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The purpose of this paper is to explore and compare haze-related content between traditional and social media in China by applying agenda-setting theory and the extended parallel process model (EPPM). Specifically, this paper examines the correlation between the two forms of media in terms of the ranking of the attributes of haze (i.e. the EPPM components) and the interrelationships among the attributes.

Content analysis and semantic network analysis were employed to address the research aims.

The results revealed that more than half of the total messages on both types of media reflected the EPPM components, either threat or efficacy information. However, the imbalance between the threat and efficacy information was more prominent in the haze-related content presented in the People’s Daily than it was on Weibo. In addition, the results from a Spearman’s rank-order correlation and a quadratic assignment procedure (QAP) indicated that there was no significant correlation between the People’s Daily and Weibo in terms of the rankings of the attributes of haze (i.e. the EPPM components) or the interrelationships among the attributes.

This study is the first to apply a theoretical approach to examine and compare the nature of haze-related messages on traditional and social media.

The purpose of this study was to examine consumers' dining behaviors and explore their decision-making process when dining out during the COVID-19 pandemic.

Based on the extended parallel process model (EPPM) and the related literature, a conceptual model was developed and tested. This study conducted an online survey with 351 responses. In addition, a series of statistical analyses, including descriptive analyses and path analyses, were conducted to analyze the associations among key constructs in the proposed model.

The findings of this study confirmed the pragmatic utility of applying EPPM in a hospitality management context. The findings of this study also outline the different nature between the participants' enactment of self-protective measures and dining out activities. Lastly, while consumers are hesitant about dining out, the results showed that consumers' dining behaviors are directly related to their personality trait of sensation-seeking.

This study was delimited to a cross-sectional design and self-reported data. Such information may provide insights into individuals' decision-making and behaviors related to dining in a COVID-19 context. In addition, this study only includes US samples, while future studies can extend this study by including samples from different countries and cultural backgrounds.

This study adopts an interdisciplinary approach, which derives from tourism and hospitality management and public health. As a result, the findings of this study not only identify the major influencers affecting consumers' dining behavior but also help contextualize a public health model and contribute to the tourism and hospitality management literature.

A planet that can no longer sustain life is a frightening thought – and one that is often present in mass media messages. Therefore, this study aims to test the components of a classic fear appeal theory, the extended parallel process model (EPPM) and to determine how well its constructs predict sustainability behavioral intentions. This study also strove to uncover students’ motivations and attitudes that are not present in the EPPM.

An online survey of 779 college students was conducted.

Results reveal that both threat and efficacy are significant predictors of behavioral intention, consistent with the EPPM. However, an analysis of open-ended comments reveals that subjective normative influence and incentives also play a key role in students performing future sustainable behaviors.

These findings provide a framework to educators and message designers of sustainability groups on college campuses highlighting the importance of including multiple constructs in their messages to students. Threatening messages will not be enough to increase behavioral intentions. Fear inducing messages must be combined with messages to increase self- and response efficacy. Education is also not the only piece of the puzzle. Students state difficulty in performing some sustainable behaviors as a key barrier, indicating a need to incorporate infrastructure changes at campuses to facilitate greater ease among students to act sustainably.

This study tests the EPPM’s utility in helping to find the most effective ways to influence college students’ future behavioral intentions toward acting sustainably.

Purpose: The public health burden caused by tobacco is heavy among first-generation Chinese immigrant men whose home country has significantly higher smoking rates than the United States. The current study is part of a larger effort to pilot an mHealth tobacco cessation intervention using MMS (graphic) mobile phone technologies to target East Asian immigrant populations. Grounded in the Extended Parallel Process Model (EPPM), our specific aims were to determine what message themes, level of graphic intensity, and types of efficacy information are most appropriate and useful for mHealth interventions targeting this population.

Methodology/Approach: A qualitative study utilizing a series of focus groups (k = 5) was conducted with male adult smokers who were born in China and currently reside in the United States. The primary aim of the focus groups was to solicit reactions to a series of preliminary messages developed by the research team. A secondary aim was to gauge receptivity to the use of MMS as a vehicle for smoking cessation intervention. Participants (n = 32) were recruited from local Chinese communities in a large Mid-Atlantic metropolitan area.

