Nadine Bol, Tatiana Gromova, K. Tenfelde, M. Antheunis
{"title":"When Online and Offline Environments Meet","authors":"Nadine Bol, Tatiana Gromova, K. Tenfelde, M. Antheunis","doi":"10.47368/ejhc.2024.104","DOIUrl":"https://doi.org/10.47368/ejhc.2024.104","url":null,"abstract":"Theory of situational privacy and self-disclosure posits that perceived levels of privacy are determined by perceptions of the environment, and that certain levels of privacy are necessary for self-disclosure. In video consultations, auditory and visual aspects of the doctor’s environment can cause patients to experience more or less privacy. To provide empirical evidence for these theoretical assumptions, we conducted a 2 (auditory environmental factor: doctor wearing headphones vs. not) by 2 (visual environmental factor: doctor showing the entire office vs. not) between-subjects scenario-based experiment (N = 163). Participants imagined themselves in a video consultation with a doctor and reported their information and territory privacy concerns and willingness to disclose to the doctor. Results showed that the ability to see the doctor’s entire office led to lower information privacy concerns, which – in turn – were associated with increased willingness to disclose medical information to a doctor. Wearing headphones by the doctor did not affect privacy concerns and self-disclosure. Manipulations of both the auditory and visual environment were not significantly associated with territory privacy concerns. These results provide direction for further research on environmental factors and their impact on patients’ privacy concerns and self-disclosure during medical video communications.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"53 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anastasiya Atif (Nurzhynska), P. Chappell, Anna Sukhodolska, Jet G. Sanders
{"title":"Examining the Impact of Six Pro-Vaccination Messages on MMR Vaccine Hesitancy Among Mothers in Ukraine","authors":"Anastasiya Atif (Nurzhynska), P. Chappell, Anna Sukhodolska, Jet G. Sanders","doi":"10.47368/ejhc.2024.103","DOIUrl":"https://doi.org/10.47368/ejhc.2024.103","url":null,"abstract":"The Ukrainian government began delivering mandatory MMR vaccination letters to parents across the country in 2019. In this two-phase online RCT, we aimed to test the effectiveness of this national mandatory vaccination letter against five behavioural science-informed letters, in terms of their effects on the vaccination attitudes, intentions and behaviours of Ukrainian mothers (N = 738). One letter was focused on the simplicity and accessibility of vaccination procedures; one contained a testimonial from a family doctor; two letters contained pro-vaccination social norm statements (one signed by a family doctor and one by a school director); and one contained a loss-framed message underlining the risks of non-vaccination. The results showed no difference between the conditions in terms of change in vaccination attitudes and intentions but there was an effect on behaviour (measured through clicking a link to schedule a vaccination). The letters signed by a family doctor, outlining how vaccination is a social norm, were most effective in encouraging positive vaccination behaviours. We conclude that the national template used by Ukrainian public health authorities is unlikely to reduce vaccine hesitancy or increase vaccination rates, and that letters emphasising the normative nature of vaccination could increase uptake in the Ukrainian context.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"122 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140985339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Doing it Together","authors":"E. Smit, M. Meijers, Carolin Ischen","doi":"10.47368/ejhc.2023.301","DOIUrl":"https://doi.org/10.47368/ejhc.2023.301","url":null,"abstract":"The impersonal impact hypothesis states that news consumption leads to an increase of social concern, but not to an increase of personal concern, whereas the latter is most important for stimulating behaviour change. However, previous findings are mixed and mostly investigate private health behaviour. Here we, therefore, conceptually replicate these findings by studying a public health crisis: the case of the Covid-19 pandemic. The results of our longitudinal, five-wave study do not show support for the impersonal impact hypothesis, but rather seem to reveal the possibility of a personal impact hypothesis. That is, our findings show that news consumption increased participants’ personal concerns and to a lesser extent their societal concerns. News consumption furthermore indirectly affected adherence to governmental policy measures via these concerns. Additionally, participants adhered more to these measures when they believed they can make an incremental difference in stopping Covid-19 by adhering to Covid-19 policies (i.e., direct effect of participative beliefs). The belief of “doing it together” seems thus vital for policy adherence. Theoretical and practical implications are discussed.