Acceptance of Health Messages Conveyed by Parasocial Opinion Leaders on Twitter among Followers

Social media does not only provide a space for individuals to communicate, but it also encourages individuals to find and share health information. This situation has led to a change in the patterns and functions of health opinion leaders that exist on social media. Health opinion leaders influence media users by sharing and delivering health information and are capable of fostering parasocial relationships with media users. Therefore, it is essential to investigate the process by which parasocial opinion leaders shape health messages on social media. In correspondence, this study sought to understand the level of acceptance of health messages among Twitter users of the information tweeted by parasocial opinion leaders. In-depth interviews were conducted on 25 followers of parasocial health opinion leaders on Twitter. This study found that the formation of health messages and information conveyed by parasocial health opinion leaders could influence their followers. Four forms of message reception were identified in this study: 1) information and complexity reduction (a description, information delivery style, information sharing, information, and health literacy, and correction of information and mythical perceptions), 2) health orientation, 3) stimulation of interest, and 4) strengthening of the image and ethics of professionalism. Additionally, this study also discovered that media users perceived health opinion leaders as mentors, family members, friends, and idols. Keywords: Health communication, opinion leader, parasocial opinion leaders, parasocial relationship, social media.

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.

Social Media Use, Disbelief and (Mis)information During a Pandemic: An Examination of Young Adult Nigerians’ Interactions with COVID-19 Public Health Messaging

This study contributes to transdisciplinary understanding of the COVID-19 pandemic through an examination of perceptions of public health messages as consumed primarily through social media by a purposively enlisted set of young adult Nigerians. The research used focus group discussions and in-depth interviews to elicit the views of 11 young adults, aged 21 to 24, resident in Ajegunle, a low-income community in Lagos, Nigeria’s commercial capital. The study identifies the centrality of social media platforms to the respondents’ processes of meaning-making, and draws on Hall’s (1980) encoding/decoding model in order to bring to the fore their oppositional interpretations of public health messages. The study also identifies respondents’ varying levels of disbelief about the realities of COVID-19, their mistrust of the government officials conveying and enforcing decisions to combat the pandemic, and the propensity for the social media messages they consume and propagate to serve as channels of misinformation.

Understanding how young African adults interact with peer-generated sexual health information on Facebook and uncovering strategies for successful organic engagement

Background The use of social media for sexual health communication is gaining intense discussion both globally and in Africa. Despite this reality, it remains unclear whether and how young African adults use digital innovations like social media to access sexual health information. More importantly, the unique properties of messages that increase message reach and propagation are not well understood. This study aims to fill the gaps in scholarship by identifying post features and content associated with greater user engagement. Methods We analyzed a corpus of 3533 sexual and reproductive health messages shared on a public Facebook group by and for young African adults between June 1, 2018, and May 31, 2019, to understand better the unique features associated with higher engagement with peer-generated sexual health education. Facebook posts were independently classified into thematic categories such as topic, strategy, and tone of communication. Results The participants generally engaged with posts superficially by liking (x̃ = 54; x̄ = 109.28; σ = 159.24) rather than leaving comments (x̃ = 10; x̄ = 32.03; σ = 62.65) or sharing (x̃ = 3; x̄ = 11.34; σ = 55.12) the wallposts. Messages with fear [IRR:0.75, 95% CI: 0.66–0.86] or guilt [IRR:0.82, 95% CI: 0.72–0.92] appeals received a significantly lower number of reactions compared to neutral messages. Messages requesting an opinion [IRR:4.25, 95% CI: 3.57–5.10] had a significantly higher number of comments compared to status updates. The use of multimedia and storytelling formats were also significantly associated with a higher level of engagement and propagation of sexual health messages on the group. Conclusion Young adults in our sample tend to superficially interact with peer-communicated sexual health information through likes than engage (comments) or propagate such messages. Message features that increase engagements and propagation of messages include multimedia and engaging styles like storytelling. Our findings provide valuable insight and pave the way for the design of effective and context-specific sexual health information use of features that attract young African adults.

