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Cognitive Psychology Jun 2023The present paper reports an experiment with a two-year-delayed (M = 695 days) follow-up that tests an approach to raising willingness to take political and personal...
The present paper reports an experiment with a two-year-delayed (M = 695 days) follow-up that tests an approach to raising willingness to take political and personal climate actions. Many Americans still do not view climate change as a threat requiring urgent action. Moreover, among American conservatives, higher science literacy is paradoxically associated with higher anthropogenic climate-change skepticism. Our experimental materials were designed to harness the power of two central cognitive constraints - coherence and causal invariance, which map onto two narrative proclivities that anthropologists have identified as universal - to promote climate action across the political spectrum. Towards that goal, the essential role of these constraints in the causal-belief-formation process predicts that climate-change information would be more persuasive when it is embedded in a personal climate-action narrative, the evocation of which can benefit from exposure to parsimonious scientific explanations of indisputable everyday observations, juxtaposed with reasoners' own, typically less coherent explanations, occurring in a context that engages their moral stance. Our brief one-time intervention, conducted in ten U.S. states with the highest level of climate skepticism, showed that across the political spectrum, our materials raised appreciation of science, openness to alternative views, and willingness to take climate actions in the immediate assessment. It also raised how likely were reports two years later of having taken those actions or would have taken them had the opportunity existed, suggesting a long-lasting effect. Our approach adopts the framework that conceptions of reality are representations, and adaptive solutions in that infinite space of representations require cognitive constraints to narrow the search.
Topics: Humans; United States; Climate Change; Motivation; Cognition
PubMed: 37156123
DOI: 10.1016/j.cogpsych.2023.101565 -
PloS One 2023This study investigates health-promoting messages in British and Saudi officials' social-media discourse during the Coronavirus Disease 2019 (COVID-19) Pandemic. Taking...
This study investigates health-promoting messages in British and Saudi officials' social-media discourse during the Coronavirus Disease 2019 (COVID-19) Pandemic. Taking discourse as a constructivist conception, we examined the crisis-response strategies employed by these officials on social media, and the role of such strategies in promoting healthy behaviors and compliance with health regulations. The study presents a corpus-assisted discourse analysis of the tweets of a Saudi health official and a British health official that focuses on keyness, speech acts, and metaphor. We found that both officials utilized clear communication and persuasive rhetorical tactics to convey the procedures suggested by the World Health Organization. However, there were some differences in how the two officials used speech acts and metaphors to achieve their goals. The British official used empathy as the primary communication strategy, while the Saudi official emphasized health literacy. The British official also used conflict-based metaphors such as war and gaming, whereas the Saudi official used metaphors that reflected life as a journey interrupted by the pandemic. Despite these differences, both officials utilized directive speech acts to tell audiences the procedures they should follow to achieve the desired conclusion of healing patients and ending the pandemic. In addition, rhetorical questions and assertions were used to direct people to perform certain behaviors favored. Interestingly, the discourse used by both officials contained characteristics of both health communication and political discourse. War metaphors, which were utilized by the British Health official, are a common feature in political discourse as well as in health-care discourse. Overall, this study highlights the importance of effective communication strategies in promoting healthy behaviors and compliance with health regulations during a pandemic. By analyzing the discourse of health officials on social media, we can gain insights into the strategies employed to manage a crisis and effectively communicate with the public.
Topics: Humans; COVID-19; Saudi Arabia; Social Media; Information Dissemination; Health Communication; Linguistics; United Kingdom
PubMed: 37145982
DOI: 10.1371/journal.pone.0284857 -
Health Expectations : An International... Aug 2023Peer-to-peer communication approaches have been previously described as the 'power of personal referral'. Rather than relying on official channels of information,...
OBJECTIVES
Peer-to-peer communication approaches have been previously described as the 'power of personal referral'. Rather than relying on official channels of information, peer-to-peer communication may have a role in supporting changes in understanding and possibly behaviours. However, in emergency or pandemic situations, there is currently limited understanding of whether community members feel comfortable speaking about their vaccine experiences or advocating to others. This study explored the perceptions of COVID-19 vaccinated and unvaccinated Australian adults regarding their preferences and opinions about peer-peer communication and other vaccine communication strategies.
STUDY DESIGN
Qualitative interview research.
METHODS
In-depth interviews were conducted in September 2021 with 41 members of the Australian community. Thirty-three participants self-identified as being vaccinated against COVID-19, while the remainder were not vaccinated at the time or did not intend on receiving a COVID vaccine.
