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BackgroundAs mobile technology continues expanding, researchers have been using mobile phones to conduct health interventions (mobile health—mHealth—interventions). The multiple features of mobile phones offer great opportunities to disseminate large-scale, cost-efficient, and tailored messages to participants. However, the interventions to date have shown mixed results, with a large variance of effect sizes (Cohen d=−0.62 to 1.65). ObjectiveThe study aimed to generate cumulative knowledge that informs mHealth intervention research. The aims were twofold: (1) to calculate an overall effect magnitude for mHealth interventions compared with alternative interventions or conditions, and (2) to analyze potential moderators of mHealth interventions’ comparative efficacy. MethodsComprehensive searches of the Communication & Mass Media Complete, PsycINFO, Web of Knowledge, Academic Search Premier, PubMed and MEDLINE databases were conducted to identify potentially eligible studies in peer-reviewed journals, conference proceedings, and dissertations and theses. Search queries were formulated using a combination of search terms: “intervention” (Title or Abstract) AND “health” (Title or Abstract) AND “*phone*” OR “black-berr*” (OR mHealth OR “application*” OR app* OR mobile OR cellular OR “short messag*” OR palm* OR iPhone* OR MP3* OR MP4* OR iPod*) (Title or Abstract). Cohen d was computed as the basic unit of analysis, and the variance-weighted analysis was implemented to compute the overall effect size under a random-effects model. Analysis of variance–like and meta-regression models were conducted to analyze categorical and continuous moderators, respectively. ResultsThe search resulted in 3424 potential studies, the abstracts (and full text, as necessary) of which were reviewed for relevance. Studies were screened in multiple stages using explicit inclusion and exclusion criteria, and citations were evaluated for inclusion of qualified studies. A total of 64 studies were included in the current meta-analysis. Results showed that mHealth interventions are relatively more effective than comparison interventions or conditions, with a small but significant overall weighted effect size (Cohen d=0.31). In addition, the effects of interventions are moderated by theoretical paradigm, 3 engagement types (ie, changing personal environment, reinforcement tracking, social presentation), mobile use type, intervention channel, and length of follow-up. ConclusionsTo the best of our knowledge, this is the most comprehensive meta-analysis to date that examined the overall effectiveness of mHealth interventions across health topics and is the first study that statistically tested moderators. Our findings not only shed light on intervention design using mobile phones, but also provide new directions for research in health communication and promotion using new media. Future research scholarship is needed to examine the effectiveness of mHealth interventions across various health issues, especially those that have not yet been investigated (eg, substance use, sexual health), engaging participants using social features on mobile phones, and designing tailored mHealth interventions for diverse subpopulations to maximize effects.

The technological capabilities of mobile phones have made them a useful tool for delivering interventions, but additional research is needed to determine the mechanisms underlying the comparative effectiveness of mobile health interventions. This meta-analysis analyzes the relative effectiveness of mobile phone-based health interventions relative to comparison/control groups (e.g., eHealth interventions, standard of care, etc.), the utility of the theory of planned behavior in mobile phone-based health interventions, and the roles of various moderators. One hundred eighteen studies met inclusion criteria and contributed to an overall effect size of d = 0.27 (95% CI [.22, .32]). Findings indicate that mobile phone-based health interventions are significantly more effective than comparison/control conditions at improving health behaviors. Additionally, perceived behavioral control was a significant moderator providing some support for the usefulness of theory of planned behavior in mobile phone-based health interventions. [ABSTRACT FROM AUTHOR]

This study examined the effects of citizen journalism practices on social capital concerning nonprofit and voluntary organizations (i.e., satisfaction, trust, and engagement). Through a quasi-experimental design, the analyses revealed that students in the treatment group, in which participants engaged in citizen journalism practice, had greater positive changes in levels of satisfaction, trust, and engagement than students in the control group. This study offers unique contributions to the existing body of social capital scholarship and practical implications related to the use of citizen journalism as a civic education tool in school and community settings.

The comprehensive model of information seeking (CMIS) is a well-known framework to predict health information seeking by a combination of health beliefs and medium-related factors. Despite being proposed almost three decades ago, few efforts have been made to systematically summarize CMIS scholarship. To fill this gap in the literature, 36 meta-analyses were first conducted to identify the bivariate relationships between variables in the CMIS. These meta-analytic data were then used to test path models evaluating the role of health beliefs and medium-related factors. The results showed that the models containing only factors related to the communication medium, only health factors, and a modified version of the CMIS fit the data relatively well. The original CMIS did not demonstrate an acceptable model fit. Theoretical and practical implications are discussed. [ABSTRACT FROM AUTHOR]

Insufficient statistical reporting practices (ISRPs) involve failure to report effect sizes or the information necessary to compute them in quantitative research. ISRPs can present problems for advancing knowledge in the field of Communication. Because, among other issues, studies containing ISRPs cannot be included in meta-analytic reviews, this practice undermines our ability to quantitatively summarize the findings from communication research with precision. We examine the prevalence and consequences of ISRPs among 50 meta-analyses published in four flagship communication journals. Our findings indicate that 80% of meta-analyses excluded at least one otherwise qualified primary study due to ISRPs, with a median of 6.5% of studies (k = 2) excluded per meta-analysis. The amount of inaccuracy introduced by ISRPs in the results of meta-analyses was small. Implications of the findings for communication research are discussed. [ABSTRACT FROM AUTHOR]

