"Do as I say but not as I do": Influence of political leaders' populist communication styles on public adherence in a crisis using the global case of COVID-19 movement restrictions.

This paper explores the influence of political leaders' populist communication styles on public adherence to government policies regarding COVID-19 containment. We adopt a mixed-methods approach that combines: theory building with a nested multicase study design for Study 1 and an empirical study in a natural setting for Study 2. Based on the results from Studies 1 and 2, we develop two propositions that we further explain theoretically: (P1) countries with political leaders associated with engaging or intimate populist communication styles (i.e., the UK, Canada, Australia, Singapore, and Ireland) exhibit better public adherence to their governments' COVID-19 movement restrictions than do countries with political leaders associated with communication styles that combine the champion of the people and engaging styles (i.e., the US); (P2) the country whose political leader is associated with a combination of engaging and intimate populist communication styles (i.e., Singapore) exhibits better public adherence to the government's COVID-19 movement restrictions than do countries whose political leaders adopted solely engaging or solely intimate styles, namely, the UK, Canada, Australia, and Ireland. This paper contributes to the research on political leadership in crises and populist political communication.

Patient Trust in Physicians Matters-Understanding the Role of a Mobile Patient Education System and Patient-Physician Communication in Improving Patient Adherence Behavior: Field Study.

BACKGROUND: The ultimate goal of any prescribed medical therapy is to achieve desired outcomes of patient care. However, patient nonadherence has long been a major problem detrimental to patient health and, thus, is a concern for all health care providers. Moreover, nonadherence is extremely costly for global medical systems because of unnecessary complications and expenses. Traditional patient education programs often serve as an intervention tool to increase patients' self-care awareness, disease knowledge, and motivation to change patient behaviors for better adherence. Patient trust in physicians, patient-physician relationships, and quality of communication have also been identified as critical factors influencing patient adherence. However, little is known about how mobile patient education technologies help foster patient adherence. OBJECTIVE: This study aimed to empirically investigate whether and how a mobile patient education system (MPES) juxtaposed with patient trust can increase patient adherence to prescribed medical therapies. METHODS: This study was conducted based on a field survey of 125 patients in multiple states in the United States who have used an innovative mobile health care system for their health care education and information seeking. Partial least squares techniques were used to analyze the collected data. RESULTS: The results revealed that patient-physician communication and the use of an MPES significantly increase patients' trust in their physicians. Furthermore, patient trust has a prominent effect on patient attitude toward treatment adherence, which in turn influences patients' behavioral intention and actual adherence behavior. Based on the theory of planned behavior, the results also indicated that behavioral intention, response efficacy, and self-efficacy positively influenced patients' actual treatment adherence behavior, whereas descriptive norms and subjective norms do not play a role in this process. CONCLUSIONS: Our study is one of the first that examines the relationship between patients who actively use an MPES and their trust in their physicians. This study contributes to this context by enriching the trust literature, addressing the call to identify key patient-centered technology determinants of trust, advancing the understanding of patient adherence mechanisms, adding a new explanation of the influence of education mechanisms delivered via mobile devices on patient adherence, and confirming that the theory of planned behavior holds in this patient adherence context.

Patients' compliance behavior in a personalized mobile patient education system (PMPES) setting: Rational, social, or personal choices?

OBJECTIVE: With the advancement of mobile technologies, patients can access medical and patient educational information anytime and anywhere. Computer-aided patient education has been advocated as a key means of interventions for improving patient knowledge and compliance (i.e., adherence). However, evidence of the efficacy of computer-aided patient education remains relatively limited. For example, little is known about how the latest mobile technologies influence patients' compliance intention and their actual compliance behavior. The objective of this study is to investigate patients' compliance intention and behavior using a personalized mobile patient education system (PMPES) as a novel technological intervention for patients based on rational choice theory (RCT) and the theory of planned behavior (TPB). MATERIALS AND METHODS: We conducted a field survey with 125 actual patients in U.S. who obtained their patient education through PMPES while seeking medical treatment advice from their doctors. We used partial least squares (PLS) regression path modeling to test our model. RESULTS: We found that, based on RCT, the benefits of compliance and cost/threat of noncompliance positively influenced intention toward treatment compliance; in contrast, costs of compliance negatively influenced intention toward treatment compliance. However, the benefits of noncompliance had no effect on intention toward treatment compliance. The results also indicated that intention toward treatment compliance, response efficacy, and self-efficacy related to TPB jointly influenced the degree of actual compliance behaviors. Social influence factors including subjective norms and descriptive norms had no influence on patients' actual treatment compliance behavior. CONCLUSION: Overall, the research model explains 69.2 % of the variance in patients' actual compliance behavior. We find our model robust in using RCT as a key theoretical lens for the assessment of patients' compliance intention to follow medical recommendations enabled by the PMPES and delivered to mobile devices. The factors associated with RCT and TPB jointly influence patients' actual compliance behavior. Future mobile patient education programs should consider patients' age groups, mixed-gender groups, different medical settings, and cross-cultural contexts.

