how is fear appeal used in public health messaging

So, if an audience member appraises a message as representing an imminent threat to her own well-being, she will likely experience fear. 2020 Summer;32(2):221-228. doi: 10.24869/psyd.2020.221. There are many messages that convey important information about potential harm; however, if the . Communication, collaboration and cooperation can stop the 2019 coronavirus. Of note, though the terms fear and anxiety are often used interchangeably in everyday language, they each represent unique affective states with, theoretically, different implications in persuasion contexts. 2020 Jun 22;140(10). Effects of general and corona-specific stressors on mental burden during the SARS-CoV-2 pandemic in Germany. Fear appeal is a term used in psychology, sociology and marketing. From children and adolescents to young adults, middle-aged individuals, and finally the elderly, using diverse samples with wide age ranges or investing in long-term cohort and longitudinal studies may help reveal potential differences in fear-arousal and fear appeal effects across developmental stage. The following study examines social facilitation of eating cues in anti-obesity fear appeals to determine . The American Psychological Association, in Washington, D.C., is the largest scientific and professional organization representing psychology in the United States. Fear appeals obviously aren't limited to comets. Article: Appealing to Fear: A Meta-Analysis of Fear Appeal Effectiveness and Theories, by Melanie Tannenbaum, PhD, Kristina Wilson, PhD, and Dolores Abarracin, PhD, University of Illinois at Urbana-Champaign; Justin Hepler, PhD, University of Nevada, Reno; Rick Zimmerman, PhD, University of Missouri, St. Louis; and Lindsey Saul, PhD, and Samantha Jacobs, MPH, Virginia Commonwealth University, Psychological Bulletin, published online Oct. 23, 2015. (2015) calculated an average weighted effect size comparing groups exposed to moderate fear versus those exposed to high depicted fear. WASHINGTON Fear-based appeals appear to be effective at influencing attitudes and behaviors, especially among women, according to a comprehensive review of over 50 years of research on the topic, published by the American Psychological Association. They can also sometimes be found through online scholarly search engines, such as Google Scholar, PubMed, or the American Psychological Associations PsycNET website. A researcher searching for literature on fear, fear appeals, or the role of fear in message outcomes will likely find an astounding number books, journal articles, encyclopedia entries, and even essays to examine. fear appeal. More elaborate strategies, such as training people on the skills they will need to succeed in changing behavior, will likely be more effective in most contexts. If a person focuses on managing the threat they perceive in the environment, Leventhal argues that danger-control processes are engaged to manage the threat. Fear messages that let the audience know they can perform the recommended behavior or that the behavior will have a positive result are more effective than fear appeal messages without mention of recommended actions. At the other end of the age spectrum, there is reason to believe that the elderly may also have unique reactions to fear-evoking messages compared to younger people. found that this dynamic approach offered evidence in support of a curvilinear relationship between fear and persuasion. Although these are presented in chronological order here, it is important to note that the evolution of fear appeal theorizing reflects a combination of attempts to build on previous theory alongside overarching changes in psychological research that shifted from motivation-based approaches to more cognitively oriented approaches starting in the 1970s (for a review, see Nabi, 2007). In light of the limitations of previous theorizing, and coinciding with an increased interest in affect and emotion in the psychology literature (Lazarus, 1991), Witte (1992) proposed the extended parallel process model (EPPM). We are in the "closing arguments phase" of the local election campaign, deputy political editor Sam Coates says. Despite the wealth of research on the effects of fear-based messages, numerous limitations have been pointed out in the existing literature. Although the lions share of research on the persuasive influence of fear focuses on persuasive advertisements, other media messages may be considered as possible conduits of influence via fear arousal. Bethesda, MD 20894, Web Policies I believe that most current approaches to anxiety fall short because they are predicated on the medical model, which views anxiety as an illness. 