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Erschienen in: Journal of Behavioral Medicine 4/2017

20.02.2017

Icons for health effects of cigarette smoke: a test of semiotic type

verfasst von: Allison J. Lazard, Annie Schmidt, Huyen Vu, M. Justin Byron, Ellen Peters, Marcella H. Boynton, Noel T. Brewer

Erschienen in: Journal of Behavioral Medicine | Ausgabe 4/2017

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Abstract

We sought to identify icons to effectively communicate health harms of chemicals in cigarette smoke. Participants were a convenience sample of 701 U.S. adults. A within-subjects online experiment explored the effects of icon semiotic type: symbolic (arbitrary, most abstract), indexical, and iconic (representative, most concrete). Outcomes were perceived representation, affect toward smoking, elaboration, perceived severity, and perceived effectiveness. For not-easy-to-visualize harms of cancer and addiction, symbolic icons received the highest ratings (all p < .001). For easy-to-visualize symptoms of heart attack/stroke, indexical icons received the highest ratings (all p < .001). For easy-to-visualize harm of reproductive organ damage, the iconic image did best (all p < .001). Icon type often had a larger impact among participants with higher health literacy. Symbolic icons may be most effective for health effects not easily visualized. Iconic or indexical icons may be more effective for health effects attributable to specific body parts or symptoms.
Literatur
Zurück zum Zitat Andrews, J. C., Netemeyer, R. G., Kees, J., & Burton, S. (2014). How graphic visual health earnings affect young smokers’ thoughts of quitting. Journal of Marketing Research, 51, 165–183.CrossRef Andrews, J. C., Netemeyer, R. G., Kees, J., & Burton, S. (2014). How graphic visual health earnings affect young smokers’ thoughts of quitting. Journal of Marketing Research, 51, 165–183.CrossRef
Zurück zum Zitat Baig, S. A., Noar, S. M., Ribisl, K. M., & Brewer, N. T. (2017). UNC perceived effectiveness scale: Psychometric properties among a large sample of adult smokers and non-smokers (Working paper) Baig, S. A., Noar, S. M., Ribisl, K. M., & Brewer, N. T. (2017). UNC perceived effectiveness scale: Psychometric properties among a large sample of adult smokers and non-smokers (Working paper)
Zurück zum Zitat Baker, D., Williams, M., Parker, R., Gazmarian, J., & Nurss, J. (1999). Development of a brief test to measure functional health literacy. Patient Education and Counseling, 38, 33–42.CrossRefPubMed Baker, D., Williams, M., Parker, R., Gazmarian, J., & Nurss, J. (1999). Development of a brief test to measure functional health literacy. Patient Education and Counseling, 38, 33–42.CrossRefPubMed
Zurück zum Zitat Boynton, M. H., Agans, R. P., Bowling, J. M., Brewer, N. T., Sutfin, E. L., Goldstein, A. O., et al. (2016). Understanding how perceptions of tobacco constituents and the FDA relate to effective and credible tobacco risk messaging: A national phone survey of U.S. adults, 2014–2015. BMC Public Health, 16, 1–13. doi:10.1186/s12889-016-3151-5 CrossRef Boynton, M. H., Agans, R. P., Bowling, J. M., Brewer, N. T., Sutfin, E. L., Goldstein, A. O., et al. (2016). Understanding how perceptions of tobacco constituents and the FDA relate to effective and credible tobacco risk messaging: A national phone survey of U.S. adults, 2014–2015. BMC Public Health, 16, 1–13. doi:10.​1186/​s12889-016-3151-5 CrossRef
Zurück zum Zitat Brewer, N. T., Gottlieb, S. L., Reiter, P. L., McRee, A.-L., Liddon, N., Markowitz, L., et al. (2011). Longitudinal predictors of HPV vaccine initiation among adolescent girls in a high-risk geographic area. Sexually Transmitted Diseases, 38, 197.CrossRefPubMedPubMedCentral Brewer, N. T., Gottlieb, S. L., Reiter, P. L., McRee, A.-L., Liddon, N., Markowitz, L., et al. (2011). Longitudinal predictors of HPV vaccine initiation among adolescent girls in a high-risk geographic area. Sexually Transmitted Diseases, 38, 197.CrossRefPubMedPubMedCentral
