Evidence map›Paper›PMID 41411193›Full record

Trial reportHealth education research2025

The role of sympathy in motivating behaviour change: a discrete emotions approach to examining responses to cancer warning labels for alcohol.

Zexin Ma, Xihui Wang, Rong Ma

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health education research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Zexin MaDepartment of Communication, University of Connecticut, 337 Mansfield Rd, Unit 1259, Storrs, CT 06269, United States.ORCID 0000-0002-6203-2740
Xihui WangDepartment of Communication, University of Connecticut, 337 Mansfield Rd, Unit 1259, Storrs, CT 06269, United States.
Rong MaDepartment of Media and Communication, Xi'an Jiaotong-Liverpool University, 111 Ren'ai Road, Suzhou Industrial Park, Suzhou, Jiangsu 215000, China.ORCID 0000-0001-8941-6966

Funding

Communicating Cancer Risk of Alcohol: Impact of Narrative Pictorial Warning LabelsR03CA273391 · NCI · UNIVERSITY OF CONNECTICUT STORRS · PI MA, ZEXIN · 2022 to 2023
$160k
National Cancer Institute of the National Institutes of Health 7R03CA273391-02NCI NIH HHS R03 CA273391
6 · The paper itself

Abstract

This study investigated how fear, disgust, anger, and sympathy relate to the effectiveness of pictorial warning labels (PWLs) designed to communicate alcohol-related cancer risks. We recruited two samples: (1) an online panel of moderate and heavy drinkers (aged 21-84), and (2) college student drinkers (aged 18-28). Participants were randomly assigned to view either three narrative PWLs depicting lived experiences or three non-narrative PWLs showing diseased organs. Across both samples, narrative PWLs elicited lower levels of anger and disgust and higher levels of sympathy than non-narrative PWLs. Narrative PWLs also generated less fear than non-narrative PWLs among the online panel participants, but not among college student drinkers. Moreover, in the online panel sample, narrative PWLs decreased intentions to reduce and stop drinking due to lower fear, but simultaneously increased intentions to reduce drinking due to a decrease in anger and an increase in sympathy. Among college students, narrative PWLs promoted intentions to reduce and stop drinking only through greater sympathy. These findings highlight sympathy as a key emotional pathway for promoting behavioural change. In designing cancer warning labels for alcohol, communicators should consider avoiding appeals that provoke disgust or anger and instead use narrative approaches to evoke sympathetic responses in consumers.

Indexed as

Alcohol DrinkingEmotionsEmpathyMotivationNeoplasmsProduct LabelingAdolescentAdultAgedAged, 80 and overAngerFearFemaleHumansIntentionMale

Identifiers

PMID41411193
PMCPMC13284766

What OpenQuestion holds

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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.