It’s Good for Me

This study examines moral development’s role in judgments of health messages. This research assesses which appeals and type of benefit advertised in health ads impact ad effectiveness and health intentions. Results indicate that messages advertising a third-person benefit of the behavior are more appealing than a first-person benefit and that moral development should be considered when designing health messages. The ads presenting a third-person benefit and an emotional appeal were more effective among those who rated higher in the maintaining norms schema of moral development and among those with higher moral development. This indicates that health messages targeting adolescents should emphasize the principles at play when encouraging behavior or attitude change and should highlight societal values in the behaviors.

Factors associated with health intentions and behaviour among health checkup participants in Japan

Health intentions and behaviours are essential for improving the health of individuals and society. This study used cross-sectional data from 20,155 health checkup participants in the Yamagata study to identify factors associated with health intentions and behaviours. Information regarding the current level of health intentions and behaviours was collected using a baseline survey questionnaire. Participants were categorised into three groups: having no intention (no intention), having intentions to improve but not acting on them (intention), and already active (action). The associations between background factors and the presence/absence of health intentions and behaviours were assessed using logistic regression analysis. Of the participants, 35.4%, 37.7%, and 26.9% belonged to the no intention, intention, and action groups, respectively. Multivariate analysis revealed that the factors associated with health intentions were being young, being female, longer duration of education, higher body mass index and abdominal circumference, diabetes, and dyslipidaemia. The factors associated with health behaviours were being older and male, not consuming alcohol, not smoking, performing daily exercise, and having diabetes. These results indicate that health guidance considering background factors, including age, gender, education, and comorbidities, may be useful for effectively promoting health intentions and health behaviours in the Japanese population.

Self- versus other-directed outcomes, Machiavellianism, and hypothetical distance in COVID-19 antipandemic messages

Public health information with a fear appeal is often used to promote people's positive health intentions. Anchored by the extended parallel process model and trait activation theory, in this study we examined the effects of self- versus other-directed outcomes, Machiavellianism, and hypothetical distance on the effectiveness of fear-appeal information in the context of COVID-19. In an online survey of 303 people in Wuhan, China, we found that respondents high in Machiavellianism reported stronger antipandemic intentions in response to a self-directed compared to an other-directed outcome message. This effect was actualized through the trait of Machiavellianism, moderated by hypothetical distance, and mediated by perceived severity. Our findings have implications for the effective development and delivery of public health information for specific groups, and for encouraging more detailed exploration of personality in relation to epidemiology.

Comparative Review Between COVID-19 and Stunting: Communication Framework Toward Risk-Mitigating Behavior

In addition to COVID-19, stunting is another threat facing Indonesia. Although not as deadly as COVID-19, stunting requires immediate responses; otherwise it will burden our development agenda. Substantial evidences from application of Theory of Planned Behavior (TPB) accumulate significant relationship of health intentions to individuals’ behavior. Further extension of TPB that include other variables confirm the role of knowledge and risk perception in predicting health intentions and behavior. Similarly involve risk factors within public health area, risk communication of COVID-19 seems outperforms that of stunting. Using TPB’s perspective, this review of literature aims to analyze health promotion impacts of these health threats. Result indicates differences in risk communication strategy for COVID – indicated by emerging amateur health promoters – as to stunting. There is a need for intensive collaboration of Psychology and Communication studies in exploring communication strategies to help building health intentions toward performing risk-mitigating behaviors beyond COVID-19 and stunting alone.

Morning resolutions, evening disillusions: Theories of willpower affect how health behaviours change across the day

People may be more or less vulnerable to changes in self-control across the day, depending on whether they believe willpower is more or less limited. Limited willpower beliefs might be associated with steeper decreases in self-control across the day, which may result in less goal-consistent behaviour by the evening. Community members with health goals (Sample 1; N = 160; 1814 observations) and students (Sample 2; N = 162; 10,581 observations) completed five surveys per day for one to three weeks, reporting on their recent physical activity, snacking, subjective state, and health intentions. In both samples, more limited willpower beliefs were associated with less low- and moderate-intensity physical activity, particularly later in the day. Limited willpower beliefs were also associated with more snacking in the evenings (Sample 1) or overall (Sample 2). These behavioural patterns were mediated by differential changes in self-efficacy and intentions across the course of the day (in Sample 1), and the above patterns of low- and moderate-physical intensity held after controlling for related individual differences, including trait self-control and chronotype (in Sample 2). Overall, more limited willpower theories were associated with decreasing goal-consistent behaviour as the day progressed, alongside decreasing self-efficacy and weakening health-goal intentions.

