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Melissa J. Robinson and Silvia Knobloch-Westerwick
In today’s media-saturated environment, individuals may be exposed to hundreds of media messages on a wide variety of topics each day. It is impossible for individuals to attend to every media message, and instead, they engage in the phenomenon of selective exposure, where certain messages are chosen and attended to more often than others. Health communication professionals face challenges in creating messages that can attract the attention of targeted audiences when health messages compete with more entertaining programming. In fact, one of the greatest obstacles for health campaigns is a lack of adequate exposure among targeted recipients. Individuals may avoid health messages completely or counterargue against persuasive attempts to change their health-related attitudes and behaviors. Once individuals have been exposed to a health message, their current mood plays an important role in the processing of health information and decision making. Early research indicated that a positive mood might actually be detrimental to information processing because individuals are more likely to process the information heuristically. However, recent studies countered these results and suggested that individuals in positive moods are more likely to attend to self-relevant health information, with increased recall and greater intent to change their behaviors.
Since mood has the ability to influence exposure to health messages and subsequent message processing, it is important for individuals to be able to manage their mood prior to health information exposure and possibly even during exposure. One way individuals can influence their moods is through media use including TV shows, movies, and music. Mood management theory predicts that individuals choose media content to improve and maintain positive moods and examines the mood-impacting characteristics of stimuli that influence individuals’ media selections. Therefore, an individual’s mood plays an important role in selection of any type of communication (e.g., news, documentaries, comedies, video games, or sports).
How can health message designers influence individuals’ selection and attention to health messages when negative moods may be blocking overtly persuasive attempts to change behaviors and a preference for entertaining media content? The narrative persuasion research paradigm suggests that embedding health information into entertainment messages may be a more effective method to overcome resistance or counterarguing than traditional forms of health messages (e.g., advertisements or articles). It is evident that mood plays a complex role in message selection and subsequent processing. Future research is necessary to examine the nuances between mood and health information processing including how narratives may maintain positive moods through narrative selection, processing, and subsequent attitude and/or behavior change.
Walid A. Afifi
The turn of the 21st century has seen an explosion of frameworks that account for individuals’ decisions to seek or avoid information related to health risks. The four dominant frameworks are Risk Perception Attitude Framework, the Risk Information Seeking and Process model, the Planned Risk Information Seeking Model, and the Theory of Motivated Information Management. A comparison of the constructs within each and an examination of the related empirical tests reveal important insights into (a) factors that have consistently been shown to shape these decisions across these approaches and (b) constructs in need of additional theorizing and empirical testing. Specifically, the analysis suggests that uncertainty, efficacy, affect, risk perceptions, and subjective norms all play crucial roles in accounting for decisions to seek or avoid risk-related information. However, inconsistencies in the direction of influence for uncertainty or information discrepancy, risk perceptions, and negative affect argue for the need for considerably more theoretical clarity and empirical rigor in investigations of the ways in which these experiences shape decision making in these contexts.
Mary E. Triece
A study of social movements advances a people’s history of the United States, providing a window into the ways ordinary people often took extraordinary measures to make laws, workplace conditions, the educational system, the quality of home life, and public spaces more open and responsive to the needs and concerns of marginalized groups. With the rise of industrial capitalism in the early 1800s came a host of social ills that prompted individuals to form organizations that enabled them to operate as a force for social change. As the Native American Chief Sitting Bull is purported to have said, “As individual fingers we can easily be broken, but together we form a mighty fist.”
The 1800s through the early 21st century provides numerous examples of people acting together as a mighty fist. As early as 1824, workers in textile mills in the Northeast United States enacted work stoppages and strikes in reaction to wage cuts and deplorable working conditions. The movement to abolish slavery in the mid-1800s provided a way for disenfranchised black men and women, such as the eloquent Frederick Douglass and Maria Stewart, as well as white women, to speak and organize publically. In the area of labor, female and black workers, excluded from the more formal organizing of trade unions through the American Federation of Labor, organized their own labor meetings (e.g., the National Labor Convention of the Colored Men of the United States), unions (e.g., the Women’s Trade Union League), and strikes (e.g., the Uprising of 20,000). By the late1800s through the 1930s, American socialism and the Communist Party, USA, influenced the philosophy and tactics employed by labor activists, many of whom were factory girls who played a formidable role in mass walk-outs in the Progressive Era. Struggles for workplace and civil rights continued throughout the 20th century to undo Jim Crow and segregation, to advocate for civil rights, to advance the rights of women in the workplace, and more recently, to fight for the rights of the lesbian/gay/bisexual/transgender communities, undocumented workers, and immigrants, and to fight against the police repression of black and brown communities and against imperialism and globalization. Activists’ tools for resistance have been as diverse as their causes and include petitioning formal legislative bodies, picketing and rallying, engaging in work stoppages, occupation of public spaces (e.g., sit-downs, walk-outs, occupying squares and parks), and most recently, using social media platforms, blogs, and other forms of Internet activism to facilitate empowerment of marginalized groups and progressive social change.