Findings: Opinions about different message strategies were mixed. However, participants tended to rate messages more positively when they focused on the impact of smoking on family and loved ones, particularly children. Messages with fear-arousing images were also perceived to be effective at low frequency of exposure, but there were concerns that they may backfire at high exposure. Awareness of and interest in Quitline were low, and concrete quitting tips were perceived as more effective. Participants reported a preference for receiving messages a few times a week, and an MMS message platform was generally preferred to WeChat (a Chinese social media platform).

Implications: Our results suggest that graphic MMS messaging holds promise as an effective intervention method for this population and that EPPM is an appropriate framework to develop, test, and analyze mHealth intervention messages. While messages that focused primarily on impact on children, health, and specific quitting tips were generally found to be more effective, a mix of different types of messages that address a wide range of issues may be most appropriate for this population.

Originality/Value: This study is the first to explore the utility of graphic text messaging as an intervention method to promote smoking cessation among male Chinese immigrants. Findings from the study provide important insights for future intervention work targeting this underserved population.

Advertisements often use fear appeals to encourage prevention focused behaviors. This approach has been somewhat successful in changing attitudes and behaviors, often encouraging consumers to secede from behaviors such as smoking or to adopt preventative behaviors such as engaging in health screenings. However, health-care marketers have been less successful in efforts to reduce obesity. The obesity crisis has led to an abundance of marketing communications designed to influence weight loss. Many of these focus on fear of physical health risks associated with being overweight which have a certain degree of uncertainty surrounding them. This study aims to examine financial threats that have lower perceptions of uncertainty, and the differential impact this type of threat has on elements of the Extended Parallel Process Model (EPPM).

A 2 × 2 experimental design is used to examine the differential impact of messages communicating threat of financial and physical risk on evoked fear, perceived uncertainty, perceived susceptibility, efficacy and intention to lose weight.

Overall results indicate that response to weight loss advertising varies given the type of threat presented. Results indicate that there is a greater level of uncertainty associated with physical health threats than that with financial threats. Moreover, even though individuals were more fearful of and felt more susceptible to physical threats, when they believed that the recommended behavior was feasible, financial threat was more influential.

To encourage weight loss and intentions to lose weight advertising in practice and advertising research primarily focus on the physical health risks associated with being overweight as a motivating factor. Current research explores the impact of financial threats on attitudes and behavioral intention and finds that financial threats are perceived as more certain than physical threats, and the communication of financial threats is more salient in its effect on weight loss intentions. An opportunity for future research is to further explore the impact of uncertainty in relation to components of EPPM and how threats varying in degrees of uncertainty may impact weight loss intentions.

The purpose of this paper is to appraise the possible response outcomes (no response, fear control or danger control) of a fear-based message on falling behind current medical knowledge among health-care professionals (HCPs).

This study was conducted using a quantitative research design. A cross-sectional survey was carried out in 2,873 health-care facilities across 36 districts of Punjab. The Extended Parallel Process Model (EPPM) provided a theoretical framework for this study. The important components to EPPM such as threat, efficacy and outcomes were used to collect the data. The collected data was analyzed using Statistical Package for Social Sciences (SPSS) version 22.

HCPs perceived high susceptibility and threat of falling behind current medical knowledge. A majority of the HCPs were at the danger control process and engaged in a behavior that is recommended for adaptive behavioral changes. Clinical experience and enrollment in post-graduation programs (e.g. FCPS, MCPS) were significant factors as to HCPs’ perceived response efficacy.

The responses were obtained using a structured questionnaire, which is always subject to respondents’ personal biases and ability to understand the question’s statement.

This study has important implications in terms of introducing promotional, educational and logistical interventions that could help in HCPs overcoming the fear of falling behind current medical knowledge and develop productive and adoptive information behavior thus improving patient care and outcome.

This is the first large-scale empirical study in Pakistan that measured the level of threat and efficacy among HCPs using the EPPM. It proposes a framework for developing long-lasting adaptive information behavioral changes that may result in informed patient care and better decision-making.

The purpose of this paper is to analyze message features of fear appeals in current British road safety campaigns directed against mobile phone use while driving and to discuss barriers to explicit theory use in campaign message design.

This message-centred research takes a qualitative content analytical approach to analyze nine British web-based road safety campaigns directed against mobile phone use while driving based on the extended parallel process model. Message content and message structure are analyzed.

