To Your Health: Self-Regulation of Health Behavior Through Selective Exposure to Online Health Messages

Reaching target audiences is of crucial importance for the success of health communication campaigns, but individuals may avoid health messages if they challenge their beliefs or behaviors. A lab study (N=419) examined effects of messages' consistency with participants' behavior and source credibility on selective exposure for 4 health lifestyle topics. Drawing on self-regulation theory and dissonance theory, 3 motivations were examined: self-bolstering, self-motivating, and self-defending. Prior behavior predicted selective exposure across topics, reflecting self-bolstering. Standard-behavior discrepancies also affected selective exposure, consistent with self-motivating rather than self-defending. Selective exposure to high-credibility sources advocating for organic food, fruits and vegetable consumption, exercise, and limiting coffee all fostered accessibility of related standards, whereas messages from low-credibility sources showed no such impact. © 2013 International Communication Association.

[1]  Silvia Knobloch-Westerwick,et al.  Impacts of Exemplification and Efficacy as Characteristics of an Online Weight-Loss Message on Selective Exposure and Subsequent Weight-Loss Behavior , 2015, Commun. Res..

[2]  Silvia Knobloch-Westerwick,et al.  Choice and Preference in Media Use : Advances in Selective Exposure Theory and Research , 2014 .

[3]  Laura E. Willis,et al.  Weighing Women Down: Messages on Weight Loss and Body Shaping in Editorial Content in Popular Women's Health and Fitness Magazines , 2014, Health communication.

[4]  Silvia Knobloch-Westerwick,et al.  Severity, Efficacy, and Evidence Type as Determinants of Health Message Exposure , 2013, Health communication.

[5]  Cornelia Mothes,et al.  The Dissonant Self: Contributions from Dissonance Theory to a New Agenda for Studying Political Communication , 2013 .

[6]  Erin K. Ruppel,et al.  Information Sources and the Health Information-Seeking Process: An Application and Extension of Channel Complementarity Theory , 2012 .

[7]  Silvia Knobloch-Westerwick,et al.  Preelection Selective Exposure , 2012, Commun. Res..

[8]  Silvia Knobloch-Westerwick,et al.  A Losing Battle , 2012, Commun. Res..

[9]  Yinjiao Ye,et al.  A Path Analysis on Correlates of Consumer Trust in Online Health Information: Evidence from the Health Information National Trends Survey , 2010, Journal of health communication.

[10]  Miriam J. Metzger,et al.  Social and Heuristic Approaches to Credibility Evaluation Online , 2010 .

[11]  J. Bernhardt,et al.  Health information-seeking behaviors, health indicators, and health risks. , 2010, American journal of public health.

[12]  M. Turner,et al.  Do Lay People Prepare Both Sides of an Argument? The Effects of Confidence, Forewarning, and Expected Interaction on Seeking Out Counter-Attitudinal Information , 2010 .

[13]  Yoori Hwang,et al.  Selective Exposure and Selective Perception of Anti-Tobacco Campaign Messages: The Impacts of Campaign Exposure on Selective Perception , 2010, Health communication.

[14]  S. Shyam Sundar,et al.  Effects of Online Health Sources on Credibility and Behavioral Intentions , 2010, Commun. Res..

[15]  J. Diefendorff,et al.  Self-regulation at work. , 2010, Annual review of psychology.

[16]  R. Ruiter,et al.  Increased attention but more efficient disengagement: neuroscientific evidence for defensive processing of threatening health information. , 2010, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[17]  M. Kreuter,et al.  Measuring Exposure to Health Messages in Community-Based Intervention Studies: A Systematic Review of Current Practices , 2009, Health education & behavior : the official publication of the Society for Public Health Education.

[18]  M. Prior,et al.  Improving Media Effects Research through Better Measurement of News Exposure , 2009, The Journal of Politics.

[19]  Jin Zhang,et al.  Identifying Web search session patterns using cluster analysis: A comparison of three search environments , 2009, J. Assoc. Inf. Sci. Technol..

[20]  James D. Robinson,et al.  Media Use and Health Information Seeking: An Empirical Test of Complementarity Theory , 2008, Health communication.

[21]  G. Bodie,et al.  Web Searching for Health: Theoretical Foundations and Connections to Health Related Outcomes , 2008 .

[22]  Stephen A. Rains,et al.  Perceptions of Traditional Information Sources and Use of the World Wide Web to Seek Health Information: Findings From the Health Information National Trends Survey , 2007, Journal of health communication.

[23]  R. Fazio Attitudes as Object-Evaluation Associations of Varying Strength. , 2007, Social cognition.

[24]  Laura A. Brannon,et al.  Increasing Selective Exposure to Health Messages by Targeting Person Versus Behavior Schemas , 2006, Health communication.

