Kenzie A. Cameron

Predicting Risk Behaviors: Development and Validation of a Diagnostic Scale

The goal of this study was to develop and validate the Risk Behavior Diagnosis (RBD) Scale for use by health care providers and practitioners interested in promoting healthy behaviors. Theoretically guided by the Extended Parallel Process Model (EPPM; a fear appeal theory), the RBD scale was designed to work in conjunction with an easy-to-use formula to determine which types of health risk messages would be most appropriate for a given individual or audience. Because some health risk messages promote behavior change and others backfire, this type of scale offers guidance to practitioners on how to develop the best persuasive message possible to motivate healthy behaviors. The results of the study demonstrate the RBD scale to have a high degree of content, construct, and predictive validity. Specific examples and practical suggestions are offered to facilitate use of the scale for health practitioners.

Preventing the Spread of Genital Warts: Using Fear Appeals to Promote Self-Protective Behaviors

A fear appeal campaign to decrease the spread of genital warts was conducted and evaluated. Theoretically guided by the Extended Parallel Process Model, this field study illustrated why fear appeal campaigns often appear to fail in public health arenas. Five hypotheses, which predicted when and under what conditions fear appeal campaigns would fail or succeed, were tested and supported. The results demonstrated that fear appeals can be powerful persuasive devices if they induce strong perceptions of threat and fear (which motivate action) and if they induce strong perceptions of efficacy with regard to a recommended response (which channels the action in a health protective direction). Recommendations to researchers and public health practitioners are offered.

A Theoretically Based Evaluation of HIV / AIDS Prevention Campaigns Along the Trans-Africa Highway in Kenya

Print HIV/AIDS prevention campaign materials (e.g., posters, pamphlets, stickers) from 10 public health organizations in Kenya were evaluated according to the Extended Parallel Process Model (EPPM), a health behavior change theory based on the fear appeal literature, at various sites along the Trans-Africa Highway in Kenya. Three groups each of commercial sex workers (CSWs), truck drivers (TDs) and their assistants (ASSTs), and young men (YM) who live and work at the truck stops participated in focus group discussions where reactions to the campaign materials were gathered according to this theoretical base. Reactions to campaign materials varied substantially, according to the poster or pamphlet viewed. Overall, most participants wanted more detailed information about (a) the proper way to use condoms, (b) ideas for how to negotiate condom use with reluctant partners, and (c) accurate information on symptoms of AIDS and what to do once one contracted HIV. Both quantitative and qualitative analyses of the campaign materials are reported.

Beyond the breakup: Heterosexual and homosexual post‐dissolutional relationships

Although most romantic relationships will dissolve, few studies have examined the relationship formed between dating partners after their romance terminates. This study examines the post‐dissolutional relationships experienced by participants who were involved in same‐sex (N = 298) and opposite‐sex (N = 272) romantic relationships. The degrees to which ex‐partners experience interpersonal contact, emotional and sexual intimacy, and satisfaction in their post‐dissolutional relationships was examined. Further, two types of influences on post‐dissolutional relationship qualities were investigated. Variables that originated within the dyad or individuals (personal) had a stronger influence on relationship qualities than did variables that originated from the dyads environment (structural). The importance of understanding post‐dissolutional relationships and future research suggestions are discussed.

Radon Awareness and Reduction Campaigns for African Americans: A Theoretically Based Evaluation

Radon gas is a significant health threat linked to thousands of preventable deaths each year. One population that may be at increased risk from harm from radon exposure is African Americans. However, little is known about what African Americans think or know about radon. A theoretically based evaluation of radon awareness and reduction campaigns was conducted with African Americans. The knowledge and perceptions results indicate that African Americans often hold inaccurate beliefs regarding radon (e.g., confusing it with carbon monoxide gas), perceive it to be a serious threat, and perceive recommended responses to be inadequate in averting harm. The campaign materials evaluation shows that campaign materials often promote perceptions of threat but not perceptions of efficacy regarding recommended responses. Recommendations are given for public health practitioners.