There still exists a gap between theory and road safety campaign practice. The study reveals that campaigns with fear appeals primarily use threatening messages but neglect efficacy-based contents. Severity messages emerge as the dominant content type while self-efficacy and response efficacy are hardly represented. Fear appeal content in the threat component was mainly communicated through the mention of legal, financial and physical harm, whereas efficacy messages communicated success stories and encouragement. As regards message structure, the threat component always preceded the efficacy component. Within each component, different patterns emerged.

To enhance efficacy in campaigns directed against distracted driving and to reduce the gap between theory and practice, social marketers should include messages that empower recipients to abstain from mobile phone use while driving. Campaigns should show recommended behaviours and highlight their usefulness and effectiveness.

This paper adds to limited research conducted on effect-independent message properties of fear appeals. It enhances understanding of fear appeal message features across the structure and content dimension. By discussing barriers to explicit theory use in social marketing practice and offering practical implications for social marketers, it contributes towards reducing the barriers to explicit theory use in campaign message design.

The purpose of this paper is to report research testing scales developed from a combination of vested interest (VI) theory and the extended parallel process model of fear appeals. The scales were created to measure variables specified by an expanded model of VI: certainty, salience, immediacy, self-efficacy, response-efficacy, and susceptibility.

A survey was designed with subscales for each element and combined with additional disaster and risk perception variables. Survey data were collected from two populations in the US state of Oklahoma. Results from scale development and regression analyses are reported.

Results show that the scales are robust and flexible to contextual modification. The scales return good to excellent reliabilities, providing evidence that the variables articulated by VI theory predict perceived salience and perceived preparedness.

This study adds to the research pointing to the efficacy of VI theory in providing insight into the perceptual barriers to preparedness. These results demonstrate that perceived vestedness can be a valuable tool in crafting messages to inform audiences of risks and motivate them to prepare.

These results can facilitate the creation of more effective hazard and risk messages. Related research shows households that are prepared for natural and manmade hazards enjoy higher rates of survivability and lower levels of consequences.

This paper presents new results concerning perceived vestedness and the utility of the scales. The research should be of value to practitioners and policymakers concerned with motivating public audiences to prepare for natural and manmade hazards.

Graphic health warnings (GHWs) on tobacco product packaging constitute one component within a multifaceted set of tobacco control measures. This study aims to understand whether consumers’ attention to GHWs will be associated with recall and quit intentions, using Australia as the case for this study.

Using the 14 GHWs currently in market as visual stimuli, non-probability intercept sampling was conducted, eye tracking and post-survey datasets were collected from a total of 419 respondents across three Australian cities.

Results show the front graphic image areas draw initial attention and the Quitline message area holds the longest attention duration. Attention is highly correlated with better quality of recall of health warning information, emotive responses, believability ratings among smokers and smokers’ perception of health risks and quit intentions. Associations are also noted with perceived health risk and quitting intentions.

To the best of the authors’ knowledge, this is the first study that has objectively tested the effectiveness of in-market tobacco GHWs in Australia and highlights eye tracking as a valid measurement approach that can enhance and drive new insights to evaluate consumer behaviour towards visual stimuli. This study extends new knowledge around the physiological relationships between viewing behaviours, health vulnerability perceptions and intentions to quit smoking, which has theoretical implications for the extended parallel process model which underpins this research.

Guilt appeals are increasingly being used in road safety campaigns, despite recent research that has raised doubts about their effectiveness and the potential for triggering defensive responses. Building on the extended parallel process model, this study aims to add to this growing body of research by evaluating whether combining a hope message with guilt appeals can solve this problem.

An online experiment with a 2 (Appeal type: Guilt vs Guilt+hope) × 2 (Language intensity: Low vs High) between-subjects design was conducted. A total of 399 participants recruited from Amazon’s Mechanical Turk were randomized to view one of the four advertisements discouraging texting while driving (TWD). Their affective responses, perceptions about the advertisements and intentions to not TWD were measured.

The results showed that compared to guilt-only appeals, guilt+hope appeals directly reduced defensive responses (i.e. perceived manipulative intent and anger) across varying levels of language intensity. In addition, guilt+hope appeals mitigated the negative impacts of manipulative intent on intended emotions and intentions to not TWD.

Findings of this study mark the first to support the idea that communicating hope within guilt appeals is a promising social marketing strategy to discourage TWD.