how is fear appeal used in public health messaging

fear appeal. The site is secure. 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,. Additionally, social media provide opportunities not only for social sharing but also for information requests from others, which in turn could improve health outcomes. found that this dynamic approach offered evidence in support of a curvilinear relationship between fear and persuasion. 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. For example, we may learn that taking too much over-the-counter pain medication can cause liver damage; nevertheless, we continue to take more than we should when the pain is great. Answer: Fear appeal is simply a message (most commonly found in advertising) which is intended to bring fear to its audience; They either encourage or discourage their audience from participating in a specific behavior. 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). Before Thus, as research on fear appeals moves forward, it is important to give greater consideration not only to how such messages are processed in situ but also how those messages are shared and discussed within social networks, both interpersonally and online. According to the model, people respond to health risk messages through two forms of cognitive apprais als that occur sequentially. Finally, given the expectation that emotional experience directs information processing and information accessibility, the EFM predicts that decision-making and action will be heavily influenced by these emotion-driven processes. For instance, Myrick, Holton, Himelboim, and Love (2016) content analyzed tweets about cancer that included the hashtag #stupidcancer, which is particularly popular with young-adult members of the online cancer community. 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. There is also the possibility that arousing fear could result in a defensive response or risk denial; particularly, among those who are most susceptible to the threat (Ruiter, Kessels, Peters, & Kok, 2014). Substance cues are used in these types of prevention messages in order to gain and keep attention (Clayton et al., 2017a) and potentially inhibit message rejection when a fear appeal is present (Bailey et al., 2018; Sarge and Gong, 2019). If news stories are processed as fear appeals, this composition suggests concern that health stories are not reaching their potential to positively influence the health behaviors of audiences. Fear and Understanding in the Time of COVID-19. 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. A campaign with gruesome photos of a person dying of lung cancer to combat smoking might make people think twice . As health professionals develop health communication for coronavirus disease 2019 (COVID-19), we implore that these communication approaches do not include fear appeals. As the field of psychology shifted to emphasize cognition over motivation through the 1960s into the 1970s, the study of fear appeals followed suit, with the theories developed during this timeframe highlighting the cognitions associated with the experience of fear, as well as the link between those cognitions and attitude change. They also found that efficacy responses were included in 56% of the stories, but of these, only 23% made statements speaking to the effectiveness of such actions. 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. Since the 1950s, social scientists have studied the potential effects of fear-arousing messages on audiences. However, cautionary tales, which tell the stories of people who ignore the dangers of a forbidden act and suffer as a result, have frequently been used to encourage compliant behavior in children (P. J. Miller & Moore, 1989). Indeed, the more intense the emotional experience or the greater the emotional disruption, the more likely it is to be socially shared and shared repetitively over an extended period of time (Rim, 2009). It presents a risk, presents the vulnerability to the risk, and then may, or may not suggest a form of protective action. Six children were among the dead after a Russian missile attack on Uman; Russian soldiers are likely being placed in improvised cells consisting of holes in the ground as punishment, the UK's MoD . Given personality traits influence perceptions of events, and given emotions are based on such perceptions, personality traits could influence whether or not a fear appeal is likely to evoke fear, to what degree, and toward what end. His 1971 theoretical article published in the American Journal of Public Health includes a discussion of previous works dating back to Darwin alongside a discussion of promising ways to persuade people to adopt preventative health behaviors. The study of fear-based messages has a long and robust history. 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. There are many messages that convey important information about potential harm; however, if the . Loners come in many varieties, some of them perectly healthy. If fear is used to motivate attitudinal and behavioral change, it should be used judiciously. 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. Dolores Albarracin can be contacted by email or by phone at (217) 224-7019. Longitudinal work on fear appeal exposure and responses, as well as research on the influence of more prevalent use of fear appeals versus other message strategies, could help confirm or dismiss these possibilities. 