RESULTS
Amongst those who were vaccinated, participants spoke about being willing to promote the vaccine and correct misinformation and felt empowered following their vaccination. They highlighted the importance of peer-to-peer communication and community messaging, expressing the need for both strategies in an immunisation promotional campaign, with a slight emphasis on the persuasive power of communication between family and friends. However, those who were unvaccinated tended to dismiss the role of community messaging, commenting on a desire not to be like one of the many who listened to the advice of others.
CONCLUSION
During emergency situations, governments and other relevant community organisations should consider harnessing peer-to-peer communication amongst motivated individuals as a health communication intervention. However further work is needed to understand the support that this constituent-involving strategy requires.
PATIENT OR PUBLIC CONTRIBUTION
Participants were invited to participate through a series of online promotional pathways including emails and social media posts. Those who completed the expression of interest and met the study criteria were contacted and sent the full study participant information documentation. A time for a 30 min semi-structured interview was set and provided with a $50 gift voucher at the conclusion.
Topics: Humans; Adult; COVID-19 Vaccines; COVID-19; Australia; Vaccines; Health Communication
PubMed: 37132297
DOI: 10.1111/hex.13751 -
BMC Health Services Research May 2023While many healthcare providers (HCPs) have navigated patients' vaccine concerns and questions prior to the rollout of the COVID-19 vaccines, sentiments surrounding the...
BACKGROUND
While many healthcare providers (HCPs) have navigated patients' vaccine concerns and questions prior to the rollout of the COVID-19 vaccines, sentiments surrounding the COVID-19 vaccines have presented new and distinct challenges.
OBJECTIVE
To understand the provider experience of counseling patients about COVID-19 vaccinations, aspects of the pandemic environment that impacted vaccine trust, and communication strategies providers found supportive of patient vaccine education.
METHODS
7 focus groups of healthcare providers were conducted and recorded during December 2021 and January 2022, at the height of the Omicron wave in the United States. Recordings were transcribed, and iterative coding and analysis was applied.
RESULTS
44 focus group participants representing 24 US states with the majority (80%) fully vaccinated at the time of data collection. Most participants were doctors (34%) or physician's assistants and nurse practitioners (34%). The negative impact of COVID-19 misinformation on patient-provider communication at both intrapersonal and interpersonal levels as well as barriers and facilitators to patient vaccine uptake are reported. People or sources that play a role in health communication ("messengers") and persuasive messages that impact behavior or attitudes towards vaccination ("messages") are described. Providers expressed frustration in the need to continuously address vaccine misinformation in clinical appointments among patients who remained unvaccinated. Many providers found value in resources that provided up-to-date and evidence-based information as COVID-19 guidelines continued to change. Additionally, providers indicated that patient-facing materials designed to support vaccination education were not frequently available, but they were the most valuable to providers in a changing information environment.
CONCLUSIONS
While vaccine decision-making is complex and hinges on diverse factors such as health care access (i.e., convenience, expense) and individual knowledge, providers can play a major role in navigating these factors with their patients. But to strengthen provider vaccine communication and promote vaccine uptake, a comprehensive communication infrastructure must be sustained to support the patient-provider dyad. The findings provide recommendations to maintain an environment that facilitates effective provider-patient communication at the community, organizational and policy levels. There is a need for a unified multisectoral response to reinforce the recommendations in patient settings.
Topics: Humans; United States; COVID-19 Vaccines; COVID-19; Vaccines; Communication; Health Personnel; Vaccination; Health Communication
PubMed: 37131261
DOI: 10.1186/s12913-023-09348-0 -
Appetite Aug 2023Parent feeding practices influence a child's dietary intake. Many studies examining how parents react to children's fussy eating behaviours have been limited to...
Parent feeding practices influence a child's dietary intake. Many studies examining how parents react to children's fussy eating behaviours have been limited to questionnaire measures, which assess a limited number of feeding practices. There is a lack of research exploring the range of strategies parents use when their child is being fussy and/or refusing to eat. Therefore, the aims of this study are to describe the strategies used by mothers when their child is being fussy or refusing to eat, and to assess differences in the strategies depending on the child's trait fussiness levels. In 2018, 1504 mothers of children aged 2-5 years completed an online survey. Trait fussiness was assessed using the Children's Eating Behaviour Questionnaire. Mothers were also asked the open-ended question "What are the strategies you use when your child is being fussy or refusing to eat?". Inductive thematic analysis was conducted using NVivo. Themes were compared by child trait fussiness levels. Seven main themes were identified: child-led feeding/trust in child's appetite, spectrum of pressure, home or family strategies, different types of food offerings, communication, avoid certain strategies, and never or rarely fussy. Mothers of children with severe trait fussiness levels reported more pressuring or persuasive strategies. This study provides novel information regarding the diverse range of feeding practices parents use in response to children's fussy eating behaviours. Mothers used more feeding strategies typically associated with unhealthy dietary intake for children of high levels of trait fussiness. It is important that future interventions tailor the information to provide support to parents of children with high levels of trait fussiness regarding the use of feeding practices recommended to support healthy dietary intake.