Factors in the effectiveness of anticipatory guilt and shame appeals on health communications: The role of self-construal, regulatory focus and personal cultural orientation

<p>Negative emotional appeals are commonly used in health messages to cut through the clutter and promote health behaviour change. A research gap exists as to how the emotions of guilt and shame and respective arousals to these emotions act to influence compliance with health messages. Research rarely distinguishes between guilt and shame appeals, different emotional and psychological responses to the two types of appeals, and the main moderators that influence the response to these appeals. To address this gap, this empirical study builds and tests a model for better understanding the processes by which guilt and shame appeals lead to compliance with health messages. Drawing on the theoretical frameworks of cognition, emotion, motivation and research focusing on guilt or/and shame messages and behavioural intention, this study develops an extended model that incorporates influential variables. These include the significant mediating variable of the coping response to emotion, and the moderating variables of self-construal, regulatory focus, and personal cultural orientation. Binge drinking among young adults (aged 16 to 30) is the research context for this study. A series of experiments was conducted to test the research model. Data was collected through an online questionnaire survey among university undergraduates in New Zealand. The main survey collected 301 useable responses including the treatment (n = 266) and control (35) groups. The survey data were analysed using a combination of analysis of covariance and covariance-based structural equation modelling. The results broadly support the proposed model for health communications using guilt and shame appeals. Findings revealed that the coping response has a partial mediating effect on the relationship between guilt/shame arousals and message compliance. Both guilt and shame arousals influence not only message compliance (directly) but also the coping response (indirectly). As predicted, regulatory focus and self-construal were found to moderate guilt/shame arousals from respective emotional appeals. Regulatory focus moderated the levels of shame arousals from shame appeals; that is, prevention-focused individuals exhibited higher shame arousals than their promotion-focused counterparts. Self-construal moderated the levels of guilt arousals from guilt appeals; that is, independent self-construals exhibited higher guilt arousals than their interdependent counterparts. However, there were no interactive effects of self-construal with self-referencing or sources of evaluation on guilt/shame arousals. Personal cultural orientation moderated the impact of shame arousals, but not those of guilt arousals, on message compliance. That is, shame predicted message compliance in collectivists, but not individualists. Interestingly, there was no main differential effect of guilt versus shame arousals in message compliance, but there was an interactive effect of emotion type with personal cultural orientation as previously mentioned. The contributions of this study include refining understanding of guilt versus shame, developing the coping response construct, and identifying key moderators and illustrating their impacts on self-conscious emotional arousals. These contributions open new lines of inquiry in the health communications and discrete emotions literature. First, previous discrete emotions literature has mentioned the effects of unintentional emotions, but this research controlled for these effects. It examined guilt and shame separately through respective emotional arousals rather than emotional appeals. Second, the study extended the model of the effectiveness of guilt versus shame appeals in health communications where the coping response is an instrumental mediator. This mediator influences whether or not the receivers actually take on compliant behaviour. Third, the present study differentiated the effect of guilt versus shame appeals. It provides conditions where such appeals are effective. These conditions are type of emotion interacting with self-construal, and regulatory focus. In addition, the study identified the condition under which guilt or shame arousals are most effective. Effectiveness depends on emotion type and personal cultural orientation. The findings have important practical implications. By understanding how distinct emotion (i.e., guilt versus shame) works and how coping responses (i.e., adaptive versus maladaptive) to these emotions are triggered, practitioners can better structure emotional messaging. Knowledge of message receiver attributes will help them select media appropriately. These attributes are independent versus interdependent, promotion focused versus prevention focused, and individualist versus collectivist. Thus, insights from this research could help health marketers, policy makers as well as health promotion agencies to effectively develop health communications campaigns with more appealing message content and appropriate media selection.</p>

