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Framing Depression 框架抑郁
Pub Date : 2022-10-17 DOI: 10.47368/ejhc.2022.305
A. Wiedicke, D. Reifegerste, Linn Julia Temmann, S. Scherr
Responsibility framing research on health issues typically investigates the attribution of responsibility for causes and treatment options to either the individual or society. However, social epidemiological perspectives also stress the relevance of an individual’s social network and underline that the three levels of responsibility (individual, social network, and society) interact. Given that media portrayals can affect public perceptions, attitudes, responsibility attributions, and emotions, we examined causal and treatment responsibility attributions on these three levels in the media coverage of depression. Our quantitative content analysis of major German print and online news media from 2011 to 2020 (N = 755) shows that responsibility is not only assigned to the individual and societal level, but both to the social network and to interactions between the three levels. Our findings additionally stress that key events may influence the portrayal of responsibility in media coverage, but resulting changes are only short-term.
关于健康问题的责任框架研究通常调查原因和治疗选择的责任归属给个人或社会。然而,社会流行病学观点也强调个人社会网络的相关性,并强调三个层面的责任(个人、社会网络和社会)是相互作用的。鉴于媒体描述可以影响公众的认知、态度、责任归因和情绪,我们在媒体报道抑郁症的这三个层面上考察了因果责任归因和治疗责任归因。我们对2011年至2020年德国主要印刷和在线新闻媒体的定量内容分析(N = 755)表明,责任不仅分配给个人和社会层面,还分配给社会网络以及这三个层面之间的互动。我们的研究结果还强调,关键事件可能会影响媒体报道中对责任的描述,但由此产生的变化只是短期的。
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引用次数: 3
Digital Motherhood 数字母亲
Pub Date : 2022-09-27 DOI: 10.47368/ejhc.2022.304
Nariman Sawalha, V. Karnowski
Smartphone apps for self-tracking breastfeeding emerged as a popular tool among new mothers. Yet, we know little about how mothers use these apps and, most importantly, how self-tracking breastfeeding relates to maternal well-being. After surveying a sample of German mothers engaging with breastfeeding trackers (n = 234; recruited via an online access panel), we identified three types of self-tracking usage: (1) straightforward basic trackers, (2) meticulous data collectors, and (3) advisory-oriented self-trackers. These usage types differ regarding the data they register, the algorithmic feedback they retrieve, and their conversational levels about parameters tracked. Our findings suggest that overall maternal well-being – in terms of confidence, stress, and self-worth – remains largely unaffected by different self-tracking usage. However, when considering only the mothers’ confidence concerning breastfeeding, breastfeeding self-efficacy is lower among those most engaged in tracking and higher among those least engaged with it. Implications of these findings are discussed in terms of whether breastfeeding trackers enhance or undermine mothers’ confidence in their breastfeeding abilities relative to the intensity of their self-tracking use. Thus, future research may include longitudinal designs to validate these findings and derive effective app-supported smartphone interventions for breastfeeding mothers.
用于自我跟踪母乳喂养的智能手机应用程序成为新妈妈们的热门工具。然而,我们对母亲如何使用这些应用程序知之甚少,最重要的是,我们对自我跟踪母乳喂养与母亲健康的关系知之甚少。在调查了使用母乳喂养追踪器的德国母亲样本后(n = 234;通过在线访问面板招募),我们确定了三种类型的自我跟踪使用:(1)简单的基本跟踪器,(2)细致的数据收集器,(3)以咨询为导向的自我跟踪器。这些使用类型在它们注册的数据、它们检索的算法反馈以及它们关于所跟踪参数的会话级别方面有所不同。我们的研究结果表明,在信心、压力和自我价值方面,产妇的整体幸福感在很大程度上不受不同的自我跟踪使用方式的影响。然而,当只考虑母亲对母乳喂养的信心时,母乳喂养自我效能感在参与跟踪最多的母亲中较低,在参与跟踪最少的母亲中较高。这些发现的意义是讨论母乳喂养追踪器是否增强或破坏母亲对其母乳喂养能力的信心,相对于他们使用自我追踪的强度。因此,未来的研究可能包括纵向设计来验证这些发现,并为母乳喂养的母亲提供有效的应用支持的智能手机干预措施。
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引用次数: 5
Deprived, Radical, Alternatively Informed 被剥夺,激进,或者被告知
Pub Date : 2022-09-22 DOI: 10.47368/ejhc.2022.205
Marc Ziegele, Maike Resing, Katharina Frehmann, N. Jackob, Ilka Jakobs, Oliver Quiring, Christian Schemer, Tanjev Schultz, Christina Viehmann
The Covid-19 pandemic was accompanied by a massive increase of the supply and demand for pandemic-related information. Similarly, conspiracy theories about the origins and functions of the Covid-19 virus flourished during the early stages of the pandemic. The present study draws on a nationally representative sample of the German population aged 18+ (N = 1,207) to investigate factors that are associated with people’s susceptibility to believe in such theories. We draw on research from sociology, political science, and communication to predict that factors related to relative deprivation, political radicalism, and the consumption of alternative news on websites, video platforms, Social Network Sites, and messenger services are associated with an increased belief in Covid-19 conspiracy theories. The data largely supports our assumptions. Additionally, we show that the strength of belief in Covid-19 conspiracy theories is associated with reduced vaccination intentions, which suggests detrimental real-world health consequences of such a belief.
