Using the EPPM to Create and Evaluate the Effectiveness of Brochures to Increase the Use of Hearing Protection in Farmers and Landscape Workers

The extended parallel process model was employed to increase intentions to use on-the-job hearing protection among agricultural workers. Brochures were designed to increase perceptions of the threat of hearing loss and the efficacy of hearing protection to avert hearing loss. Brochures were presented to one half of the sample in each population (farmers and landscapers), and a questionnaire was administered assessing perceptions of threat, efficacy, and intentions. The other half of each sample completed the questionnaire, and then received brochures. Results indicated that farmers were initially high in threat and efficacy perceptions, but brochure exposure resulted in higher intentions to use hearing protection. Landscapers perceived higher threat, efficacy, and intentions after being presented with the brochure. Results are discussed in terms of future research and practical application.     

Social media and corporate reputation during crises: the viability of video-sharing websites for providing counter-messages to traditional broadcast news

Exemplification, or the use of highly emotional and arousing messages to elicit responses based on impression formation, has been shown to influence perceptions of events, individuals, and organizations. News coverage concerning the use of lean finely textured beef (LFTB) is one such example, and anecdotal evidence suggests that this coverage may have had a negative impact on public perception of the manufacturers producing LFTB. The current study examined the use of social media (specifically video-sharing sites) as a means of combating the negative effects of exemplars concerning LFTB. Respondents reported their perceptions of threat severity, susceptibility, behavioral intentions to avoid LFTB, and perceptions of organizational trust and reputation associated with the manufacturer. The findings are consistent with exemplification theory and indicate that message ordering can influence exemplification effects. Results are discussed in terms of implications for public relations and risk communication.     

Conversations among Coal Miners in a Campaign to Promote Hearing Protection

Although working in a coal mine can diminish one's hearing capabilities by 50%, not until 2000 did federal laws require companies to establish noise standards in order to help prevent hearing loss among their employees. Since then, researchers have worked with safety administrators to develop effective messages promoting hearing protection and testing. This research assessed the effects of campaign messages on discussing campaign postcards and talking with others about a helmet-sticker incentive. The results, which are discussed with a focus on future campaigns, indicate that hearing-related attitudes, intentions, and behaviors are the most influenced by messages that were affectively neutral and least influenced by messages that were affectively negative.     

International organizing and organizational communication

Despite empirical and anecdotal evidence of the growing problem of alcohol use and abuse on college campuses, there is a high level of uncertainty regarding factors contributing to this particularly risky behavior. Past research has argued persuasively for the role individuals’ level of self‐efficacy and perceptions of threat or susceptibility play in decisions to engage (or not engage) in a variety of behaviors (Witte, 1992). However, factors contributing to the development of these perceptions of self‐efficacy and threat have yet to be completely understood. The present investigation argues that it is through our interactions with others, as well as our personal experiences with risky behaviors, that we develop perceptions of threat and efficacy. Recognizing, however, the complex and reciprocal nature of the attitude‐behavior relationship, this paper explores the intricacies of the relationships among communication, threat, efficacy, and behavior. 239 undergraduates at a medium‐sized northeastern university completed two surveys assessing perceptions of risk, self‐efficacy, social interaction patterns with friends, and behavior. The data suggest that both interaction with friends and perceptions of self‐efficacy significantly contribute to students engaging in excessive drinking. In addition, communication among friends and drinking itself contribute to evolving perceptions of threat and self‐efficacy. Theoretical and practical implications, as well as directions for future research, are discussed at the conclusion of the paper.     

A theater intervention to promote communication and disclosure of suicidal ideation

Young adults from Montana have a higher rate of suicide than their national counterparts. There is a clear need for targeted interventions to address this disparity. The authors evaluate a community-based, narrative theater project designed to increase awareness and use of suicide-prevention resources among eastern Montana youth. As a first step, seven group interviews with Montana young adults (n?=?27) were conducted to identify current perceptions about suicide and suicide prevention. Interviews were conducted before and after subjects were exposed to a community-based theater production about suicide. Emergent thematic categories were organized using the four main constructs of the extended parallel process model. After the performance, participants expressed increased awareness of prevention resources; perceived susceptibility to the threat of suicide and depression; and self-efficacy for accessing help and assisting others. There were mixed results for perceived response efficacy. Implications and recommendations for intervention development are discussed.     