2023 Jan 21;21:101343. doi: 10.1016/j.ssmph.2023.101343. Fear-appeal research has focused almost exclusively on mediated messages. These efforts have resulted in a number of theoretical perspectives that still inform modern-day work on the persuasive power of fear and its implications for message design. Keywords: He found that fear appeal manipulations resulted in a moderate relationship with perceived fear (r = .34), attitudes (r = .20), and behavior (r = .17). These include distrust in public health authorities, skepticism of health messaging, a lack of uptake in recommended behaviors, and a plethora of other unintended consequences. A fear appeal is a persuasive message that attempts to arouse fear in order to divert behavior through the threat of impending danger or harm. When people are aware of a threat, the aversive state of fear quickly follows. In light of findings like these, Janis (1967) later argued that the relationship between the elicitation of fear and adoption of the target behavior would be an inverted U-shaped curve. Generally, the findings reveal that fear appeals do work; however, more specific results were also discovered (Tannenbaum et al, 2015). Further, blunters were significantly more likely to actually obtain a mammogram in response to the more direct messages. In an initial test of the model, the predictions that fear promotes less careful message processing relative to anger and uncertainty of message reassurance results in more careful processing that certainty of reassurance were supported. At a methodological level, many studies of fear appeals fail to measure the emotion of fear itself as an outcome, instead analyzing only threat and efficacy cognitions. Additionally, social media provide opportunities not only for social sharing but also for information requests from others, which in turn could improve health outcomes. However, far more research is needed to confirm this finding and to explore other ways in which monitoring and blunting, and indeed other individual differences, suggest implications for fear-based messaging. Psychology Today 2023 Sussex Publishers, LLC. Understanding the personalities of the audience (e.g., the typical characteristics and traits of women in comparison to men, or of adolescents versus young or middle-aged people, or of those who are health conscious versus those who are not) will help in designing a campaign that is better directed toward the targeted individuals. In this article, we discuss the use of fear appeals during the COVID-19 pandemic and the potential negative sociobehavioral outcomes fear-based messaging may have. Maddux and Rogers (1983) argued that individuals who were high in both threat and efficacy perceptions would be motivated to protect themselves from the threat at hand and therefore the most likely to engage in adaptive, danger-control behaviors. This theoretical perspective also argues that older individuals have better memory for positive information than for negative information, suggesting that the threat component of fear appeals may not be as memorable as the efficacy component for this particular audience. For instance, there is little work to confirm that people actually stay attuned to an entire fear appeal encountered in their daily lives or change the channel to avoid the unpleasant information (Witte & Allen, 2000). Bookshelf Describe the "fear appeal" and how it's used in public health messaging. Ultimately, only 2.5% of stories included all four components associated with fear appeals. Such curvilinear patterns likely result from minimal fear in response to the beginning of a message, stronger fear when an individual sees the threat component of the message, and resolving fear after seeing the efficacy component. However, some evidence suggests a more nuanced picture. Fear appeals have three major components: the message, the audience, and the recommended behavior. Further, many of the 12 propositions originally articulated within the EPPM have not been consistently tested. A second more general approach to considering the influence of discrete emotions, including fear, on persuasive outcome is the emotions-as-frames perspective, which argues that an audience members emotional state provides a lens through which individuals pay attention to and process message information (Nabi, 2003). Fear is a negatively valenced discrete emotional state that is an inherent part of the human experience. A campaign with gruesome photos of a person dying of lung cancer to combat smoking might make people think twice . Once a moderate amount of fear is conveyed, there is no further benefit in adding more fear. Moreover, it might be best directed toward individuals who are known and for whom the recommendations apply appropriately, rather than an ambiguous population. Participants read news stories designed to evoke either fear or hope about the human papilloma virus (HPV) and with different levels of response efficacy information regarding the impending HPV vaccine. eCollection 2023 Mar. Key elements: statement with values and philosophy related to the problem, description of target population to be served, specific services/intervention to be used and why, statement of desired public image Goal -Long-term direction for the program, overall intent or desired outcomes, written in general terms (no specifics) It is to this literature we now turn. However, more recent theorizing has returned to a focus on the influence that the emotion of fear itself has on attitude and behavior change. Individuals base their first appraisal on assessment of Further, individual differences have been considered to determine who is most likely to experience fear during and after message consumption. However, the resources listed below are helpful places to start exploring these topics as they are addressed in the academic literature. Dolores Albarracin can be contacted by email or by phone at (217) 224-7019. The https:// ensures that you are connecting to the Thus, highlighting both actual risk of health-threatening behavior, especially occasional ones, to enhance perceived severity, as well as boosting self-efficacy to protect oneself from harm, may be particularly important message goals to match the psychological profile of adolescents. More than 92 million benzodiazepine prescriptions are yearly dispensed in the US, yet little is known about the experiences of those taking them. With strong evolutionary roots, fear serves important functions, including alerting people to present threats and motivating action to avoid future threats. "One is seats, one is . Although not specifically documented, the pervasiveness and endurance of cautionary tales in childrens literature suggest that such narratives are believed to be influential; and in light of the growing evidence of the persuasive influence of narratives on adults (Green, 2006; Green & Brock, 2000), there is reason to believe such stories do, indeed, have the desired influence on children. (2015) meta-analysis did not examine the relationship between the amount of fear aroused and fear-appeal effects on persuasive outcomes. An official website of the United States government. As such, each theory or model does not always present a direct response to its immediate predecessor. If fear is used to motivate attitudinal and behavioral change, it should be used judiciously. However, fear appeals should be used cautiously, since they may backfire if target audiences do not believe they are able to effectively avert a threat [ 21] p. 605. These behaviors can also, however, be maladaptive if they do not result in behavioral change but instead involve avoiding the topic or becoming defensive toward the message source. Given that theories of motivation were losing favor to those that focused on cognition in the field of psychology in the 1970s, it is unsurprising that the next major advance in fear appeal theorizing focused on the cognitive elements associated with fear appeal effectiveness. Monitors, however, responded to both message types similarly. For example, after viewing fear appeal messages on drinking and driving, some people who drink and drive may respond by claiming that their drinking does not affect their driving skills, and thus the message does not apply to them. Given that fear appeals are designed to evoke powerful emotional responses, it is reasonable to surmise that such messages may be the source of social sharing, both through interpersonal discussion and social media posting or commenting. These emotions may also have an effect on behavioral changes. How Blame and Shame Can Fuel Depression in Rape Victims, Getting More Hugs Is Linked to Fewer Symptoms of Depression, Interacting With Outgroup Members Reduces Prejudice, Practice Improves the Potential for Future Plasticity, How Financial Infidelity Can Affect Your Gray Divorce. Although fear may predispose audiences to engage in defensive motivations, it also prompts consideration of efficacy potential. To aid health professionals in redirecting away from the use of fear appeals, we offer a phased approach to creating health communication messages during the COVID-19 crisis. The EFM then predicts that once an emotion is experienced, emotion-consistent information will be made accessible from memory. Repeated exposure could possibly promote complacency among those who see frightening messages but are not directly targeted or do not perceive themselves to be in the target audience. It presents a risk, presents the vulnerability to the risk, and then may, or may not suggest a form of protective action. There can be feelings of disgust, anger, anxiety, or guilt. Unable to load your collection due to an error, Unable to load your delegates due to an error. In order to motivate students to perform well academically, teachers and counselors will emphasize the importance of exams, papers, and classroom participation. They also confirmed prior findings that fear appeals are effective when they describe how to avoid the threat (e.g., get the vaccine, use a condom). While these types of messages are commonly used in political, public health and commercial advertising campaigns (e.g., smoking will kill you, Candidate A will destroy the economy), their use is controversial as academics continue to debate their effectiveness. Conclusion: Fear Appeals and Message Effects. As