Topics: Female; Humans; Child; Mothers; Feeding Behavior; Parents; Surveys and Questionnaires; Eating; Child Behavior; Parenting
PubMed: 37120068
DOI: 10.1016/j.appet.2023.106581 -
Psychology Research and Behavior... 2023Social media enable advertisers to promote products by placing ads into videos posted by social media influencers. However, according to psychological reactance theory,...
INTRODUCTION
Social media enable advertisers to promote products by placing ads into videos posted by social media influencers. However, according to psychological reactance theory, any persuasive attempt may evoke reactance. Therefore, how to minimize the audience's potential resistance to product placements is important. This study investigated how the parasocial relationship (PSR) between audiences and influencers as well as the extent to which the influencer's expertise matched the product (termed as influencer-product congruence) shaped audience attitude towards the product placement and their purchase intention through reactance.
METHODS
The study conducted a 2 (PSR: high vs low) × 2 (influencer-product congruence: congruent vs incongruent) between-subjects online experiment (N = 210) to test hypotheses. SPSS 24 and PROCESS macro by Hayes were used to analyze the data.
RESULTS
The results demonstrate that PSR and influencer-product congruence enhanced the audience's attitude and purchase intention. Moreover, these positive effects were mediated by lowering levels of the audience's reactance. Additionally, we found preliminary evidence suggesting that PSR moderated the effect of perceived expertise of the influencer on reactance. Specifically, this effect was stronger among those reporting a low level of PSR compared to a high level.
CONCLUSION
Our findings reveal how PSR and influencer-product congruence are intertwined to shape audience evaluation of product placement via social media and highlight the central role of reactance in this process. This study also provides advice on the selection of influencer when promoting product placement on social media.
PubMed: 37101721
DOI: 10.2147/PRBM.S406558 -
PloS One 2023Effectively addressing public health crises like the COVID-19 pandemic requires persuading the mass public to change their behavior in significant ways. Many efforts to...
Effectively addressing public health crises like the COVID-19 pandemic requires persuading the mass public to change their behavior in significant ways. Many efforts to encourage behavior change-such as public service announcements, social media posts, and billboards-involve short, persuasive appeals, yet the effectiveness of these messages is unclear. Early in the COVID-19 pandemic, we tested whether short messages could increase intentions to comply with public health guidelines. To identify promising messages, we conducted two pretests (n = 1,596) in which participants rated the persuasiveness of 56 unique messages: 31 based on the persuasion and social influence literatures and 25 drawn from a pool of crowdsourced messages generated by online respondents. The four top-rated messages emphasized: (1) civic responsibility to reciprocate the sacrifices of health care workers, (2) caring for the elderly and vulnerable, (3) a specific, sympathetic victim, and (4) limited health care system capacity. We then conducted three well-powered, pre-registered experiments (total n = 3,719) testing whether these four top-rated messages, and a standard public health message based on language from the CDC, increased intentions to comply with public health guidelines, such as masking in public spaces. In Study 1, we found the four messages and the standard public health message significantly outperformed a null control. In Studies 2 and 3, we compared the effects of persuasive messages to the standard public health message, finding that none consistently out-performed the standard message. This is in line with other research showing minimal persuasive effects of short messages after the very early stages of the pandemic. Across our studies, we found that (1) short messages can increase intentions to comply with public health guidelines, but (2) short messages featuring persuasive techniques from the social science literature did not substantially outperform standard public health messages.
Topics: Humans; Aged; Pandemics; COVID-19; Public Health; Health Behavior; Persuasive Communication
PubMed: 37058445
DOI: 10.1371/journal.pone.0284354 -
Digital Health 2023With the development of mobile communication technology, persuasive technology is widely used in mobile health. Using personalized persuasive strategies in mobile health...
With the development of mobile communication technology, persuasive technology is widely used in mobile health. Using personalized persuasive strategies in mobile health education (MHE) apps can effectively improve users' health literacy and health behaviors. The transtheoretical model explains the process of user behavior change. Different usage frequency of the app reflects changes in user behavior. However, few studies have examined how the perceived importance of persuasive strategies among older adults changes with increasing use frequency. In this study, we analyzed the sensitivity of 111 older adults in China to persuasive strategies in MHE apps. Thirteen persuasive strategies were selected for this study. A repeated measure analysis of variance (RM-ANOVA) was used to demonstrate the influence of gender, health information attention and frequency of use on the sensitivity of perceived persuasive strategies among older adults. The results revealed older adults with a high usage frequency of health apps were more receptive to persuasive strategies, especially in social comparison strategy. This result may help developers consider factors such as the frequency of use by older users when designing personalized persuasive strategies for MHE apps.
