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how is fear appeal used in public health messaging

(2015) calculated an average weighted effect size comparing groups exposed to moderate fear versus those exposed to high depicted fear. Although this approach suggests that patient anxieties may be reduced through the presentation of efficacy-related information, which is consistent with fear-appeal messaging, there are large gaps in this area of research that would benefit from additional attention. Thus anxiety is typically a more diffuse emotional experience with a less clearly defined action tendency or behavioral target than fear. APA 2023 registration is now open! The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). That is because threat perceptions are necessary to elicit fear but efficacy perceptions are necessary to promote protection motivation. It is to this literature we now turn. and transmitted securely. Fear, information and control during a pandemic. Yet, there is a growing body of literature on the social sharing of emotions that indicates that people have an instinctive need to disclose to others when they experience emotionally charged events, which has been widely documented across cultures, gender, and age groups (Rim, 2009). You could not be signed in, please check and try again. This is because present-oriented goals are more important than future-oriented, protection-related goals when one perceives her timeline to be limited. Differing motives in a particular situation shapes reactions and perceptions of the experience. The social scientific study of fear in persuasive messages traces back to Carl Hovlands research program in the 1950s, which incorporated the persuasive influence of fear among other questions of attitude change and message design. Bethesda, MD 20894, Web Policies Fear appeal is a psychological, sociological, and marketing term. The use of fear in public health campaigns has been controversial for decades. For example, the core relational theme of fear is imminent threat. Moreover, Richard Lazaruss discussion of fear in his 1991 book Emotion and Adaptation offers a useful overview of the emotion from the perspective of cognitive appraisal theory and social psychology more generally. Effects of general and corona-specific stressors on mental burden during the SARS-CoV-2 pandemic in Germany. American Psychological Association. While these types of messages are commonly used in political, public health and commercial advertising campaigns (e.g., smoking will kill you, Candidate A will destroy the economy), their use is controversial as academics continue to debate their effectiveness. Copy this link, or click below to email it to a friend. Arne hmans chapter on fear and anxiety in the third edition of the Handbook of Emotions provides a helpful overview of the biological and psychological underpinnings of the study of fear and its influence on cognition and behavior. Mongeaus (1998) meta-analysis examined the influence of fear appeals on perceived fear, attitudes, and behaviors. The physical experience of fear is generated by an extensive network of fear-related neural structures in the brain, particularly the amygdala (Lang, Davis, & hman, 2000; hman, 2008). Although the lions share of research on the persuasive influence of fear focuses on persuasive advertisements, other media messages may be considered as possible conduits of influence via fear arousal. This theoretical perspective also argues that older individuals have better memory for positive information than for negative information, suggesting that the threat component of fear appeals may not be as memorable as the efficacy component for this particular audience. Int J Environ Res Public Health. SSM Popul Health. More important, said Albarracin, there was no evidence in the meta-analysis that fear appeals backfired to produce a worse outcome relative to a control group. It's frequently used in public health campaigns such as anti-smoking, anti-drunk driving, and hypertension awareness campaigns. Combining aspects of cognitive-response theories of persuasion with the appraisal-based perspectives on emotion, the CFM focuses on the role of three concepts: motivated attention, motivated processing, and message expectations. Such curvilinear patterns likely result from minimal fear in response to the beginning of a message, stronger fear when an individual sees the threat component of the message, and resolving fear after seeing the efficacy component. By the 1990s, Kim Wittes extended parallel process model (EPPM) gained traction, and her 1992 piece in the journal Communication Monographs that first proposes the model is a good place to start understanding this perspective. His 1971 theoretical article published in the American Journal of Public Health includes a discussion of previous works dating back to Darwin alongside a discussion of promising ways to persuade people to adopt preventative health behaviors. Based on the literature and existing theory spanning from children to the elderly, we suggest that though fear-based messages may be useful to address health issues across the lifespan, there are unique challenges to consider for each age group. Disclaimer. At the other end of the age spectrum, there is reason to believe that the elderly may also have unique reactions to fear-evoking messages compared to younger people. An overview of the scholarly work on the emotion of fear, fear appeal theories, and fear as a variable that impacts post-message attitudes and behaviors can provide insights as to what is currently known, as well as what remains to be learned about how fear can be incorporated into persuasive messages and to what effect. Although fear may