Health Campaign Designers Research Articles

Egoistic and altruistic behaviors in tobacco control campaign: the role of social media exposure, interpersonal communication and attitudes

IntroductionA growing body of research has examined the relationship between media exposure to health campaign information and health behaviors, yielding inconsistent findings. To address this inconsistency, it is crucial to investigate the underlying mediation and moderation mechanisms. Building upon the social diffusion model, this study explores the mediating role of interpersonal communication and the moderating role of attitudes in the relationships between health behavioral outcomes and exposure to campaign information.MethodA tobacco control social media campaign were conducted and assessed via an online survey. Specifically, the survey was conducted from the day after the end of the campaign. Respondents were recruited via Sojump using convenience and snowball sampling. Eligible participants were non-smokers and quitters residing in China and had been exposed to the campaign information. Data were analyzed using the R software.ResultsA total of 326 eligible participants were included in the final analysis. The results suggest that social media exposure to campaign information is indirectly associated with both egoistic and altruistic behavioral intentions through interpersonal communication. However, attitudes toward tobacco control weaken the association between social media exposure to campaign information and interpersonal communication about tobacco risks. Furthermore, the indirect effect of social media exposure to campaign information on egoistic and altruistic behavioral intentions, mediated by interpersonal communication about tobacco risks, is contingent upon attitudes toward tobacco control.ConclusionThis study tests and supports the proposition that interpersonal communication mediates the effects of campaign information exposure on health behaviors in the context of China, which contributes to the existing literature on the health effects of campaign information exposure and provides implications for the design of health campaigns to more effectively promote healthy behaviors.

Knowledge and Attitudes in First Aid Practices for Thermal Burns: a Cross-sectional Study Among Adults in Northern Greece.

Burns are a major cause of morbidity, including prolonged hospitalization, disfigurement, disability, and emotional trauma. Long-term absence from work and high healthcare costs for burn treatment have a significant socio-economic impact. his study aims to evaluate the level of knowledge for burn management in the adult population of Thrace in Northern Greece and to determine factors associated with a better level of knowledge. A questionnaire-based cross-sectional study was conducted οn a random sample of the adult population of Thrace. Data were collected using a structured pre-coded questionnaire, which included subjects' socio-demographic characteristics and the first aid practices for burns. Multivariate logistic regression analysis was used to determine the effect of subjects' characteristics on their knowledge of burn first aid practices. A total of 711 subjects (49.6% males; mean age, 41.89±16.48 years) were included in the study. The incidence of a previous burn was 55.4%. Only 10.5% of the subjects would apply the optimal practice, consisting of rinsing the burn wound with cool running water for at least 10 minutes, applying only non-adhesive dressing on it and leaving the blisters intact. The optimal practice was independently associated with female gender (aOR=1.86, p=0.016), high education level (aOR=2.00, p=0.023), the presence of >3 children (aOR=2.27, p=0.009) and previous training in first aid (aOR=2.36, p=0.001). A large number of participants reported the application of toothpaste (38%), moisturizer (35.4%), aloe (31.8%) or yogurt (27.7%) to the burn surface. Only a small proportion of the participants were aware of the optimal burn first aid practices, most of them female, of high socioeconomic status. We recommend a more targeted approach in the design of health campaigns in the future, in order to reach vulnerable parts of the population.

A Shot in the Arm for Vaccination Intention: The Media and the Health Belief Model in Three Chinese Societies.

This large-sample study of three Chinese societies—Mainland China, Taiwan, and Hong Kong—demonstrates the importance of media exposure for people’s vaccination intentions during the COVID-19 pandemic. By employing two constructs (i.e., perceived susceptibility and severity) in the health belief model (HBM), the study identifies significant indirect effects of media exposure on individuals’ vaccination intention in all three Chinese societies. That said, media trust negatively moderated the path from perceived severity to vaccination intention in Mainland China and Taiwan. In these two societies, the higher an individual’s trust in media, the less influence of perceived severity on his/her vaccination intention. It suggests that the level of trust in media is a contextual factor in explaining individuals’ decision-making on health issues. Generally, the combination of the HBM and media trust has been proven to be useful for understanding individuals’ vaccination intentions. These findings provide practical considerations for governmental agencies, public institutions, and health campaign designers to promote vaccination in the pandemic.