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131017737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Communication, Social Norms, and the Intention to Get Vaccinated Against Covid-19","authors":"Sarah Geber, S. Ho, Mengxue Ou","doi":"10.47368/ejhc.2023.206","DOIUrl":"https://doi.org/10.47368/ejhc.2023.206","url":null,"abstract":"Social norms are a promising factor for pandemic control, as they motivate people to engage in preventive behaviours. However, little is known about the influence of perceived social norms on the intention to get vaccinated against Covid-19 and the role of communication in shaping such normative perceptions. Moreover, despite the pandemic’s global scale, a cross-cultural perspective is scant in research on Covid-19 preventive behaviour. The present study examined the relationships between communication (i.e., attention to mass media and social media), social norms (i.e., perceived norms in the population and personal environment), and people’s intention to get vaccinated against Covid-19 using a cross-national survey in Singapore (N = 998) and Switzerland (N = 1,022). Multigroup structural equation modelling revealed that attention to mass media was positively correlated with perceived norms in both countries, whereas attention to social media was correlated with normative perceptions only in Singapore. Normative perceptions regarding the population and personal environment were positively correlated with vaccination intention in Singapore. However, in Switzerland, only perceived norms in the personal environment were positively related to vaccination intention. The results are discussed against the background of both countries’ media systems and cultural values (i.e., individualism/collectivism) and are instructive for norms-based interventions in times of crises.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125446014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leonie Westerbeek, H. Hendriks, E. Smit, Corine S. Meppelink
{"title":"Combating Online Misinformation Regarding Vaccinations","authors":"Leonie Westerbeek, H. Hendriks, E. Smit, Corine S. Meppelink","doi":"10.47368/ejhc.2023.205","DOIUrl":"https://doi.org/10.47368/ejhc.2023.205","url":null,"abstract":"An increasing number of parents refrain from vaccinating their children. This causes lower immunisation coverage, resulting in disease outbreaks. Online misinformation about early-childhood vaccination is a potential cause of this problem. This study tests whether a warning tool, with the appearance of a traffic light, can influence parents’ information choices. An online experiment was conducted with parents and expecting parents (N = 179) with varying pre-existing attitudes and in different decision stages. Participants were asked to select three vaccine-related web links on a Google search result page either with or without the warning tool present. Results showed that participants in the warning tool condition (i.e., who saw reliability labels) selected a higher number of links marked as reliable compared to participants in the control group. No significant moderating effect of decision stage and pre-existing attitude were found. As our findings suggest that a warning tool can lead to better-informed vaccination decisions, the implementation of such a warning tool may prove worthwhile.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"110 47","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120826085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Online Health Communities in Controversy over ME/CFS and Long Covid","authors":"Sally Jackson","doi":"10.47368/ejhc.2023.203","DOIUrl":"https://doi.org/10.47368/ejhc.2023.203","url":null,"abstract":"The condition known variously as myalgic encephalomyelitis, chronic fatigue syndrome, or ME/CFS has been steeped in controversy for 40 years or more. Long Covid, first noticed and named in 2020, has become entangled with the ME/CFS controversy because of striking similarities in the experiences of patients suffering from the two illnesses. Online health communities (OHCs) have played central roles in both controversies, but these are not the kinds of roles that have been so well-documented in prior literature. While prior research has established many ways in which participation in an OHC may benefit or otherwise affect community members themselves, this essay focuses on how OHCs contribute to positional shifts in health controversies that involve other communities as well. Using a framework for understanding health controversies as argumentative polylogues, I show that OHCs arguing with other players have made contributions that are both effective in gaining ground for the OHCs' own goals and in elevating the overall quality of the debate. Further, in some cases these contributions have been so innovative as to suggest surprising future trajectories for OHCs.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132394366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Baukje B. Stinesen, Petra Sneijder, A. Köke, R. Smeets
{"title":"Consultations Preliminary to Interdisciplinary Chronic Pain Rehabilitation","authors":"Baukje B. Stinesen, Petra Sneijder, A. Köke, R. Smeets","doi":"10.47368/ejhc.2023.202","DOIUrl":"https://doi.org/10.47368/ejhc.2023.202","url":null,"abstract":"Before patients with chronic pain enter an interdisciplinary chronic pain rehabilitation programme, a team of various healthcare professionals performs a biopsychosocial analysis of their pain problem. To enhance patients’ engagement, the problem analysis is thoroughly discussed with them in order to gain a shared understanding of the nature of their pain problem. This study explores how patients and practitioners talk through their rehabilitation team’s hypotheses regarding the psychosocial factors involved in these patients’ health situation. Nine consultations were recorded at various Dutch interdisciplinary chronic pain rehabilitation units. The recordings were transcribed and analysed, combining an applied conversation analytic research approach with discursive psychology. Patients and practitioners are found to orient to ensuring consensus on the problem analysis as a relevant activity and tend to avoid or minimize the articulation of differences in perspectives. This study also shows that this orientation to consensus involves a delicate management of issues of accountability and blame. Findings can be used by practitioners to consider communication practices that are more likely to encourage patients to voice potential concerns regarding their rehabilitation team’s findings.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"86 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129002665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irene Kelder, Petra Sneijder, Annette Klarenbeek, T. Roseboom, E. Laan
