John A. Updegraff

Health Message Framing Effects on Attitudes, Intentions, and Behavior: A Meta-analytic Review

BackgroundMessage framing has been an important focus in health communication research, yet prior meta-analyses found limited support for using framing to increase persuasiveness of health messages.PurposeThis meta-analysis distinguished the outcomes used to assess the persuasive impact of framed messages (attitudes, intentions, or behavior).MethodsOne hundred eighty-nine effect sizes were identified from 94 peer-reviewed, published studies which compared the persuasive impact of gain- and loss-framed messages.ResultsGain-framed messages were more likely than loss-framed messages to encourage prevention behaviors (r = 0.083, p = 0.002), particularly for skin cancer prevention, smoking cessation, and physical activity. No effect of framing was found when persuasion was assessed by attitudes/intentions or among studies encouraging detection.ConclusionsGain-framed messages appear to be more effective than loss-framed messages in promoting prevention behaviors. Research should examine the contexts in which loss-framed messages are most effective, and the processes that mediate the effects of framing on behavior.

Dispositional Motivations and Message Framing: A Test of the Congruency Hypothesis in College Students

The authors examined the congruency hypothesis that health messages framed to be concordant with dispositional motivations will be most effective in promoting health behaviors. Undergraduate students (N=63) completed a measure of approach/avoidance orientation (behavioral activation/inhibition system) and read a gain- or loss-framed message promoting flossing. Results support the congruency hypothesis: When given a loss-framed message, avoidance-oriented people reported flossing more than approach-oriented people, and when given a gain-framed message, approach-oriented people reported flossing more than avoidance-oriented people. Discussion centers on implications for health interventions and the route by which dispositional motivations affect health behaviors through message framing.

Mindfulness and its relationship to emotional regulation.

Research on the effectiveness and mechanisms of mindfulness training applied in psychotherapy is still in its infancy (Erisman & Roemer, 2010). For instance, little is known about the extent and processes through which mindfulness practice improves emotion regulation. This experience sampling study assessed the relationship between mindfulness, emotion differentiation, emotion lability, and emotional difficulties. Young adult participants reported their current emotional experiences 6 times per day during 1 week on a PalmPilot device. Based on these reports of emotions, indices of emotional differentiation and emotion lability were composed for negative and positive emotions. Mindfulness was associated with greater emotion differentiation and less emotional difficulties (i.e., emotion lability and self-reported emotion dysregulation). Mediational models indicated that the relationship between mindfulness and emotion lability was mediated by emotion differentiation. Furthermore, emotion regulation mediated the relationship between mindfulness and both negative emotion lability and positive emotion differentiation. This experience sampling study indicates that self-reported levels of mindfulness are related to higher levels of differentiation of ones discrete emotional experiences in a manner reflective of effective emotion regulation.

Positive and Negative Effects of HIV Infection in Women with Low Socioeconomic Resources

Predictions generated by cognitive adaptation theory and conservation of resources theory were tested with regard to positive and negative changes associated with HIV infection in an ethnically diverse, low socioeconomic status sample of 189 HIV-positive women. Women reported a significantly greater number of benefits than losses in their experiences with HIV infection. Changes in the domains of the self and life priorities were significantly positive, whereas changes in romantic/sexual relations and view of body were significantly negative. Women who reported more benefits were less likely to report depressive and anxious symptoms. Although health status and optimism significantly predicted depression, anxiety, and negative HIV-related changes, socioeconomic resources (education and income) were the most significant predictors of HIV-related benefit finding. Implications of these results are discussed.

What Makes Experiences Satisfying? The Interaction of Approach- Avoidance Motivations and Emotions in Well-Being

Two studies examined how dispositional approach-related and avoidance-related motivations moderate the degree to which people base satisfaction judgments on past experiences of positive affect (PA) and negative affect (NA). Using both laboratory-based (Study 1) and experience sampling (Study 2) methodologies, the authors found that high approach participants, as compared with low approach participants, made satisfaction ratings that were more strongly tied to PA. In contrast, avoidance-related motivations did not moderate the degree to which satisfaction ratings were based on either PA or NA. Results indicate that approach motivations may influence well-being not only through emotion over time but also through the degree to which people weight particular emotional experiences in broader judgments of satisfaction.