Calls to Action (Mobilizing Information) on Cancer in Online News: Content Analysis.

BackgroundThe health belief model explains that individual intentions and motivation of health behaviors are mostly subject to external cues to action, such as from interpersonal communications and media consumptions. The concept of mobilizing information (MI) refers to a type of mediated information that could call individuals to carry out particular health actions. Different media channels, especially digital media outlets, play an essential role as a health educator to disseminate cancer health information and persuade and mobilize cancer prevention in the community. However, little is known about calls to action (or MI) in online cancer news, especially from Asian media outlets.ObjectiveThis study aimed at analyzing cancer news articles that contain MI and their news components on the selected Malaysian English and Chinese newspapers with online versions.MethodsThe Star Online and Sin Chew Online were selected for analysis because the two newspaper websites enjoy the highest circulation and readership in the English language and the Chinese language streams, respectively. Two bilingual coders searched the cancer news articles based on sampling keywords and then read and coded each news article accordingly. Five coding variables were conceptualized from previous studies (ie, cancer type, news source, news focus, cancer risk factors, and MI), and a good consistency using Cohen kappa was built between coders. Descriptive analysis was used to examine the frequency and percentage of each coding item; chi-square test (confidence level at 95%) was applied to analyze the differences between two newspaper websites, and the associations between variables and the presence of MI were examined through binary logistic regression.ResultsAmong 841 analyzed news articles, 69.6% (585/841) presented MI. News distributions were unbalanced throughout the year in both English and Chinese newspaper websites; some months occupied peaks (ie, February and October), but cancer issues and MI for cancer prevention received minimal attention in other months. The news articles from The Star Online and Sin Chew Online were significantly different in several news components, such as the MI present rates (χ2=9.25, P=.003), providing different types of MI (interactive MI: χ2=12.08, P=.001), interviewing different news sources (government agency: χ2=12.05, P=.001), concerning different news focus (primary cancer prevention: χ2=10.98, P=.001), and mentioning different cancer risks (lifestyle risks: χ2=7.43, P=.007). Binary logistic regression results reported that online cancer news articles were more likely to provide MI when interviewing nongovernmental organizations, focusing on topics related to primary cancer prevention, and highlighting lifestyle risks (odds ratio [OR] 2.77, 95% CI 1.89-4.05; OR 97.70, 95% CI 46.97-203.24; OR 186.28; 95% CI 44.83-773.96; P=.001, respectively).ConclusionsThis study provided new understandings regarding MI in cancer news coverage. This could wake and trigger individuals’ preexisting attitudes and intentions on cancer prevention. Thus, health professionals, health journalists, and health campaign designers should concentrate on MI when distributing health information to the community.

Perceived Exposure and Acceptance Model of Appearance-Related Health Campaigns: Roles of Parents’ Healthy-Appearance Talk, Self-Objectification, and Interpersonal Conversations

Excessive focus on appearance or lookism requires social attention as it can have negative consequences on individuals’ psychological and mental states related to health and sustainable social practice. As part of a healthy and sustainable social practice, this study tests the mechanism of enhancing appearance-related health campaign’s effectiveness through the O1-S-O2-R framework. Participants were 220 Korean college students with being 141 male and 78 female and they completed an on-line survey. The result of SEM analyses confirmed the O1-S-O2-R model. As the result of hypotheses testing, health campaign contents suggesting anti-lookism and diverse beauty standards have attracted the attention of people whose parents conversed using relatively less healthy-appearance talk when growing up and who had higher self-objectification scores with body surveillance and body shame. Interpersonal conversations and thoughts on the media content played a mediating role in the model, while health campaigns had a higher persuasive effect on campaign evaluation and the behavior intention of spreading the campaign’s content. Implications of the findings were discussed regarding health campaign designers and individuals, including parents, in education settings.