新冠肺炎大流行伴随着大流行相关信息的供需大幅增加。同样,关于Covid-19病毒起源和功能的阴谋论在大流行的早期阶段蓬勃发展。目前的研究采用了德国18岁以上人口的全国代表性样本(N = 1207)来调查与人们相信这些理论的易感性相关的因素。我们利用社会学、政治学和传播学的研究来预测,与相对剥夺、政治激进主义以及在网站、视频平台、社交网站和信使服务上消费另类新闻相关的因素与对Covid-19阴谋论的信任度增加有关。数据在很大程度上支持了我们的假设。此外,我们表明,对Covid-19阴谋论的信念强度与疫苗接种意图的减少有关,这表明这种信念对现实世界的健康有害。
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引用次数: 2
Debunking Misinformation and Communicating Critical Events in Vaccine Trials 揭穿疫苗试验中的错误信息并传达关键事件
Pub Date : 2022-09-22 DOI: 10.47368/ejhc.2022.204
Paula Memenga, S. Eitze, P. Shamsrizi, M. Addo, C. Betsch
Misinformation and media reports about critical events in vaccine trials challenge public confidence in Covid-19 vaccine safety. Three online experiments using 2×2 between-subjects designs examined the impact of vaccine type, misinformation debunking, and critical events during vaccine trials. In Experiment 1, N = 984 participants received information about different vaccines and misinformation was debunked. In Experiment 2, N = 1,018 participants were informed about different vaccines and trial discontinuation. In Experiment 3, N = 1,006 participants received information about discontinuation and questionable research practices of a manufacturer. The main dependent variables were confidence in vaccine safety, vaccination intention, and willingness to participate in a vaccine trial. Debunking increased vaccination intention and confidence (both η2p = .01) which was partly higher for classical than for new vaccines (η2p  = .01). Information about discontinuation had no effect, but having heard about it before had benefits. Information about questionable research practices decreased confidence ( η2p = .01) and vaccination intention ( η2p = .02) regarding the target vaccine but did not affect other vaccines. Confidence (β = .47) was most strongly associated with willingness to participate in vaccine trials. Critical events in vaccine trials should be communicated transparently to increase confidence, trial participation, and vaccination intentions.
关于疫苗试验关键事件的错误信息和媒体报道挑战了公众对Covid-19疫苗安全性的信心。三个使用2×2受试者间设计的在线实验检查了疫苗类型、错误信息的揭穿和疫苗试验期间的关键事件的影响。在实验1中,N = 984名参与者收到了关于不同疫苗的信息,并揭穿了错误信息。在实验2中,N = 1,018名参与者被告知不同的疫苗和试验中止。在实验3中,N = 1,006名参与者收到了关于制造商停产和可疑研究实践的信息。主要的因变量是对疫苗安全性的信心、接种意愿和参与疫苗试验的意愿。揭穿真相增加了疫苗接种意愿和信心(两者的η2p = 0.01),其中经典疫苗的接种意愿和信心部分高于新疫苗(η2p = 0.01)。关于停药的信息没有影响,但之前听说过会有好处。关于可疑研究实践的信息降低了对目标疫苗的信心(η2p = 0.01)和接种意图(η2p = 0.02),但对其他疫苗没有影响。信心(β = 0.47)与参与疫苗试验的意愿密切相关。疫苗试验中的关键事件应透明地进行沟通,以增加信心、试验参与和疫苗接种意愿。
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引用次数: 1
Mis- and Disinformation About Covid-19 关于Covid-19的错误和虚假信息
Pub Date : 2022-09-22 DOI: 10.47368/ejhc.2022.200
S. Kessler, Philipp Schmid
Misinformation and disinformation pose major challenges to effective health communication around the globe during the Covid-19 pandemic. In this special issue, we present research on mis- and disinformation about Covid-19 in the European context and describe challenges and potential solutions for health communication. More specifically, the special issue features articles that analyse (a) the prevalence of mis- and disinformation beliefs about Covid-19 and their impact on individuals, as well as the drivers of these beliefs and (b) the effectiveness of potential prebunking and debunking interventions to combat mis- and disinformation. The articles demonstrate the relevance of political attitudes and media use as significant predictors of belief in health misinformation and tested a variety of effective interventions– from pausing to think critically to detailed debunking. Together, the collection of articles serves to support the evidence-based efforts of international organisations, governments, social media technology companies, and major academic institutions to address the problem of health mis- and disinformation.
