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Public Health Education and Promotion

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Articles 61 - 90 of 168

Full-Text Articles in Health Communication

Six Feet Apart: Relational Turbulence Theory And Coping With Covid-19 Within Long-Distance Relationships, Mia Waymack May 2022

Six Feet Apart: Relational Turbulence Theory And Coping With Covid-19 Within Long-Distance Relationships, Mia Waymack

Graduate Theses and Dissertations

Among research that currently exists, no studies thus far combine elements of COVID-19, long-distance relationships, and Relational Turbulence Theory to explain how each of these elements impacts the others, if at all. Previous research does exist on each of these elements individually, although research regarding the long-term effects of COVID-19 on relationships is minimal considering the pandemic is ongoing. Long-distance relationships have been studied using Relational Turbulence Theory in previous studies within military relationships but have not been studied in connection with either COVID-19 or among college students. This study was conducted by way of qualitative, one-on-one interviews to determine …


Eta Sigma Gamma - Georgia Southern University Chapter: Breast Cancer Awareness Health Communication Plan, Jill Johns, Omolola Okunromade Apr 2022

Eta Sigma Gamma - Georgia Southern University Chapter: Breast Cancer Awareness Health Communication Plan, Jill Johns, Omolola Okunromade

Eagle Showcase: Excellence in Service-Learning (Archived)

The health communication plan was used to evaluate public health communication and advocacy promotion by efficiently increasing awareness about breast health and preventive services such as mammography screening among college students and women eligible for breast cancer screening. The communication plan was targeted towards empowering the Georgia Southern University chapter of Eta Sigma Gamma (ESG) members and other college students to act as health advocates by virtually disseminating information through the Facebook platform to their peer groups and social networks including friends and families in their community.

The purposes of the program evaluation and implementation measurement were to: 1) monitor …


Covid-19 Vaccine Uptake Among College Students, Erin Hoening, Elizabeth Morse, David Phillippi, Krystal Huesmann Apr 2022

Covid-19 Vaccine Uptake Among College Students, Erin Hoening, Elizabeth Morse, David Phillippi, Krystal Huesmann

DNP Projects

Background: Public health strategies to improve COVID-19 vaccine uptake among college students living in residential communities varied, some universities opted to mandate COVID-19 vaccines while other universities opted to promote and influence the choice for vaccination.

Purpose: This descriptive, cross-sectional study examined the voluntary uptake of COVID-19 vaccines among residential students on a college campus in the southeastern U.S. that elected an evidence-driven health promotion strategy that included strong health promotion messaging coupled with coordinated efforts to make the vaccine accessible and appealing to students on campus.

Methods: Analysis of vaccine uptake was derived from campus electronic health records during …


The Importance Of Health Literacy: A Student-Led Workshop On Lay Communication, Sarah Jean Kamp, Jafra D. Thomas Mar 2022

The Importance Of Health Literacy: A Student-Led Workshop On Lay Communication, Sarah Jean Kamp, Jafra D. Thomas

Kinesiology and Public Health

The purpose of this experiential senior project workshop was to advance the knowledge and practice of health communication by (a) delivering a training workshop to Cal Poly undergraduate students and (b) by exploring the relationship between health literacy and effective communication through completion of a rapid review of the literature. The reviewed literature served the purpose of helping the student further design the workshop to elicit a foundational understanding of the elements of effective communication of health information as well as the history and evolution of health literacy as a concept. The workshop revised and delivered by the student was …


Correlation Between Social Media Use And Eating Disorder Symptoms: A Literature Review, Makenna Rose Burger Mar 2022

Correlation Between Social Media Use And Eating Disorder Symptoms: A Literature Review, Makenna Rose Burger

Kinesiology and Public Health

Importance: Social media is a pervasive influence in modern society presenting many potential public health implications.

Objective: The purpose of this literature review is to synthesize current research regarding social media and eating disorders.

Methods: Primary research was gathered from Google Scholar and OneSearch database resulting in 7 articles. Articles were examined for common themes.