Zurück zum Zitat Buhrmester, M., Kwang, T., & Gosling, S. D. (2011). Amazon’s Mechanical Turk a new source of inexpensive, yet high-quality, data? Perspectives on Psychological Science, 6, 3–5.CrossRefPubMed Buhrmester, M., Kwang, T., & Gosling, S. D. (2011). Amazon’s Mechanical Turk a new source of inexpensive, yet high-quality, data? Perspectives on Psychological Science, 6, 3–5.CrossRefPubMed
Zurück zum Zitat Casler, K., Bickel, L., & Hackett, E. (2013). Separate but equal? A comparison of participants and data gathered via Amazon’s MTurk, social media, and face-to-face behavioral testing. Computers in Human Behavior, 29, 2156–2160.CrossRef Casler, K., Bickel, L., & Hackett, E. (2013). Separate but equal? A comparison of participants and data gathered via Amazon’s MTurk, social media, and face-to-face behavioral testing. Computers in Human Behavior, 29, 2156–2160.CrossRef
Zurück zum Zitat 111th Congress of the United States of America. Family Smoking Prevention and Tobacco Control Act, Public Law 111–31, 123 Statute 1776. June 22, 2009. 111th Congress of the United States of America. Family Smoking Prevention and Tobacco Control Act, Public Law 111–31, 123 Statute 1776. June 22, 2009.
Zurück zum Zitat Fathelrahman, A. I., Omar, M., Awang, R., Cummings, K. M., Borland, R., & Samin, A. S. B. M. (2010). Impact of the new Malaysian cigarette pack warnings on smokers’ awareness of health risks and interest in quitting smoking. International Journal of Environmental Research and Public Health, 7, 4089–4099. doi:10.3390/ijerph7114089 CrossRefPubMedPubMedCentral Fathelrahman, A. I., Omar, M., Awang, R., Cummings, K. M., Borland, R., & Samin, A. S. B. M. (2010). Impact of the new Malaysian cigarette pack warnings on smokers’ awareness of health risks and interest in quitting smoking. International Journal of Environmental Research and Public Health, 7, 4089–4099. doi:10.​3390/​ijerph7114089 CrossRefPubMedPubMedCentral
Zurück zum Zitat Fowles, J., & Dybing, E. (2003). Application of toxicological risk assessment principles to the chemical constituents of cigarette smoke. Tobacco Control, 12, 424–430.CrossRefPubMedPubMedCentral Fowles, J., & Dybing, E. (2003). Application of toxicological risk assessment principles to the chemical constituents of cigarette smoke. Tobacco Control, 12, 424–430.CrossRefPubMedPubMedCentral
Zurück zum Zitat Green, M. J., & Myers, K. R. (2010). Graphic medicine: Use of comics in medical education and patient care. British Medical Journal, 340, 574–577.CrossRef Green, M. J., & Myers, K. R. (2010). Graphic medicine: Use of comics in medical education and patient care. British Medical Journal, 340, 574–577.CrossRef
Zurück zum Zitat Hall, M. G., Ribisl, K. M., & Brewer, N. T. (2014). Smokers’ and nonsmokers’ beliefs about harmful tobacco constituents: Implications for FDA communication efforts. Nicotine & Tobacco Research, 16, 343–350. doi:10.1093/ntr/ntt158 CrossRef Hall, M. G., Ribisl, K. M., & Brewer, N. T. (2014). Smokers’ and nonsmokers’ beliefs about harmful tobacco constituents: Implications for FDA communication efforts. Nicotine & Tobacco Research, 16, 343–350. doi:10.​1093/​ntr/​ntt158 CrossRef
Zurück zum Zitat Hecht, S. S. (2012). Research opportunities related to establishing standards for tobacco products under the Family Smoking Prevention and Tobacco Control Act. Nicotine & Tobacco Research, 14, 18–28. doi:10.1093/ntr/ntq216 CrossRef Hecht, S. S. (2012). Research opportunities related to establishing standards for tobacco products under the Family Smoking Prevention and Tobacco Control Act. Nicotine & Tobacco Research, 14, 18–28. doi:10.​1093/​ntr/​ntq216 CrossRef