such, adaptive outcomes are likely. Indeed, in a systematic review of the EPPM literature, Popova (2012) found that two of Wittes (1992) propositions, (a) when perceived efficacy is at a moderate level, perceived threat will have an inverted-U-shaped effect on message acceptance, and (b) when perceived efficacy is at a high level, there is a reciprocal relationship between perceived threat and fear, have yet to be empirically tested. Fear appeals are messages that try to persuade people about the potential harm that may happen to them if they do not accept the messages' recommendations (Tannenbaum et al., 2015). Rooted in appraisal theories of emotions (e.g., Lazarus, 1991), the EFM argues that when a message contains information that is relevant to an emotions core relational theme, or the essential perception that underlies an emotional experience, that particular emotion is aroused. In such situations, they might also criticize the nature of the message and then use self-justification for not modifying their attitudes and behavior; especially, if they discuss the fear appeals with others (Goldenbeld, Twisk, & Houwing, 2007). For example, fear appeals begin with threat information followed by efficacy information. Shoba Sreenivasan, Ph.D., and Linda E. Weinberger, Ph.D. Find a therapist to combat fear and anxiety, https://doi.org/10.1016/j.trf.2007.11.001, Small Hassles, Big Stress: Why the Little Things Get to Us, How to Tell if Your Relationships Are Genuine, 18 Common Logical Fallacies and Persuasion Techniques, The 3 Parts of Anxiety: Thoughts, Emotions, and Behaviors, Using Maslow's Hierarchy of Needs to Discover What Motivates You, The 5 Types of People Who Withdraw From Social Life, Benzodiazepine Withdrawal Tied to Serious Long-Term Harms, How to Boost Your Courage Without Battling Your Fears, Why Sound Is So Important in Horror Movies, How to Prepare for Your First Therapy Session. Men have long been silent and stoic about their inner lives, but theres every reason for them to open up emotionallyand their partners are helping. (2015, October 22). Thus, it may be that blunters may respond better to shorter, more direct fear appeals whereas monitors may be more willing to engage with longer or more detailed fear-inducing messages. Indeed, Nabi and Prestin (2016) conducted experimental research to examine the influence of the structure of news stories that incorporated fear. Fear and Understanding in the Time of COVID-19. There are many messages that convey important information about potential harm; however, if the message is to have any effect, it should address issues that instill critical amounts of fear and be targeted to those who are the most susceptible to the risk. A fear appeal, in health promotion, is when health promoters, trying to inspire change in behavior from high risk to lowered risk, place emphasis of a health message on the use of gruesome fear content or try to arouse fear responses in the audience (Witte, 1992). The third component recommended behavior is important because it gives instruction on what to do to avert or reduce the risk of harm. Presenting a fear appeal more than doubles the probability of change relative to not presenting anything or presenting a low-fear appeal, said Albarracin. Further, additional perspectives, like the cognitive functional model, ask how messages that evoke emotions other than fear might influence persuasive outcome, with growing attention to the role of specific emotions, such as guilt, anger, and hope. Further, there is evidence that campaigns targeting adolescents risky health behaviors are at high risk for failure due to the likelihood of reactance, or resistance to having behavioral choices controlled by others. American Psychological Association. PostedSeptember 18, 2018 She noted that the studies analyzed did not necessarily compare people who were afraid to people who were unafraid, but instead compared groups that were exposed to more or less fear-inducing content. That is, though significant relationships between fear and persuasion have been identified, meta-analyses have found mixed support for the threat by efficacy interactions predicted by the EPPM (de Hoog, Stroebe, & de Wit, 2007; Witte & Allen, 2000). Most directly relevant, Goodall, Sabo, Cline, and Egbert (2012) conducted a content analysis of print and electronic news coverage of the H1N1 virus from a fear appeal perspective, looking for the appearance of threat and efficacy information within the news coverage. Hubenschmid L, Helmreich I, Kber G, Gilan D, Frenzel SB, van Dick R, Lieb K. Front Public Health. Through its divisions in 54 subfields of psychology and affiliations with 60 state, territorial and Canadian provincial associations, APA works to advance the creation, communication and application of psychological knowledge to benefit society and improve people's lives. Indeed, the Tannenbaum et al. When a growing body of empirical evidence found a positive linear relationship between fear and persuasion (that is, the more