Health Communication Commons^™

Exploring The Influence Of Environmental Motivations On Consumer Attitudes And Purchase Intentions Toward Upcycled Foods, Peng Lu, Jennifer Waldeck, Keith Weber, Hualu Zhou

Communication Faculty Articles and Research

Food loss and waste (FLW) present pressing environmental and economic challenges. Upcycling technologies provide a sustainable pathway by transforming food by-products into value-added products; however, consumer acceptance remains a critical barrier. Guided by Self-Determination Theory (SDT), this study investigates how environmental motivations influence consumers’ attitudes and purchase intentions toward milk enriched with upcycled peanut skins. Data were collected from a nationally representative sample of 1488 U.S. adults. Structural equation modeling (SEM) was employed to test hypothesized relationships among motivational constructs, and cluster analysis was used to identify consumer segments based on motivational profiles. The results show that intrinsic motivation and …

From Waste To Sustainability: Exploring Consumer Purchase Intentions Of Milk Enriched With Upcycled Peanut Skins, Peng Lu, Fan Xu, Jennifer Waldeck, Keith Weber, Hualu Zhou

Communication Faculty Articles and Research

Highlights

• National survey investigated consumer acceptance of milk enriched with upcycled peanut skins.
• Developed a conceptual model based on Technology Acceptance Model.
• Identified that consumer attitudes and emotions are essential in the purchase intentions of upcycled foods.
• Identified social influence as a determinator of consumers' attitudes and purchase intentions.
• Inform and advance research, practice, and policy that promotes upcycled food products.

Improving Palliative Care Knowledge And Intentions Among Great Plains American Indians: Efficacy Results From A Randomized Clinical Trial Testing A Culture-Centric Palliative Care Message, Mary J. Isaacson, Kah Meng (Charlie) Soh, Christopher S. Wichman, Gina Johnson, Kelly Le Beaux, Semhar Michael, Lisa Sparks, Karla M. Hunter

Communication Faculty Articles and Research

Background

Methods

Results

Improving Palliative Care Knowledge And Intentions Among Great Plains American Indians: Efficacy Results From A Randomized Clinical Trial Testing A Culture-Centric Palliative Care Message, Mary J. Isaacson, Kah Meng (Charlie) Soh, Christopher S. Wichman, Gina Johnson, Kelly Le Beaux, Semhar Michael, Lisa Sparks, Karla M. Hunter

Communication Faculty Articles and Research

Background

Methods

Results

A Certainty-Weighted, Belief-Based Model Of Political Attitudes: A Bayesian Analysis Of American Public Attitudes Toward The Affordable Care Act, Gabriel Miao Li, Josh Pasek, Jon A. Krosnick

Communication Faculty Articles and Research

This study proposes a novel, certainty-weighted account of the process by which political beliefs shape political attitudes. Building upon expectancy-value frameworks, this paper introduces belief certainty as a moderator of belief impact. A Bayesian partial-pooling approach is used to test a model positing how beliefs about what the Patient Protection and Affordable Care Act does and does not do relate to overall attitudes toward the law. This analytic method manages the complexity of multiple potentially correlated beliefs and evaluations by imposing a structural constraint to avoid multicollinearity and enable accurate estimation of parameters. Data from a nationally representative sample survey …

A Mixed-Method Examination Of Social Media Influencers’ Source Characteristics In Sponsored Health Campaign Messaging: An Application Of Psychological Reactance Theory, Lauren Pick

Communication (PhD) Dissertations

Social media influencers (SMIs/influencers) are frequently used for marketing and public relations purposes (i.e., influencer marketing), but can be leveraged to avoid resistance to health campaign messages. Guided by psychological reactance theory (PRT), the purpose of this dissertation was to (a) uncover micro-influencer characteristics that mitigate reactance toward sponsored social media posts, (b) investigate whether influencers induce less reactance than non- influencers when disseminating sponsored health content, and (c) experimentally test whether influencer source characteristics mitigate reactance to sponsored health messaging. In Study One, focus groups with Gen Z Instagram users (N = 12) identified SMI use of controlling, “one …

How Family Communication Emerges In Hpv Vaccine Parent Narratives, Samantha Garcia, Suellen Hopfer, Michelle Miller-Day, Jamie Mccain, Michael L. Hecht