Cultivating Intergroup Emotions: An Intergroup Threat Theory Approach

The current study tests whether media consumption is associated with negative intergroup emotions toward Blacks, Latinos, and Asians and whether media use indirectly influences intergroup emotions via threat perceptions. We do so using a two-study survey design. Results from Study 1 indicated that media consumption is associated with anger toward Latinos and Asians but not anger toward Blacks. We also found that media use was associated with anxiety toward Blacks, Latinos, and Asians. Results from Study 2 indicated that media use indirectly influences anger and anxiety toward Blacks and Latinos through perceptions of threat. Media consumption did not indirectly influence anger and anxiety toward Asians, though perceptions of threat did directly influence intergroup emotions toward this group. The discussion highlights the important, but negative, role of media in intergroup processes.     

Protection Motivation Theory as an Explanatory Framework for Proenvironmental Behavioral Intentions

Environmental issues have become important topics in the 21st century. Communication practitioners and scholars struggle with effectively communicating the threat of climate change and other changes to the natural world, partially due to the lack of concern by the general public. We present Protection Motivation Theory as a framework for explaining proenvironmental behavioral intentions among a college sample. Participants (N = 607) responded to an online survey, and the results indicate support for the proposed model, with severity (H1), vulnerability (H2), response efficacy (H3), and self-efficacy (H4) positively predicting proenvironmental behavioral intentions and response costs (H5) negatively predicting intentions. Implications for practitioners and scholars are discussed, and areas of future exploration in this domain are identified.     

Information Seeking and Workplace Safety: A Field Application of the Risk Perception Attitude Framework

Communication theory is ideally suited to advance systematic forms of knowledge about workplace safety. The focus of this research is to examine workplace safety using health communication theory and research. A field study using a random sample of production workers (n=645) in a manufacturing organization was conducted, to investigate individuals’ risk perception and efficacy beliefs and to validate the predictions of the risk perception attitude framework. Results were consistent with the theory, as risk and efficacy jointly predicted safety behavior, behavioral intentions, and safety information-seeking intentions. Given a particular level of risk, those with greater efficacy beliefs displayed more positive safety outcomes than those with lower efficacy beliefs. The responsive group (high risk, high efficacy) reported safer outcomes than the avoidant group (high risk, low efficacy) and the proactive group (low risk, high efficacy) reported safer outcomes than the indifferent group (low risk, low efficacy). This theoretical frame provides practical directions as to what shapes the safety behaviors and communication patterns of workers in dangerous jobs and offers insights for safety information-seeking and workplace safety.     

Australian occupational therapists' use of an online evidence-based practice database (OTseeker)

INTRODUCTION: Online databases can support the implementation of evidence-based practice by providing easy access to research. OTseeker (http://www.otseeker.com), an electronic evidence database, was introduced in 2003 to assist occupational therapists to locate and interpret research. OBJECTIVES: This study explored Australian occupational therapists' use and perceptions of OTseeker and its impact on their knowledge and practice. METHODS: A postal survey questionnaire was distributed to two samples: (i) a proportionate random sample of 400 occupational therapists from all states and territories of Australia, and (ii) a random sample of occupational therapists working in 95 facilities in two Australian states (Queensland and New South Wales). RESULTS: The questionnaire was completed by 213 participants. While most participants (85.9%) had heard of OTseeker, only 103 (56.6%) had accessed it, with lack of time being the main reason for non-use. Of the 103 participants who had accessed OTseeker, 68.9% had done so infrequently, 63.1% agreed that it had increased their knowledge and 13.6% had changed their practice after accessing information on OTseeker. CONCLUSION: Despite OTseeker being developed to provide occupational therapists with easy access to research, lack of time was the main reason why over half of the participants in this study had not accessed it. This exploratory research suggests, however, that there is potential for the database to influence occupational therapists' knowledge and practice about treatment efficacy through access to the research literature.     

The influence of fear appeals,message design,and masculinity on men's motivation to perform the testicular self‐exam

Despite the significant threat men face for contracting testicular cancer, most men remain completely unaware of this risk. Moreover, men are not regularly performing the testicular self‐exam (TSE) in order to detect this form of cancer in their bodies. The current study attempted to assess whether fear appeals targeted at men will motivate them to begin regular performance of the TSE. Additionally, the influence of message design and masculinity was also tested. Results indicate messages that follow the direction of Witte's (1992, 1994) Extended Parallel Process Model and promote both high threat and high efficacy are successful in increasing men's intentions to perform the TSE. Implications of these findings are discussed.     