The moderating role of childhood socioeconomic status on the impact of nudging on the perceived threat of coronavirus and stockpiling intention

Communications that include nudges and framing strategies are ubiquitous in our daily lives. In this paper, we investigate how different nudging strategies during a public health campaign, particularly supplementary information and statistics, influence perceptions of threat and stockpiling intentions, while also considering the role of childhood socioeconomic status. Specifically, building upon prior work in behavioral economics, we hypothesize that the presence of additional statistics elicits lower perceived threat and intention to stockpile. In addition, we predict find that the childhood socioeconomic status of individuals influences these effects. Three studies offer evidence for those predictions and demonstrate the importance of message framing in uncertain circumstances. Overall, this work contributes to the literature on nudging and life history theory by investigating how communication strategies can be used to increase or decrease perceived threat in order to achieve desired outcomes (e.g., limiting stockpiling or respecting social distancing).

The Effects of Instagram Use, Social Comparison, and Self-Esteem on Social Anxiety: A Survey Study in Singapore

Social media have been growing rapidly during the past decade. However, it remains unclear whether social media make people more emotionally healthy or less. This study aims to explore the effect of Instagram use on individuals’ social anxiety. With a general basis of the three-stage model of interactive media use for health promotion, we conducted a cross-sectional online survey study ( N = 388) in the context of Singapore and empirically tested a mediation pathway linking Instagram use to social anxiety. The results indicated that Instagram use did not directly increase social anxiety. Instead, social comparison, a proximal outcome, and self-esteem, an intermediate outcome played mediating roles, supporting the complete mediation effects. This finding provides important theoretical and practical implications for the design of health campaigns and education in this digital era to enhance the positive effect of social media on health and emotional well-being.

E-cigarette use and perceived health change: Better health through vaping?

INTRODUCTIONAs e-cigarette use increases, questions about individual and public health effects remain unanswered (e.g. cessation tool, addiction path). Despite increasing use, few studies have focused on vape shop patrons. This study examined whether vape shop patrons believe their health is affected by the use of e-cigs; more specifically, the aim was to evaluate the association between e-cig use, change in tobacco use, and perception of health.METHODSA survey of e-cig users (N=78) was conducted in vape shops. Questions included e-cig and traditional tobacco use, health perceptions, and demographics. Descriptive techniques were used to characterize participants as either those who perceived e-cig use improved their health or those who perceived their health unaffected. Logistic regression assessed the association between change in tobacco use, e-cig use, and perception of health effects.RESULTSMost reported daily e-cig (91%) and current (11.5%) or former (78.2%) combustible cigarette use. Approximately, three-fourths (76.9%) perceived better health; the remainder (23.1%) perceived unaffected health. Change in cigarette use was significantly associated with perceptions that health is better with e-cig use. Participants who decreased cigarette use by 2–3 cartons/month and more than 3 cartons/month were significantly more likely to indicate that e-cig use has improved their health compared to those who decreased tobacco use by 1.5 cartons or fewer per month (OR=4.35, 95% CI: 1.13–16.9; OR=25.67, 95% CI: 2.97–221.7, respectively).CONCLUSIONSThe majority of e-cig users perceived better health. Our findings suggest that health campaign designers should carefully assess the scientific uncertainty surrounding the use of these devices and consider means to clearly convey this information. Given the lack of scientific agreement on the health effects of e-cigs and the important role that perceptions play in behavior, health campaign designers, health education practitioners, policy makers, and health care providers should err on the side of caution when advising individuals about e-cig use.