Results: Common themes found in the resulting research is the prevalence of ‘thinspiration’, gamified content, and overlap of eating disorders with other mental illnesses. Several articles found a significant correlation between social media use and the severity of eating disorder symptoms. …


Factors Associated With Mask Use In New York City Neighborhood Parks During The Covid-19 Pandemic: A Field Audit Study, Lisa Hitch, Marie A. Sillice, Hanish Kodali, Katarzyna E. Wyka, Javier Otero Peña, Terry Tk Huang Jan 2022

Factors Associated With Mask Use In New York City Neighborhood Parks During The Covid-19 Pandemic: A Field Audit Study, Lisa Hitch, Marie A. Sillice, Hanish Kodali, Katarzyna E. Wyka, Javier Otero Peña, Terry Tk Huang

Publications and Research

Background: Mask use is a cost-effective measure to decrease COVID-19 transmission. Mask mandates intend to increase mask compliance but are often ambiguous when it comes to public outdoor spaces.

Methods: We used a field audit study to examine mask use in New York City neighborhood parks during COVID-19. 1453 park visitors were observed in 13 parks during July–August 2020 using a modified and validated park use audit tool (System for Observing Play and Recreation in Communities) that included items on general and proper mask use (i.e., mask covering both nose and mouth). Generalized estimating equation regression was used to determine …


The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor Jan 2022

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …


The Process And Case Study Approach To Implementing A Nutrition-Specific Dissemination And Implementation Science Training In Appalachia, Ayron E. Walker Jan 2022

The Process And Case Study Approach To Implementing A Nutrition-Specific Dissemination And Implementation Science Training In Appalachia, Ayron E. Walker

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Nutrition professionals face implementation challenges due to their lack of knowledge to incorporate D&I science into intervention design. To improve intervention outcomes, nutrition professionals must be trained in D&I science, which are currently absent in the field.

Aims: To identify and assess nutrition educators and practitioners perceived motivations, self-efficacy, and attitudes in using D&I science to inform the educational design and strategies of a nutrition-specific D&I curriculum for nutrition educators. Then to test feasibility of the nutrition-specific curriculum in increasing knowledge, self-efficacy, and attitudes by a case study approach, pre/post intervention design.

Methods: First, scoping review methodology involved the …


“Someone You Love” Documentary: Using Narratives In Entertainment Media To Increase Hpv Vaccination In Georgia, Gabrielle C. Darville- Sanders, Jann Macinnes, Kelsey Schwarz Jan 2022

“Someone You Love” Documentary: Using Narratives In Entertainment Media To Increase Hpv Vaccination In Georgia, Gabrielle C. Darville- Sanders, Jann Macinnes, Kelsey Schwarz

Journal of the Georgia Public Health Association

Background: Although HPV is the most common sexually transmitted disease in the United States, vaccination rates are still lagging among adolescents and young adults. Entertainment-education is a popular strategy for incorporating educational messages into entertainment media. With popular shows on television now integrating health messages into their narrative, there are more opportunities to influence knowledge, attitude and health behaviors. Objective: To (a) determine the effectiveness of the HPV narrative included in the “Someone You love” documentary on HPV risk perception, vaccine self-efficacy and behavioral intention for HPV vaccine uptake on college students and (b) assess the immediate impact of the …


News Media Trust And Mistrust During The Covid-19 Pandemic, Kaitlyn Seiter Dec 2021

News Media Trust And Mistrust During The Covid-19 Pandemic, Kaitlyn Seiter

Graduate Theses and Dissertations

With the uncertainty and growing information surrounding the COVID-19 pandemic, news media consumption has increased drastically compared to pre-pandemic consumption. At the start of the pandemic, 94% of Americans reported closely following COVID-19 news, with more than half of Americans spending more than two hours consuming COVID-19 news everyday (SSRS, 2020). With the news media serving as a critical source of information through this public health crisis, the public’s reactions, behaviors, and attitudes to the pandemic stem from the level of trust they have in the news media to share COVID-19 information. Because of this, this study examines trust in …


Examining The Relationship Between African-Americans And Their Physicians, Genesis Weever Aug 2021

Examining The Relationship Between African-Americans And Their Physicians, Genesis Weever