From Culture To Priming Conditions Self-Construal Influences on Life Satisfaction Judgments

Existing cross-cultural research often assumes that the independent versus interdependent self-construal process leads to different cultural behaviors, although few studies directly test this link. Extending from prior cross-cultural findings, two studies were conducted to explicitly test whether self-construal is linked with the differential use of emotions versus social information in judgments of life satisfaction. Study 1 confirmed the prediction that even among Americans, those who view themselves in interdependent terms (allocentrics) evaluate their life satisfaction in a more collectivistic manner (strong reliance on social appraisal) than those who view themselves in independent terms (idiocentrics). Study 2 replicated these findings in two cultural settings (United States and Korea) by using experimental primes of independent versus relational self-construal. Results strongly suggest that differences in self-construal processes underlie cross-cultural differences in life satisfaction judgments.

Dispositional Mindfulness Moderates the Effects of Stress Among Adolescents: Rumination as a Mediator

Recent research has demonstrated that higher levels of mindfulness are associated with greater psychological and physical health. However, the majority of this research has been conducted with adults; research is only beginning to examine the effects of mindfulness among adolescents. Further, research into adolescent mindfulness has typically conceptualized mindfulness as a unidimensional phenomenon and has not yet examined multidimensional models of mindfulness that have emerged in the adult literature. Further, the mechanisms through which mindfulness influences these outcomes are presently unclear. The present study examined the effects of three facets of mindfulness among adolescents. Seventy-eight adolescents (61% female, 94% Caucasian, M age = 16) completed a measure of dispositional mindfulness at baseline. Participants then completed measures of daily stress, dysphoric affect, and state rumination over a 7-day period. Multilevel modeling analyses revealed that facets of mindfulness (i.e., nonreactivity and nonjudgment) were associated with lower levels of dysphoric mood. Mindfulness interacted with daily stress to predict later dysphoria; less mindful individuals were particularly vulnerable to the negative effects of stress. Finally, analyses demonstrated that the effect of the Mindfulness × Stress Moderation was significantly mediated by increases in daily rumination. These findings support the importance of mindfulness among adolescents and help to elucidate the mechanisms through which mindfulness influences psychological health.

Perceived susceptibility to breast cancer moderates the effect of gain- and loss-framed messages on use of screening mammography.

OBJECTIVE This study examined the role of three distinct beliefs about risk (risks associated with screening, construal of the function of screening as health-affirming or illness-detecting, and perceived susceptibility to breast cancer) in moderating womens responses to framed messages that promote mammography. DESIGN Three hundred fifty-five women recruited from an inner city hospital, nonadherent to guidelines for receiving annual screening mammograms,were randomly assigned to view a gain- or loss-framed video message about the importance of mammography. MAIN OUTCOME MEASURE Mammography screening was self-reported at a 3-month follow-up. RESULTS Only perceived susceptibility to breast cancer significantly moderated the effect of message framing on screening. Women with average and higher levels of perceived susceptibility for breast cancer were significantly more likely to report screening after viewing a loss-framed message compared to a gain-framed message. No effects of framing on reported screening were observed for women with lower levels of perceived susceptibility. CONCLUSION The study identifies a key role for perceived susceptibility in shaping responses to framed messages that promote cancer screenings.

From Culture To Priming Conditions

Existing cross-cultural research often assumes that the independent versus interdependent self-construal process leads to different cultural behaviors, although few studies directly test this link. Extending from prior cross-cultural findings, two studies were conducted to explicitly test whether self-construal is linked with the differential use of emotions versus social information in judgments of life satisfaction. Study 1 confirmed the prediction that even among Americans, those who view themselves in interdependent terms (allocentrics) evaluate their life satisfaction in a more collectivistic manner (strong reliance on social appraisal) than those who view themselves in independent terms (idiocentrics). Study 2 replicated these findings in two cultural settings (United States and Korea) by using experimental primes of independent versus relational self-construal. Results strongly suggest that differences in self-construal processes underlie cross-cultural differences in life satisfaction judgments.

Theory of Planned Behavior explains gender difference in fruit and vegetable consumption

A gender difference in fruit and vegetable intake (FVI) is widely documented, but not well understood. Using data from the National Cancer Institutes Food Attitudes and Behavior Survey, we assessed the extent to which gender differences in FVI are attributable to gender differences in constructs from the Theory of Planned Behavior (TPB). Females reported more favorable attitudes and greater perceived behavior control regarding FVI than males, and these beliefs mediated the observed gender difference. Males reported greater perceived norms for FVI, but norms did not predict FVI. Gender did not moderate the influence of TPB constructs on FVI. Thus, TPB constructs substantially explained the gender difference. Interventions targeted toward adult males may benefit by promoting favorable attitudes and perceived behavioral control over FVI.