2020 Jun 22;140(10). Fear alone does not change behavior. Most crucially, and from a practical standpoint, the controlled laboratory settings and forced message exposure used in many fear appeal studies may not translate to real-world settings. It generally describes a strategy for motivating people to take a particular action. There can be feelings of disgust, anger, anxiety, or guilt. 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). A student interested in the historical roots of fear appeal theorizing could start with seminal pieces from Carl Hovlands Yale research group, including the 1953 book by Hovland, Janis, and Kelly titled Communication and Persuasion: Psychological Studies of Opinion Change, as well as later journal articles reporting empirical data related to fear appeals. Despite accumulating evidence that fear appeals could be persuasive, the field remained without a good explanation for the mechanisms of these message effects. On the other hand, proponents argue that fear appeals positively affect attitudes, intentions, and behaviors, with one meta-analysis reporting an average effect size of d = 0.29 (Tannenbaum et al., 2015 ). Marco Yzer, Brian Southwell, and Michael Stephenson discuss the use of fear in public communication campaigns in their chapter in the fourth edition of Public Communication Campaigns. Fear appeals are often used in public health service announcements and health behavior change campaigns. Communication, collaboration and cooperation can stop the 2019 coronavirus. Several theories have aimed to describe the effects of fear-based appeals on audiences, focusing largely on the cognitive correlates of fear (i.e., severity and susceptibility) and their subsequent impacts on persuasive outcomes. 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. Advancing psychology to benefit society and improve lives. Such research would, in turn, help determine what message structures would be best suited for which age groups and within what health contexts. However, there is mixed evidence as to trait anxietys impact on fear appeal effects. Example: thetruth.com. The protection motivation theory is an attitude-based model. Copy this link, or click below to email it to a friend. Visit one of the web links below and review the health promotion message. Fear produces a significant though small amount of change across the board. 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. The study of fear-based messages has a long and robust history. As a universally relatable experience, fear is frequently incorporated into the design of messages related to health and risk that aim to motivate people to change their behaviors. You could not be signed in, please check and try again. Psychiatry for Better World: COVID-19 and Blame Games People Play from Public and Global Metal Health Perspective. Clipboard, Search History, and several other advanced features are temporarily unavailable. MeSH Yet fear-based messages may also be transmitted interpersonally, particularly in healthcare environments. National Library of Medicine The meta-analysis did not, however, directly address interactions between the threat and efficacy elements. 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. Additionally, they found that the fear aroused by messages that included a message-based fear or threat manipulation was associated with attitudes (r = .15), intentions (r = .13), and behavior change (r = .16). With a smaller set of studies (between 17 and 33), the authors also analyzed the relationship between fear appeal manipulations in the message content and cognitions. There has been so much written about fear and the role of fear in risk-related messages that one can get easily overwhelmed with the voluminous responses to search queries for the terms. Maslows so-called "hierarchy of needs"is often presented as a five-level pyramid where the bottom four levels are "deficiency needs.". doi: 10.4045/tidsskr.20.0346. Fear-based advertising is a specific type of social marketing that employs scare tactics or other anxiety-producing mechanisms to highlight the dangers of engaging (or not engaging) in a certain practice, like smoking or drunken driving. Unauthorized use of these marks is strictly prohibited. Evidence from a meta-analysis of fear appeals found that appeals targeting female-dominated audiences are more effective than those targeting male audiences, likely because women tend to be more prevention focused in that they are more sensitive to avoiding negative outcomes than to seeking positive outcomes (Tannenbaum et al., 2015). However, these gender differences are likely moderated by gender-role socialization processes such that expressions of fear are typically looked down on for men but not women, resulting in a cycle whereby fearful reactions by women are both tolerated and expected by other members of society (McLean & Anderson, 2009). Printed from Oxford Research Encyclopedias, Communication. 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). 