The Internet has provided an important tool for facilitating international connections of solidarity in struggle. Although what follows focuses specifically on movements in the United States from roughly the 1800s to the present, efforts should continue to focus on the ways movements join forces across and around the globe.
Music is a powerful form of communication. Many of the functions of music are shared across cultural groups (e.g., its uses in ritual celebration, group coordination, coalition signaling, dance, and the like), and certain musical phenomena are universal (e.g., recognition of octaves, distinguishing music from noise). These universals mean that music has the capacity to bring groups together, offering a communication code that is simultaneously expressive and emotionally intense, while also lacking in traditional semantic meaning (and thus reducing the opportunities for miscommunication between groups). However, music often serves to divide groups, with forms of music signaling or constructing group memberships that are distinct from and in opposition to other groups. Music can even be used to incite intergroup division and hatred, particularly when music and lyrics are combined. As we explore the ways in which communication unites and divides humans, we must look at codes beyond traditional verbal and nonverbal communication. Music is one such code meriting more focused attention from intergroup communication scholars.
Erin M. Hill
Narcissism is a personality trait characterized by perceptions of grandiosity, superiority, and the need for attention and admiration. There has been an increase in focus on examining the development of narcissism and how the trait influences a range of social and health behaviors. A key feature of narcissism is that it is characterized by high self-esteem with a simultaneously fragile ego that requires continual monitoring and manipulation. Therefore, much of the behaviors narcissists engage in are linked to the drive to maintain perceptions of superiority and grandiosity. In the area of health and well-being, narcissism has been positively correlated with psychological health, a relationship that may be accounted for by self-esteem. However, there has been less research on the relationship between narcissism and physical health and well-being. There is some evidence that narcissism is linked to a variety of physical appearance-oriented health behaviors (i.e., behaviors that could affect body weight or other aspects of physical appearance, including eating and exercise). Narcissism has also been positively linked to risk-taking behaviors, including use of substances, as well as risks that could significantly impact others, including sexual behaviors and risky driving. The relationship between narcissism and health is therefore complex, with some positive correlates (e.g., physical activity), but also various health risk behaviors.
In considering how narcissism might interact with health messages, communicators have to keep in mind that narcissists seem to have some deficits in judgment and decision-making, such as overconfidence and a narrow focus on rewards associated with behaviors. Their behaviors tend to be driven by managing their own ego and by drawing attention and admiration from others to maintain perceptions of superiority and grandiosity. In turn, health communicators may need to rely on creative strategies that tap into these domains of narcissism in order to effectively modify health behaviors among narcissistic individuals. Further research on the influence of narcissism in healthcare seeking and related preventive behaviors would also help to provide a more detailed understanding for how the trait influences health decisions, information that would be useful for both health researchers and practitioners.
Julie E. Volkman
In health and risk communication, evidence is a message feature that can add credibility, realism, and legitimacy to health and risk messages. Evidence is usually defined into two types: statistical or narrative. Statistical evidence employs quantifications of events, places, phenomena, or other facts, while narrative evidence involves stories, anecdotes, cases, or testimonials. While many health and risk messages employ statistical or factual information, narrative evidence holds appeal for health and risk communication for its utility in helping individuals learn their risks and illnesses through stories and personal experiences. In particular, narratives employed as evidence in a health or risk message especially hold value for their ability to communicate experiences and share knowledge, attitudes, beliefs, and ideas about complex health issues, propose behavior change, and assist individuals coping with disease. As a result, the personal experiences shared, whether they are from first-hand knowledge, or recounting another’s experience, can focus attention, enhance comprehension for risks, and recall of health and risk information. Furthermore, readers engage with the story and develop their own emotional responses which may align with the purpose of the health and risk message. Narratives, or stories, can occur in many ways or through various points of view, but the stories that “ring true” to readers often have a sense of temporality, coherence, and fidelity. As a result, formative research and pre-testing of health and risk messages with narratives becomes important to understand individual perceptions related to the health issue and the characters (or points of view). Constructs of perceived similarity, interest, identification, transportation, and engagement are helpful to assess in order to maximize the usefulness and persuasiveness of narratives as evidence within a health and risk message. Additionally, understanding the emotional responses to narratives can also contribute to perceptions of imagery and vividness that can make the narrative appealing to readers. Examining what is a narrative as evidence in health and risk messages, how they are conceptualized and operationalized and used in health and risk messages is needed to understand their effectiveness.
