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  1. Article ; Online: #LoveYourBody: An Experimental Test of the Effects of Objectification and Body Appreciation Content on Instagram Fitness and Health Posts Among Young Women.

    Couto, Leticia / Willoughby, Jessica Fitts

    Health communication

    2023  , Page(s) 1–9

    Abstract: Fitspiration content on Instagram often includes images in which women are objectified but may also include captions that aim to positively motivate viewers, such as through messaging about body appreciation. Viewing objectifying content in fitspiration ... ...

    Abstract Fitspiration content on Instagram often includes images in which women are objectified but may also include captions that aim to positively motivate viewers, such as through messaging about body appreciation. Viewing objectifying content in fitspiration posts may be problematic for young women's mental health, but it's unclear if positive messaging may help to alleviate some of these effects. In this study, we conducted a 2 × 2 online experiment assessing the effects of body appreciation and objectification content present in Instagram fitness posts by influencers on young women (
    Language English
    Publishing date 2023-10-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1038723-7
    ISSN 1532-7027 ; 1041-0236
    ISSN (online) 1532-7027
    ISSN 1041-0236
    DOI 10.1080/10410236.2023.2265647
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Fifteen Years after a 10-year Retrospective: The State of Health Mass Mediated Campaigns.

    Willoughby, Jessica Fitts / Noar, Seth M

    Journal of health communication

    2022  Volume 27, Issue 6, Page(s) 362–374

    Abstract: In 2006, a 10-year retrospective of successful mass mediated health communication campaigns reviewed the field and highlighted strategies for successful campaigns. In the 15 years since the retrospective, there have been dramatic changes in the media ... ...

    Abstract In 2006, a 10-year retrospective of successful mass mediated health communication campaigns reviewed the field and highlighted strategies for successful campaigns. In the 15 years since the retrospective, there have been dramatic changes in the media environment and advances in health communication research. In this article, we describe changes in the health communication media landscape and in our understanding of mass mediated health communication campaigns in the 15 years since the retrospective. Although the media environment has shifted, we argue that effective principles of health communication have remained relatively constant. We note significant advances in technology since the previous retrospective that can further advance health communication campaigns, with new technologies offering promise as channels for health communication campaigns as well as for campaign planning. We also recommend that campaign researchers report in detail on their use of theory, audience segmentation, channel selection, and the role of formative research when describing campaign efforts; that communicators continue to develop frameworks that integrate principles of effective campaign design; and that additional research focus on understanding how technology can be effectively incorporated into campaign planning, distribution, and evaluation.
    MeSH term(s) Humans ; Mass Media ; Retrospective Studies ; Health Promotion ; Health Communication
    Language English
    Publishing date 2022-08-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1427988-5
    ISSN 1087-0415 ; 1081-0730
    ISSN (online) 1087-0415
    ISSN 1081-0730
    DOI 10.1080/10810730.2022.2110627
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Impact of Celebrity and Influencer Illness Disclosures.

    Myrick, Jessica Gall / Willoughby, Jessica Fitts / Francis, Diane B / Noar, Seth M

    Health communication

    2024  , Page(s) 1–4

    Abstract: When celebrities, political figures, influencers, or anyone with a large following publicly disclose an illness or die, the news becomes a de facto public health campaign. Until health communicators began studying such disclosures and the effects of the ... ...