Perceptions of the Media and the Public and their Effects on Political Participation in Colombia

This study investigates whether perceptions of the media and the public are related to political participation in Colombia. Communication researchers have built a large body of literature on hostile media perceptions and the projection effect, respectively. This study links these perceptual effects with each other and with political participation. Analyzing survey data from a representative sample of Colombian adults in urban areas, we show a direct relationship between hostile media perceptions and participation but no direct relationship between projection and participation. Hostile media perceptions and projection are negatively related. Results suggest that perceived media bias attenuates projection but increases political engagement.     

The cocial construction of mobile telephony: an application of the social influence model to perceptions and uses of mobile phones within personal communication networks

The purpose of this study was to test the argument that perceptions and uses of mobile phones are socially constructed in close personal networks. The study hypothesized that, through collective sense making, perceptions and uses of mobile phones would be more similar within 45 personal communication networks than for the entire sample of 194 individuals. Findings from a self-report survey reveal that several factors were significantly more similar within the networks than for individuals throughout the sample, including perceptions of the handset as a means of display, use for safety and security, attitudes about use in public, microcoordination, hypercoordination, and comfort with technology. Interviews were conducted to explore how perceptions and uses were shaped through relationships and interactions situated in social context. The interview data illuminate how social interaction contributed to perceptions and uses in four key areas: mobile phone adoption, attitudes about products and services, perceptions of non-normative use, and collective use. Results of the study serve as evidence supporting the argument that perceptions and uses of communication technologies are, at least in part, constructed socially among close personal contacts. This study demonstrates why it is important for researchers to consider social contacts and social contexts when examining the implications of communication technologies.     

Predictors and Consequences of Conversations About Health Promoting Media Messages

Female college students (N=104) in friendship dyads were exposed to radio advertisements promoting the HPV vaccine—narrative or advocacy in format—after which they completed a questionnaire. Half the dyads were instructed to engage in a conversation about the advertisement prior to completing the questionnaire. Analyses showed that interpersonal discussion was related to normative perceptions, attitudes and intentions regarding the vaccine, but only under certain conditions. Conversation partner, conversation valence and positive opinion sharing were related to those outcomes. In a follow-up questionnaire, participants who discussed the ad in the days after exposure reported more positive intention change. Participants with stronger emotional reactions to the ads were more likely to discuss them during this period.     

Communication Practices of Professional Service Providers: Predicting Customer Satisfaction and Loyalty

This study examined customers' perceptions of personalized service communication performance in relation to their expectations as predictors of their satisfaction and loyalty intentions in four professional service contexts. Survey data were obtained from 253 customers regarding their expectations and experiences with physicians, dentists, auto mechanics, or hairdressers. Multisample covariance structure analysis procedures were performed to assess the level of support for alternative theoretical models across all four professional contexts. Results provided support for one model, specifying that customers' perceptions of communication performance accounted for significant variation in customer satisfaction, which, in turn, predicted customers' loyal behavioral intentions. Customers' expectations did not play an influential role in predicting customer satisfaction and loyalty, as proposed in an alternative model     

Rural Farmers' Exposure to Radio Messages about Sun Protection: Implications for Skin Cancer Prevention

Radio affords the means to reach large audiences with reinforcing messages about health. To date, research-has seldom considered the effects of radio messages on rural or farming populations' health practices. The present study evaluated the impact of exposure to radio messages about sun protection on farmers' (N = 172) perceived knowledge about sun protection, perceptions regarding their families' expectations for farmers to practice sun protection, and farmers' sense of self-efficacy when it comes to practicing sun protection. Farmers' own efforts to promote sun protection, to purchase products to support their own sun protection, and their actual sun protection behaviors were also considered with regard to exposure to radio messages about sun protection. Findings revealed that farmers who recalled having heard a message about sun protection during the previous 12 months were more likely to perceive themselves as knowledgeable about sun protection, to perceive their families as expecting them to practice sun protection, and to believe that sun protection is a relatively easy thing to do. Farmers exposed to radio messages about sun protection were also more likely to promote sun protection to others and to purchase products to support their own sun protection practices. These results suggest that radio is a channel with great potential for achieving health promotion aims among rural farming populations.     