Communication Faculty Articles and Research

Family communication surrounding HPV vaccination can support or hinder HPV cancer prevention strategies. We used narrative communication theory to elicit HPV vaccine decision narratives in the context of family communication from a purposive sample of 29 parents of adolescents. Parent narratives indicated that family negotiations occur throughout the decision-making process, topic avoidance was common among parents of unvaccinated and undervaccinated children, parents had concerns that vaccination is a sign of approving sexual permissiveness, and family communication was often prompted by encounters in the exam room. Understanding complex family dynamics in the context of vaccination decision-making, the role of family communication …

Beneath The Beauty: A Mixed Method Approach To Examining Identity Negotiation Among Asian Transracial Adoptees, Noel H. Mcguire

Communication (PhD) Dissertations

Making sense of one’s identity is an integral part of the human experience. This study examines identity negotiation and sense-making processes among individuals who have particularly complex identities: Asian transracial adoptees. In the past six decades, more than 280,000 infants and children in Asian countries were abandoned or surrendered to social welfare institutes and were subsequently adopted by American families, making Asian transracial adoptees (ATRAs) a substantial, if frequently overlooked, proportion of the Asian American community. Prior research indicates that identity negotiation is a particularly daunting task for this demographic due to ever-present paradoxical feelings toward their identity, as they …

Investigating The Experiences Of Evangelical Couples Coping With Painful Intercourse During Early Marriage, Arielle L. Leonard Hodges

Communication (PhD) Dissertations

Women who internalize evangelical purity messages face heightened risk for persistent pain or difficulty with penile-vaginal intercourse. Drawing on research in communication, psychology, and sexual medicine, the aim of this multilevel qualitative study is to increase understanding of how evangelical couples communicatively cope with painful intercourse and the memorable messages they believe contribute to their experiences of coping. This study involved conducting qualitative interviews with 20 evangelical married couples (40 total spouses) who currently or recently experienced a wife’s persistent pain during (attempted) penile-vaginal intercourse and 16 female clinicians (pelvic floor physical therapists and mental health professionals) who regularly work …

An Examination Of Missing Person Social Media Engagement Through Data Mining And Experimentation: An Application Of The Crisis And Emergency Risk Communication Model, Cailin M. Kuchenbecker

Communication (PhD) Dissertations

According to the Federal Bureau of Investigation (FBI), approximately 600,000 individuals are reported missing each year in the United States (2022). When missing person cases do not meet alert (e.g., AMBER) criteria, law enforcement often utilize social media to crowdsource information to ultimately return the missing home. Therefore, guided by the crisis and emergency risk communication model (CERC; Reynolds & Seeger, 2005) and its recently clarified propositions (Miller et al., 2021), the purpose of this dissertation was to (a) identify strategies law enforcement use to crowdsource missing person information and (b) experimentally test message characteristics that facilitate prosocial sharing of …

Understanding The Consumption Of Antimicrobial Resistance–Related Content On Social Media: Twitter Analysis, Hyunuk Kim, Chris R. Proctor, Dylan Walker, Ronan R. Mccarthy

Business Faculty Articles and Research

Background: Antimicrobial resistance (AMR) is one of the most pressing concerns in our society. Today, social media can function as an important channel to disseminate information about AMR. The way in which this information is engaged with depends on a number of factors, including the target audience and the content of the social media post.

Objective: The aim of this study is to better understand how AMR-related content is consumed on the social media platform Twitter and to understand some of the drivers of engagement. This is essential to designing effective public health strategies, raising awareness about antimicrobial …

The Student Athlete Wellness Portal: Translating Student Athletes’ Prescription Opioid Use Narratives Into A Targeted Public Health Intervention, Anne E. Pezalla, Hyejeong Choi, Francis Mckee, Michelle Miller-Day, Michael L. Hecht

Communication Faculty Articles and Research

Background and Objectives: The opioid epidemic has permeated all strata of society over the last two decades, especially within the adolescent student athletic environment, a group particularly at risk and presenting their own challenges for science and practice. This paper (a) describes the development of a web-based intervention called the Student Athlete Wellness Portal that models effective opioid misuse resistance strategies and (b) details the findings of a single-group design to test its effectiveness. Materials and Methods: Formative research included 35 student athletes residing in the United States, ages 14 to 21, who had been injured in their …