Holley A. Wilkin
When it comes to health and risk, “place” matters. People who live in lower-income neighborhoods are disproportionately affected by obesity and obesity-related diseases like heart disease, hypertension, and diabetes; asthma; cancers; mental health issues; etc., compared to those that live in higher-income communities. Contributing to these disparities are individual-level factors (e.g., education level, health literacy, healthcare access) and neighborhood-level factors such as the socioeconomic characteristics of the neighborhood; crime, violence, and social disorder; the built environment; and the presence or absence of health-enhancing and health-compromising resources. Social determinants of health—for example, social support, social networks, and social capital—may improve or further complicate health outcomes in low-income neighborhoods.
Social support is a type of transaction between two or more people intended to help the recipient in some fashion. For instance, a person can help provide someone who is grieving or dealing with a newly diagnosed health issue by providing emotional support. Informational support may be provided to someone trying to diagnose, manage, and/or treat a health problem. Instrumental support may come in the help of making meals for someone who is ill, running errands for them, or taking them to a doctor’s appointment. Unfortunately, those who may have chronic diseases and require a lot of support or who otherwise do not feel able to provide support may not seek it due to the expectation of reciprocity. Neighborhood features can enable or constrain people from developing social networks that can help provide social support when needed. There are different types of social networks: some can enhance health outcomes, while others may have a more limiting or even a detrimental effect on health. Social capital results in the creation of resources that may or may not improve health outcomes.
Communication infrastructure theory offers an opportunity to create theoretically grounded health interventions that consider the social and neighborhood characteristics that influence health outcomes. The theory states that every neighborhood has a communication infrastructure that consists of a neighborhood storytelling network—which includes elements similar to the social determinants of health—embedded in a communication action context that enables or constrains neighborhood storytelling. People who are more engaged in their neighborhood storytelling networks are in a better position to reduce health disparities—for example, to fight to keep clinics open or to clean up environmental waste. The communication action context features are similar to the neighborhood characteristics that influence health outcomes. Communication infrastructure theory may be useful in interventions to address neighborhood health and risk.
Vincent Chua and Barry Wellman
“Networked individualism” represents the phenomenon that people are managers of their own personal networks. Networked individualism in an East (and Southeast) Asian context draws attention to the significant role of Asian social institutions and culture in the patterning of personal communities. When compared to Western situations—particularly American—East Asian personal communities are just as vibrant and supportive. They have woven seamlessly with digital media, extend both near and far, and are rich in social support. There are several differences that make East Asian societies unique, such as their strong focus on kinship, the salience of hierarchical social capital, the culture of mutual monitoring occurring through strong ties (e.g., guanxi), and the accelerated rise of digital media in everyday life.
Daniel Angus and Cindy Gallois
Intergroup communication, given its interdisciplinary roots in communication and social psychology, has been eclectic in methodology. Earlier approaches tended to be quantitative and experimental. In the early 21st century, the full range of qualitative approaches—thematic analysis and grounded theory, discourse analysis, conversation analysis, and others—have come to prominence. A key issue has been how to reconcile the broad-brush aspects of surveys, tightly-controlled contexts in experiments, and very limited numbers of participants in qualitative research.
In the past decade or so, rapid improvements to the capabilities of computational technologies have brought forth a new generation of computational methods for communication research. Broadly known as visual text analytics, these methods provide communication scholars new ways to model, visualize, and analyze intergroup communication processes. They also allow larger scale in the detailed analysis of texts and discourse.
In spite of their great interest to intergroup communication, these new visual text analytic methods also present challenges. In presenting several newer visual text analytic methods, we articulate some ways to approach the tools to achieve maximum research benefit.
People can adjust their communication in a variety of ways for different contexts, audiences, and purposes. Although these adjustments often improve or facilitate interaction—that is, make it smoother, better, or easier—sometimes they do not. “Nonaccommodation” is a concept drawn from communication accommodation theory (CAT) and refers to adjustments in communication behavior associated with disaffiliation, expressing dissimilarity and/or obscuring information. Nonaccommodation can be defined and described in terms of either speakers’ or listeners’ experiences; it may also be intentional or unintentional on the part of a speaker. Researchers have studied nonaccommodation in terms of both its objective behavioral manifestations (e.g., linguistic divergence) and the subjective perceptions that relate to those behavioral manifestations (e.g., psychological divergence; over- and underaccommodation). Responding to nonaccommodation effectively can be challenging, and what constitutes the “best” or “most appropriate” response often depends on contextual factors and interactants’ goals. In line with the functions of accommodation described in CAT, nonaccommodation can influence communication effectiveness as well as the nature of interpersonal and intergroup relations. Generally, nonaccommodation hinders shared understanding and increases perceptions of social distance between individuals and their social groups. Often it is also associated with less positive evaluations of the people and groups involved, as well as lower levels of relational solidarity. Nonaccommodation occurs frequently across a wide variety of societally significant contexts, including intergenerational, medical/healthcare, police–civilian, family, and educational interactions. As such, it represents an important area for both theoretical and applied research.