Reactance, Mortality Salience, and Skin-Cancer Prevention Among Young Adults.

In an experiment (N = 206) using skin cancer prevention messages and a 2 (mortality: salient, control) × 2 (freedom-limiting language: freedom-limiting, autonomy-supportive) independent-group design, we tested the terror management health model and integrated its predictions with the theory of psychological reactance. We used a sample of young adults because they are most at risk for excessive tanning. Consistent with the study predictions about proximal defenses, mortality salience significantly increased intentions to wear sunscreen all year around, relative to the control condition. A significant interaction between freedom-limiting language and mortality salience on behavioral intention to purchase high-SPF lotion revealed that, when a freedom-limiting message was paired with mortality salience, intentions to purchase high-SPF lotion were significantly greater as compared to autonomy-supportive language, indicating that mortality salience mitigated the maladaptive effects of reactance. These results add to a growing body of research identifying boundary conditions for reactance effects and, further, point to the utility of directive (albeit freedom-limiting language) in health-prevention messages attempting to communicate deadly health risks.

Inoculating Against Anti-Vaccination Conspiracies.

This study examined the efficacy of inoculation treatments in preventing anti-vaccination propaganda. Study predictions were tested in an independent-group experiment (N = 165), wherein participants were randomly assigned to a fact-based inoculation or a logic-based inoculation or a control message, with an excerpt from an anti-vaccination conspiracy film, Vaxxed, used as a counterattitudinal attack message. The results indicated that both inoculation treatments (fact-based and logic-based) were effective at instilling resistance to counter-persuasion, as compared to the control condition, and both types of inoculation messages were equal in their potential to facilitate resistance. In addition, we tested whether inoculating participants against an anti-vaccination conspiracy would help prevent the endorsement of other conspiracy theories. The data revealed that inoculating against one type of a conspiracy did not foster protection against other types of conspiratorial ideas, and, similar to previous research, endorsing one type of a conspiracy theory was positively associated with the endorsement of other conspiracies. These and other results are discussed along with their implications, limitations, and future research directions.

The effects of death awareness and reactance on texting-and-driving prevention.

Using a 2 (mortality: salient, control) × 2 (freedom-limiting language: freedom-limiting, autonomy-supportive) independent-group design, this study examined the relationship between mortality salience and psychological reactance in the context of texting-and-driving prevention messages. The terror management health model and the theory of psychological reactance guided study predictions. Results showed mortality salience produced adaptive effects on attitudes toward texting-and-driving prevention and behavioral intentions to reduce unsafe driving practices. Additionally, some evidence for the effectiveness of directive, albeit freedom-limiting communication, emerged. These and other results are discussed along with the implications, limitations, and future research directions.

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.

Simmering on the Back Burner or Playing with Fire? Examining the Consequences of Back-Burner Digital Communication Among Ex-Partners.

Back burners are people with whom one communicates to potentially establish a future romantic or sexual relationship, and these relationships are common among college students. Using a sample of noncollege adults currently in committed relationships (N = 246) obtained via Amazon's MTurk, this study examines how a prior relationship role with a desired back burner (i.e., whether a back burner was an ex-partner or not) affects digital communication and sexual activity with back burners, and participants' negative affect. Sequential mediation analysis revealed that when the most-desired back burner was also an ex-partner (vs. not), participants digitally communicated more, increased communication was positively related to sexual activity with that back burner, and sexual activity was associated with negative affect in the participant. Even in the absence of sexual activity, both increased digital communication and simply having an ex-partner as one's most-desired back burner were associated with negative affect. Limitations and implications for staying in touch with ex-partners are discussed.

Positive affect as informational feedback in goal pursuit.

Two studies investigated the cognitive activation of a goal following a promise to complete it. Current theorizing about the impact of positive affect as informational feedback in goal pursuit suggests two contradictory conclusions: (1) positive affect can signal that sufficient progress towards a goal has been made, but also (2) positive affect can signal that commitment to a goal should be maintained. When individuals infer that significant progress toward goal achievement has been made, the goal should be deactivated, but when individuals infer that commitment to the goal should be maintained, goal activation should be increased. To determine the conditions in which positive affect leads to increased goal activation as opposed to goal deactivation, we proposed that competing goals serve as a moderator. We found that positive affect led to decreased goal activation when competing goals were present, but to increased goal activation when competing goals were absent.

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.