The persuasive effects of statistical evidence in the presence of exemplars

This paper explores the impact of statistical evidence by varying it while pairing it with a constant set of exemplars. The resulting design includes a condition in which the statistical information and the exemplars advocate the same position (consistent condition), one in which statistical information and the exemplars advocate different positions (inconsistent condition), and a third condition in which only exemplars are presented (control condition). The data indicate that statistical evidence has a substantial effect on judgments, and that the impact of statistical evidence on attitudes is indirect. Specifically, it is mediated by judgments.

Preventing HIV Transmission along the Trans-Africa Highway in Kenya: Using Persuasive Message Theory in Formative Education:

Although HIV infection is now seen as pandemic in many parts of Africa, little is known about existing perceptions and knowledge regarding the disease or about the use of preventive measures among groups with the highest infection rates. Further, many call for theoretically-based formative evaluations and interventions, yet few appear to utilize theory to determine perceptions and knowledge and to evaluate existing campaigns. This project reports the results of a theoretically-based formative evaluation conducted with commercial sex workers, truck drivers and their assistants, and young men at three truck stops along the Trans-Africa Highway in Kenya. The theoretical basis for the project was the Extended Parallel Process Model (EPPM), a health risk message theory. Results indicate that the participants appear to have high levels of knowledge and threat, coupled with apparent low levels of efficacy. According to the theoretical perspective used, these results suggest that participants may be putting themselves at risk for HIV infection.

One more try: Compliance‐gaining strategies associated with romantic reconciliation attempts

Scant social scientific inquiry has acknowledged or explored the possibility of reconciliation between former romantic partners. This investigation examined this issue by focusing on strategies viewed to be successful if used by one individual desiring reconciliation with his or her former partner. These strategies, couched in a compliance‐gaining framework, were identified and examined in association with perceptions of who was responsible for the breakup, the persistence and confidence of the individual seeking reconciliation, and levels of satisfaction and closeness associated with the post‐dissolutional relationship. Results indicated that positive compliance‐gaining strategies such as explanation and referent appeal were dominant for individuals who seek reconciliation and that those perceived as responsible for the breakup indicated they would be confident in successfully reconciling. Further, those who felt close to their former partner in the post‐dissolutional relationship indicated that they would not seek compliance in a reconciliation situation. Implications for influence encounters in personal relationships are discussed.

Advocating for controversial issues: The effect of activism on compliance‐gaining strategy likelihood of use

Previous research has demonstrated that compliance‐gaining strategies can he arrayed on an unidimensional continuum, anchored by positive, pro‐social strategies and negative, antisocial strategies (Hunter & Boster, 1987; Rolojf & Barnicott, 1978, 1979). Individual differences, including argumentativeness and verbal aggression (Boster & Levine, 1988), have been shown to affect ones ethical threshold. This ethical threshold is consistent with a Guttman simplex and determines both how many, as well as how antisocial, compliance‐gaining strategies individuals may consider using. Activists, who are highly involved and committed to their cause and who tend to be less verbally aggressive and more argumentative than the general public (Campo, 1999), are likely to have a lower threshold and to use more strategies. This study examines to what extent activism predicts ones ethical threshold, when controlling for the known effects of argumentativeness, verbal aggressiveness, and sex. Participants (N = 454) at two separate universities completed a repeated measures questionnaire that asked them to indicate their likelihood of use of 25 separate compliance‐gaining strategies. Based on respondents’ likelihood of use of these 25 strategies, the data were consistent with a Guttman simplex. A multiple regression model was tested, and indicated that ones ethical threshold is directly predicted by level of activism and verbal aggressiveness. Sex and argumentativeness were not found to be significant predictors in this revised model. In addition, activists used more strategies than non‐activists. Implications for advancing research related to activism and compliance‐gaining strategy selection are discussed.