[25]  Rajiv N. Rimal,et al.  The Role of Anxiety in Seeking and Retaining Risk Information: Testing the Risk Perception Attitude Framework in Two Studies , 2006 .

[26]  Suzanne L. Allard,et al.  Avoiding versus seeking: the relationship of information seeking to avoidance, blunting, coping, dissonance, and related concepts. , 2005, Journal of the Medical Library Association : JMLA.

[27]  C. Escoffery,et al.  Internet Use for Health Information Among College Students , 2005, Journal of American college health : J of ACH.

[28]  R. Fazio,et al.  Acting as We Feel: When and How Attitudes Guide Behavior. , 2005 .

[29]  Mohan J. Dutta-Bergman The Impact of Completeness and Web Use Motivation on the Credibility of e‐Health Information , 2004 .

[30]  M. Slater Operationalizing and Analyzing Exposure: The Foundation of Media Effects Research , 2004 .

[31]  Mohan J. Dutta-Bergman Complementarity in Consumption of News Types Across Traditional and New Media , 2004 .

[32]  Chanthika Pornpitakpan The Persuasiveness of Source Credibility: A Critical Review of Five Decades' Evidence , 2004 .

[33]  N. Weinstein Seeking reassuring or threatening information about environmental cancer , 1979, Journal of Behavioral Medicine.

[34]  Alexander J. Rothman,et al.  Self-regulation and behavior change: Disentangling behavioral initiation and behavioral maintenance , 2004 .

[35]  K. Vohs,et al.  Handbook of self-regulation : research, theory, and applications , 2004 .

[36]  R. Rimal,et al.  Perceived risk and efficacy beliefs as motivators of change: Use of the risk perception attitude (RPA) framework to understand health behaviors , 2003 .

[37]  Arie W Kruglanski,et al.  When opportunity knocks: bottom-up priming of goals by means and its effects on self-regulation. , 2003, Journal of personality and social psychology.

[38]  R. Hornik Public health communication: Evidence for behavior change. , 2013 .

[39]  J. Bargh,et al.  The automated will: nonconscious activation and pursuit of behavioral goals. , 2001, Journal of personality and social psychology.

[40]  R. Fazio On the automatic activation of associated evaluations: An overview , 2001 .

[41]  S. Dunwoody,et al.  Proposed model of the relationship of risk information seeking and processing to the development of preventive behaviors. , 1999, Environmental research.

[42]  T. Grace Health problems of college students. , 1997, Journal of American college health : J of ACH.

[43]  R. Baumeister,et al.  Self-Regulation Failure: An Overview , 1996 .

[44]  R. Petty,et al.  Attitude strength : antecedents and consequences , 1995 .

[45]  S. Shavitt,et al.  Persuasion: Psychological Insights and Perspectives , 1994 .

[46]  J. D. Johnson,et al.  A Comprehensive Model of Cancer-Related Information Seeking Applied to Magazines , 1993 .

[47]  Shelly Chaiken,et al.  Defensive Processing of Personally Relevant Health Messages , 1992 .

[48]  J. Prochaska,et al.  In Search of How People Change: Applications to Addictive Behaviors , 1992, The American psychologist.

[49]  A. Bandura Social cognitive theory of self-regulation☆ , 1991 .

[50]  R. Fazio Multiple Processes by which Attitudes Guide Behavior: The Mode Model as an Integrative Framework , 1990 .

[51]  N. Weinstein The precaution adoption process. , 1988, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[52]  N. Weinstein Reactions to Life-Style Warnings: Coffee and Cancer , 1985, Health education quarterly.

[53]  J. Bertrand Selective Avoidance on Health Topics , 1979 .

[54]  A. Bandura Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[55]  Randall R. Kleinhesselink,et al.  Seeking and avoiding belief-discrepant information as a function of its perceived refutability. , 1975 .

[56]  Aaron Lowin,et al.  Further evidence for an approach-avoidance interpretation of selective exposure , 1969 .

[57]  T. Brock,et al.  Behavioral receptivity to dissonant information. , 1967, Journal of personality and social psychology.

[58]  A Lowin,et al.  Approach and avoidance: alternate modes of selective exposure to information. , 1967, Journal of personality and social psychology.

[59]  T. Brock,et al.  COMMITMENT TO EXPOSURE AS A DETERMINANT OF INFORMATION RECEPTIVITY. , 1965, Journal of personality and social psychology.

[60]  L. Festinger Conflict, Decision, and Dissonance , 1964 .

[61]  N. Feather,et al.  Cognitive dissonance, sensitivity, and evaluation. , 1963, Journal of abnormal and social psychology.

[62]  N. Feather,et al.  Cigarette smoking and lung cancer: A study of cognitive dissonance , 1962 .

[63]  L. Festinger,et al.  A Theory of Cognitive Dissonance , 2017 .