在2019冠状病毒病大流行期间,错误信息和虚假信息对全球有效的卫生沟通构成了重大挑战。在本期特刊中,我们介绍了在欧洲背景下关于Covid-19的错误和虚假信息的研究,并描述了卫生传播的挑战和潜在解决方案。更具体地说,本期特刊的文章分析了(a)关于Covid-19的错误和虚假信念的普遍存在及其对个人的影响,以及这些信念的驱动因素,以及(b)为打击错误和虚假信息而采取的潜在预掩藏和揭穿干预措施的有效性。这些文章表明,政治态度和媒体使用是人们相信健康错误信息的重要预测因素,并测试了各种有效的干预措施——从停下来进行批判性思考到详细揭穿。这些文章的收集有助于支持国际组织、各国政府、社交媒体技术公司和主要学术机构以证据为基础的努力,以解决卫生错误和虚假信息问题。
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引用次数: 1
Message Reminders Encouraging Brisk Walking by Considering the Dynamic Factor of Cognitive Fatigue 考虑认知疲劳的动态因素鼓励快走的信息提醒
Pub Date : 2022-08-22 DOI: 10.47368/ejhc.2022.303
Michelle Symons, H. Vandebosch, C. Cutello, K. Poels
Physical inactivity and sedentary behaviours are leading risk factors for preventable health problems worldwide. Therefore, several smartphone-based interventions have tried to enhance physical activity (PA) through goal reminders based on relatively stable characteristics. However, time-varying factors, such as cognitive fatigue, may act as barriers to engagement in PA. This study aims to unravel what type of goal reminder messages are effective for enhancing PA in situations of cognitive fatigue. First, using a 3 x 3 between-subjects design, we evaluated the effectiveness of goal reminders matched with real-time goals under different levels of cognitive fatigue. This study did not find evidence that the tested goal reminders, intended to be adapted to the real-time goals of the participants, were more effective in promoting PA than goal reminders not adapted to individuals’ real-time goals. Second, to better understand how to design future reminders, two questions explored what format and what content participants considered to be helpful when feeling cognitively fatigued. Results show that GIFs, textual reminders, and pictures are suitable formats in smartphone-based interventions and that humorous content is preferred when feeling cognitively fatigued. These findings contribute to the development of just-in-time adaptive interventions that consider dynamic factors to promote PA.
缺乏身体活动和久坐行为是世界范围内可预防健康问题的主要风险因素。因此,一些基于智能手机的干预措施试图通过基于相对稳定特征的目标提醒来增强身体活动(PA)。然而,时变因素,如认知疲劳,可能成为参与PA的障碍。本研究旨在揭示何种类型的目标提醒信息对认知疲劳情况下的PA有效。首先,采用3 × 3受试者间设计,我们评估了在不同认知疲劳水平下目标提醒与实时目标匹配的有效性。本研究没有发现证据表明,与不适应个人实时目标的目标提醒相比,旨在适应参与者实时目标的目标提醒在促进PA方面更有效。其次,为了更好地理解如何设计未来的提醒,有两个问题探讨了参与者在感到认知疲劳时认为什么样的格式和内容是有帮助的。结果表明,动图、文本提醒和图片是基于智能手机的干预的合适格式,而当感到认知疲劳时,幽默内容更受欢迎。这些发现有助于开发考虑动态因素促进PA的即时适应性干预措施。
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引用次数: 1
Organ Donation in Romanian Online Media 罗马尼亚网络媒体的器官捐赠
Pub Date : 2022-08-10 DOI: 10.47368/ejhc.2022.302
O. Petre, A. Băban
Mass media represents the primary source of information about organ donation for the general public. The present study explored the content of Romanian online media concerning organ donation. We conducted a content analysis of 313 media materials published online between October 2012 and October 2019 in Romanian. The coding categories were year of publication, media outlet, type of material, type of evidence, valence, topic, and proximity of the story. A semestral web-search was conducted between February 2016 and November 2019. The analysis revealed that the Romanian online coverage of organ donation was modest across time. Regarding the valence, results indicated that 57.2% of the materials presented organ donation in a positive way, 14.1% were neutral, 12.5% were negative, whereas 16.3% of the materials were mixed. Moreover, the valence of the materials varied across media outlets, proximity of the story and publication year. Promotion, information about organ donation and system were the topics that occurred most frequently, followed by events, policy, and legal categories. Findings provide insight into how media may shape people's opinions about organ donation. The study also contributes to understanding the Romanian organ donation macro-social environment and provides valuable information for practice.
