Evidence map›Paper›PMID 40354156›Full record

ArticleHealth education research2025

Narratives or not? Examining the roles of message format and individuals' stages of change in the context of HPV vaccination promotion.

Mengfei Guan, Shawn C Chiang, Regan M Murray, Wen-Juo Lo, Larry T Hill, Ann C Klassen, Jennifer A Manganello, Amy E Leader, Philip M Massey

Abstract read
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In one paragraph

Article in Health education research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Mengfei GuanDepartment of Communication, University of Oklahoma, Burton Hall, 610 Elm Avenue, Norman, OK 73019, USA.ORCID 0000-0002-4062-1069
Shawn C ChiangDepartment of Health Behavior, School of Public Health, Texas A&M University, 212 Adriance Lab Rd, College Station, TX 77843, USA.
Regan M MurrayDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Hampton House, 624 N. Broadway, Baltimore, MD 21205, USA.
Wen-Juo LoDepartment of Counseling, Leadership, and Research Methods, University of Arkansas, 100 Graduate Education Building, Fayetteville, AR 72701, USA.
Larry T HillCollege of Medicine Northwest, University of Arkansas for Medical Sciences, 1125 N College Ave, Fayetteville, AR 72701, USA.
Ann C KlassenDepartment of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Nesbitt Hall, 3215 Market St, Philadelphia, PA 19104, USA.
Jennifer A ManganelloDepartment of Health Policy, Management and Behavior, College of Integrated Health Sciences, University at Albany, State University of New York (SUNY), 1 University Place, Rensselaer, NY 12144, USA.
Amy E LeaderDivision of Population Science, Department of Medical Oncology, Thomas Jefferson University, 834 Chestnut Street, Philadelphia, PA 19107, USA.
Philip M MasseyDepartment of Community Health Sciences, UCLA Fielding School of Public Health, 650 Charles E. Young Dr. South, Los Angeles, CA 90095, USA.

Funding

Hashtag HPV: Engaging parents through social media to increase HPV vaccinationR01CA229324 · NCI · UNIVERSITY OF ARKANSAS AT FAYETTEVILLE · PI LO, WEN-JUO · 2019 to 2022
$1.9M
National Cancer Institute at the National Institutes of Health R01CA229324NCI NIH HHS R01 CA229324
6 · The paper itself

Abstract

Narrative persuasion has been widely used in health communication campaigns and persuasive message design. However, several meta-analyses showed that the relative effectiveness of narratives in promoting behavior change was not consistently observed in the existing literature. With the goal of exploring boundary conditions of narrative effects, this study investigates the interaction effects of narrative persuasion and stages of change on promoting behavior change in the context of encouraging parents to vaccinate their children against human papillomavirus (HPV). Findings from an online experiment (N = 593) showed that non-narrative messages were more effective in bolstering behavioral intention than narrative messages among people who were not ready to engage in behavior change (i.e. in the precontemplation stage). In addition, among people who were thinking about changing their behavior (i.e. in the contemplation stage) or motivated to take action (i.e. in the preparation stage), both narratives and non-narratives were effective in increasing behavioral intention. This study contributes important theoretical insights to the role of narratives in health communication. Public health professionals may consider tailoring message design strategies to audience characteristics to enhance message effectiveness.

Indexed as

Health CommunicationHealth PromotionNarrationPapillomavirus InfectionsPapillomavirus VaccinesPersuasive CommunicationAdolescentAdultChildFemaleHumansIntentionMaleMiddle AgedParentsYoung AdultPapillomavirus Vaccines

Identifiers

PMID40354156
PMCPMC12068053

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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.