predispose audiences to engage in defensive motivations, it also prompts consideration of efficacy potential. Longitudinal work on fear appeal exposure and responses, as well as research on the influence of more prevalent use of fear appeals versus other message strategies, could help confirm or dismiss these possibilities. eCollection 2022. In an early test of this model, Janis and Feshbach (1953) examined the connection between fear arousal and the persuasiveness of dental-hygiene messages. Under this model, any behavior that effectively alleviates fear will then become automatically associated with relief from the aversive state, and that behavior will become a habitual response to threatening stimuli. Although these meta-analyses seem to converge on a small but significant relationship between fear and persuasion-related outcomes, the mechanisms of fear appeal effects are still not entirely clear. Visit one of the web links below and review the health promotion message. It presents a risk, presents the vulnerability to the risk, and then may, or may not suggest a form of protective action. messages are often used in political, public health, and advertising campaigns in the hopes of reducing risky attitudes, intentions, or behaviors, their use is often a polarizing issue. Another individual difference that may influence reactions to fear appeals is monitoring versus blunting responses to information (S. M. Miller, 1987). This is a critical because if audiences stop paying attention to a fear appeal after the presentation of the threat, they may miss out on the efficacy information that is critical to a fear-based messages success. Fear appeals motivate attitude, intention, and behaviour changesespecially fear appeals accompanied by high-efficacy messages. Thus, it may be that blunters may respond better to shorter, more direct fear appeals whereas monitors may be more willing to engage with longer or more detailed fear-inducing messages. Jakovljevic M, Jakovljevic I, Bjedov S, Mustac F. Psychiatr Danub. Discover the world's . As a universally relatable experience, fear is frequently incorporated into the design of messages related to health and risk that aim to motivate people to change their behaviors. Such research would, in turn, help determine what message structures would be best suited for which age groups and within what health contexts. Exerting effort may be preferred to doing nothing at all. A student interested in the historical roots of fear appeal theorizing could start with seminal pieces from Carl Hovlands Yale research group, including the 1953 book by Hovland, Janis, and Kelly titled Communication and Persuasion: Psychological Studies of Opinion Change, as well as later journal articles reporting empirical data related to fear appeals. In essence, different types of audiences with different predispositions are likely to respond differently to fear appeals. The link was not copied. Preparing for your first therapy session beforehand can help manage anxiety. Symbols such as dying people, coffins, gravestones or skulls may be used. As such, fear is an emotion that frequently attracts the attention of scholars and message designers who hope to persuade audiences to change their behavior in light of potential threats to well-being and public safety. The site is secure. As the drive model lost favor, researchers began exploring alternative explanations for why stronger fear appeal messages could lead to greater adaptive responses, while still accounting for the evidence that sometimes, fear appeals lead to maladaptive responses. As the United States faces out-of-control spikes from Covid-19, with people refusing to take recommended, often even mandated, precautions, our public health announcements from governments,. a mask. To aid health professionals in redirecting away from the use of fear appeals, we offer a phased approach to creating health communication messages during the COVID-19 crisis. This paper provides an insight into the use of fear appeals to communicate a public health message. In place of focusing solely on the persuasive effects of fear, theorizing since the 1990s has shifted to understanding the role of other emotionswhether evoked by messages designed to produce fear or designed to simply be emotionalon persuasive outcomes. This deeper processing in the face of uncertainty occurs, according to the CFM, because the audience member is trying to find some piece of information that might satisfy the fear-induced goal of protection. In an initial test of the model, the predictions that fear promotes less careful message processing relative to anger and uncertainty of message reassurance results in more careful processing that certainty of reassurance were supported. This research suggests that exposure to health news storiesfear-generating ones in particularcan influence audience health behaviors, but that the traditional fear appeal structure does not always translate to the news context. Thus, despite the sustained attention that fear-based messages have received in the past, many questions still remain for future research to address. Effects are most apparent in women and for one-time behaviors, says study. One emotion that often affects attitudes and behavior is fear. Before Given personality traits influence perceptions of events, and given emotions are based on such perceptions, personality traits could influence whether or not a fear appeal is likely to evoke fear, to what degree, and toward what end. From children and adolescents to young adults, middle-aged individuals, and finally the elderly, using diverse samples with wide age ranges or investing in long-term cohort and longitudinal studies may help reveal potential differences