frightened participants were, the more persuasive the message, generally speaking), the drive model no longer seemed a plausible explanation for why fear appeals affect audiences (Beck & Frankel, 1981; Giesen & Hendrick, 1974; Mewborn & Rogers, 1979). In place of focusing solely on the persuasive effects of fear, theorizing since the 1990s has shifted to understanding the role of other emotionswhether evoked by messages designed to produce fear or designed to simply be emotionalon persuasive outcomes. In their experiment, participants who saw the most graphic and frightening images of tooth decay and poor oral hygiene rated the material as the most worrisome and interesting compared to those in other conditions who saw less disturbing images or just heard a lecture about cavities. Researchers now believe anxiety disorders and PTSD are whole brain conditions. Many of us are reluctant to change our perceptions or habits, even though we know we would be happier and healthier. A fear appeal is a means of persuasion that threatens the audience with a negative, physical . Therefore, they can be quite useful to practitioners. An overview of the scholarly work on the emotion of fear, fear appeal theories, and fear as a variable that impacts post-message attitudes and behaviors can provide insights as to what is currently known, as well as what remains to be learned about how fear can be incorporated into persuasive messages and to what effect. 2020 Jul;39(5):376-379. doi: 10.1080/01459740.2020.1745481. SSM Popul Health. Importantly, Witte and Allen (2000) did not find support for the EPPMs predicted threat by efficacy interaction. For example, Nabi (1999) proposed the cognitive-functional model (CFM) to advance the literature on negative emotional appeals generally, including specific predictions regarding the role of fear in mediated persuasion. However, if the curvilinear hypothesis suggested by the drive model were the best model of fear appeal effects, this value would be negative and significant. This journal article, as well as other journal articles, can be found in scholarly databases available via most university libraries. This deeper processing in the face of uncertainty occurs, according to the CFM, because the audience member is trying to find some piece of information that might satisfy the fear-induced goal of protection. Shir-Raz Y, Elisha E, Martin B, Ronel N, Guetzkow J. Minerva. Using a within-subjects design and asking participants about their fear responses before, during, and after viewing a message about colorectal cancer screening using, Dillard et al. Fear appeals are also used in educational settings. Which can you control and which can you not? By the 1990s, Kim Wittes extended parallel process model (EPPM) gained traction, and her 1992 piece in the journal Communication Monographs that first proposes the model is a good place to start understanding this perspective. Fear appeals are persuasive messages that emphasize the potential danger and harm that will befall individuals if they do not adopt the messages recommendations. The authors found that though fear was the least common of the emotional responses found, tweets that did exhibit fear were significantly more likely than those that did not to contain a link to outside information and to contain requests for information, as well as interactive health information sharing between users. Two years later, in their meta-analysis of 98 studies, Witte and Allen (2000) likewise found a moderately positive relationship between fear appeals and experienced fear (r = .30). However, this assumes news stories are processed as fear appeals, which is as yet an open question. Effects of persuasive communication and group discussions on acceptability of anti-speeding policies for male and female drivers. Example: thetruth.com. Simply frightening people without giving them an effective way to avoid or deal with the situation is not a very influential means for behavioral motivation. As the United States faces out-of-control spikes from Covid-19, with people refusing to take recommended, often even mandated, precautions, our public health announcements from governments,. These appeals are effective at changing attitudes, intentions and behaviors. (2015) conducted a meta-analysis based on 248 independent samples from studies that contained a treatment group exposed to a fear appeal; a comparison group (described by the authors as a group that was either not exposed to a message or exposed to a message specifically designed to not evoke fear, or exposed to a message meant to induce less fear than the treatment groups message); a manipulation of depicted fear; and a measure of attitudes, intentions, or behaviors. Once evoked, fear manifests itself physically in multiple ways, including changes in facial expressions (e.g., wide-open eyes and raised eyelids) and the body (e.g., increased heart rate) (hman, 2008).

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how is fear appeal used in public health messaging