Symposium of Student Scholars

For years, there has been a bad history amongst the relationship between African-Americans and their fellow medical institutions. Many African-Americans do not believe that medical professionals have their best interest at heart. Oftentimes, their white counterparts may receive better care, even when they have the same condition. Many African-Americans may even face barriers that their white counterparts will not experience, and will be denied access to healthcare. This results in more deaths and critical illnesses of African-Americans. In order to discover the underlying problem and a possible solution, a review of the literature was initiated. Using a literature matrix and …


Great (Soft) Power Competition: Us And Chinese Efforts In Global Health Engagement, Michael W. Wissemann Aug 2021

Great (Soft) Power Competition: Us And Chinese Efforts In Global Health Engagement, Michael W. Wissemann

The US Army War College Quarterly: Parameters

Global health engagement, an underutilized strategy rooted in the strengths of soft power persuasion, can lead to more military-to-military cooperation training, help establish relationships that can be relied on when crises develop, stabilize fragile states, and deny violent extremist organizations space for recruiting and operations. Examining Chinese efforts worldwide to curry favor and influence and the challenges posed by the COVID-19 pandemic, this article shows health as a medium is a very compelling and advantageous whole-of-government approach to national security policy concerns.


Why Do Graphic Health Warnings Fail: An Explanatory Case Study On The Persistence Of Smoking Behavior Among Male Adult Smokers In A Rural And Low-Income Setting In The Philippines, John Rafael Arda, Ashley Gabrielle Jeanjaquet, Navin John Pasia, John Dominic Mari Rafael, Danyz Samantha Rita, Kaye Bernice Siao, Jecelyn Grace Yparraguirre, Genejane Adarlo Aug 2021

Why Do Graphic Health Warnings Fail: An Explanatory Case Study On The Persistence Of Smoking Behavior Among Male Adult Smokers In A Rural And Low-Income Setting In The Philippines, John Rafael Arda, Ashley Gabrielle Jeanjaquet, Navin John Pasia, John Dominic Mari Rafael, Danyz Samantha Rita, Kaye Bernice Siao, Jecelyn Grace Yparraguirre, Genejane Adarlo

Health Sciences Faculty Publications

Background: The Philippines enacted in 2014 Republic Act No. 10643 that mandated the printing of Graphic Health Warnings on tobacco packages. However, smoking behavior among male smokers in the country, particularly in rural and low-income areas, persists even if the Graphic Health Warnings are according to the guidelines set by the World Health Organization. Hence, this explanatory case study aims to examine why and how most male adult smokers in a rural and low-income setting in the Philippines fail to quit smoking despite the presence of Graphic Health Warnings on tobacco packages.

Methods: Forty-four male adult smokers from Barangay Urdaneta …


Mental Health Awareness Training Manual: For Faculty To Help Students, Ricardo Vega Aug 2021

Mental Health Awareness Training Manual: For Faculty To Help Students, Ricardo Vega

Electronic Theses, Projects, and Dissertations

Mental health issues and stigma can affect students in many ways. The teacher-student relationship can be affected by the fear and inconsistent thoughts to be successful in college settings caused by mental health issues. First-generation college students face mental health issues due to support, education degree expectations, inhibition of uncertainty, and resources (Pascarella et al., 2004). This project is about providing communication strategies for faculty to help reduce stigma and provide students with resources to support their mental health.


Using Social Listening To Inform Integrated Social And Behavior Change Programs In Burkina Faso, Nrupa Jani, Leanne Dougherty, Martha Silva Jul 2021

Using Social Listening To Inform Integrated Social And Behavior Change Programs In Burkina Faso, Nrupa Jani, Leanne Dougherty, Martha Silva

Reproductive Health

No abstract provided.


