary vs. four vs. five-point frequency scales). Findings reveal that frequency scales produce consistently higher estimates of three correction experiences (witnessing, performing, and being corrected) compared to binary measures, although classifying those who rarely experience correction alongside those who never do reduces these differences. Moreover, using the term \"correction\" leads to higher self-reported instances of performing corrections than the \"told misinformation\" phrasing, but does not impact estimates of witnessing or being corrected. These results offer researchers clear takeaways for comparing measures across multiple datasets and reinforce the importance of moving toward consistent measures in the future to ensure we can better understand how often people experience corrections.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":"31 4","pages":"149-159"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308419","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}

引用次数: 0

Delivering Change: The Diffusion of Doula Awareness in Black American Communities. 传递改变：导乐意识在美国黑人社区的传播。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-02-10 DOI: 10.1080/10810730.2026.2629289

Bryce Whitwam

{"title":"Delivering Change: The Diffusion of Doula Awareness in Black American Communities.","authors":"Bryce Whitwam","doi":"10.1080/10810730.2026.2629289","DOIUrl":"10.1080/10810730.2026.2629289","url":null,"abstract":"Black American mothers face disproportionately high maternal mortality rates. Despite evidence showing that doulas can reduce these adverse outcomes, a majority of Black mothers remain unaware of doula services. Through interviews with 22 participants in the Northeastern United States, this study identified key barriers to awareness, including institutional practices that intersect with racial, economic, and social factors affecting access to maternal health information. Findings reveal a dichotomy between \"alternative seekers,\" who actively question traditional healthcare systems, and \"unquestioning conformers,\" who accept standard medical care without exploring alternatives. Alternative seekers typically discovered doula services through community networks and social media, while conformers remained limited by institutional and socioeconomic constraints. Recommendations to close this gap include developing institutional \"push/pull\" strategies: healthcare providers can incorporate basic doula information into their standard communications. Community doula organizations can also improve outreach through social media testimonials and strategic partnerships. The study also highlights how postpartum care provided by doulas fosters mutually beneficial relationships with healthcare institutions.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"104-112"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146157366","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}

引用次数: 0

Testing for Dose-Response Relationships in Health Messaging: Dosage, Framing, and Intentions to Exercise. 健康信息中剂量-反应关系的检验：剂量、框架和运动意图。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-05-14 DOI: 10.1080/10810730.2026.2673055

Helen M Lillie, Alexis S Vega, Yi Liao, Dallin R Adams, Jakob D Jensen

引用次数: 0

Do Users Really Value Human Warmth and AI Skill? Experiments Reveal a Persistent Preference for Human Nutritionists. 用户真的看重人性的温暖和AI技能吗？实验揭示了人类对营养学家的持久偏好。

IF 2.9 2区医学

Journal of Health Communication Pub Date : 2026-01-01 Epub Date: 2026-06-04 DOI: 10.1080/10810730.2026.2682493

Rukun Zhang, Qingqing Xie, Bingcan Li

{"title":"Do Users Really Value Human Warmth and AI Skill? Experiments Reveal a Persistent Preference for Human Nutritionists.","authors":"Rukun Zhang, Qingqing Xie, Bingcan Li","doi":"10.1080/10810730.2026.2682493","DOIUrl":"10.1080/10810730.2026.2682493","url":null,"abstract":"Conventional wisdom-and much of the trust literature-assumes that consumers prize benevolence in human experts but competence in AI. We put this stereotype to a stringent test through two 2 × 2 between‑subjects experiments (Study 1: N = 328; Study 2: N = 329) that manipulated benevolence (high vs. low) and competence (high vs. low) in health advertisements featuring either a human or an AI nutritionist. PROCESS Models 4 and 7 evaluated a dual‑mediation pathway in which perceived health benefits and trust linked experimental cues to adoption (purchase) intention. Results overturned the stereotype. Across all cue combinations, ads featuring human nutritionists outperformed their AI counterparts on perceived benefits, trust, and adoption intention. The human advantage widened under low‑benevolence or low‑competence conditions and narrowed-yet persisted-when both cues were high. Mediation analyses confirmed that source effects operated sequentially through perceived benefits and trust. These findings expose the limits of competence signaling for overcoming algorithmic aversion in healthcare contexts. To approach parity with human advisers, AI nutritionists must demonstrate not only technical skill but also convincing cues of benevolence, suggesting new design imperatives for AI‑enabled health communication.","PeriodicalId":16026,"journal":{"name":"Journal of Health Communication","volume":" ","pages":"301-316"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148156839","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}

引用次数: 0