“…Since then, researchers have utilized this method with a variety of populations including adolescents with cognitive challenges, students, low-literacy populations, and general adults (see a review by Bessell et al). Researchers have used this method in diverse cultural settings such as Australia, the Philippines, the United States, and so forth (Akeret, 2001;Bessell et al). Recently, the photolanguage process has been used as a tool for programmatic evaluations (Bessell et al;White, Sasser, Bogren, & Morgan, 2009) Although black-and-white images are mostly used in clinical psychology and program evaluations, color images are widely used in marketing (Hofstede, Hoof, Walenberg, & Jong, 2007) and health communication research (Houts, Doak, Doak, & Loscalzo, 2006).…”