Information privacy behavior in the use of Facebook apps: A personality-based vulnerability assessment.

The unauthorized use of personal information belonging to users of apps integrated with the Facebook platform affects millions of users. Crucially, although privacy concerns and awareness have increased, the use of these apps, and related privacy behaviors, remain largely unchanged. Given that such privacy behaviors are likely influenced by individuals' personality traits, it is imperative to better understand which personality traits make individuals more vulnerable to such unauthorized uses. We build on a recontextualized version of the theory of planned behavior (TPB) to evaluate the influence of the Big Five personality traits on attitudes toward Facebook privacy settings, social norms, and information privacy concerns (IPCs)-all within the context of Facebook app use. To evaluate this study's model, we analyzed 576 survey responses by way of partial least squares path modeling. Results indicate that highly extraverted individuals are particularly vulnerable to privacy violations (e.g., unauthorized use of personal information) because of their negative attitudes toward Facebook privacy settings. Our post hoc analysis uncovered interesting combinations of personality traits that make individuals particularly vulnerable to the unauthorized use of app-based information. In particular, the combination of extraversion and conscientiousness had a negative effect on individuals' attitude toward privacy settings. We also found a significant negative relationship between IPCs and intention to use Facebook apps. Finally, we found a positive relationship between social norms and intentions. Taken together, these results infer that individuals are likely to be influenced by their peers in the use of Facebook apps but that their intentions to use these apps declines as privacy concerns increase.

Corporate crisis management on social media: A morality violations perspective.

Communication via a social network function enabled by social media has greatly empowered consumers' secondary crisis communication, as compared to a firm's crisis communication, and has thus changed corporate crisis management. This study aims to uncover consumers' decision process of engaging in secondary crisis communication in a social media context. Drawing on the social control perspective and impression management theory, this study examines the role of perceived morality violations and consumers' susceptibility to social influence in shaping consumers' secondary crisis communication in corporate crises. Moreover, leveraging cognitive dissonance theory, this study further examines the effects of corporate responses on the process of consumers' secondary crisis communication. A survey design with four scenarios was conducted to test a series of hypotheses relating to the decision process of secondary crisis communication. Our empirical results demonstrate that consumers' approach to secondary crisis communication on social media depends largely to the degree to which they perceive moral violations in the firms' crisis response. The findings also show that consumers tend to want to believe they are doing the "right thing" when considering secondary crisis communication and thus are afraid of being disliked by others for their purchasing decisions related to a firm in crisis. Such social conformance can result in a snowballing of negative word of mouth in product-harm crises cases. Findings contribute to the literature on social media crisis management and consumers' communication behavior on social media during product-harm crises.

Interorganizational cooperation and supplier performance in high-technology supply chains.

Never in history have global supply-chain relationships in high-tech electronics firms been more sophisticated, complicated, and almost always tied in some major aspect to China. This research examines how interorganizational (IO) cooperation impacts performance and what role relationship learning and information technology (IT) integration play in the value-creation process for Chinese suppliers in business-to-business (B2B) supply chains. We examine this issue using data collected from face-to-face interviews with supply chain managers and executives from 1,004 Chinese high-tech electronic component suppliers. The results strongly support the hypothesis that IO cooperation improves a supplier's performance regarding both its major customer and overall marketplace. Relationship learning and IT integration are important mediating variables that drive performance. The strongest effect in our study was the influence of IO cooperation on relationship learning. A unique aspect of this study is that it focuses on a large sample of a specific supplier type-high-tech Chinese suppliers. This, combined with the fact that the sampled companies were involved in manufacturing 13 different product groups, greatly increases the generalizability of the results.