    Abstract When celebrities, political figures, influencers, or anyone with a large following publicly disclose an illness or die, the news becomes a de facto public health campaign. Until health communicators began studying such disclosures and the effects of the following waves of media coverage, however, it was not known to what extent these events impacted the public. A growing body of research has empirically documented these events and examined the factors that predict which types of audiences are most affected and why. Beyond motivating research opportunities, celebrity and influencer health disclosures or deaths can impact calls to hotlines, views on health-related websites, discussions of related topics on social media, behavioral changes relevant to the disclosure, increased news coverage of celebrity health research, integration of celebrity health narratives into strategic health campaigns, and even policy changes. We provide an overview of research conducted in this area and detail examples of the impact that celebrity health disclosures and studies about those disclosures have had on public discourse and public health.
    Language English
    Publishing date 2024-04-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 1038723-7
    ISSN 1532-7027 ; 1041-0236
    ISSN (online) 1532-7027
    ISSN 1041-0236
    DOI 10.1080/10410236.2024.2326261
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The "celebrity canary in the coal mine for the coronavirus": An examination of a theoretical model of celebrity illness disclosure effects.

    Myrick, Jessica Gall / Willoughby, Jessica Fitts

    Social science & medicine (1982)

    2021  Volume 279, Page(s) 113963

    Abstract: Rationale: On March 11, 2020, actor Tom Hanks announced via social media that he had been diagnosed with COVID-19. Previous research has found celebrity illness disclosures to influence behavior, but during the uncertainty of a pandemic, the effects of ... ...

    Abstract Rationale: On March 11, 2020, actor Tom Hanks announced via social media that he had been diagnosed with COVID-19. Previous research has found celebrity illness disclosures to influence behavior, but during the uncertainty of a pandemic, the effects of such a disclosure were unclear.
    Objective: To test the proposed Celebrity Illness Disclosure Effects (CIDE) model, demonstrating how an illness disclosure, communicated through mediated and interpersonal channels, may shape willingness to engage in prevention behaviors.
    Methods: We conducted an online survey (N = 587) 24 hours after Hanks' COVID-19 disclosure.
    Results: Findings revealed that celebrity-related perception variables predicted illness-related cognitions and emotions\, which were associated with willingness to enact prevention behaviors. Greater willingness to seek information, stronger perceptions of COVID as a threat, and stronger perceptions of efficacy for dealing with COVID after learning of Hanks' diagnosis predicted stronger willingness to enact prevention behaviors. However, anxiety about COVID predicted lower willingness to enact prevention behaviors.
    Conclusions: The CIDE model can serve as a guide for future research in this area. The results can help scholars who aim to better understand the phenomena around celebrities and health communication as well as policymakers who hope to ride the wave of star power to improved public health outcomes.
    MeSH term(s) COVID-19 ; Coal ; Disclosure ; Humans ; Male ; Models, Theoretical ; SARS-CoV-2
    Chemical Substances Coal
    Language English
    Publishing date 2021-04-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2021.113963
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Mixed Methods Inquiry into the Role of Tom Hanks' COVID-19 Social Media Disclosure in Shaping Willingness to Engage in Prevention Behaviors.

    Myrick, Jessica Gall / Willoughby, Jessica Fitts

    Health communication

    2021  Volume 37, Issue 7, Page(s) 824–832

    Abstract: Given the vast amounts of COVID-19-related messages flooding mediated and interpersonal communication channels during the global pandemic, celebrity COVID-19 disclosures offer rare opportunities to cut through message fatigue and apathy and garner the ... ...

    Abstract Given the vast amounts of COVID-19-related messages flooding mediated and interpersonal communication channels during the global pandemic, celebrity COVID-19 disclosures offer rare opportunities to cut through message fatigue and apathy and garner the attention of wide swaths of the public. We conducted a convergent mixed method analysis of audience responses to actor Tom Hanks' March 11, 2020 disclosure of his COVID-19 diagnosis via social media. We collected our data within 24 hours of his announcement, allowing us to quickly capture emotional and cognitive responses to the announcement and to assess both demographic and psychosocial differences in types of people who heard the news in this time frame and those who had not. In our study, 587 participants had heard the news of Hanks' disclosure while 95 had not. Participants who had heard responded to an open-ended prompt asking if the disclosure affected them at all. Those who had not heard were funneled into a field intervention to test how random assignment to seeing Hanks' disclosure post or not would affect audiences' COVID-19-related emotions, cognitions, and willingness to enact prevention behaviors. The results of this mixed methods study revealed differences in responses to Hanks' disclosure based on health information source trust and involvement with Hanks as well as effects of the intervention on efficacy for dealing with COVID-19. We discuss implications for health communication theory and crafting messages that can effectively build off the attentional inertia generated by celebrity illness disclosures to encourage prevention efforts.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Testing ; Disclosure ; Health Communication ; Humans ; Social Media
    Language English
    Publishing date 2021-01-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 1038723-7
    ISSN 1532-7027 ; 1041-0236
    ISSN (online) 1532-7027
    ISSN 1041-0236
    DOI 10.1080/10410236.2020.1871169
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Exposure to Pro and Anti-Cannabis Social Media Messages and Teens' and College Students' Intentions to Use Cannabis.