Reactance to Social Authority in a Sugar Reduction Informational Video: Web-Based Randomized Controlled Trial of 4013 Participants

Background Short and animated story-based (SAS) videos can be an effective strategy for promoting health messages. However, health promotion strategies often motivate the rejection of health messages, a phenomenon known as reactance. In this study, we examine whether the child narrator of a SAS video (perceived as nonthreatening, with low social authority) minimizes reactance to a health message about the consumption of added sugars. Objective This study aims to determine whether our SAS intervention video attenuates reactance to the sugar message when compared with a content placebo video (a health message about sunscreen) and a placebo video (a nonhealth message about earthquakes) and determine if the child narrator is more effective at reducing reactance to the sugar message when compared with the mother narrator (equivalent social authority to target audience) or family physician narrator (high social authority) of the same SAS video. Methods This is a web-based randomized controlled trial comparing an intervention video about sugar reduction narrated by a child, the child’s mother, or the family physician with a content placebo video about sunscreen use and a placebo video about earthquakes. The primary end points are differences in the antecedents to reactance (proneness to reactance, threat level of the message), its components (anger and negative cognition), and outcomes (source appraisal and attitude). We performed analysis of variance on data collected (N=4013) from participants aged 18 to 59 years who speak English and reside in the United Kingdom. Results Between December 9 and December 11, 2020, we recruited 38.62% (1550/4013) men, 60.85% (2442/4013) women, and 0.52% (21/4013) others for our study. We found a strong causal relationship between the persuasiveness of the content promoted by the videos and the components of reactance. Compared with the placebo (mean 1.56, SD 0.63) and content placebo (mean 1.76, SD 0.69) videos, the intervention videos (mean 1.99, SD 0.83) aroused higher levels of reactance to the message content (P<.001). We found no evidence that the child narrator (mean 1.99, SD 0.87) attenuated reactance to the sugar reduction message when compared with the physician (mean 1.95, SD 0.79; P=.77) and mother (mean 2.03, SD 0.83; P=.93). In addition, the physician was perceived as more qualified, reliable, and having more expertise than the child (P<.001) and mother (P<.001) narrators. Conclusions Although children may be perceived as nonthreatening messengers, we found no evidence that a child narrator attenuated reactance to a SAS video about sugar consumption when compared with a physician. Furthermore, our intervention videos, with well-intended goals toward audience health awareness, aroused higher levels of reactance when compared with the placebo videos. Our results highlight the challenges in developing effective interventions to promote persuasive health messages. Trial Registration German Clinical Trials Registry DRKS00022340; https://tinyurl.com/mr8dfena International Registered Report Identifier (IRRID) RR2-10.2196/25343

Factors in the effectiveness of anticipatory guilt and shame appeals on health communications: The role of self-construal, regulatory focus and personal cultural orientation

