scholarly journals Optimizing COVID-19 Health Campaigns: A Person-Centered Approach

2020 ◽  
Author(s):  
Rachel Smith ◽  
Jessica Gall Myrick ◽  
Robert P. Lennon ◽  
Molly A. Martin ◽  
Meg L. Small ◽  
...  

As the United States continues to be ravaged by COVID-19, it becomes increasingly important to implement effective public health campaigns to improve personal behaviors that help control the spread of the virus. To design effective campaigns, research is needed to understand the current mitigation intentions of the general public, diversity in those intentions, and theoretical predictors of them. COVID-19 campaigns will be particularly challenging because mitigation involves myriad, diverse behaviors. This study takes a person-centered approach to investigate data from a survey (N = 976) of Pennsylvania adults. Latent class analysis revealed five classes of mitigation: one marked by complete adherence with health recommendations (34% of the sample), one by complete refusal (9% of the sample), and three by a mixture of adherence and refusal. Statistically significant covariates of class membership included relatively negative injunctive norms, risk due to essential workers in the household, personal knowledge of someone who became infected with COVID-19, and belief that COVID-19 was a leaked biological weapon. Additionally, trait reactance was associated with non-adherence while health mavenism was associated with adherence. These findings may be used to good effect by local healthcare providers and institutions, and also inform broader policy-making decisions regarding public health campaigns to mitigate COVID-19.

JMIRx Med ◽  
10.2196/29570 ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. e29570
Author(s):  
Julie Jiang ◽  
Xiang Ren ◽  
Emilio Ferrara

Background Social media chatter in 2020 has been largely dominated by the COVID-19 pandemic. Existing research shows that COVID-19 discourse is highly politicized, with political preferences linked to beliefs and disbeliefs about the virus. As it happens with topics that become politicized, people may fall into echo chambers, which is the idea that one is only presented with information they already agree with, thereby reinforcing one’s confirmation bias. Understanding the relationship between information dissemination and political preference is crucial for effective public health communication. Objective We aimed to study the extent of polarization and examine the structure of echo chambers related to COVID-19 discourse on Twitter in the United States. Methods First, we presented Retweet-BERT, a scalable and highly accurate model for estimating user polarity by leveraging language features and network structures. Then, by analyzing the user polarity predicted by Retweet-BERT, we provided new insights into the characterization of partisan users. Results We observed that right-leaning users were noticeably more vocal and active in the production and consumption of COVID-19 information. We also found that most of the highly influential users were partisan, which may contribute to further polarization. Importantly, while echo chambers exist in both the right- and left-leaning communities, the right-leaning community was by far more densely connected within their echo chamber and isolated from the rest. Conclusions We provided empirical evidence that political echo chambers are prevalent, especially in the right-leaning community, which can exacerbate the exposure to information in line with pre-existing users’ views. Our findings have broader implications in developing effective public health campaigns and promoting the circulation of factual information online.


Author(s):  
Roy Schwartzman ◽  
Jenni M. Simon

The COVID-19 pandemic in the United States spawns a perplexing polemic. Intransigent coronavirus skeptics who defy public health recommendations often get cast as ideological zealots or as perniciously ignorant. Both characterizations overlook a more fundamental epistemic opposition. The authors recast the conflict between COVID-19 skeptics and public health advocates as the rhetorical incompatibility between the deliberative, scientifically grounded public health experts and the intuitive, emotion-driven mental heuristics of the non-compliant. This study examines the discourse of COVID-19 misinformation purveyors on broadcast media and online. Their main contentions rely on heuristics and biases that collectively not only undermine trust in particular medical experts, but also undercut trust in the institutions and reasoning processes of science itself. The findings suggest ways that public health campaigns can become more effective by leveraging some of the intuitive drivers of attitudes and behaviors that scientists and argumentation theorists routinely dismiss as fallacious.


1992 ◽  
Vol 1 (4) ◽  
pp. 347-365 ◽  
Author(s):  
Bruce V. Lewenstein

During the first half of the twentieth century, private life insurance companies in the United States provided an important locus for the public communication of science, through their support of public health campaigns. This paper provides a history of how and why three companies (the Metropolitan, the Prudential, and the John Hancock life insurance companies) drew on their strength in `industrial' life insurance (sold to the lower classes at low, weekly rates) to engage in public health reforms. Only the Metropolitan and the Hancock, however, became active in public communication of health information. The paper suggests that four key factors provided the context for the companies' activities: (1) legislative and social pressure for reform; (2) increases in profits associated with healthier (and therefore longer-lived) customers; (3) ideals of social reform held by individuals in positions of bureaucratic power within the insurance organizations; and (4) organized machinery for weekly contact with and distribution of information to policyholders as a result of the nature of industrial life insurance.


2020 ◽  
Author(s):  
Scott Bokemper ◽  
Gregory Huber ◽  
Erin James ◽  
Alan Gerber ◽  
Saad Omer

Abstract What types of public health messages are effective at changing people’s beliefs and intentions to practice social distancing to slow the spread of COVID-19? We conducted two randomized experiments that assigned respondents to read a public health message and then measured their beliefs and behavioral intentions across a wide variety of outcomes. Using both a convenience sample and a nationally representative sample of Americans, we find that a message that reframes bravery as recklessness and a message that highlights the need for everyone to take action to protect others are the most effective at increasing beliefs and intentions related to social distancing. These results provide an evidentiary basis for building effective public health campaigns to increase social distancing during flu pandemics.


2020 ◽  
Author(s):  
Jens Koed Madsen

Previous research concerning the effectiveness of public health campaigns have explored the impact of message design, message content, communication channel choice and other aspects of such campaigns. Meta analyses reported in the literature reveal, however, that the choice of endorsers in health campaigns remains unexplored. The present study addresses this gap in the literature by studying what makes doctors from public health campaigns appear trustworthy in the eyes of the receiver. The present research examines propensity for trust as well facets of trustworthiness of such expert doctors based on a survey carried out in the UK (155 respondents). Underlying factors of trustworthiness are explored to gain more insight into the understanding of how trust may affect the public’s belief updating and the formation of intentions. Exploratory factor analyses suggest four dimensions of trustworthiness. Multiple regression analyses demonstrate that these factors explain almost 70% of the variance in the participants’ expressed trust in doctors from public health campaigns. Doctors’ ethical stance and their care for the health of the general population appear to be more important for perceived trustworthiness than their actual professional background, although their abilities and competences are closely related to ethics and benevolence. For policy makers this has important implications when selecting endorsers for public health campaigns in order to design effective health related communication, for example to combat obesity.


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