The University of Missouri-Columbia faced a crisis situation during the 2015–2016 academic year after a series of racially charged incidents on campus. The University's chancellor and University System's president reacted to the crisis through various forms of communication. Image repair theory was utilized to examine these messages and the image repair strategies employed through them. Findings showed that at least one strategy from each of the five categories of image repair strategies was employed through these messages. The specific use of each image repair strategy used and seeming effectiveness are addressed. [ABSTRACT FROM AUTHOR]

This study applied the comprehensive model of information seeking (CMIS) to online cancer information and extended the model by incorporating an exogenous variable: interest in online health information exchange with health providers. A nationally representative sample from the Health Information National Trends Survey 4 Cycle 4 was analyzed to examine the extended CMIS in predicting online cancer information seeking. Findings from a structural equation model supported most of the hypotheses derived from the CMIS, as well as the extension of the model related to interest in online health information exchange. In particular, socioeconomic status, beliefs, and interest in online health information exchange predicted utility. Utility, in turn, predicted online cancer information seeking, as did information-carrier characteristics. An unexpected but important finding from the study was the significant, direct relationship between cancer worry and online cancer information seeking. Theoretical and practical implications are discussed. [ABSTRACT FROM AUTHOR]

This study examined the effects of an anti-smoking campaign that employs a crowdsourcing method with a social networking service. Drawing upon social capital scholarship and the expression effect research paradigm in eHealth systems, the study also investigated the roles of social trust and community life satisfaction in the social media campaign that has a specific geographical boundary. To that end, we conducted an experiment using a two-group pretest–posttest design. We randomly assigned 201 participants to two conditions: “campaign message reception only” as a control group and “message reception and expression” as a treatment group in which participants fully engaged in the campaign process by sharing their own campaign ideas with other participants. Findings revealed that social trust and community life satisfaction interacted with the treatment condition to positively affect persuasive intentions, but in distinct ways. Social trust moderated the effect of the message reception and interaction condition on participants’ willingness to encourage community members to stop smoking. In contrast, community life satisfaction moderated the effect of the treatment condition on encouraging others to comply with the community’s anti-smoking policy. These results provide theoretical and practical implications related to the roles of social capital in geographically defined social media campaigns. [ABSTRACT FROM PUBLISHER]

The potential of pictorial and verbal metaphors to gain attention and enhance persuasion is considerable. Few scholars, however, have investigated the persuasive effects of metaphor in health messages. We applied a 2 × 2 factorial experiment to examine the effects of metaphor use (metaphor/literal) and message format (verbal/pictorial) on cognitive processing and persuasive outcomes of condom promotion messages. Results showed no significant differences in cognitive processing according to metaphor or format, but there were differences in attitudes and behavioral intentions according to metaphor and format, with literal and verbal messages performing best. Potential explanations for findings and implications for future research and health message design are discussed. [ABSTRACT FROM PUBLISHER]

This study examines direct and indirect effects of interactive communication in an antismoking social media campaign. To that end, we pose a multitheoretical framework that integrates communication mediation models and the Theory of Planned Behavior. To test the theorized model, we conducted an experiment using a two-group pretest–posttest design. Participants (N = 201) were randomly assigned into two experimental conditions: “campaign message reception only” as a control group and “message reception and social interaction” as a treatment group, in which the participants contributed to the antismoking campaign by posting their own campaign ideas and information they found through mediated and interpersonal communication. The findings show that interactive communication catalyzes the participants’ information searching behaviors through diverse communication channels. In turn, increased media use plays a crucial role in changing their attitudes and perceived social norms about smoking behaviors, and eventually reducing smoking intention. This study affirms that the theory of planned behavior is effective in predicting behavioral intention and demonstrates the usefulness of a multitheoretical approach in interactive campaign research on social media. [ABSTRACT FROM PUBLISHER]

Tailored health communication research represents a very promising line of inquiry that has the potential to produce major impacts on lifestyle behaviors. This study defines tailoring and discusses how tailored interventions operate, including comparing/ contrasting different tailoring channels. Next, the authors review the literature on tailored interventions to change lifestyle behaviors, with a focus on smoking cessation, dietary change, and physical activity, as well as interventions that address multiple lifestyle behaviors. Finally, future directions for tailoring research are discussed. To date, a large literature has amassed showing the promise of tailored programs delivered via print, Internet, local computer/kiosk, telephone, and interpersonal channels. Numerous studies demonstrate that these programs are capable of significant impacts on smoking cessation, dietary change, physical activity, and multiple behavior change. It is concluded that the potential of tailoring will be more fully realized as (a) the field builds a more cumulative science of tailoring and (b) greater dissemination of efficacious tailored programs takes place. [ABSTRACT FROM PUBLISHER]

Two studies establish reliability and validity of the print perceived message sensation value scale (PPMSV). For study one, 397 participants responded to a single high- and a single low-sensation value anti-smoking message. In study two, 284 participants responded to a single high- and a single low-sensation value anti-crystal meth message. Results of an exploratory factor analysis and confirmatory factor analysis suggest that the PMSV of a print message can be assessed using a 12-item three-dimensional scale, making an important contribution to the literature as no similar measures existed for print messages prior to the PPMSV. The newly developed PPMSV scale remained stable across sensation seeking levels and two sets of anti-drug messages (anti-tobacco & crystal meth). Results provided support for convergent, divergent, and predictive validity of the scale and point to PMSV as an important element that contributes to perceived message effectiveness and attitude toward the print ad. [ABSTRACT FROM AUTHOR]