The Influence of Conversational Content on College Students’ Safe Sex Intentions: A Mixed Method Approach

Even though health campaign designers are advised to specifically focus on triggering conversations between people about health issues, there is still a lot unknown about what aspects of a conversation may contribute to safe sex behavior and intentions. Empirical research in this field so far has mainly focused on conversational occurrence rather than conversational content, and where content is taken into account, this mostly concerns self-reports. In this mixed method study, we looked into the quantitative effects of real-life conversations about safe sex, triggered by a safe sex message, on college students’ intentions related to safe sex. We then used a qualitative analysis to try and identify content-related aspects that may be related to the quantitative effects. Two weeks after filling in a questionnaire on their safe sex-related intentions, participants (N = 24) were instructed to watch and talk about a safe sex video with a conversation partner of choice, followed by filling in a questionnaire. The conversational data were analyzed qualitatively. The results suggest that the conversations increased safe sex-related intentions compared to pretest scores, and that content-related aspects such as conversational valence, type of communication behavior and behavioral determinants were related to these effects. Thus, our findings provide enhanced insight into the social norms and behavioral patterns related to safe sex, and indicate that it is important to look at conversational content in detail rather than to focus on mere conversational occurrence or quantitative effects.

Identifying Opinion Leaders to Promote Organ Donation on Social Media: Network Study.

BackgroundIn the recent years, social networking sites (SNSs, also called social media) have been adopted in organ donation campaigns, and recruiting opinion leaders for such campaigns has been found effective in promoting behavioral changes.ObjectiveThe aim of this paper was to focus on the dissemination of organ donation tweets on Weibo, the Chinese equivalent of Twitter, and to examine the opinion leadership in the retweet network of popular organ donation messages using social network analysis. It also aimed to investigate how personal and social attributes contribute to a user’s opinion leadership on the topic of organ donation.MethodsAll messages about organ donation posted on Weibo from January 1, 2015 to December 31, 2015 were extracted using Python Web crawler. A retweet network with 505,047 nodes and 545,312 edges of the popular messages (n=206) was constructed and analyzed. The local and global opinion leaderships were measured using network metrics, and the roles of personal attributes, professional knowledge, and social positions in obtaining the opinion leadership were examined using general linear model.ResultsThe findings revealed that personal attributes, professional knowledge, and social positions predicted individual’s local opinion leadership in the retweet network of popular organ donation messages. Alternatively, personal attributes and social positions, but not professional knowledge, were significantly associated with global opinion leadership.ConclusionsThe findings of this study indicate that health campaign designers may recruit peer leaders in SNS organ donation promotions to facilitate information sharing among the target audience. Users who are unverified, active, well connected, and experienced with information and communications technology (ICT) will accelerate the sharing of organ donation messages in the global environment. Medical professionals such as organ transplant surgeons who can wield a great amount of influence on their direct connections could also effectively participate in promoting organ donation on social media.

Online Cancer News: Trends Regarding Article Types, Specific Cancers, and the Cancer Continuum

The Internet is one of the fastest growing news sources for many worldwide (Pew Research Center's Project for Excellence in Journalism, 2011), and cancer news is one frequently consumed form of online health information (Google, Inc., 2007). This content analysis of online cancer news (n = 862) retrieved from the four most frequented news websites describes trends regarding specific cancers, stages in the cancer continuum, and types of news articles. In general, treatment information received the most attention in online cancer news. Breast cancer received the most attention of each specific cancer, followed by digestive and genitourinary cancers. Research reports and profiles of people (more than 60% of which were about celebrities) were the most common article types. Risk, uncertainty, and clinical trials were also present across several types of cancer news articles. Implications of content trends are discussed as relevant to consumers, producers, health campaign designers, and researchers alike.

