Verbal Quantifiers and Communicating Painkiller Side Effect Risk.

The two studies reported here explore the use of verbal quantifiers (e.g., "common") as an alternative to the numerical presentation of risk information about prescription drugs. Guided by work on adverb-adjective pairs (Study 1) and research on fuzzy trace theory (Study 2), predictions are made about participants' risk perceptions after reading verbal presentations of a medication's side effects. Participants report their perceptions about the drug's side effects' occurrence among users. In Study 1, pairs of adverbs and adjectives (e.g., "very rare") are used in contrast to adjectives alone to convey numerical risk information. In Study 2, severity and more general risk perception measures are added to better understand bottom-down schema processing. Findings show that individuals vastly overestimate the likelihood of side effects occurring, compared with the European Union's CIOMS III recommendations (e.g., "rare" side effects affect .01-.1% of users), and demonstrate support for the differences between gist and verbatim processing of risk information.

Risk, Stigma, Trustworthiness, and Citizen Participation-A Multifaceted Analysis of Media Coverage of Dioxin Contamination in Midland, Michigan.

In the United States, more than 200 communities are designated by the U.S. Environmental Protection Agency as areas of concern for dioxins. Informing the public about potential risks associated with dioxins and delivering information about how to avoid such risks are essential activities. News coverage of environmental and health problems affects how members of the public assess those problems in terms of both severity and how they are understood, as well as the extent of attention given to the problem by policy-makers. To contextualize public and institutional responses to dioxin contamination and remediation in a dioxin-affected community, we assessed 176 newspaper articles published over 30 years concerning dioxin contamination in Midland, Michigan, in terms of risk, trust in institutions, environmental stigma, and citizen participation. Articles about dioxin contamination and remediation in Midland appeared in both domestic and international newspapers. Domestically, both national and local newspapers covered this issue. The risks for human health and the environment caused by exposure to dioxins were widely covered, with much less media attention given to the trustworthiness of the organizations responsible for managing the risk, environmental stigma, and citizen participation. News coverage of these four themes also changed significantly overtime. Overall, our findings highlight the important role of local news media in communicating risk information, guiding safe behaviors, and facilitating community-level decision-making.

The Effect of Dioxin Contamination and Remediation on Property Values.

Loss of property value is a major concern in communities faced with the toxic byproducts of industrial practices. Even after site remediation, stigma may persist and negatively affect market values of residential properties. To study the effects of contamination and of remediation on property values in Midland, Michigan, where dioxins have been released into the environment through the incineration of contaminated waste and the discharge of contaminated water for many years, records of assessed value were obtained for 229 homes within the same neighborhood for the previous 18 years. A multilevel, longitudinal analysis was conducted to determine if there was a relationship between level of dioxin and assessed value after controlling for housing characteristics. Remediated and un-remediated properties saw increases in value at a similar rate over time. However, a property's level of dioxin was found to have a small, significant, and negative relationship with assessed value, and this negative effect was present regardless if a home had been remediated or not. These results suggest that while environmental remediation may be effective at removing the contamination, its economic effects may persist for a longer period of time.

Working with Institutional Stakeholders: Propositions for Alternative Approaches to Community Engagement.

Community engagement is a vital aspect of addressing environmental contamination and remediation. In the United States, the Superfund Research Program (SRP) forms groups of academic researchers from the social and physical sciences into Community Engagement Cores (CECs) and Research Translation Cores (RTCs), which focus on various aspects of informing and working with communities during and through the resolution of environmental crises. While this work typically involves engaging directly with members of affected communities, no two situations are the same. In some cases, alternative approaches to community engagement can be more appropriate for community improvement than traditional approaches. In particular, when research teams become involved in contamination crises at a late point in the process, their contributions can be better directed at supporting and reinforcing the work of institutional stakeholders charged with remediating pollution. Relevant factors include issue fatigue among a local population, and contamination that is due to a major employer. Supported by literature and experience, we offer several propositions that we believe lay out conditions that warrant such an approach by academic teams, rather than their direct engagement with unaffiliated individuals in communities.

Diffusion Of Innovations Theory, Principles, And Practice.

Aspects of the research and practice paradigm known as the diffusion of innovations are applicable to the complex context of health care, for both explanatory and interventionist purposes. This article answers the question, "What is diffusion?" by identifying the parameters of diffusion processes: what they are, how they operate, and why worthy innovations in health care do not spread more rapidly. We clarify how the diffusion of innovations is related to processes of dissemination and implementation, sustainability, improvement activity, and scale-up, and we suggest the diffusion principles that can be readily used in the design of interventions.