PubMed: 37021126
DOI: 10.1177/20552076231167003 -
Appetite Jul 2023Food marketing has long been recognized to influence children's food preferences and consumption patterns, yet only in recent years have teenagers been recognized as a...
Food marketing has long been recognized to influence children's food preferences and consumption patterns, yet only in recent years have teenagers been recognized as a uniquely vulnerable audience for food marketing appeals. Marketing pressures on teenagers around food promotion continue to intensify, yet little is known about the marketing channels and specific persuasive appeals targeting this audience. Given this research gap, this participatory research study engages teenagers to capture the food marketing targeting them and to identify its persuasive "power" and platforms of exposure. Using a specially designed mobile app called GrabFM! (Grab Food Marketing!) teenagers (ages 13-17, n = 309) identified and tagged examples of teen-targeted food marketing in their physical and digital environments over a 7-day period. Results reveal that: 1) digital platforms dominate teen-targeted food marketing, with over three quarters of the ads found on Instagram, Snapchat, TikTok, ad YouTube; 2) branded beverages, fast food, and candy/chocolate comprise the majority (72%) of ads; and 3) the most powerful techniques for attracting teens attention are visual style, special offer and theme. In 40% of advertisements submitted, teenagers used only one indicator to identify "teen-targeted", although older teenagers (ages 15-17) were more likely to report multiple indicators per ad. This study provides important insights into the platforms targeting teenagers (and their relative importance), the food products endorsed, and the specific appeals that teenagers find persuasive. For the purposes of monitoring, it is helpful to know that digital platforms comprise the majority of teen-directed food promotions, and that the Big Food brands have been joined by countless smaller players to sell food to teens.
Topics: Child; Adolescent; Humans; Community-Based Participatory Research; Advertising; Food Industry; Food; Marketing; Beverages; Fast Foods
PubMed: 37019155
DOI: 10.1016/j.appet.2023.106550 -
Frontiers in Clinical Diabetes and... 2023Women with previous gestational diabetes mellitus (GDM) are at increased risk of type 2 diabetes (T2D). Guidelines recommend postnatal diabetes screening (oral glucose...
INTRODUCTION
Women with previous gestational diabetes mellitus (GDM) are at increased risk of type 2 diabetes (T2D). Guidelines recommend postnatal diabetes screening (oral glucose tolerance test or HbA1c) typically 6-12 weeks after birth, with screening maintained at regular intervals thereafter. Despite this, around half of women are not screened, representing a critical missed opportunity for early identification of prediabetes or type 2 diabetes. While policy and practice-level recommendations are comprehensive, those at the personal-level primarily focus on increasing screening knowledge and risk perception, potentially missing other influential behavioral determinants. We aimed to identify modifiable, personal-level factors impacting postpartum type 2 diabetes screening among Australian women with prior gestational diabetes and recommend intervention functions and behavior change techniques to underpin intervention content.
RESEARCH DESIGN AND METHODS
Semi-structured interviews with participants recruited via Australia's National Gestational Diabetes Register, using a guide based on the Theoretical Domains Framework (TDF). Using an inductive-deductive approach, we coded data to TDF domains. We used established criteria to identify 'important' domains which we then mapped to the Capability, Opportunity, Motivation-Behavior (COM-B) model.
RESULTS
Nineteen women participated: 34 ± 4 years, 19 ± 4 months postpartum, 63% Australian-born, 90% metropolitan, 58% screened for T2D according to guidelines. Eight TDF domains were identified: 'knowledge', 'memory, attention, and decision-making processes', 'environmental context and resources', 'social influences', 'emotion', 'beliefs about consequences', 'social role and identity', and 'beliefs about capabilities'. Study strengths include a methodologically rigorous design; limitations include low recruitment and homogenous sample.
CONCLUSIONS
This study identified numerous modifiable barriers and enablers to postpartum T2D screening for women with prior GDM. By mapping to the COM-B, we identified intervention functions and behavior change techniques to underpin intervention content. These findings provide a valuable evidence base for developing messaging and interventions that target the behavioral determinants most likely to optimize T2D screening uptake among women with prior GDM. .
PubMed: 36993822
DOI: 10.3389/fcdhc.2023.1086186