大众传媒是公众获取器官捐赠信息的主要来源。本研究探讨罗马尼亚网路媒体有关器官捐赠的内容。我们对2012年10月至2019年10月期间用罗马尼亚语在线发布的313份媒体材料进行了内容分析。编码类别是出版年份、媒体渠道、材料类型、证据类型、价值、主题和故事的接近程度。2016年2月至2019年11月期间进行了学期网络搜索。分析显示,罗马尼亚网上对器官捐赠的报道在时间上是有限的。在效价方面,57.2%的材料呈阳性,14.1%呈中性,12.5%呈阴性,16.3%的材料呈混合。此外,材料的价格因媒体渠道、故事的临近和出版年份而异。出现频率最高的主题是宣传、器官捐献信息和器官捐献制度,其次是事件、政策和法律类别。调查结果为媒体如何塑造人们对器官捐赠的看法提供了见解。该研究也有助于了解罗马尼亚器官捐赠的宏观社会环境,为实践提供有价值的信息。
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引用次数: 1
Are Drug Safety Advisories Compatible with Physicians’ Information Behaviour? 药物安全咨询与医生的信息行为一致吗?
Pub Date : 2022-08-09 DOI: 10.47368/ejhc.2022.301
M. Møllebæk, S. Kaae
Physicians critically depend on up-to-date risk information when prescribing drugs, but they typically have little time to navigate the vast information. In the European Union, Direct to Healthcare Professional Communications (DHPC) letters are distributed to physicians to mitigate drug risks that emerge after market approval, but the letters show low impact. This study characterises general practitioners’ (GPs) information behaviour regarding drug safety and assesses the compatibility of DHPCs with the identified information behaviour. We conducted 17 semi-structured interviews and four follow-up interviews with Danish GPs about safety concerns and analysed them using Wilson’s model of information behaviour. We found that GPs primarily use an online drug monograph for point-of-care information needs and a newsletter from the authorities for clinical management strategies. They generally did not consider DHPCs a useful source of information. GPs argued that numerous sources contained the same information as the DHPC and believed these to be superior in terms of convenience, clinical relevance, and quality of evidence. A new digital mode of DHPC delivery from a public authority may improve the general adoption but also generated new problems. Overall, this suggests that DHPCs in their current form are not very compatible with information behaviour of GPs.