Student Loans And Health-Related Financial Hardship, Sophia T. Anong, Robin Henager Jun 2021

Student Loans And Health-Related Financial Hardship, Sophia T. Anong, Robin Henager

Journal of Student Financial Aid

Research has shown that student loan borrowers in repayment exhibit physical and mental health problems. These can be exacerbated by and contribute to health-related financial hardship. We use the 2015 U.S. National Financial Capability Study to examine the likelihood of having past due medical bills and of avoiding health care services by not purchasing prescribed medication, skipping tests or follow-up with a doctor or not seeking care for a medical problem. Borrowers on income-driven repayment plans and those who made late payments are found to be more likely to have unpaid medical bills and to have avoided required medical attention. …


Are Kinesiologists Ready To Communicate? Merits Of A Practicum Course On Plain Language Communication, Jafra D. Thomas, Cameron N. Christopher, Winston Kennedy, Bradley J. Cardinal, Caroline N. Smith Jun 2021

Are Kinesiologists Ready To Communicate? Merits Of A Practicum Course On Plain Language Communication, Jafra D. Thomas, Cameron N. Christopher, Winston Kennedy, Bradley J. Cardinal, Caroline N. Smith

Kinesiology and Public Health

The submitted presentation material summarizes a project presented at the 2021 American College of Sports Medicine Virtual Annual Meeting and World Congress on Exercise is Medicine®. The project which the presentation is based on is titled, “Towards Knowledge Translation in Kinesiology: Investigating Barriers and Identifying Opportunities - Part 1.” The uploaded documents consist of the following material: (a) the presentation abstract, and (b) a copy of the e-poster presented at the virtual event. Please follow the social media profiles of Dr. Jafrā Thomas, for timely project updates (e.g., ResearchGate dot net and GoogleScholar dot com). You may find related work …


Designing A Replication Study In Kinesiology: Lessons From The Field, Ruben A. Montoya Vega, Regina F. Hockert, Emma L. Cutner, Jafra D. Thomas Jun 2021

Designing A Replication Study In Kinesiology: Lessons From The Field, Ruben A. Montoya Vega, Regina F. Hockert, Emma L. Cutner, Jafra D. Thomas

Kinesiology and Public Health

The submitted presentation material summarizes a project presented at the 2021 Cal Poly Virtual BEACoN Symposium. The title of the project which the presentation is based is, “Towards Equitable Communication: Explorations to Guide Knowledge Translation in Kinesiology.” The uploaded file document presents the presentation abstract, student testimony, as well as suggested citations for individual aspects of the presentation material. Please follow the social media profiles of the faculty mentor to the project, Dr. Thomas, for timely project updates. You may find related work from this lab group published to Cal Poly Digital Commons under the Kinesiology and Public Health section …


Training Novices To Evaluate The Quality Of Physical Activity Promotion Material: Results Of A Pilot Study, Ethan N. Tse, Savannah A. Longoria, Cameron N. Christopher, Jafra D. Thomas Jun 2021

Training Novices To Evaluate The Quality Of Physical Activity Promotion Material: Results Of A Pilot Study, Ethan N. Tse, Savannah A. Longoria, Cameron N. Christopher, Jafra D. Thomas

Kinesiology and Public Health

The credibility and usability of lay physical activity promotion material are a persistent problem (Thomas & Cardinal, 2020, TJACM). These quality issues deter the material in promoting health literacy, a major predictor of prevention-oriented health behaviors (e.g., regular exercise, U.S. National Action Plan to Improve Health Literacy). Few studies, however, have evaluated the quality of lay material over time (Thomas et al., 2018, Quest). PURPOSE: In order to conduct a repeated-measures study of the quality of physical activity promotion web articles for lay adults, one experienced researcher (JDT) trained undergraduates on how to use the Suitability …


Understanding Older Adults Living In Medically Underserved Areas Perspectives Regarding Type 2 Diabetes Care Received, Christopher Rogers May 2021

Understanding Older Adults Living In Medically Underserved Areas Perspectives Regarding Type 2 Diabetes Care Received, Christopher Rogers

Seton Hall University Dissertations and Theses (ETDs)

Older adults with type 2 diabetes living in medically underserved areas (MUAs) have unique health and social needs that must be taken into consideration when supporting their type 2 diabetes treatment and management care. Effective treatment and management of type 2 diabetes for older adults living in MUAs requires incorporating the preferences, desires, needs, values, and goals of the person at the center of the care into his/her care plan. Shifting care to be conducive to the treatment and management goals and plans co-created with older adults living in MUAs based on their individual physical, psychological, social, and spiritual preferences, …