Zurück zum Zitat Hoffmann, D., & Hoffmann, I. (2001). The changing cigarette: Chemical studies and bioassays. Smoking and Tobacco Control Monograph, 13, 159–192. Hoffmann, D., & Hoffmann, I. (2001). The changing cigarette: Chemical studies and bioassays. Smoking and Tobacco Control Monograph, 13, 159–192.
Zurück zum Zitat Houts, P. S., Doak, C. C., Doak, L. G., & Loscalzo, M. J. (2006). The role of pictures in improving health communication: A review of research on attention, comprehension, recall, and adherence. Patient Education and Counseling, 61, 173–190. doi:10.1016/j.pec.2005.05.004 CrossRefPubMed Houts, P. S., Doak, C. C., Doak, L. G., & Loscalzo, M. J. (2006). The role of pictures in improving health communication: A review of research on attention, comprehension, recall, and adherence. Patient Education and Counseling, 61, 173–190. doi:10.​1016/​j.​pec.​2005.​05.​004 CrossRefPubMed
Zurück zum Zitat Katz, M. G., Kripalani, S., & Weiss, B. D. (2006). Use of pictorial aids in medication instructions: A review of the literature. American Journal of Health-System Pharmacy, 63, 2391–2397.CrossRefPubMed Katz, M. G., Kripalani, S., & Weiss, B. D. (2006). Use of pictorial aids in medication instructions: A review of the literature. American Journal of Health-System Pharmacy, 63, 2391–2397.CrossRefPubMed
Zurück zum Zitat Lakoff, G., & Johnson, M. (1980). Metaphors we live by. Chicago, IL: University of Chicago Press. Lakoff, G., & Johnson, M. (1980). Metaphors we live by. Chicago, IL: University of Chicago Press.
Zurück zum Zitat McCloud, S. (1993). Understanding comics: The invisible art. New York, NY: Harper Collins Publishers Inc. McCloud, S. (1993). Understanding comics: The invisible art. New York, NY: Harper Collins Publishers Inc.
Zurück zum Zitat Meppelink, C. S., Smit, E. G., Buurman, B. M., & van Weert, J. C. (2015). Should we be afraid of simple messages? The effects of text difficulty and illustrations in people with low or high health literacy. Health Communication, 30, 1181–1189.CrossRefPubMed Meppelink, C. S., Smit, E. G., Buurman, B. M., & van Weert, J. C. (2015). Should we be afraid of simple messages? The effects of text difficulty and illustrations in people with low or high health literacy. Health Communication, 30, 1181–1189.CrossRefPubMed
Zurück zum Zitat Messaris, P. (1997). Visual persuasion: The role of images in advertising. Thousand Oaks, CA: Sage. Messaris, P. (1997). Visual persuasion: The role of images in advertising. Thousand Oaks, CA: Sage.
Zurück zum Zitat Moracco, K. E., Morgan, J. C., Mendel, J., Teal, R., Noar, S. M., Ribisl, K. M., et al. (2016). “My first thought was croutons”: Perceptions of cigarettes and cigarette smoke constituents among adult smokers and nonsmokers. Nicotine & Tobacco Research, 18, 1566–1574.CrossRef Moracco, K. E., Morgan, J. C., Mendel, J., Teal, R., Noar, S. M., Ribisl, K. M., et al. (2016). “My first thought was croutons”: Perceptions of cigarettes and cigarette smoke constituents among adult smokers and nonsmokers. Nicotine & Tobacco Research, 18, 1566–1574.CrossRef
Zurück zum Zitat Moriarty, S. (2002). The symbiotics of semiotics and visual communication. Journal of Visual Literacy, 22, 19–28.CrossRef Moriarty, S. (2002). The symbiotics of semiotics and visual communication. Journal of Visual Literacy, 22, 19–28.CrossRef
Zurück zum Zitat Nakamura, C., & Zeng-Treitler, Q. (2012). A taxonomy of representation strategies in iconic communication. International Journal of Human-Computer Studies, 70, 535–551.CrossRefPubMedPubMedCentral Nakamura, C., & Zeng-Treitler, Q. (2012). A taxonomy of representation strategies in iconic communication. International Journal of Human-Computer Studies, 70, 535–551.CrossRefPubMedPubMedCentral
