Target audience ratings of the likely impact of persuasive messages, known as perceived message effectiveness (PME), are commonly used during message development and selection. PME is also used to examine receptivity of messages after they are fully developed or deployed. Despite this, we know little about the conceptual and methodological characteristics of extant PME measures used in the literature. We conducted a systematic review of tobacco education video, print, and audio campaign studies to examine conceptual and methodological characteristics of PME measures. One hundred twenty-six PME measures from 75 studies conducted in 21 countries with more than 61,000 participants were reviewed. Results indicated considerable variability in measures’ focus on general perceptions of a message (i.e., message perceptions) versus perceptions of expected message effects (i.e., effects perceptions). Considerable variability was also found on underlying persuasive constructs, use of referents, and referencing of behavior in PME items and measures. We conclude with several recommendations for future research on PME measurement and validation.

Target audience ratings of the likely impact of persuasive messages, known as perceived message effectiveness (PME), are commonly used in health communication campaigns. However, applications of PME rely on a critical assumption -i.e., that PME is a valid indicator of the likely effectiveness of messages. To examine the evidence supporting this assumption, we conducted a systematic review and meta-analysis of longitudinal studies in the tobacco education campaigns literature. Six longitudinal studies examining the predictive validity of PME met inclusion criteria. Results indicated that PME ratings were significantly associated with the majority of outcomes studied. In fact, each of the 6 studies found PME to be associated with at least one outcome, and across the 6 studies, PME was associated with message recall, conversations about ads, beliefs about smoking and quitting smoking, quit intentions, and cessation behavior. Meta-analyses demonstrated that PME predicted quit intentions (r=.256, p<.001) and cessation behavior (r=.201, p<.001), revealing effects that were small-to-medium in magnitude. Our results suggest that PME provides some predictive value as to the likely effectiveness of messages, although additional work using different validation designs, with other health behaviors, and among other populations is needed.

Parents of children with type 1 diabetes (T1D) face uncertainty about the illness. This uncertainty can have negative health consequences for parents and their children. However, little is known about the types of uncertainty associated with T1D diagnosis and subsequent treatment and how this uncertainty is managed. Using uncertainty management theory (UMT) as a framework and 29 in-depth interviews with parents of children with T1D, this study found that parents experienced medical, social, and financial forms of uncertainty. Most parents viewed uncertainty negatively and sought to reduce it by seeking information, joining support groups, and turning to technology. However, some parents preferred uncertainty to the certainty of knowing their child had T1D and, at least initially, chose to maintain uncertainty about the disease by avoiding information. This study also provides practical outcomes that health-care providers can use to help parents of children with T1D reduce and manage uncertainty.

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Before COVID-19, digital divide research among college students was scarce, reinforcing the idea that technology access was nearly universal, with few demographic differences. Pandemic-era research found some technical challenges, but most studies were conducted nationally or at research-intensive (R1) universities, indicating a paucity in research among underrepresented populations, notably Hispanic-Serving Institutions (HSI). This mixed-methods study aimed to assess digital inequities and pandemic-related technological challenges at an HSI, with high percentages of low-income and first-generation students. This study also sought to determine if findings were consistent with national and R1 research. We surveyed a representative sample of 2188 undergraduates and conducted semi-structured interviews with 26 students. Results showed many students had inadequate technology. Just 79% had the optimal combination of smartphone plus laptop or desktop, with first-generation, low-income, Black, and older students significantly less likely to have this combination and often having to share devices within their households. Internet quality significantly affected all coursework-related challenges, as almost half of students with unstable internet reported trouble completing assignments compared to 20% with stable internet. Finally, results suggest the digital divide may be more prevalent at HSIs than previously studied institutions, while also offering insight into how these challenges affect similar universities.