Abstract:This article offers a theoretical analysis of the role of empathy as a key mediator of the suasive effects of health messages, and it discusses the testing of an empirical tool for studying the state of empathy in responses to persuasive messages. It is argued that felt empathy evokes cognitive and emotional processing conducive to important health-promoting responses. This assertion was tested by operationalizing empathy as a response state via a new measure, the Empathy Response Scale (ERS). Two pilot tests … Show more
“…Identification with characters in narratives may also increase perceived susceptibility to cancer and empathy for those with cancer. Campbell and Babrow found that empathy mediates the relationship between exposure to HIV prevention messages and perceptions of HIV risk (95), and Shelton and Rogers showed, in a nonhealth-related study, that empathy-arousing appeals can facilitate attitude change (96). Finally, perceived similarity to narrative characters may influence one's perception of social norms regarding cancer-related behaviors.…”
Section: Other Moderating Factors That May Enhance or Diminish Narratmentioning
Narrative forms of communication-including entertainment education, journalism, literature, testimonials, and storytelling-are emerging as important tools for cancer prevention and control. To stimulate critical thinking about the role of narrative in cancer communication and promote a more focused and systematic program of research to understand its effects, we propose a typology of narrative application in cancer control. We assert that narrative has four distinctive capabilities: overcoming resistance, facilitating information processing, providing surrogate social connections, and addressing emotional and existential issues. We further assert that different capabilities are applicable to different outcomes across the cancer control continuum (e.g., prevention, detection, diagnosis, treatment, survivorship). This article describes the empirical evidence and theoretical rationale supporting propositions in the typology, identifies variables likely to moderate narrative effects, raises ethical
“…Identification with characters in narratives may also increase perceived susceptibility to cancer and empathy for those with cancer. Campbell and Babrow found that empathy mediates the relationship between exposure to HIV prevention messages and perceptions of HIV risk (95), and Shelton and Rogers showed, in a nonhealth-related study, that empathy-arousing appeals can facilitate attitude change (96). Finally, perceived similarity to narrative characters may influence one's perception of social norms regarding cancer-related behaviors.…”
Section: Other Moderating Factors That May Enhance or Diminish Narratmentioning
Narrative forms of communication-including entertainment education, journalism, literature, testimonials, and storytelling-are emerging as important tools for cancer prevention and control. To stimulate critical thinking about the role of narrative in cancer communication and promote a more focused and systematic program of research to understand its effects, we propose a typology of narrative application in cancer control. We assert that narrative has four distinctive capabilities: overcoming resistance, facilitating information processing, providing surrogate social connections, and addressing emotional and existential issues. We further assert that different capabilities are applicable to different outcomes across the cancer control continuum (e.g., prevention, detection, diagnosis, treatment, survivorship). This article describes the empirical evidence and theoretical rationale supporting propositions in the typology, identifies variables likely to moderate narrative effects, raises ethical
“…The word empathy is derived from empatheia in Greek -meaning "feeling into" (Campbell & Babrow, 2004) and is described as the ability to experience vicariously the feelings of others (M. Hoffman, 1977), or sharing the subjective experience of others (Campbell & Babrow). Empathy is not considered an emotion and is not on Plutchik's wheel of emotions (Plutchik, 2001), which includes joy, trust, fear, surprise, sadness, disgust, anger and anticipation, as well as their opposites.…”
“…This high degree of cognitive engagement (i.e., "high involvement" processing) would theoretically sustain counterpersuasion efforts (e.g., friends and family's negative reactions) and would result in temporal persistence and predicted behavioral outcomes (e.g., influenza immunization). 28,29 Yet, strong affective evaluations of information may also occur with emotional responses invoked especially due to the incongruence such action poses to strongly held vaccine beliefs (i.e., cognitive dissonance) among racial and ethnic minorities. 26 Given the challenges associated with improving maternal immunization coverage among this vulnerable population, this study sought to test 2 forms of targeted persuasive messaging models in comparison to generic influenza Vaccine Information Statements (VIS) developed by the CDC.…”
Objective: We sought to examine the effectiveness of persuasive communication interventions on influenza vaccination uptake among black/African American pregnant women in Atlanta, Georgia. Methods: We recruited black/African American pregnant women ages 18 to 50 y from Atlanta, GA to participate in a prospective, randomized controlled trial of influenza immunization messaging conducted from January to April 2013. Eligible participants were randomized to 3 study arms. We conducted followup questionnaires on influenza immunization at 30-days post-partum with all groups. Chi-square and t tests evaluated group differences, and outcome intention-to-treat assessment utilized log-binomial regression models. Results: Of the 106 enrolled, 95 women completed the study (90% retention), of which 31 were randomly assigned to affective messaging intervention ("Pregnant Pause" video), 30 to cognitive messaging intervention ("Vaccines for a Healthy Pregnancy" video), and 34 to a comparison condition (receipt of the Influenza Vaccine Information Statement). The three groups were balanced on baseline demographic characteristics and reported health behaviors. At baseline, most women (63%, n D 60) reported no receipt of seasonal influenza immunization during the previous 5 y. They expressed a low likelihood (2.1 § 2.8 on 0-10 scale) of obtaining influenza immunization during their current pregnancy. At 30-days postpartum follow-up, influenza immunization was low among all participants (7-13%) demonstrating no effect after a single exposure to either affective messaging (RR D 1.10; 95% CI: 0.30-4.01) or cognitive messaging interventions (RR D 0.57; 95% CI: 0.11-2.88). Women cited various reasons for not obtaining maternal influenza immunizations. These included concern about vaccine harm (47%, n D 40), low perceived influenza infection risk (31%, n D 26), and a history of immunization nonreceipt (24%, n D 20). Conclusion: The findings reflect the limitations associated with a single exposure to varying maternal influenza immunization message approaches on vaccine behavior. For this population, repeated influenza immunization exposures may be warranted with alterations in message format, content, and relevance for coverage improvement.
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