Evidence map›Paper›PMID 23171445›Full record

SynthesisBMC public health2012

Reactions to threatening health messages.

Gill A Ten Hoor, Gjalt-Jorn Y Peters, Janice Kalagi, Lianne de Groot, Karlijne Grootjans, Alexander Huschens, Constanze Köhninger, Lizan Kölgen, Isabelle Pelssers, Toby Schütt and 3 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Gill A Ten HoorDept of Work & Social Psychology, Faculty of Psychology & Neuroscience, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands. Gill.tenHoor@maastrichtuniversity.nl
Gjalt-Jorn Y Peters
Janice Kalagi
Lianne de Groot
Karlijne Grootjans
Alexander Huschens
Constanze Köhninger
Lizan Kölgen
Isabelle Pelssers
Toby Schütt
Sophia Thomas
Robert A C Ruiter
Gerjo Kok

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThreatening health messages that focus on severity are popular, but frequently have no effect or even a counterproductive effect on behavior change. This paradox (i.e. wide application despite low effectiveness) may be partly explained by the intuitive appeal of threatening communication: it may be hard to predict the defensive reactions occurring in response to fear appeals. We examine this hypothesis by using two studies by Brown and colleagues, which provide evidence that threatening health messages in the form of distressing imagery in anti-smoking and anti-alcohol campaigns cause defensive reactions.

methodsWe simulated both Brown et al. experiments, asking participants to estimate the reactions of the original study subjects to the threatening health information (n = 93). Afterwards, we presented the actual original study outcomes. One week later, we assessed whether this knowledge of the actual study outcomes helped participants to more successfully estimate the effectiveness of the threatening health information (n = 72).

resultsResults showed that participants were initially convinced of the effectiveness of threatening health messages and were unable to anticipate the defensive reactions that in fact occurred. Furthermore, these estimates did not improve after participants had been explained the dynamics of threatening communication as well as what the effects of the threatening communication had been in reality.

conclusionsThese findings are consistent with the hypothesis that the effectiveness of threatening health messages is intuitively appealing. What is more, providing empirical evidence against the use of threatening health messages has very little effect on this intuitive appeal.

Indexed as

Attitude to HealthFearSmoking PreventionAdolescentAdultAlcohol DrinkingFemaleHealth CommunicationHumansMaleProgram EvaluationSmokingYoung Adult

Identifiers

PMID23171445
PMCPMC3575362

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.