in fear-arousal and fear appeal effects across developmental stage. Fear. Some individuals, known as monitors, tend to experience more anxiety and prefer more, rather than less, information about health threats; whereas blunters instead avoid information related to threats. WASHINGTON Fear-based appeals appear to be effective at influencing attitudes and behaviors, especially among women, according to a comprehensive review of over 50 years of research on the topic, published by the American Psychological Association. In a similar analysis, messages that included severity (d = .23) or susceptibility (d = .43) or both (d = .39) had stronger effects on outcomes than messages that did not include these threat components (d = .12). However, some evidence suggests a more nuanced picture. However, fear appeals should not be seen as a panacea because the effect is still small. Still, meta-analyses across a range of fear- appeal studies have helped clarify the direction and magnitude of fears influence on persuasive outcomes and associated cognitions. Ultimately, only 2.5% of stories included all four components associated with fear appeals. As such, each theory or model does not always present a direct response to its immediate predecessor. So, if an audience member appraises a message as representing an imminent threat to her own well-being, she will likely experience fear. In his parallel process model (PPM), Leventhal argues that one of two responses to a fear appeal is likely. However, far more research is needed to confirm this finding and to explore other ways in which monitoring and blunting, and indeed other individual differences, suggest implications for fear-based messaging. With strong evolutionary roots, fear serves important functions, including alerting people to present threats and motivating action to avoid future threats. Tidsskr Nor Laegeforen. The following study examines social facilitation of eating cues in anti-obesity fear appeals to determine . How Blame and Shame Can Fuel Depression in Rape Victims, Getting More Hugs Is Linked to Fewer Symptoms of Depression, Interacting With Outgroup Members Reduces Prejudice, Practice Improves the Potential for Future Plasticity, How Financial Infidelity Can Affect Your Gray Divorce. Although as yet untested, the emotional flow perspective is unique in highlighting that emotional states like fear can be fleeting and rapidly evolve into other states, and this sequencing could be useful in persuasive message design. Multiple studies have supported the predictive power of the emotions-as-frames perspective, demonstrating not only that different emotion frames lead to different ways of viewing problems and preferred solutions but also that emotion is an important mediator of that process (e.g., Khne & Schemer, 2015). Federal government websites often end in .gov or .mil. Psychology Today 2023 Sussex Publishers, LLC. This type of message is conveyed to frighten and arouse people into action by emphasising the serious outcome from not taking action. For example, Myrick and Oliver (2015) found that feeling fearful after watching a YouTube public-service announcement about skin cancer was a positive predictor of intentions to share the video with others. Although little attention has been given to how specific personality traits impact reactions to fear appeals, there are good reasons to believe that they matter and should be looked at more carefully in the future. Additionally, social media provide opportunities not only for social sharing but also for information requests from others, which in turn could improve health outcomes. If fear appeal messages are defined or identified based primarily on their ability to elicit fear, message design elements and message response become conflated, which interferes with gaining insight into the message components responsible for generating the desired fear response (OKeefe, 2003). WASHINGTON Fear-based appeals appear to be effective at influencing attitudes and behaviors, especially among women, according to a comprehensive review of over 50 years of research on the topic, published by the American Psychological Association. He says there are three ways to look at the local elections. Still, there is no data indicating that audiences will be worse off from receiving fear appeals in any condition.. Answer: Fear appeal is simply a message (most commonly found in advertising) which is intended to bring fear to its audience; They either encourage or discourage their audience from participating in a specific behavior. Key elements: statement with values and philosophy related to the problem, description of target population to be served, specific services/intervention to be used and why, statement of desired public image Goal -Long-term direction for the program, overall intent or desired outcomes, written in general terms (no specifics) Hovland, Janis, and Kelly noted that habituated behaviors can be adaptive in that they target the threat itself and aim to reduce or eliminate it. A fear appeal, then, can be defined as a message that intends to evoke fear in audiences by demonstrating the existence of a threat and then detailing ways to avoid that threat (Witte, 1994). Witte and Allen (2000), in their meta-analysis, did not find a significant relationship between trait anxiety and post-message attitudes, intentions, or behaviors. fear appeal. With a smaller set of studies (between 17 and 33), the authors also analyzed the relationship between fear appeal manipulations in the message content and cognitions. Fear-based advertising is a specific type of social marketing that employs scare tactics or other anxiety-producing mechanisms to highlight the dangers of engaging (or not