Reducing Psychological Reactance to Health Promotion Messages: Comparing Preemptive and Postscript Mitigation Strategies.

This study compared the relative efficacy of two strategies designed to mitigate psychological reactance in health campaigns by using reminders of behavioral autonomy: preemptive scripts, which appear before the appeal, and restoration postscripts, which appear after. Employing a mixed-model experiment with a 2 (threat to freedom: low vs. high) × 3 (reactance-mitigation strategy: control vs. preemptive script vs. restoration postscript) × 2 (health campaign topic: exercise vs. nutrition) between-subjects design and a within-subjects factor of time (immediate posttest measurement followed by a one-week delay), this study (N = 394) compared the effects of the two mitigation strategies on reactance, attitude, and behavioral intention at two points in time. Moderated mediation models indicated that the reactance-mitigation strategies equivalently reduced the degree to which reactance was experienced in response to increasingly threatening health appeals (relative to the control). This effect indirectly influenced behavioral intention via attitude change and remained after one week.

Communication competence, social support, and depression among college students: a model of facebook and face-to-face support network influence.

This study examined the influence of the social networking site Facebook and face-to-face support networks on depression among (N = 361) college students. The authors used the Relational Health Communication Competence Model as a framework for examining the influence of communication competence on social support network satisfaction and depression. Moreover, they examined the influence of interpersonal and social integrative motives as exogenous variables. On the basis of previous work, the authors propose and test a theoretical model using structural equation modeling. The results indicated empirical support for the model, with interpersonal motives predicting increased face-to-face and computer-mediated competence, increased social support satisfaction with face-to-face and Facebook support, and lower depression scores. The implications of the findings for theory, key limitations, and directions for future research are discussed.

A communication competence approach to examining health care social support, stress, and job burnout.

Drawing upon Kreps's (1988) Relational Health Communication Competence Model (RHCCM), this study examined the effect of perceived communication competence on perceived stress and subsequently perceived job burnout. In addition, the role of social support satisfaction as a potential mediator between perceived communication competence and perceived stress was explored. The extended RHCCM was proposed and tested in a survey of 221 health care workers from three Veterans Administration hospitals in the United States. The model was tested by structural equation modeling. The results indicated support for the extended model. The implications of the findings for the extended RHCCM are discussed along with limitations of the study and directions for future research.

Influences on health delivery system satisfaction: a partial test of the ecological model.

This study uses structural equation modeling to investigate several predictors of hospital system satisfaction. Drawing on Street's ecological perspective, the researchers explore several individual, provider-patient interaction, and system perceptions and expectations, test a model of hospital system satisfaction, and discuss the implications of the structural equation modeling analysis. Specifically, it was hypothesized that individuals who rated themselves as having high self-efficacy would report higher levels of patient satisfaction than individuals who reported lower self-efficacy scores. In addition, it was hypothesized that patient perceptions of physician affirming nonverbal behavior and patient expectations, as well as the amount of time the patient must wait, will likely affect physician credibility. Last, patient perceptions of physician credibility and patient satisfaction were hypothesized to ultimately affect overall patient satisfaction with the health system. The results indicate partial support for the model. The implications of the findings for Street's model and the limitations of this study are discussed.