The Impact Of Hpv Vaccine Narratives On Social Media: Testing Narrative Engagement Theory With A Diverse Sample Of Young Adults, Amy E. Leader, Michelle Miller-Day, Rikishi T. Rey, Preethi Selvan, Anne E. Pezalla, Michael L. Hecht

Communication Faculty Articles and Research

Rates of human papillomavirus (HPV) infection are highest in young adults, who can be vaccinated against HPV if they were not vaccinated as adolescents. Since young adults increasingly access health information on social media, we tested the impact of a social media campaign with narrative-based health information on intentions related to HPV vaccination. We also aimed to understand which ads resonated most with young adults and led to higher survey completion rates. We created social media posts featuring videos promoting HPV vaccination. We launched a sponsored ad campaign on Facebook to reach young women, ages 18–26, across the country. Participants …

Understanding Law Enforcement Mental Health Communication And Police Officers’ Mental Health Support Preferences: A Grounded Theory Study, Erin S. Craw

Communication (PhD) Dissertations

Throughout the United States, police officers experience cumulative stress and their mental health-related concerns often remain unaddressed. Recently, police departments have begun to offer more mental health support resources in an attempt to mitigate this issue. However, the underutilization of such support is a serious problem. The overall goal of this dissertation is to develop a grounded theory of mental health communication in law enforcement. Employing a constructivist grounded theory approach, data were collected in two sequential phases. Phase one involved 48 in-depth semi-structured interviews with active and retired police officers to examine how the messages police officers receive from …

Moral Matching: Strategic Messaging To Overcome Barriers To Persuasion, Tess M. Buckley

Communication (PhD) Dissertations

Persuasive messages are often met with resistance. Message fatigue is a unique motivational state caused by excessive exposure to redundant messages, which leads to active and passive resistance towards persuasive messages. The consequences of active and passive resistance are particularly harmful when directed towards messages intended to assist individuals in making health decisions. This dissertation investigated a message framing strategy, moral matching, to combat message fatigue resistance in the context of COVID-19. Guided by message fatigue and moral foundation theory literature, there were three main purposes of this dissertation. The first purpose was to identify what features of COVID-19 health …

Interpersonal Communication In Eye Care: An Analysis Of Potential Impacts On Cataract Surgery Candidates’ Expectations And Behaviors, Amy Hellem, Sara Labelle, Cynthia Matossian, Paul Karpecki

Communication Faculty Articles and Research

Purpose: To identify cataract surgery candidates’ knowledge, beliefs, desires and emotions as they relate to cataract surgery generally as well as to their behavioral intent to adhere to a doctor-recommended pre-surgical ocular surface prep routine designed to improve refractive outcomes and prevent surgical complications.

Methods: This national, noninterventional, cross-sectional, mixed methods survey included 278 US adults ages 65 and older with no history of cataract surgery in either eye.

Results: Only 20% of participants said they want to have cataract surgery, and even fewer (8%) said they wish they could have cataract surgery right away. Fear was the predominant emotion …

Extending Psychological Reactance Theory To Include Denial Of Threat And Media Sharing Intentions As Freedom Restoration Behavior, Noel H. Mcguire, Hannah Ball

Communication Faculty Articles and Research

This study extends psychological reactance theory by examining denial of a public health threat and resistance toward media sharing as two novel types of freedom restoration. Participants (N = 220) were randomly assigned to watch a video advocating COVID-19 guidelines and completed an online survey assessing corresponding perceptions and behavioral intentions. Results of structural equation modeling supported the two-step model of reactance: greater perceived freedom threat was related to greater reactance, which in turn was linked to lower intentions to comply with COVID-19 guidelines, lower intentions to share the video with one’s online social network, and greater denial of COVID-19 …

Quality Evaluation Of Consumer Health Information Websites Found On Google Using Discern, Craap, And Honcode, Ivan A. Portillo, Catherine V. Johnson, Scott Y. Johnson

Library Articles and Research

Online health misinformation is a growing problem, and health information professionals and consumers would benefit from an evaluation of health websites for reliability and trustworthiness. Terms from the Google COVID-19 Search Trends dataset were searched on Google to determine the most frequently appearing consumer health information websites. The quality of the resulting top five websites was evaluated. The top five websites that appeared most frequently were WebMD, Mayo Clinic, Healthline, MedlinePlus, and Medical News Today, respectively. All websites, except Medline Plus, received HONcode certification. Based on DISCERN and CRAAP scores, MedlinePlus was found to be the most reliable health website.

