The Comparative Efficacy of a Hybrid Guilt-Fear Appeal and a Traditional Fear Appeal to Influence HPV Vaccination Intentions

Carcioppolo, Nick; Liu, Cong; Chudnovskaya, Elena V.; Kharsa, Rebecca; Stephan, Tyler; Nickel, Kelly

doi:10.1177/0093650215616457

Cited by 20 publications

(4 citation statements)

References 43 publications

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“…Numerous experimental studies have been conducted to improve HPV vaccination-related outcomes among eligible populations. 5 -13 Additionally, several systematic reviews of the HPV vaccination literature have been published. 14 -18 Despite these studies, 2 prominent research gaps remain.…”

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confidence: 99%

The Impact of Theory in HPV Vaccination Promotion Research: A Systematic Review and Meta-Analysis

et al. 2021

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Objective: Numerous studies examined HPV vaccination promotional strategies. However, an overview of theory use, a synthesis of strategies’ effectiveness and an examination of the moderating influence of theory are absent. Data Source: We retrieved studies from Academic Search Complete, Business Source Complete, PubMed, PsycINFO, Web of Science, CMMC, CINAHL, and MEDLINE. Study Inclusion and Exclusion Criteria: 1) peer-reviewed articles written in English, 2) experimental or quasi-experimental, 3) measure HPV vaccination-related outcomes, 4) had to contain a control condition and report statistics necessary for conversion (for meta-analysis only). Data Extraction: 70 and 30 studies were included for the systematic review and meta-analysis respectively. Data Synthesis: Four major categories were coded: study information, theory use, type of theory, and outcomes. Two independent coders coded the sample (Cohen’s Kappa ranged from .8 to 1). Results: Most of the studies were based in the U.S. (77%, k = 54) with convenient samples (80%, k = 56), targeted toward females (46%, k = 32), and around a quarter did not employ any theories (47%, k = 33). Among theory-driven studies, the most commonly used were Framing (22%, k = 19), Health Belief Model (HBM; 13%, k = 12), and Narrative (7%, k = 6). Among controlled studies, promotional strategies were significantly more effective compared to the control (r+ = .25, p < .001). Strategies guided by the information, motivation, behavioral skills model (IMB) were more effective (r+ = .75, p < .001) than studies guided by framing theory (r+ = −.23, p < .001), HBM (r+ = .01, p < .001), and other theories (r+ = .11, p < .001). Conclusion: This review contributes to HPV vaccination promotion literature by offering a comprehensive overview of promotional strategies and practical suggestions for future research and practices.

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confidence: 99%

The Impact of Theory in HPV Vaccination Promotion Research: A Systematic Review and Meta-Analysis

et al. 2021

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“…For example, controlling language in promotional health messages increased the perceptions of anger (Miller et al, 2007), and messages overtly discouraging smoking among young adults can backfire and increase the likelihood of engaging with smoking behaviors (Grandpre et al, 2003). Additionally, health-related communications appealing to guilt have been shown to increase feelings of anger (Coulter & Pinto, 1995), reduce HPV vaccination intentions (Carcioppolo et al, 2017), and increase the likelihood of message rejection (Graton & Mailliez, 2019). Such negative behavioral outcomes or rejection of messages may be attributed to psychological reactance, which is a motivated state serving to restore perceived threats to personal freedom (Brehm, 1966).…”

Section: Known Predictors Of Flu Vaccination Uptakementioning

confidence: 99%

The moderating effect of autonomy on promotional health messages encouraging healthcare professionals’ to get the influenza vaccine.

Moon¹,

Riege²,

Gourdon-Kanhukamwe³

et al. 2021

Journal of Experimental Psychology: Applied

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Rates of flu vaccination among healthcare professionals often remain lower than recommended guidelines. We tested whether autonomy-supportive communication styles could improve the effectiveness of statements seeking to promote professionals' flu vaccination uptake. A pilot study established that statements presented in an autonomysupportive communication style (i.e., upholding freedom of choice) posed a significantly lower threat to freedom compared to equivalent statements presented in a controlling communication style (i.e., thwarting choice by implying obligation). The main experiment examined the impact of these two communication styles on healthcare professionals' behavioural intentions to vaccinate against the flu. Results replicated the dampening effect of autonomy-supportive communication style on perceived threat to freedom. Crucially, only autonomy-supportive communication styles led to a significant increase of behavioural intentions to vaccinate. Furthermore, this effect was moderated by motivational regulations (measured by the TSRQ-flu scale): it was strongest for those who tended to see flu vaccination as unimportant and unconnected with their internal values (low autonomous regulation), those who tended not to see vaccination as an act that would give them pride or reduce guilt (low introjection) or who tended to be unwilling to act to get vaccinated (high amotivation). Implications for future policy or institution-led communication campaigns are discussed.

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“…For example, Agrawal and Duhachek's (2010) emotion scales were consisted of three guilt items (guilt-ridden, culpable, and remorseful) and three shame items (embarrassed, ashamed, and humiliated). Carcioppolo et al (2017) and Chang (2014) measured guilt by asking participants to rate the degree of feeling "guilty," "repentant," and "remorseful". Newman and Trump (2017) used three items to measure anticipatory guilt (guilt ridden, blameworthy, and remorseful).…”

Section: Conflict Of Interestmentioning

confidence: 99%

The impact of guilt and shame in charity advertising: The role of self‐construal

2021

Journal of Philanthropy and Marketing

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Following the cognitive functional model in persuasive communication and the selfconstrual theory, this two-study design project examines the impact of guilt and shame in charity advertising. Study 1 was a survey that investigated the extent to which anticipatory guilt and shame operate in affecting people's purchase intention relating to a product with social causes. Study 2 was an experiment that examined the impact of guilt versus shame appeals in processing charity advertising messages.The role of self-construal was examined in both studies. Results indicated that both the anticipatory guilt and ad-induced guilt were positively connected with behavioral intentions. People with higher interdependent self-construal were more prone to charitable behaviors. The anticipatory shame was positively connected with behavioral intention, whereas the ad-induced shame was not. In addition, self-construal negatively moderated the effect of shame, such that the impact of anticipatory shame and shame arousal on behavioral intentions were more pronounced among people with higher independent self-construal.

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The Comparative Efficacy of a Hybrid Guilt-Fear Appeal and a Traditional Fear Appeal to Influence HPV Vaccination Intentions

Cited by 20 publications

References 43 publications

The Impact of Theory in HPV Vaccination Promotion Research: A Systematic Review and Meta-Analysis

The Impact of Theory in HPV Vaccination Promotion Research: A Systematic Review and Meta-Analysis

The moderating effect of autonomy on promotional health messages encouraging healthcare professionals’ to get the influenza vaccine.

The impact of guilt and shame in charity advertising: The role of self‐construal

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