Amanda Mabry

Do Sexual Assault Bystander Interventions Change Men's Intentions? Applying the Theory of Normative Social Behavior to Predicting Bystander Outcomes

The high prevalence of sexual assault on college campuses has led to the implementation of health communication programs to prevent sexual assault. A few novel programs focus on primary prevention by targeting social norms related to gender and masculinity among men through bystander intervention. Guided by the theory of normative social behavior, this study sought to examine the relative effect of campaigns communicating positive versus negative injunctive norms and the interaction between exposure to such campaign messages and perceived descriptive norms and relevant cognitive moderators (e.g., outcome expectations, injunctive norms, group identity, ego involvement) among men. A 2 (high/low descriptive norms) × 2 (high/low moderator) × 3 (public service announcement) independent groups quasi-experimental design (N = 332) was used. Results indicated that messages communicating positive injunctive norms were most effective among men who were least likely to engage in bystander intervention. Furthermore, descriptive norms played a significant role in behavioral intentions, such that those with stronger norms were more likely to report intentions to engage in bystander behaviors in the future. Similarly, the moderators of aspiration, injunctive norms, social approval, and ego involvement had a significant positive effect on behavioral intentions. These findings have important implications for future message design strategy and audience segmentation.

Stigma and health literacy: An agenda for advancing research and practice

OBJECTIVES To propose a framework addressing various factors contributing to stigma associated with low health literacy, how stigma is manifested, and how it may contribute to adverse health consequences. METHOD The framework incorporated concepts found in existing empirical research on stigmatized health conditions with an emphasis on concealable conditions such as mental health, HIV status, and some chronic illnesses. RESULTS Pursuing the proposed research agenda would provide a better understanding of the various factors contributing to stigma associated with low health literacy, how that stigma is manifested, and how it may contribute to adverse health consequences. CONCLUSION The goal of proposing a wide-ranging research agenda is to encourage research that will inform the development of a comprehensive framework that addresses factors that influence stigma associated with health literacy from multiple levels: micro, meso, and macro.

Extending the Digital Divide Conversation: Examining the Knowledge Gap Through Media Expectancies

As long as scholars have studied media, issues of access have been of great concern. Recent advancements in digital technology have framed disparities in access within the digital divide research and knowledge gap frameworks. While early digital divide research looked at access, more recent research has focused on how media are used differently across populations. The current research extends this literature by examining media expectancies across ethnic subgroups for a broad range of media (i.e., local newspapers, national newspapers, network television, cable television, radio, magazines, and Internet). Data indicate expectancies differ among African Americans, Caucasians, and Hispanics.

“Take time. Save lives. Clean hands protect.” A comparison of two hand hygiene health promotion posters

Two posters were designed to encourage hospital staff hand hygiene. One focused on broad benefits of hand hygiene to patients and staff, and the other highlighted hand hygiene as a long-known measure to infection control. The former was better received in terms of attention, likability, and potential to promote hand hygiene. A third-person effect, the perception of stronger impact of communication messages on others, was observed. Implications on health promotion message design were discussed.

Advergaming and healthy eating involvement: How healthy eating inclinations impact processing of advergame content

Purpose – The purpose of this paper is to understand how healthy eating involvement (HEI) impacts the evaluations of branded food advergames. Design/methodology/approach – This paper invokes the elaboration likelihood model and reactance theory to explain the effects of different levels of brand integration within a food advergame on individuals with different reported levels of HEI. Undergraduate students were assigned (non-random) to play one of three different advergames with varying levels of brand integration. Furthermore, participant’s health involvement was measured and incorporated as a moderating variable on brand and advergame attitudes. Regression analyses were used to analyze the data. Findings – The results showed significant interaction effects between HEI levels and level of brand advergame integration. Individuals with higher levels of HEI showed more negative attitudes toward the brand and game when integration was high. However, lower levels of brand advergame integration resulted in pos...

Perceptions of Substance Abuse on College Campuses: Proximity to the Problem, Stigma, and Health Promotion

For college students recovering from substance addiction, the path to sobriety is fraught with challenges. Many campuses offer recovery support resources, but students indicate stigma associated with recovery prevents them from using these services. This problem could be ameliorated through communication campaigns addressing misperceptions of substance abuse and recovery. The purpose of this study was to understand how students’ perceptions of addiction and recovery vary based on their experience and background. A quantitative survey was employed to examine stigma beliefs among 2 subpopulations of college students at a large Southwestern university. Findings indicate students with exposure to issues surrounding substance abuse and recovery held fewer stigmatized beliefs, emphasizing the importance of identifying and researching a target audience before developing a health promotion campaign.

DTC drug advertising ethics: laboratory for medical marketing

Purpose – The aim of this paper is to call for an increased focus on the ethics of direct-to-consumer (DTC) prescription drug advertising. This is important, not only to improve DTC prescription drug advertising, but also to inform DTC advertising of future medical advances. Design/methodology/approach – This conceptual paper discusses two examples of medical advances – personal genetic testing services and surgically implanted medical devices – to explain how investigating the research of DTC prescription drug advertising can set the stage for more ethical advertising of future medical advances. Findings – Specific issues related to health literacy, at-risk populations impacted by health disparities, and medicalization of issues common to aging relate to the DTC advertising of prescription drugs and other medical advances. Creative approaches to investigating these issues in the context of prescription drug advertising can enrich the debate about drug advertising, but also prepare researchers, policymake...

For Shame! How Goal Attainability, Goal Orientation, Model Size, and Emotions Shape Female Consumers’ Self-Perceptions: An Extended Abstract

Advertisements for beauty-enhancement products commonly feature unrealistically thin models as the ideal point for which female consumers should strive. Unfortunately, many of these campaigns negatively impact the self-perceptions of the consumers that they are purportedly able to aid in achieving their goals. Some brands (e.g., Dove) have responded to this issue by using heavier models in their ads. However, the brands and advertisements are generally better received with thin models, making this a difficult path to follow for many marketers. This paper further develops our understanding of consumer response to such advertisements by integrating goal-striving and social comparison theories to explain how goal attainability may diminish the negative impacts of the thin ideal on female consumers. The paper further explores the mechanism through which the advertisements affect consumers by proposing shame as an emotional mediator and promotional focus as moderator of the effects. The results of two experimental studies provide evidence that support these propositions.

Saving time and resources: Observational research to support adoption of a hand hygiene promotion campaign

Hand hygiene is the most effective way to prevent the spread of health care-associated infections, but many facilities may not have the resources or expertise to develop their own hand hygiene promotion campaign. This observational study demonstrated that a campaign developed for 1 facility could successfully contribute to behavior change at another, unrelated facility. It serves as a model and evidence that health care facilities can successfully adopt hand hygiene promotion campaigns developed and validated at other facilities.