Romantic Partner Interference And Psychological Reactance In The Context Of Caregiving For An Aging Family Member, Hannah Ball, Jennifer L. Bevan, Tessa Urbanovich, Erin S. Craw

Communication Faculty Articles and Research

Negotiating romantic relational dynamics is inherent to family caregiving situations, which continue to be on the rise in the United States. However, despite evidence that family caregiving duties are linked to a variety of negative relational outcomes, limited research examines communication processes that contribute to or alleviate the burden of caregiver duties on romantic relationships. Guided by psychological reactance theory (PRT), this study examined the link between romantic partner interference with family caregiving duties and the reactance process, as well as directness of communication about irritation as a type of freedom restoration behavior associated with reactance. Adults caring for aging …

Burnout In The Nursing Profession: Extant Knowledge And Future Directions For Research And Practice, Sara Labelle

Communication Faculty Articles and Research

Burnout is a psychological state resulting from prolonged psychological or emotional job stress, and is a culmination of three factors: emotional exhaustion, depersonalization, and reduced personal accomplishment. Due to the nature of the “people-work” they must constantly perform, along with a highly stressful and unpredictable work environment, nurses have alarmingly high rates of burnout among members of their profession. Given the importance of research on burnout to understanding the context-specific stressors and challenges of nursing, this review offers a synthesis of research published in the last decade in both nursing and communication journals, with an emphasis on discussing opportunities for …

Why Do Some Americans Resist Covid-19 Prevention Behavior? An Analysis Of Issue Importance, Message Fatigue, And Reactance Regarding Covid-19 Messaging, Hannah Ball, Tayah Renea Wozniak

Communication Faculty Articles and Research

Despite the rapid transmission of and death toll claimed by COVID-19, there is evidence of resistance toward behaviors shown to effectively prevent and slow the spread of the disease, such as mask wearing and social distancing. This study applies psychological reactance theory to examine COVID-19 message factors (i.e., message fatigue, issue importance) that may be linked to nonadherence to CDC recommendations via the experience of reactance. Participants (N = 268) were current U.S. residents over the age of 18 who completed an online survey about their perceptions of COVID-19 messaging in general as well as toward a specific COVID-19 …

The Benefits Of Yoga: Reducing Anxiety Among Chapman University Students, Olivia Lujan, Jessica Bebawi, Jake Caan, Khiry Carter, Jordan Eisleben, Tony Varga

Student Scholar Symposium Abstracts and Posters

High expectations of Chapman University students and the uncertainty of their future contribute to increased levels of anxiety. Researchers at the University of Rhode Island College of Pharmacy have shown that there is a negative correlation between yoga and anxiety. We propose that a 15-minute vinyasa yoga flow held on Zoom will reduce anxiety levels among the university participants. Vinyasa yoga flow consists of mindful breathing exercises and breath-to-movement coordination, stimulating the vagus nerve and promoting the parasympathetic “rest and digest” nervous system response. This leads to a state of relaxation. Participants will complete a survey measuring their anxiety levels …

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.

Visual Infrastructures Of Covid-19 Messaging, Julia Ross, Claudine Jaenichen

Art Faculty Articles and Research

Infecting more than two hundred and nineteen million people internationally as of September 2021, SARS-Cov2 (COVID-19) remains a major health crisis despite the availability of vaccines in many countries and publicized guidance on effective preventative measures (WHO, 2021). To combat the spread of the virus, governments worldwide have found themselves relying on their ability to exert control over health behaviors in public and private spaces. Visual communication, which includes both graphics and text, is an integral component of how these behavioral advisories are communicated to the public. Authorities translate scientific information into digestible designs for the public to achieve effective …

Evaluating The Quality Of Information Found In The Most Common Health Websites In Google Using Discern And Craap, Ivan A. Portillo, Scott Yosuke Johnson, Catherine V. Johnson

Library Presentations, Posters, and Audiovisual Materials

Objectives: Google search results can have an outsized impact on the health information that consumers find and trust. The researchers analyzed the health-related websites that show up most frequently on the first page of Google search results. After determining the websites that appear most frequently, the authors would evaluate the quality of the health information on these websites using the DISCERN instrument and the CRAAP test.