Zurück zum Zitat Peirce, C. S. (1991). Peirce on signs: Writing on semiotic. Chapel Hill, NC: University of North Carolina Press. Peirce, C. S. (1991). Peirce on signs: Writing on semiotic. Chapel Hill, NC: University of North Carolina Press.
Zurück zum Zitat Peters, E., Västfjäll, D., Slovic, P., Mertz, C., Mazzocco, K., & Dickert, S. (2006). Numeracy and decision making. Psychological Science, 17, 407–413.CrossRefPubMed Peters, E., Västfjäll, D., Slovic, P., Mertz, C., Mazzocco, K., & Dickert, S. (2006). Numeracy and decision making. Psychological Science, 17, 407–413.CrossRefPubMed
Zurück zum Zitat Rodgman, A., & Perfetti, T. A. (2013). The chemical components of tobacco and tobacco smoke. Boca Raton, FL: CRC Press.CrossRef Rodgman, A., & Perfetti, T. A. (2013). The chemical components of tobacco and tobacco smoke. Boca Raton, FL: CRC Press.CrossRef
Zurück zum Zitat Sopory, P. (2005). Metaphor in formative evaluation and message design: An application to relationships and alcohol use. Health Communication, 17, 149–172.CrossRefPubMed Sopory, P. (2005). Metaphor in formative evaluation and message design: An application to relationships and alcohol use. Health Communication, 17, 149–172.CrossRefPubMed
Zurück zum Zitat Stevens, J. P. (2007). Intermediate statistics: A modern approach (3rd ed.). New York, NY: Routledge. Stevens, J. P. (2007). Intermediate statistics: A modern approach (3rd ed.). New York, NY: Routledge.
Zurück zum Zitat Talhout, R., Schulz, T., Florek, E., Van Benthem, J., Wester, P., & Opperhuizen, A. (2011). Hazardous compounds in tobacco smoke. International Journal of Environ Research and Public Health, 8, 613–628. doi:10.3390/ijerph8020613 CrossRef Talhout, R., Schulz, T., Florek, E., Van Benthem, J., Wester, P., & Opperhuizen, A. (2011). Hazardous compounds in tobacco smoke. International Journal of Environ Research and Public Health, 8, 613–628. doi:10.​3390/​ijerph8020613 CrossRef
Zurück zum Zitat Wayne, G. F., & Carpenter, C. M. (2009). Tobacco industry manipulation of nicotine dosing Nicotine. Psychopharmacology (Berl), 192, 457–485. Wayne, G. F., & Carpenter, C. M. (2009). Tobacco industry manipulation of nicotine dosing Nicotine. Psychopharmacology (Berl), 192, 457–485.
Zurück zum Zitat Yu, B., Willis, M., Sun, P., & Wang, J. (2013). Crowdsourcing participatory evaluation of medical pictograms using Amazon Mechanical Turk. Journal of Medical Internet Research, 15, e108.CrossRefPubMedPubMedCentral Yu, B., Willis, M., Sun, P., & Wang, J. (2013). Crowdsourcing participatory evaluation of medical pictograms using Amazon Mechanical Turk. Journal of Medical Internet Research, 15, e108.CrossRefPubMedPubMedCentral
Zurück zum Zitat Zikmund-Fisher, B. J., Witteman, H. O., Dickson, M., Fuhrel-Forbis, A., Kahn, V. C., Exe, N. L., et al. (2014). Blocks, ovals, or people? Icon type affects risk perceptions and recall of pictographs. Medical Decision Making, 34, 443–453. doi:10.1177/0272989X13511706 CrossRefPubMed Zikmund-Fisher, B. J., Witteman, H. O., Dickson, M., Fuhrel-Forbis, A., Kahn, V. C., Exe, N. L., et al. (2014). Blocks, ovals, or people? Icon type affects risk perceptions and recall of pictographs. Medical Decision Making, 34, 443–453. doi:10.​1177/​0272989X13511706​ CrossRefPubMed
Metadaten
Titel
Icons for health effects of cigarette smoke: a test of semiotic type
verfasst von
Allison J. Lazard
Annie Schmidt
Huyen Vu
M. Justin Byron
Ellen Peters
Marcella H. Boynton
Noel T. Brewer
Publikationsdatum
20.02.2017
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 4/2017
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-017-9833-3

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