Fear appeals and persuasion: A review and update of the Extended Parallel Process Model.

The Extended Parallel Process Model (EPPM; Communication Monographs, 59, 1992, 329) is a predominant message design theory in the social science fear appeal literature that provides a framework for effective communication of health-related information. This paper provides a review and update of the theory and the use of fear appeals in persuasion. First, a brief overview of the EPPM is provided. Then, Littlejohn and Foss (Theories of Human Communication, 2005, Belmont, CA: Thomson Wadsworth) criteria for evaluation of theory are used as a guide for reviewing research guided by the EPPM in terms of the consistency of data with theoretical predictions, how it has been adjusted and extended through research findings, and a discussion of future research to expand social scientific knowledge about fear appeals and persuasion. It is concluded that the EPPM has advanced our understanding of how fear appeals operate and continues to generate questions for research in risk messaging.

[1]  Aaron R. Boyson,et al.  An Examination of EPPM Predictions When Threat Is Perceived Externally: An Asthma Intervention With School Workers , 2010, Health communication.

[2]  René Weber,et al.  Scaring the Already Scared: Some Problems With Hiv/Aids Fear Appeals in Namibia , 2009 .

[3]  R. Rimal,et al.  Extending the Purview of the Risk Perception Attitude Framework: Findings from HIV/AIDS Prevention Research in Malawi , 2009, Health communication.

[4]  K. Cameron,et al.  A practitioner's guide to persuasion: an overview of 15 selected persuasion theories, models and frameworks. , 2009, Patient education and counseling.

[5]  Joseph N. Cappella,et al.  Antismoking Threat and Efficacy Appeals: Effects on Smoking Cessation Intentions for Smokers with Low and High Readiness to Quit , 2009, Journal of applied communication research : JACR.

[6]  J. Arndt,et al.  The implications of death for health: a terror management health model for behavioral health promotion. , 2008, Psychological review.

[7]  Michael R. Kotowski,et al.  Using the EPPM to Create and Evaluate the Effectiveness of Brochures to Increase the Use of Hearing Protection in Farmers and Landscape Workers , 2008 .

[8]  Nick Carcioppolo Assessing the utility of integrating perceived barrier and response cost measures into the Extended Parallel Process Model , 2008 .

[9]  Wolfgang Stroebe,et al.  The Impact of Vulnerability to and Severity of a Health Risk on Processing and Acceptance of Fear-Arousing Communications: A Meta-Analysis , 2007 .

[10]  Maria Knight Lapinski,et al.  StarvingforPerfect.com: A Theoretically Based Content Analysis of Pro-Eating Disorder Web Sites , 2006, Health communication.

[11]  Hyunyi Cho,et al.  Fear Appeals for Individuals in Different Stages of Change: Intended and Unintended Effects and Implications on Public Health Campaigns , 2006, Health communication.

[12]  K. Morrison,et al.  Motivating Women and Men to Take Protective Action Against Rape: Examining Direct and Indirect Persuasive Fear Appeals , 2005, Health communication.

[13]  Cheryl Campanella Bracken,et al.  Testing the Theoretical Design of a Health Risk Message: Reexamining the Major Tenets of the Extended Parallel Process Model , 2005, Health education & behavior : the official publication of the Society for Public Health Education.

[14]  David R. Roskos-Ewoldsen,et al.  Fear appeal messages affect accessibility of attitudes toward the threat and adaptive behaviors , 2004 .

[15]  Kim Witte,et al.  Preventing Teen Pregnancy Through Persuasive Communications: Realities, Myths, and The Hard-Fact Truths , 1997, Journal of Community Health.

[16]  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 .

[17]  Wolfgang Stroebe,et al.  Fear Appeals Motivate Acceptance of Action Recommendations: Evidence for a Positive Bias in the Processing of Persuasive Messages , 2003, Personality & social psychology bulletin.

[18]  R. Rimal Perceived Risk and Self-Efficacy as Motivators: Understanding Individuals' Long-Term Use of Health Information. , 2001 .

[19]  K Witte,et al.  Addressing cultural orientations in fear appeals: promoting AIDS-protective behaviors among Mexican immigrant and African American adolescents and American and Taiwanese college students. , 2001, Journal of health communication.

[20]  Gary Meyer,et al.  Effective Health Risk Messages: A Step-By-Step Guide , 2001 .