<p>Negative emotional appeals are commonly used in health messages to cut through the clutter and promote health behaviour change. A research gap exists as to how the emotions of guilt and shame and respective arousals to these emotions act to influence compliance with health messages. Research rarely distinguishes between guilt and shame appeals, different emotional and psychological responses to the two types of appeals, and the main moderators that influence the response to these appeals. To address this gap, this empirical study builds and tests a model for better understanding the processes by which guilt and shame appeals lead to compliance with health messages. Drawing on the theoretical frameworks of cognition, emotion, motivation and research focusing on guilt or/and shame messages and behavioural intention, this study develops an extended model that incorporates influential variables. These include the significant mediating variable of the coping response to emotion, and the moderating variables of self-construal, regulatory focus, and personal cultural orientation. Binge drinking among young adults (aged 16 to 30) is the research context for this study. A series of experiments was conducted to test the research model. Data was collected through an online questionnaire survey among university undergraduates in New Zealand. The main survey collected 301 useable responses including the treatment (n = 266) and control (35) groups. The survey data were analysed using a combination of analysis of covariance and covariance-based structural equation modelling. The results broadly support the proposed model for health communications using guilt and shame appeals. Findings revealed that the coping response has a partial mediating effect on the relationship between guilt/shame arousals and message compliance. Both guilt and shame arousals influence not only message compliance (directly) but also the coping response (indirectly). As predicted, regulatory focus and self-construal were found to moderate guilt/shame arousals from respective emotional appeals. Regulatory focus moderated the levels of shame arousals from shame appeals; that is, prevention-focused individuals exhibited higher shame arousals than their promotion-focused counterparts. Self-construal moderated the levels of guilt arousals from guilt appeals; that is, independent self-construals exhibited higher guilt arousals than their interdependent counterparts. However, there were no interactive effects of self-construal with self-referencing or sources of evaluation on guilt/shame arousals. Personal cultural orientation moderated the impact of shame arousals, but not those of guilt arousals, on message compliance. That is, shame predicted message compliance in collectivists, but not individualists. Interestingly, there was no main differential effect of guilt versus shame arousals in message compliance, but there was an interactive effect of emotion type with personal cultural orientation as previously mentioned. The contributions of this study include refining understanding of guilt versus shame, developing the coping response construct, and identifying key moderators and illustrating their impacts on self-conscious emotional arousals. These contributions open new lines of inquiry in the health communications and discrete emotions literature. First, previous discrete emotions literature has mentioned the effects of unintentional emotions, but this research controlled for these effects. It examined guilt and shame separately through respective emotional arousals rather than emotional appeals. Second, the study extended the model of the effectiveness of guilt versus shame appeals in health communications where the coping response is an instrumental mediator. This mediator influences whether or not the receivers actually take on compliant behaviour. Third, the present study differentiated the effect of guilt versus shame appeals. It provides conditions where such appeals are effective. These conditions are type of emotion interacting with self-construal, and regulatory focus. In addition, the study identified the condition under which guilt or shame arousals are most effective. Effectiveness depends on emotion type and personal cultural orientation. The findings have important practical implications. By understanding how distinct emotion (i.e., guilt versus shame) works and how coping responses (i.e., adaptive versus maladaptive) to these emotions are triggered, practitioners can better structure emotional messaging. Knowledge of message receiver attributes will help them select media appropriately. These attributes are independent versus interdependent, promotion focused versus prevention focused, and individualist versus collectivist. Thus, insights from this research could help health marketers, policy makers as well as health promotion agencies to effectively develop health communications campaigns with more appealing message content and appropriate media selection.</p>

Big Suppla: Challenging the common view of the supplements and herbs industry impacts the willingness to try and recommend their products

Resorting to complementary/alternative medical (CAM) therapies can lead to bad health outcomes or interfere with officially recommended therapies. CAM use is, nevertheless, widespread and growing. This could be partially due to the perception of the CAM industry as powerless and non-profit oriented, in contrast to the pharmaceutical industry (“Big Pharma”). In reality, both industries are highly profitable and powerful; to highlight this similarity, science communicators coined the term “Big Suppla”. Drawing from the sample of 242 participants upon all exclusions, we experimentally tested whether varying these attributes in presenting the industries impacts consumers’ evaluation of the two categories of products (herbs and supplements) and their willingness to try and recommend them. We also tested whether the effect is moderated by conspiratorial thinking, and whether it is due to a change in trust. All hypotheses were pre-registered. As expected, participants who read the Big Suppla vignette decreased the endorsement of both supplements and herbs, whilst, in contrast to our hypotheses, there were no significant changes in endorsement in the Baby Suppla group. Conspiratorial thinking was related to more endorsement of CAM, but it did not moderate the experimental effects. We also did not observe the expected mediation by trust. Our most robust results corroborate the idea that challenging the myth of benevolence of the CAM industry makes people more critical in evaluating its products or considering their usage. They support the intuitions of science communicators who coined the term Big Suppla, and can help in tailoring public health messages.