    Willoughby, Jessica Fitts / Hust, Stacey J T / Li, Jiayu / Couto, Leticia

    Health communication

    2023  Volume 39, Issue 1, Page(s) 183–194

    Abstract: Content analyses have documented that posts about cannabis are increasingly common on social media. The relationship between the cannabis-related content to which teens and college students are exposed on social media and how such content may be ... ...

    Abstract Content analyses have documented that posts about cannabis are increasingly common on social media. The relationship between the cannabis-related content to which teens and college students are exposed on social media and how such content may be associated with intentions to use and use of cannabis is less known, however. We conducted an online survey with teens (
    MeSH term(s) Humans ; Adolescent ; Intention ; Cannabis ; Social Media ; Surveys and Questionnaires ; Students ; Universities
    Language English
    Publishing date 2023-01-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 1038723-7
    ISSN 1532-7027 ; 1041-0236
    ISSN (online) 1532-7027
    ISSN 1041-0236
    DOI 10.1080/10410236.2022.2162707
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Development of an mHealth text message intervention to promote adherence to COVID-19 isolation recommendations for college students.

    Willoughby, Jessica Fitts / King, Rebekah L / Adams, Paula M

    Journal of American college health : J of ACH

    2022  Volume 72, Issue 2, Page(s) 335–339

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Young Adult ; Humans ; Text Messaging ; COVID-19 Testing ; Students ; Universities ; COVID-19/prevention & control ; Telemedicine
    Language English
    Publishing date 2022-03-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604907-2
    ISSN 1940-3208 ; 0744-8481
    ISSN (online) 1940-3208
    ISSN 0744-8481
    DOI 10.1080/07448481.2022.2037615
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Adding to the Message Testing Tool Belt: Assessing the Feasibility and Acceptability of an EMA-Style, Mobile Approach to Pretesting mHealth Interventions.

    Willoughby, Jessica Fitts / Brickman, Jared

    Health communication

    2020  Volume 36, Issue 10, Page(s) 1260–1267

    Abstract: Effective health message design requires strong pretesting to ensure that potential audiences see communication efforts as acceptable. Previous research has often used long-form surveys to test messaging, even when the potential communication efforts are ...

    Abstract Effective health message design requires strong pretesting to ensure that potential audiences see communication efforts as acceptable. Previous research has often used long-form surveys to test messaging, even when the potential communication efforts are going to take place in a non-traditional format, such as on a text message platform. This study asks whether real-time sampling on a mobile phone could serve as a message-testing alternative to traditional surveys. Participants evaluated health messages over a week using mobile phones in a style similar to ecological momentary assessment. More than 90 percent of messages were evaluated, and a majority of participants preferred this methodology to other pretesting methods. This approach, while not without limitations, is a viable tool for diversifying message testing efforts.
    MeSH term(s) Cell Phone ; Ecological Momentary Assessment ; Feasibility Studies ; Humans ; Telemedicine ; Text Messaging
    Language English
    Publishing date 2020-04-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 1038723-7
    ISSN 1532-7027 ; 1041-0236
    ISSN (online) 1532-7027
    ISSN 1041-0236
    DOI 10.1080/10410236.2020.1750748
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: BrdsNBz: Sexually Experienced Teens More Likely to Use Sexual Health Text Message Service.