Establishing A Resident-Lead High School Outreach Program To Improve Physician Community Engagement, Dylan Mcdivitt May 2021

Establishing A Resident-Lead High School Outreach Program To Improve Physician Community Engagement, Dylan Mcdivitt

Rowan-Virtua Research Day

New Jersey’s Cumberland County is home to a vastly diverse population of people, comprised of numerous racial, ethnic, economic, health, and educational backgrounds among its nearly 150,000 residents. Per U.S. Census data, about 15% of the population is below the poverty line, including about 20% of those below the age of 18. With economic hardship often come health problems and disparities, and Cumberland County’s rates of obesity, tobacco use, lung cancer, and drug-induced deaths are all above the national averages.

Notable student survey findings:

• 67 students reported a friend had shared thoughts of depression with them in the last …


Effects Of News And Threat Perceptions On Americans’ Covid-19 Precautionary Behaviors, Riva Tukachinsky Forster, Megan A. Vendemia Apr 2021

Effects Of News And Threat Perceptions On Americans’ Covid-19 Precautionary Behaviors, Riva Tukachinsky Forster, Megan A. Vendemia

Communication Faculty Articles and Research

Our study examines the relationship between news exposure at the onset of the COVID-19 pandemic, personal threat beliefs, beliefs about others’ threat perceptions, and participation in precautionary actions. A survey of 377 U.S . adults revealed a significant main effect of news exposure on various precautionary behaviors (e.g., facial mask wear, physical distancing). Personal threat beliefs and beliefs about others’ threat perceptions serve as unique mechanisms mediating the effect of news on specific CDC-recommended and less socially desirable actions. These findings can guide news sources covering health crises in a socially responsible manner.


Spoken Barriers: The Effects Of Spanish-English Interpretation Within The United States Health System, Michelle Lounsbery Mar 2021

Spoken Barriers: The Effects Of Spanish-English Interpretation Within The United States Health System, Michelle Lounsbery

Honors Program: Senior Projects (Public)

In recent times the prevalence of the Spanish language in the United States has been on a steady incline, and the language barrier created between patients and providers is only growing. Studies display a direct relationship between communication barriers formed by insufficient interpretation methods and negative patient outcomes due to a lack of understanding. This study will evaluate of the effects of Spanish-English interpretation in the United States health system as well as review the significance of direct patient-provider communication and how to improve these methods. Research methods will involve the use of other accredited academic literature and studies, as …


Pornography: Social, Emotional And Mental Implications Among Adolescents, William Kelly Canady Mar 2021

Pornography: Social, Emotional And Mental Implications Among Adolescents, William Kelly Canady

National Youth Advocacy & Resilience Conference

This presentation will explain the historical development of pornography. It will highlight four segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention. 4- A review of interventions available to assist clients in navigating a lifestyle away from pornography.


Health Literacy Of The Covid-19 Pandemic On The Behavior Of Street Children’S Mothers In Indonesia, Yanti Tayo, Ninis Agustini Damayani, Atwar Bajari, Wawan Setiawan Mar 2021

Health Literacy Of The Covid-19 Pandemic On The Behavior Of Street Children’S Mothers In Indonesia, Yanti Tayo, Ninis Agustini Damayani, Atwar Bajari, Wawan Setiawan

Library Philosophy and Practice (e-journal)

The COVID-19 virus, which is spreading rapidly and massively around the world, is causing panic and fear in everyone; the Indonesian government is taking quick steps to solve the COVID 19 pandemic that is currently happening. What about the fate of street children currently still on the streets working as street singers, beggars, and hawkers? This study aims to see how health literacy possessed by the mothers of street children who are still on the streets during the COVID-19 pandemic. This study uses a qualitative research method with a phenomenological approach. The resource persons in this study were ten mothers …


Understanding The Impacts Of Emerging Infectious Disease (Eid) Media Exposure: The Case Of U.S. Ebola Virus Disease (Evd), Alicia Mason, Kevin Wright, Laura Lambert Feb 2021

Understanding The Impacts Of Emerging Infectious Disease (Eid) Media Exposure: The Case Of U.S. Ebola Virus Disease (Evd), Alicia Mason, Kevin Wright, Laura Lambert

Faculty Submissions

Introduction: Using the Extended Parallel Processing Model (EPPM) as a theoretical framework this study examines the impact of Ebola virus disease (EVD) media exposure on U.S. audience perceptions of the threat severity, personal susceptibility, and behavioral intentions to respond to the 2014 Ebola virus disease (EVD) threat.