Danish and Chinese adolescents' perceptions of healthy eating and attitudes toward regulatory measures

PurposeThis article aims to examine young consumers' perceptions of healthy eating, contexts where healthy or unhealthy eating are practiced, and their evaluation of regulatory measures that discourage the consumption of unhealthy foods in two different markets.Design/methodology/approachA convenience sampled survey was conducted of 386 Danish and Chinese adolescents using a structured questionnaire.FindingsResults showed that perceptions of healthy eating were generally based on concepts such as balance and moderation. Unhealthy eating was most frequently practiced at parties and in festive periods. Hong Kong respondents were more likely to associate eating habits with healthy eating than Danish respondents. Danish respondents were more likely to practice healthy eating at schools than Hong Kong respondents. Making tanks of cold water freely available everywhere was perceived to be most effective in discouraging the consumption of soft drink. There were age, gender and market differences in attitudes toward selected regulatory measures that discourage the consumption of soft drinks.Research implicationsHealth educators and public health campaign designers should design health communication messages that target different perceptions of unhealthy eating, as well as different unhealthy eating contexts. Policy makers should be aware of the difference in local environmental conditions when designing regulations to encourage healthy eating.Originality/valueThe study is an innovative attempt to examine adolescents' perception of healthy eating and attitudes toward food regulatory measures in more than one consumer market.

When a Fear Appeal Isn't Just a Fear Appeal: The Effects of Graphic Anti-tobacco Messages

The current study experimentally tested two types of message attributes commonly used in anti-tobacco television ads—content that focuses on a health threat about tobacco use (fear), and content that contains disgust-related images (disgust)—for how they impact viewers' cognitive processing of the message. The results suggest that the impact of disgust content in anti-tobacco television ads on cognitive resources available for encoding the messages and on recognition memory varies according to whether or not the message is a fear appeal. The presence of disgust-related images led to slower secondary task reaction times (STRTs) and better audio recognition for low fear messages. The presence of disgust related images did not significantly affect STRTs and led to worse audio recognition for high fear messages. These results are interpreted in light of Lang's Limited Capacity Model of Motivated Message Processing, and recommendations about message construction are offered to health campaign designers.

Filipino Explanatory Models of Cleft Lip with or without Cleft Palate

To describe beliefs about the cause, prevention, and treatment of cleft lip with or without cleft palate (CL+/-P) among working class people and health care workers in the Philippines. The study was a focused ethnography and took place in the province of Negros Occidental, Philippines. Using a stratified purposeful recruitment strategy, 80 individuals were selected for study. They were categorized into three groups: those having a CL+/-P or a child with a CL+/-P, those who neither had a CL+/-P nor child with CL+/-P, and health care workers. Kleinman's explanatory models of illness theory were used to elicit Filipino explanations for CL+/-P. Data were collected through guided individual and group informant interviews and analyzed through content analysis. Filipinos reported that inheritance, falls, cravings, environmental factors, and God's will were causes for CL+/-P. Beliefs about prevention of CL+/-P included limiting the number of children, being careful not to fall, and avoiding environmental factors. It was found that general causal explanations for CL+/-P were not always congruent with personal causal explanations, and general/personal causal explanations for CL+/-P were not always congruent with prevention explanations. By eliciting patients' explanations for CL+/-P and comparing these with their own, clinicians can find commonalities between divergent explanations and use these as a starting point from which to improve health outcomes. Findings from this study will be used to guide the design of health campaigns regarding CL+/-P in the Philippines.

Understanding the audiences of a health communication campaign: A discriminant analysis of potential organ donors based on intent to donate

Abstract There is a great need for health communication campaigns that increase the number of individuals who carry signed and witnessed organ donor cards. This article describes one preliminary phase of such a campaign in which three target audiences are identified within the larger population. A discriminant analysis of five relevant variables showed that individuals who have a signed organ donor card have a high level of knowledge about organ donation, are rather altruistic, and do not believe that signing a donor card is a fearful activity. Individuals who are high in intent to sign organ donor cards (but have not done so) have limited knowledge about donation and a positive attitude toward organ donation, but they may find that signing a donor card is a fearful activity. Those who are low in intent to donate tend to have inaccurate knowledge, are not overly altruistic, and feel that signing a donor card would be quite frightening. Effective design of health campaigns depends on an accurate and thorou...