Developing mental health awareness and help seeking in prison: a feasibility study of the State of Mind Sport programme

Purpose The high prevalence of mental illness within the prison population necessitates innovative mental health awareness provision. This purpose of this feasibility study with 75 males (47 intervention; 28 control) was to evaluate State of Mind Sport (SOMS), originally developed as a community based mental health and well-being initiative, in a notoriously challenging prison setting. Design/methodology/approach A mixed 2 (group) × 2 (time) factorial design was adopted. Questionnaires tested for effects on knowledge of mental health, intentions to seek help, well-being and resilience. For each outcome measure, main and interaction effects (F) were determined by separate mixed factors analysis of variance. Two focus groups (N = 15) further explored feasibility and were subjected to general inductive analysis. Findings A significant group and time interaction effect were shown for mental health knowledge, F(1, 72) = 4.92, p = 0.03, ηp2 = 0.06, showing a greater post-programme improvement in mental health knowledge score for the intervention group. Focus group analysis revealed an increase in hope, coping efficacy and intentions to engage more openly with other prisoners regarding personal well-being as a result of the SOMS programme. However, fear of stigmatisation by other inmates and a general lack of trust in others remained as barriers to help-seeking. Originality/value The implications of this study, the first to evaluate a sport-based mental health intervention in prison, are that a short intervention with low costs can increase prisoner knowledge of mental health, intentions to engage in available well-being opportunities and increase a sense of hope, at least in the short term.

Impact of Medical Blog Reading and Information Presentation on Readers’ Preventative Health Intentions: Mixed Methods, Multistudy Investigation (Preprint)

BACKGROUND Medical blogs have become valuable information sources for patients and caregivers. Most research has focused on patients’ creation of blogs as therapy. But we know less about how these blogs affect their readers and what format of information influences readers to take preventative health actions. OBJECTIVE This study aimed to identify how reading patient medical blogs influences readers’ perceived health risk and their intentions to engage in preventative health actions. Further, we aimed to examine the format of the medical blog and the reader’s response. METHODS We surveyed 99 university participants and a general-population, online panel of 167 participants. Both studies randomly assigned participants to conditions and measured blog evaluation, intentions for preventative health action, and evaluation of health risk and beliefs, and allowed open-ended comments. The second study used a different sample and added a control condition. A third study used a convenience sample of blog readers to evaluate the link between reading medical blogs and taking preventative health action. RESULTS Across 3 studies, participants indicated a desire to take future preventative health action after reading patient blogs. Studies 1 and 2 used experimental scenario-based designs, while Study 3 employed a qualitative design with real blog readers. The 2 experimental studies showed that the type of blog impacted intentions to engage in future preventative health actions (Study 1: <i>F</i>_2,96=6.08, <i>P</i>=.003; Study 2: <i>F</i>_3,166=2.59, <i>P</i>=.06), with a statistical blog being most effective in both studies and a personal narrative blog showing similar effectiveness in Study 2, contrary to some prior research. The readers’ perceptions of their own health risk did not impact the relationship between the blog type and health intentions. In contrast, in one study, participants’ judgments about the barriers they might face to accessing care improved the fit of the model (<i>F</i>_2,95=13.57, <i>P</i>&lt;.001). In Study 3’s sample of medical blog readers, 53% (24/45) reported taking preventative health action after reading a health blog, including performing a self-check, asking a doctor about their health risk, or requesting a screening test. Additionally, these readers expressed that they read the blogs to follow the author (patient) and to learn general health information. All studies demonstrated the blogs were somewhat sad and emotional but also informative and well-written. They noted that the blogs made them appreciate life more and motivated them to consider taking some action regarding their health. CONCLUSIONS Reading patient blogs influences intentions to take future health actions. However, blog formats show different efficacy, and the readers’ disease risk perceptions do not. Physicians, medical practitioners, and health organizations may find it useful to curate or promote selected medical blogs to influence patient behavior.

The effectiveness of moral messages on public health behavioral intentions during the COVID-19 pandemic

With the COVID-19 pandemic threatening millions of lives, changing our behaviors to prevent the spread of the disease is a moral imperative. Here, we investigated the persuasiveness of messages inspired by three major moral traditions. A sample of US participants representative for age, sex and race/ethnicity (N=1032) viewed messages from either a leader or citizen containing deontological, virtue-based, utilitarian, or non-moral justifications for adopting social distancing behaviors during the COVID-19 pandemic. We measured the messages’ effects on participants’ self-reported intentions to wash hands, avoid social gatherings, self-isolate, and share health messages, as well as their beliefs about others’ intentions, impressions of the messenger’s morality and trustworthiness, and beliefs about personal control and responsibility for preventing the spread of disease. Consistent with our pre-registered predictions, compared to non-moral control messages, deontological arguments had a modest effect on intentions to share the message. Message source (leader vs. citizen) did not moderate any of the observed effects of message type. A majority of participants predicted the utilitarian message would be most effective, but we found no evidence that the utilitarian message was effective in changing intentions or beliefs. We caution that our findings require confirmation in replication studies and are modest in size, likely due to ceiling effects on our measures of behavioral intentions and strong heterogeneity across all dependent measures along several demographic dimensions including age, self-identified gender, self-identified race, political conservatism, and religiosity. Although we found no evidence that the utilitarian message was effective in changing intentions and beliefs, exploratory analyses showed that individual differences in one key dimension of utilitarianism—impartial concern for the greater good—were strongly and positively associated with public health intentions and beliefs. Overall, our preliminary results suggest that public health messaging focused on duties and responsibilities toward family, friends and fellow citizens is a promising approach for future studies of interventions to slow the spread of COVID-19 in the US. Ongoing work is investigating the reproducibility and generalizability of our findings across different populations, what aspects of deontological messages may drive their persuasive effects, and how such messages can be most effectively delivered across global populations.