    Willoughby, Jessica Fitts

    Health education & behavior : the official publication of the Society for Public Health Education

    2015  Volume 42, Issue 6, Page(s) 752–758

    Abstract: Text messaging services are becoming an increasingly popular way to provide sexual health information to teens, but little is known about who uses such services. This study assessed whether teens at a greater risk for negative sexual health outcomes use ... ...

    Abstract Text messaging services are becoming an increasingly popular way to provide sexual health information to teens, but little is known about who uses such services. This study assessed whether teens at a greater risk for negative sexual health outcomes use a sexual health text message service. A text message service that connects teens with sexual health educators was promoted in six public schools in one state in the Southeast. Students (n = 2,125) in four schools completed an online questionnaire assessing personal risk factors associated with negative sexual health outcomes and use of the text message service. Text message service users (n = 144) were more likely to have had sex, to have been in a relationship, and to come from a lower socioeconomic status background. Users also felt less connected to their schools and were slightly older than nonservice users. When all variables were entered into a logistic regression, only sexual experience was associated with service use. Sexual health text message services are designed to provide information to teens in an effort to prevent negative sexual outcomes. Such services seem to be reaching youth with increased risk of teen pregnancy and sexually transmitted disease acquisition. This study provides evidence that teens most likely to benefit are also those most likely to use a sexual health text message service.
    MeSH term(s) Access to Information ; Adolescent ; Adolescent Behavior ; Child ; Female ; Health Services ; Humans ; Male ; Pregnancy ; Reproductive Health ; Sex Education ; Sexual Behavior ; Southeastern United States ; Surveys and Questionnaires ; Telemedicine ; Text Messaging ; Young Adult
    Language English
    Publishing date 2015-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1362906-2
    ISSN 1552-6127 ; 1090-1981
    ISSN (online) 1552-6127
    ISSN 1090-1981
    DOI 10.1177/1090198115577377
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Effectiveness of a Social Marketing Campaign Promoting Use of a Sexual Health Text Service by Teens.

    Willoughby, Jessica Fitts

    Journal of health communication

    2015  Volume 20, Issue 10, Page(s) 1206–1213

    Abstract: Sexual health text message services are becoming an increasingly popular way to provide adolescents with accurate sexual health information, but promotion of such services is often limited. This study uses three quantitative methods (service use data, a ... ...

    Abstract Sexual health text message services are becoming an increasingly popular way to provide adolescents with accurate sexual health information, but promotion of such services is often limited. This study uses three quantitative methods (service use data, a text message-based questionnaire, and an in-school online survey) to assess the effectiveness of an in-school social marketing campaign promoting a sexual health text message service that connects teens directly with a health educator. The 3-month campaign was associated with increased service use, but use was still relatively low. Follow-up qualitative work that included focus groups and interviews found a number of barriers to use. Teens indicated they did not have sexual health questions, did not think of the service, or were unsure how to use it. Teens also brought up additional barriers such as concern over parents seeing the messages. Implications for text message service providers and health educators are discussed.
    MeSH term(s) Adolescent ; Child ; Consumer Health Information ; Female ; Focus Groups ; Health Promotion/methods ; Health Services Accessibility ; Humans ; Male ; North Carolina ; Program Evaluation ; Qualitative Research ; Reproductive Health ; School Health Services ; Social Marketing ; Text Messaging/utilization
    Language English
    Publishing date 2015
    Publishing country United States
    Document type Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1427988-5
    ISSN 1087-0415 ; 1081-0730
    ISSN (online) 1087-0415
    ISSN 1081-0730
    DOI 10.1080/10810730.2015.1018586
    Database MEDical Literature Analysis and Retrieval System OnLINE

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