Methods: Respondents included (n = 255) residents from the Midwest and Southern regions of U.S. Participants completed an online survey between 28 October and 3 December 2014 during the height of Ebola-related media coverage.

Results: Findings reveal that increased exposure to EVD media content was associated with increased threat severity and personal susceptibility. …


Findings From The Merci Mon Héros Social Listening Endline Report, Breakthrough Research Jan 2021

Findings From The Merci Mon Héros Social Listening Endline Report, Breakthrough Research

Reproductive Health

No abstract provided.


Trust In Media, Institutions, And Health Information In Metropolitan Nebraska: 2021 Nebraska Metro Poll Results, Rebecca J. Vogt, Heather Akin, Cheryl A. Burkhart-Kriesel, Bradley Lubben, L. J. Mcelravy, Timothy Meyer, Steven A. Schulz Jan 2021

Trust In Media, Institutions, And Health Information In Metropolitan Nebraska: 2021 Nebraska Metro Poll Results, Rebecca J. Vogt, Heather Akin, Cheryl A. Burkhart-Kriesel, Bradley Lubben, L. J. Mcelravy, Timothy Meyer, Steven A. Schulz

Rural Futures Institute: Publications

Overall, most metropolitan Nebraskans have confidence in their local institutions (public safety agencies in their community, public schools in their community, and voting and election systems in their county). However, many have very little confidence in many national institutions (the U.S. Senate, the U.S. House of Representatives and the Presidency) as well as the Governor.

Metropolitan Nebraskans most trust information received from friends/family/ acquaintances, local news sources (TV and newspapers), public sources (PBS and public radio) and state newspapers. They least trust information from social networking sites, Internet blogs, and Fox News.

Most metropolitan Nebraskans trust local health professionals for …


Health Literacy Of University Students In Covid-19 Pandemic And Infodemic: A Pakistani Perspective, Rozeen Shaukat, Muhammad Asif Naveed Jan 2021

Health Literacy Of University Students In Covid-19 Pandemic And Infodemic: A Pakistani Perspective, Rozeen Shaukat, Muhammad Asif Naveed

Library Philosophy and Practice (e-journal)

This research investigated the levels of health literacy among Pakistani university students in the Covid-19 pandemic and infodemic. The university students were surveyed using an online questionnaire at two public sector universities and one private sector university in Punjab-Pakistan. The administration of the data collection instrument was completed with permission from concerned authorities. A total of 374 responses received which were imported to SPSS and analyzed by applying descriptive as well as inferential statistics. The results revealed that the health literacy of university students in the Covid-19 pandemic and infodemic was not at an optimal level as these participants expressed …


Developing A Health Communication Campaign For Disposal Of Unused Opioid Medications, Kathleen L. Egan, Mark Wolfson, Kaylee M. Lukacena, Carina Mazariegos Zelaya, Monique S. Mcleary, Donald W. Helme Dec 2020

Developing A Health Communication Campaign For Disposal Of Unused Opioid Medications, Kathleen L. Egan, Mark Wolfson, Kaylee M. Lukacena, Carina Mazariegos Zelaya, Monique S. Mcleary, Donald W. Helme

Communication Faculty Publications

Introduction

Communities throughout the United States have implemented medicine disposal programs to prevent diversion of unused opioid analgesics from homes but a general lack of awareness may contribute to low rates of utilization. The objective of this study was to develop and test community-based campaign messages promoting appropriate disposal of unused opioids at disposal programs.

Methods

In Fall 2019, 491 residents (79% female, 97% White, mean age: 40 years) of five rural, Appalachian counties (3 in Kentucky and 2 in North Carolina) completed a web-based, experimental survey. Participants were randomly exposed to two of four messages and rated each message …