engaging) in a certain practice, like smoking or drunken driving. At a methodological level, many studies of fear appeals fail to measure the emotion of fear itself as an outcome, instead analyzing only threat and efficacy cognitions. For example, in a study of fear appeals about condom use and AIDS prevention, Witte and Morrison (2000) found that whereas trait anxiety was not related to threat perceptions, efficacy perceptions, or behavior, participants low in trait anxiety reported greater defensive avoidance than did those high in trait anxiety. It's the meaning we attach to them and the way we act on behalf of them. More research examining the influence of fear-based health news storieswith particular focus on the structure of such news stories and audience expectations, or schema, about the type of content in different types of messagesis necessary. Many studies on the effectiveness of fear appeals have been conducted. 2023 Jan 21;21:101343. doi: 10.1016/j.ssmph.2023.101343. Substance cues are used in these types of prevention messages in order to gain and keep attention (Clayton et al., 2017a) and potentially inhibit message rejection when a fear appeal is present (Bailey et al., 2018; Sarge and Gong, 2019). Article: Appealing to Fear: A Meta-Analysis of Fear Appeal Effectiveness and Theories, by Melanie Tannenbaum, PhD, Kristina Wilson, PhD, and Dolores Abarracin, PhD, University of Illinois at Urbana-Champaign; Justin Hepler, PhD, University of Nevada, Reno; Rick Zimmerman, PhD, University of Missouri, St. Louis; and Lindsey Saul, PhD, and Samantha Jacobs, MPH, Virginia Commonwealth University, Psychological Bulletin, published online Oct. 23, 2015. As this study suggests, more nuanced methodological approaches are needed to better understand how individuals experience fear appeals over the course of message exposure. However, the participants in this high-fear condition were actually less likely than those who saw milder images about tooth decay to improve their brushing and flossing habits in a post-test one week after exposure to the initial fear appeal. Fifteen years later, Tannenbaum, Hepler, Zimmerman, Saul, Jacobs, Wilson et al. Next, these cognitive perceptions form a feedback loop with fear, as well as interact with each other to either predict protection motivation (which then predicts message acceptance) or defensive motivation (which then predicts message rejection). In their experiment, participants who saw the most graphic and frightening images of tooth decay and poor oral hygiene rated the material as the most worrisome and interesting compared to those in other conditions who saw less disturbing images or just heard a lecture about cavities. Psychiatry for Better World: COVID-19 and Blame Games People Play from Public and Global Metal Health Perspective. However, cautionary tales, which tell the stories of people who ignore the dangers of a forbidden act and suffer as a result, have frequently been used to encourage compliant behavior in children (P. J. Miller & Moore, 1989). The discussion establishes that fear appeal-based public health messages (i.e. Coping information There are multiple explanations for this need to share, including the need to verbalize experiences to help make sense of them, to help validate the self or confirm that people are still themselves despite this event, and to allow groups to develop collective social knowledge of emotional experiences. A campaign with gruesome photos of a person dying of lung cancer to combat smoking might make people think twice . Fear produces a significant though small amount of change across the board. I believe that most current approaches to anxiety fall short because they are predicated on the medical model, which views anxiety as an illness. This journal article, as well as other journal articles, can be found in scholarly databases available via most university libraries. If the threat appraisals are more dominant than the efficacy appraisals, individuals will seek to diminish their aroused fear through maladaptive behaviors, such as denigrating the message source or rationalizing their unhealthy behaviors. Some recent studies have examined the structure of health news in ways that speak to the link between emotional arousal, most notably fear, and persuasive outcomes. Many of us are reluctant to change our perceptions or habits, even though we know we would be happier and healthier. How to Stop Your Mind When It Spins Out of Control. Understanding Brain Circuits of Fear, Stress, and Anxiety, A message addressing the harmfulness of driving while drunk may have no effect on those who do not drive or drink, Breast cancer messages are typically directed toward women who have a larger personal risk of bodily harm than men (although men may be impacted by their concern for female loved ones), Public service announcements on the lethal dangers of young people going to college without having received a meningitis vaccination, Billboards indicating the harmfulness of sexually transmitted diseases and promoting safe, Videos of terrible accidents due to texting while driving. (2015, October 22). The contributors demonstrate the necessity of basing message design decisions on appropriate theories of human behavior and communication effectiveness by synthesizing and integrating knowledge and insights from theory and research in communication and health behavior change. Fear appeals are messages that try to persuade people about the potential harm that may happen to them if they do not accept the messages' recommendations (Tannenbaum et al., 2015). The use of fear appeals to discourage adolescents from engaging in risky health behaviors, such as smoking and drug use, is well-documented and