Communication Practices of Professional Service Providers: Predicting Customer Satisfaction and Loyalty

This study examined customers' perceptions of personalized service communication performance in relation to their expectations as predictors of their satisfaction and loyalty intentions in four professional service contexts. Survey data were obtained from 253 customers regarding their expectations and experiences with physicians, dentists, auto mechanics, or hairdressers. Multisample covariance structure analysis procedures were performed to assess the level of support for alternative theoretical models across all four professional contexts. Results provided support for one model, specifying that customers' perceptions of communication performance accounted for significant variation in customer satisfaction, which, in turn, predicted customers' loyal behavioral intentions. Customers' expectations did not play an influential role in predicting customer satisfaction and loyalty, as proposed in an alternative model     

Effects of threatening visuals and announcer differences on responses to televised alcohol warnings

This study examined threatening background visuals and voice-over differences in televised alcohol warnings. Participants ( N v = v 401) viewed four television adwarning pairs embedded in sports programming. Between-subjects conditions included a threatening visual behind the warning, a non-threatening visual, a plain background, and a no-warning control. Use of a male or female announcer, each using a relatively warm or imperative voice quality, were manipulated within-subject factors. Outcomes included knowledge, cognitive responses regarding warning content and presentation, and perceptions of the risk of the product (beer) shown in the ad. All warnings increased post-test knowledge of alcohol risks relative to control; the largest increase resulted when warnings were accompanied by the threatening visual. Threatening visuals also increased positive thought elaborations about the warning message content and presentation. However, the threatening visuals did not reliably impact perceived risk of beer use, suggesting that threatening visuals influenced responses and knowledge by increasing attention to the warning rather than by increasing perceived threat. These findings are consistent with the EPPM's proposed initial threat appraisal mechanism (Witte, 1992), and further suggest that threatening visuals serve as a heuristic cue motivating increased processing of message content (see Eagly & Chaiken, 1993), rather than an influence via a peripheral route as suggested by the ELM (Petty & Cacioppo, 1986). Interactions between drinking level and announcer gender and vocal quality variables were also found, but contributed only trivially to explained variance.     

Familial Risk Cues in Direct-to-Consumer Prescription Drug Advertisements: Impacts on Intentions to Adopt Healthy Lifestyles and Pharmaceutical Choices

This study assessed the effects of cues of family history as a risk factor in direct-to-consumer advertisements. An experiment with a sample of 395 adults found significant impacts of familial risk cues on self-efficacy and behavioral intentions. Specifically, familial risk cues strengthened both intention to engage in healthy lifestyles and intention to seek advertised medications, partly through enhanced efficacy. Effects on perceived genetic risk for health conditions or belief in genetic determinism were not found. The findings suggest that familial risk cues incorporated in pharmaceutical appeals can enhance behavioral intentions in response to risk, without increasing a sense of fatalism. Theoretical and practical implications of the study are discussed.     

Antecedents of Consumer Repatronage Intentions and Negative Word-of-Mouth Behaviors Following an Organizational Failure: A Test of Investment Model Predictions

The purpose of this study was to examine the antecedents of consumers’ repatronage intentions and negative word-of-mouth behaviors following organizational failures. Participants were 233 people who had actually complained to organizations. Using Rusbult's investment model of relational stability, consumers’ perceptions of their investments, alternatives, satisfaction, and commitment were measured with respect to their impact on customers’ intent to do business with organizations in the future and willingness to spread negative publicity about an organization following a business failure. Results indicated that a modified version of the investment model helped to predict significant variance in consumers’ repatronage intentions and negative word-of-mouth behaviors.     

Use of the PDQ system in a clinical setting

This pilot study examined the use of PDQ (Physician Data Query)--a user-friendly, full-text, cancer database--as a clinical information resource on an oncology unit. The twenty-nine participants included faculty, hematology-oncology fellows, residents, interns, medical students, pharmacists, and nursing staff. During the one-month study, PDQ was available twenty-four hours a day at the nursing station via a microcomputer. Participants were trained to use PDQ and allowed to search the database as prompted by clinical situations. The project evaluated the use of PDQ, as well as clinicians' perceptions of its usefulness. Results indicate that access to PDQ on an oncology unit provides an excellent educational and clinical resource. Fifty-one percent of the participants used PDQ an average of 2.4 times each. Heaviest users were medical trainees (78%), although 39% of nurses became users. Over half of the PDQ users reported that use of the database affected clinical care.