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). Describe the "fear appeal" and how it's used in public health messaging. The CFM predicts that because fears action tendency motivates individuals to avoid threatening situations, message-related fear should predispose audiences to want to avoid giving further attention to the message. In essence, the fear depicted in the message is so great that rather than deal with it, people stop listening, viewing, or reading it. For example. PostedSeptember 18, 2018 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. Clearly, fear appeals do not only provoke fear reactions. Results indicated no main effects for fear or hope or response efficacy, but a significant interaction suggested that emotionally consistent presentations (fear and low efficacy, hope and high efficacy) boosted intentions to engage in protective actions relative to emotionally inconsistent, sensationalized presentations (fear and high efficacy, hope and low efficacy). 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. Beginning with the very young, testing the influence of fear-based messages on children is a difficult area of empirical inquiry given the ethical implications of potential psychological trauma. How can peoples attitudes and behavior be changed? More specifically, the EPPM argues that if a message contains information on threat severity and susceptibility, fear will be aroused. HHS Vulnerability Disclosure, Help Your current browser may not support copying via this button. A fear appeal, then, can be defined as a message that intends to evoke fear in audiences by demonstrating the existence of a threat and then detailing ways to avoid that threat (Witte, 1994). 2020 Jul;39(5):376-379. doi: 10.1080/01459740.2020.1745481. Shir-Raz Y, Elisha E, Martin B, Ronel N, Guetzkow J. Minerva. Additionally, audiences will be motivated to attend to message information that is consistent with the goals of the aroused emotion (e.g., protection, in the case of fear). This is a critical because if audiences stop paying attention to a fear appeal after the presentation of the threat, they may miss out on the efficacy information that is critical to a fear-based messages success. Fear appeals are a form of persuasive communication. 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. Specifically, the CFM predicts that an individual experiencing message-relevant fear who is also uncertain as to whether the rest of the message will contain reassuring information (i.e., it may help alleviate fear, but full exposure is necessary to know for sure) would be most likely to carefully process the message. Importantly, Witte and Allen (2000) did not find support for the EPPMs predicted threat by efficacy interaction. 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. 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. Fifteen years later, Tannenbaum, Hepler, Zimmerman, Saul, Jacobs, Wilson et al. Although no new models of fear appeals have specifically been advanced since the EPPM, theorists have considered how a range of emotions, including fear, might generate persuasive effect. Cognitively, fear is associated with uncertainty over the likely outcome and ones ability to cope with the current threat, which contributes to the motivation for avoidance and protection (Lazarus, 1991). 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. Although the distinction between the two has not been studied empirically, and the word anxious is frequently included among the emotion words used to assess fear responses to persuasive appeals, it is useful to recognize that the experience of fear and anxiety are distinguishable, with fear carrying the potential for more adaptive action. 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. Their results indicated that most stories (86%) referenced threat and of these, 94% did so in the first third of the story. In order to motivate students to perform well academically, teachers and counselors will emphasize the importance of exams, papers, and classroom participation. (2015) meta-analysis did not examine the relationship between the amount of fear aroused and fear-appeal effects on persuasive outcomes. He says there are three ways to look at the local elections. 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. 2023 Feb 7;20(4):2896. doi: 10.3390/ijerph20042896. Conclusion: Fear Appeals and Message Effects. Discover the world's . 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). As such, message components of fear appeals include threat and efficacy. Understanding Brain Circuits of Fear, Stress, and Anxiety, A message addressing the harmfulness of driving while drunk may have no effect on those who do not drive or drink, Breast cancer messages are typically directed toward women who have a larger personal risk of bodily harm than men (although men may be impacted by their concern for female loved ones), Public service announcements on the lethal dangers of young people going to college without having received a meningitis vaccination, Billboards indicating the harmfulness of sexually transmitted diseases and promoting safe, Videos of terrible accidents due to texting while driving. 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. (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. Still, the CFM introduces the notion that the emotion of fear influences how carefully persuasive messages are processed, which in turn has implications for the direction and endurance of persuasive effect. It was d = .05 with a 95% confidence interval that crossed 0 [.34, 0.24], suggesting that neither the linear nor curvilinear hypotheses were fully supported by the body of existing fear appeal research.

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