unsurprising, given that adolescents are often assumed to perceive themselves as less vulnerable to risk. To aid health professionals in redirecting away from the use of fear appeals, we offer a phased approach to creating health communication messages during the COVID-19 crisis. The meta-analysis did not, however, directly address interactions between the threat and efficacy elements. A review of the gender differences in fear and anxiety, A cognitive-functional model for the effects of discrete negative emotions on information processing, attitude change, and recall, Emotional flow in persuasive health messages, The role of a narratives emotional flow in promoting persuasive outcomes, Unrealistic hope and unnecessary fear: Exploring how sensationalistic news stories influence health behavior motivation, A protection motivation theory of fear appeals and attitude change, Appealing to fear: A meta-analysis of fear appeal effectiveness and theories, Matching health messages to monitor-blunter coping styles to motivate screening mammography, Putting the fear back into fear appeals: The extended parallel process model, A meta-analysis of fear appeals: Implications for effective public health campaigns, Examining the influence of trait anxiety/repressionsensitization on individuals reactions to fear appeals, A conceptualization of threat communications and protective health behavior, Risk-perception: Differences between adolescents and adults, The impact of vulnerability to and severity of a health risk on processing and acceptance of fear-arousing communications: A meta-analysis, Pathways to persuasion: Cognitive and experiential responses to health-promoting mass media messages, Effects of false positive and negative arousal feedback on persuasion, Threat, efficacy, and uncertainty in the first 5 months of national print and electronic news coverage of the H1N1 virus, The emotional effects of news frames on information processing and opinion formation, Fear and anxiety: Animal models and human cognitive psychophysiology, Threat appeals and persuasion: Seeking and finding the elusive curvilinear effect, Effects of threatening and reassuring components of fear appeals on physiological and verbal measures of emotion and attitudes, Narrative conjunctions of caregiver and child: A comparative perspective on socialization through stories, Monitoring and blunting: Validation of a questionnaire to assess styles of information seeking under threat, Laughing and crying: Mixed emotions, compassion, and the effectiveness of a YouTube PSA about skin cancer, Message properties, mediating states, and manipulation checks: Claims, evidence, and data analysis in experimental persuasive message effects research, The extended parallel process model: Illuminating the gaps in research, Emotion elicits the social sharing of emotion: Theory and empirical review, Fear control and danger control: A test of the extended parallel process model (EPPM), Message-Induced Self-Efficacy and its Role in Health Behavior Change, Worry and Rumination as a Consideration When Designing Health and Risk Messages, Lifespan and Developmental Considerations in Health and Risk Message Design, Using Pictures in Health and Risk Messages, Immersive Virtual Environments, Avatars, and Agents for Health, Spiral of Silence in Health and Risk Messaging, Physiological Measures of Wellness and Message Processing, Embarrassment and Health and Risk Messaging, Simultaneous and Successive Emotion Experiences and Health and Risk Messaging. Fear appeals that recommend one-time behaviors are more effective than appeals that recommend repeated behaviors. doi: 10.4045/tidsskr.20.0346. Hope this helps A fear appeal, in health promotion, is when health promoters, trying to inspire change in behavior from high risk to lowered risk, place emphasis of a health message on the use of gruesome fear content or try to arouse fear responses in the audience (Witte, 1992). Generally, the findings reveal that fear appeals do work; however, more specific results were also discovered (Tannenbaum et al, 2015). Fear-appeal research has focused almost exclusively on mediated messages. If a person focuses on managing the threat they perceive in the environment, Leventhal argues that danger-control processes are engaged to manage the threat. However, this assumes news stories are processed as fear appeals, which is as yet an open question. However, there is mixed evidence as to trait anxietys impact on fear appeal effects. Accessibility More recently, scholars have adopted a more nuanced approach, noting that messages that include both threat components and efficacy components, and thus are well-categorized as fear appeals, can evoke other emotions in addition to fear and that these other emotions have unique influence on persuasive outcomes. This may be because, unlike with public service announcements, audiences do not expect news stories to highlight a significant problem and then offer a clear and effective solution. Care, however, should be taken not to stigmatize or exhibit bias regarding the audience; doing so could possibly backfire. In discussions of fear appeals and fear appeal effects, it is important to draw the distinction between a message componentsomething inherent to the messagethat may result in a fear response, and the experience of fear itself by the message receiver. PMC official website and that any information you provide is encrypted A review of the literature on more general gender differences in fear may also help explain potential gender differences in responses to fear appeals. Would you like email updates of new search results?

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how is fear appeal used in public health messaging