医生在开处方时主要依赖于最新的风险信息,但他们通常没有时间浏览大量信息。在欧盟,直接致医疗保健专业沟通(DHPC)信件被分发给医生,以减轻市场批准后出现的药物风险,但这些信件的影响不大。本研究表征了全科医生(gp)关于药物安全的信息行为,并评估了dhpc与确定的信息行为的兼容性。我们对丹麦全科医生进行了17次关于安全问题的半结构化访谈和4次后续访谈,并使用威尔逊的信息行为模型对其进行了分析。我们发现全科医生主要使用在线药物专论来满足护理点信息需求,并使用权威机构的通讯来提供临床管理策略。他们一般不认为dhpc是有用的信息来源。全科医生认为,许多来源包含与DHPC相同的信息,并认为这些信息在便利性、临床相关性和证据质量方面更优越。公共机构提供DHPC的一种新的数字模式可能会提高普及程度,但也会产生新的问题。总的来说,这表明当前形式的dhpc与全科医生的信息行为不太兼容。
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引用次数: 0
Stop and Think! Exploring the Role of News Truth Discernment, Information Literacy, and Impulsivity in the Effect of Critical Thinking Recommendations on Trust in Fake Covid-19 News 停下来想一想!探索新闻真相识别、信息素养和冲动性在批判性思维建议对假新闻信任的影响中的作用
Pub Date : 2022-07-14 DOI: 10.47368/ejhc.2022.203
Jasmijn Kruijt, Corine S. Meppelink, Lisa Vandeberg
Covid-19-related fake news widely circulates on social media. This is problematic as people commonly do not process information on social media in a very critical manner. Also, when people encounter particular online content several times this tends to increase the content’s trustworthiness, sometimes irrespective of the accuracy of the provided information. Our study aims to explore whether, how, and for whom a simple critical thinking recommendation added to a social media newsfeed can aid people to better discern true news from fake news and reduce their trust in fake news. In an online experiment, 220 participants were exposed to a Twitter newsfeed with true and fake Covid-19-related news messages, either with or without critical thinking recommendations. The findings showed that participants who were exposed to the recommendations showed less trust in fake news messages, which was mediated by an increased accuracy in news truth discernment. Results showed no significant moderating effects of information literacy and impulsivity characteristics. Overall, the findings of this study are promising as this scalable, low-cost intervention might potentially help combat the effects of fake news on social media.
与新冠肺炎相关的假新闻在社交媒体上广泛传播。这是有问题的,因为人们通常不会以非常批判性的方式处理社交媒体上的信息。此外,当人们多次遇到特定的在线内容时,这往往会增加内容的可信度,有时与所提供信息的准确性无关。我们的研究旨在探讨在社交媒体信息流中添加一个简单的批判性思维推荐是否、如何以及对谁来说,可以帮助人们更好地辨别真假新闻,并减少他们对假新闻的信任。在一项在线实验中,220名参与者被暴露在推特新闻源中,其中有真实的和虚假的与covid -19相关的新闻消息,有或没有批判性思维建议。研究结果显示,接触过推荐的参与者对假新闻信息的信任程度较低,这是由新闻真相识别准确性的提高所介导的。结果显示,信息素养对冲动性特征的调节作用不显著。总的来说,这项研究的结果是有希望的,因为这种可扩展的、低成本的干预措施可能有助于对抗社交媒体上假新闻的影响。
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引用次数: 10
Incidental Stigmatisation? Incidental羞辱?
Pub Date : 2022-07-01 DOI: 10.47368/ejhc.2022.104
Freya Sukalla, V. Karnowski
More and more individuals turn to apps to increase their well-being or reduce stress, with meditation apps being most popular to achieve these goals. However, considering the underlying normative imperative of idealised self-help inherent in the well-being app market, concerns have been raised that these apps and how they are promoted on the app market might contribute to the stigma of mental illness. To explore these potential detrimental effects we conducted a pre-registered experimental survey study (N = 249) examining whether (1) the emphasis on individual responsibility for one’s well-being in the text describing the app in the app market and (2) the lack of a disclaimer that the app is not a replacement for medical treatment increase both the stigmatisation of individuals with depression and self-stigmatisation. While our findings did not support our a priori hypotheses, further exploratory analyses uncovered more complex relationships between our experimental factors, respondents’ age and prior experiences with mental illness, and stigmatisation and self-stigmatisation. We, therefore, call for future empirical investigations to better assess the risk of incidental stigmatisation through how well-being apps are promoted in the app market.
越来越多的人转向应用程序来增加幸福感或减轻压力,冥想应用程序是实现这些目标的最受欢迎的应用程序。然而,考虑到健康应用市场中固有的理想化自助的潜在规范必要性,人们开始担心这些应用及其在应用市场上的推广方式可能会导致精神疾病的耻辱。为了探索这些潜在的有害影响,我们进行了一项预先注册的实验调查研究(N = 249),研究了(1)在应用程序市场上描述应用程序的文本中强调个人对个人福祉的责任,(2)缺乏免责声明,说明应用程序不是医疗的替代品,这是否会增加抑郁症患者的污名化和自我污名化。虽然我们的研究结果不支持我们的先验假设,但进一步的探索性分析揭示了我们的实验因素、受访者的年龄和先前的精神疾病经历、污名化和自我污名化之间更复杂的关系。因此,我们呼吁进行未来的实证调查,以更好地评估福祉应用程序在应用程序市场上推广的附带污名化风险。
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引用次数: 0
期刊
European Journal of Health Communication
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