[21]  Kim Witte,et al.  Predicting intercultural adaptation and isolation: using the extended parallel process model to test anxiety/uncertainty management theory , 2001 .

[22]  M. Allen,et al.  A Meta-Analysis of Fear Appeals: Implications for Effective Public Health Campaigns , 2000, Health education & behavior : the official publication of the Society for Public Health Education.

[23]  R. W. Rogers,et al.  A meta-analysis of research on protection motivation theory. , 2000 .

[24]  M. Mattson,et al.  Breast Self-Examination Pamphlets: A Content Analysis Grounded in Fear Appeal Research , 2000, Health communication.

[25]  W. Verbeke,et al.  Health communication and consumer behavior on meat in Belgium: from BSE until dioxin. , 1999, Journal of health communication.

[26]  K Witte,et al.  Preventing the Spread of Genital Warts: Using Fear Appeals to Promote Self-Protective Behaviors , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[27]  K Witte,et al.  A theoretically based evaluation of HIV/AIDS prevention campaigns along the trans-Africa highway in Kenya. , 1998, Journal of health communication.

[28]  K Witte,et al.  Radon Awareness and Reduction Campaigns for African Americans: A Theoretically Based Evaluation , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[29]  K Witte,et al.  Fear, threat, and perceptions of efficacy from frightening skin cancer messages. , 1998, Public health reviews.

[30]  K Witte,et al.  The perception of risk messages regarding electromagnetic fields: extending the extended parallel process model to an unknown risk. , 1998, Health communication.

[31]  K Witte,et al.  Predicting risk behaviors: development and validation of a diagnostic scale. , 1996, Journal of health communication.

[32]  Kim Witte,et al.  Using scare tactics to promote safer sex among juvenile detention and high school youth , 1995 .

[33]  K. Witte,et al.  Intercultural and cross-cultural health communication: Understanding people and motivating healthy behaviors. , 1995 .

[34]  K. Witte Fear control and danger control: A test of the extended parallel process model (EPPM) , 1994 .

[35]  K. Witte Putting the fear back into fear appeals: The extended parallel process model , 1992 .

[36]  T. Peterson,et al.  Preventing Tractor-Related Injuries and Deaths in Rural Populations: Using a Persuasive Health Message Framework in Formative Evaluation Research , 1992, International quarterly of community health education.

[37]  L. A. Pervin Handbook of Personality: Theory and Research , 1992 .

[38]  K. Witte,et al.  The Role of Threat and Efficacy in AIDS Prevention , 1991, International quarterly of community health education.

[39]  Gary James Jason,et al.  The Logic of Scientific Discovery , 1988 .

[40]  Franklin J. Boster,et al.  Fear-Arousing Persuasive Messages , 1984 .

[41]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[42]  R W Rogers,et al.  Identifying effective components of alcohol misuse prevention programs. , 1982, Journal of studies on alcohol.

[43]  J. Richard Eiser,et al.  Social psychology and behavioral medicine , 1982 .

[44]  S. Chaiken Heuristic versus systematic information processing and the use of source versus message cues in persuasion. , 1980 .

[45]  Stephen W. Littlejohn Theories of Human Communication , 1978 .

[46]  R W Rogers,et al.  Fear appeals and attitude change: effects of a threat's noxiousness, probability of occurrence, and the efficacy of coping responses. , 1976, Journal of personality and social psychology.

[47]  M. Becker,et al.  Health Belief Model and Personal Health Behavior , 1976 .

[48]  R. W. Rogers,et al.  A Protection Motivation Theory of Fear Appeals and Attitude Change1. , 1975, The Journal of psychology.

[49]  R W Rogers,et al.  Effects of fear appeals and physiological arousal upon emotion, attitudes, and cigarette smoking. , 1975, Journal of personality and social psychology.

[50]  H. Leventhal,et al.  Fear appeals and persuasion: the differentiation of a motivational construct. , 1971, American journal of public health.

[51]  H. Leventhal,et al.  Findings and Theory in the Study of Fear Communications , 1970 .

[52]  Irving L. Janis,et al.  Effects of Fear Arousal on Attitude Change: Recent Developments in Theory and Experimental Research1 , 1967 .

[53]  G. Hochbaum,et al.  Why people seek diagnostic x-rays. , 1956, Public health reports.

[54]  S. Fiske,et al.  The Handbook of Social Psychology , 1935 .

[55]  M. Kendall,et al.  The Logic of Scientific Discovery. , 1959 .