Methods: To replicate a common health information search, a list of search terms was gathered from the most frequently searched health-related topics on Google Trends. Each term would then be searched on Google and …

Identifying Behavioral Differences Between People With And Without Previous Cancer Diagnosis, Kyle Anderson, Lisa Sparks, Jianwei Zhang, Cyril Rakovski

Communication Faculty Articles and Research

We undertake a study to determine and assess the effects of the statistically significant predictors of the behaviors and notions that are associated with a cancer diagnosis using the 2014 Health Information National Trends Survey (HINTS) data. We implemented a new and extensive logistic regression modeling using stepwise variable selection and jackknife parameter estimation that identified the best explanatory model. Our results show that age, average time spent watching TV or playing games, usage of sunscreen, fruit intake intent, and the opinion-based variables for behaviors affecting high blood pressure, as well as the participant preference of not knowing the chance …

An E-Learning Adaptation Of An Evidence-Based Media Literacy Curriculum To Prevent Youth Substance Use In Community Groups: Development And Feasibility Of Real Media, Anne E. Ray, Kathryn Greene, Michael L. Hecht, Sarah C. Barriage, Michelle Miller-Day, Shannon D. Glenn, Smita C. Banerjee

Communication Faculty Articles and Research

Background: There is a need for evidence-based substance use prevention efforts that target high school-aged youth that are easy to implement and suitable for dissemination in school and community groups. The Youth Message Development (YMD) program is a brief, four-lesson, in-person curriculum that aims to prevent youth substance use through the development of youth media literacy. Specifically, YMD aims to increase understanding of advertising reach and costs, along with the techniques used to sell products; develop counterarguing and critical thinking skills in response to advertisements; and facilitate application of these skills to the development of youth-generated antisubstance messages. Although …

Rationale For A Media Literacy Intervention For Parents Of 5-10 Year Old Children, Emily Brogan-Freitas, Allie White, Hana Polizzotto, Faith Escalera, Lauren Graziani, Ashley Ima, Alex Stack

Student Scholar Symposium Abstracts and Posters

Children use electronic screens at younger and younger ages, but there is nascent empirical research on how parental attitudes and beliefs interact with their children’s media habits and characteristics. This exploratory study attempted to better understand how parental critical thinking skills, perception of media risk, knowledge of media effects, and media self-efficacy influence parents’ mediation of children’s media use and children’s media exposure. An online survey was conducted in which parents of children ages 5-10 answered a series of questions about the aforementioned variables. We expect the results to indicate that critical thinking skills, mediation of children’s media use, perception …

Exploring The Relationship Of Digital Information Sources And Medication Adherence, Cody Arbuckle, Daniel Tomaszewski, Lawrence Brown, Jon C. Schommer, Donald Morisky, Chelsea Parlett-Pelleriti, Erik J. Linstead

Pharmacy Faculty Articles and Research

We present a retrospective analysis of data collected in the United States from the 2015 National Consumer Survey on the Medication Experience and Pharmacists’ Role in order to model the relationship between health information sources and medication adherence and perception. Our results indicate that while the digital age has presented prescription users with many non-traditional alternatives for health information, the use of digital content has a significant negative correlation with pharmaceutical adherence and attitudes toward medication. These findings along with previous research suggest that in order to fully realize the potential benefits of the digital age in regards to patient …

Promoting Support For Public Health Policies Through Mediated Contact: Can Narrator Perspective And Self-Disclosure Curb In-Group Favoritism?, Riva Tukachinsky, Emily Brogan-Freitas, Tessa Urbanovich

Communication Faculty Articles and Research

An online 2 × 2 factorial experiment (N = 203) examined the effect of parasocial contact on support for public health policies in the context of opioid addiction. We hypothesize that because of an intergroup dynamic, individuals are less likely to engage with an outgroup character than an in-group character featured in a news magazine article. Results support the in-group favoritism hypothesis. The study examines two narrative devices for overcoming this tendency: the narrator’s perspective and amount of insight into the character’s inner world through character self-disclosure. We find support for the narrator perspective but not for the self-disclosure effect. …