{"title":"Accounting for Sexual Issues Related to Cancer","authors":"Irene Kelder, Petra Sneijder, Annette Klarenbeek, T. Roseboom, E. Laan","doi":"10.47368/ejhc.2023.201","DOIUrl":"https://doi.org/10.47368/ejhc.2023.201","url":null,"abstract":"Cancer and its treatments cause significant changes in sexuality that affect the quality of life of both patients and their partners. As these issues are not always discussed with healthcare professionals, cancer patients turn to online health communities to find answers to questions or for emotional support pertaining to sexual issues. By using a discursive psychological perspective, we explore the social actions that participants in online health forums perform when discussing sexuality. Data were collected by entering search terms in the search bars of three online health forums. Our analysis of 213 threads, containing 1,275 posts, provides insight into how participants who present themselves as women with cancer account for their sexual issues and, in doing so, orient to two intertwined norms: Having untroubled sex is part of a couple’s relationship, and male partners are entitled to having untroubled sex. We discuss the potential harmful consequences of orienting to norms related to sexual behaviour. Yet, our findings can also help healthcare professionals in broaching the topic of sexuality in conversations with cancer patients. The insights of this study into what female patients themselves treat as relevant can assist health professionals in better aligning with patients’ interactional concerns.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116172302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Who Is (Held) Responsible for Diabetes and Depression?","authors":"Linn Julia Temmann","doi":"10.47368/ejhc.2023.103","DOIUrl":"https://doi.org/10.47368/ejhc.2023.103","url":null,"abstract":"Responsibility frames and attributions of responsibility are closely linked to health-related stigma and social support intentions, which present relevant influencing factors for health outcomes. According to social-ecological models, health responsibility can potentially be attributed to at least three levels: 1) the individual, 2) the social network, and 3) society. So far, little is known about responsibility attributions to the social network. This qualitative interview study explores how N = 22 persons with and without lived experience with diabetes and depression react to a media frame attributing responsibility to the social network level, aiming to understand how framing and responsibility attributions are linked to health-related stigma and endorsement of social support. Results demonstrate that specifically type 2 diabetes is linked to individually controllable attributions and behavioural stigma, and individuals living with type 2 diabetes are expected to manage their condition without considerable social support. In contrast, depression is seen as less controllable, less manageable, and dependent on social and professional support. For both diabetes and depression, frames attributing responsibility to the social network may stimulate social support but also carry certain risks. These results offer implications for health news reporting, and perspectives for further research on health-related responsibility framing.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114651666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Social Media, News Media and Interpersonal Communication Relate to Covid-19 Risk Perceptions and Behaviours","authors":"Robyn Vanherle, Sebastian Kurten, Ann Rousseau","doi":"10.47368/ejhc.2023.102","DOIUrl":"https://doi.org/10.47368/ejhc.2023.102","url":null,"abstract":"To inhibit the spread of the Covid-19 virus, several governmental guidelines (e.g., social contact, vaccination) were proposed. Whether or not these protective behaviours are implemented often depends on citizens’ risk perceptions which, according to previous research, are formed by social media, news media, and interpersonal communications. However, previous research is limited in two ways. First, research mostly focused on adults, thereby neglecting emerging adults who are less affected but equally needed to adhere to the rules. Second, research mainly measured behaviours at one-time point and studied between-person associations, thereby neglecting short-term within-person effects. We therefore conducted a daily diary study among 208 emerging adults (Mage = 21.63, SDage = 1.15) and examined which communication channels increased Covid-19 risk perceptions (i.e., perceived personal susceptibility and societal severity) and, in turn, individuals’ willingness to get vaccinated and follow Covid-19 rules. The results showed that only news media predicted societal severity on the within-level and that severity, in turn, predicted willingness to get vaccinated and follow rules at the between-level. Additionally, social media predicted interpersonal conversations about Covid-19 at the between-and within-level. Overall, this study highlights the importance of news media in affecting emerging adults’ health perceptions and behaviours during a crisis.","PeriodicalId":358828,"journal":{"name":"European Journal of Health Communication","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123369606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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