Achieving Improvements in Overall Health Orientation

Public health campaign success is conceptualized in terms of improvements in three cardiovascular disease-related behaviors (diet, exercise, and smoking) and their precursors, including knowledge and self-efficacy. Two cross-sectional data waves (baseline and sixth year, N = 4,214) from the Stanford Five-City Project (FCP) are analyzed to test a model of campaign influences. Exposure to FCP campaign messages is correlated with health information seeking and interpersonal communication, which in turn are correlated with health behaviors. The central premise of the model is then tested on a longitudinal sample (N = 1,225) over a 3-year period with similar results. An overall health orientation index is introduced and recommendations are made for enhancing public health campaign effectiveness.

[1]  Ron D. Hays,et al.  How Generalizable Are Adolescents' Beliefs About Pro-Drug Pressures and Resistance Self-Efficacy?: , 1990 .

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

[3]  Charles R. Berger,et al.  The handbook of communication science , 1987 .

[4]  L Lawrance,et al.  Self-efficacy as a predictor of smoking behavior in young adolescents. , 1986, Addictive behaviors.

[5]  R M Kaplan,et al.  Behavior as the central outcome in health care. , 1990, The American psychologist.

[6]  S. Chaffee,et al.  INVOLVEMENT AND THE CONSISTENCY OF KNOWLEDGE, ATTITUDES, AND BEHAVIORS , 1986 .

[7]  Melvin J. Voigt,et al.  Progress in Communication Sciences , 1982 .

[8]  Thomas W. Valente,et al.  Mass Media and Interpersonal Influence in a Reproductive Health Communication Campaign in Bolivia , 1998 .

[9]  I. Rosenstock,et al.  Social Learning Theory and the Health Belief Model , 1988, Health education quarterly.

[10]  E. Rogers,et al.  Diffusion of Innovations , 1964 .

[11]  Carl A. Kallgren,et al.  A focus theory of normative conduct: Recycling the concept of norms to reduce littering in public places. , 1990 .

[12]  J. Eiser,et al.  Diet, smoking and exercise: interrelationships between adolescent health behaviours. , 1997, Child: care, health and development.

[13]  V. Freimuth,et al.  Reconceptualizing the "Patient": Health Care Promotion as Increasing Citizens' Decision-Making Competencies , 1997 .

[14]  R. Vaughan,et al.  Self-Efficacy for AIDS Preventive Behaviors among Tenth Grade Students , 1992, Health education quarterly.

[15]  C. Midden,et al.  Mass‐Media Information Campaigns and Knowledge‐Gap Effects , 1997 .

[16]  C. T. Salmon.  Information campaigns : balancing social values and social change , 1989 .

[17]  P. J. Tichenor,et al.  Mass Media and the Knowledge Gap , 1975 .

[18]  Leif Edvard Aarø,et al.  Activating Interpersonal Influence Through Provocative Appeals: Evaluation of a Mass Media-Based Antismoking Campaign Targeting Adolescents , 1997 .

[19]  Franziska Marquart,et al.  Communication and persuasion : central and peripheral routes to attitude change , 1988 .

[20]  June A. Flora,et al.  Moving Toward Synergy , 1993 .

[21]  June A. Flora,et al.  TOWARD A FRAMEWORK FOR INTERVENTION CHANNELS : REACH, INVOLVEMENT, AND IMPACT , 1997 .

[22]  R. Luepker,et al.  Knowledge gap effects in a health information campaign. , 1983, Public opinion quarterly.

[23]  S. Levy,et al.  AIDS, runaways, and self-efficacy , 1990 .

[24]  I. Silvergleit.  Health United States, 1988 , 1990 .

[25]  J. Flora,et al.  Bidirectional Familial Influences in Dietary Behavior: Test of a Model of Campaign Influences. , 1998 .

[26]  J. Jemmott,et al.  Self-efficacy, hedonistic expectancies, and condom-use intentions among inner-city black adolescent women: a social cognitive approach to AIDS risk behavior. , 1992, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[27]  T. Baranowski,et al.  Dietary change for cardiovascular disease prevention among Black-American families , 1990 .

[28]  P. J. Tichenor,et al.  MASS MEDIA FLOW AND DIFFERENTIAL GROWTH IN KNOWLEDGE , 1970 .

[29]  R. W. Rogers,et al.  Protection motivation and self-efficacy: A revised theory of fear appeals and attitude change , 1983 .

[30]  N. Miller,et al.  Behavioral medicine: symbiosis between laboratory and clinic. , 1983, Annual review of psychology.

[31]  H. Kraemer,et al.  A community-based heart disease intervention: predictors of change. , 1994, American Journal of Public Health.

[32]  M. Deutsch,et al.  A study of normative and informational social influences upon individual judgement. , 1955, Journal of abnormal psychology.

[33]  A. Bandura.  Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[34]  P. Lazarsfeld,et al.  The people's choice. , 1945 .

[35]  T. Cook,et al.  Quasi-experimentation: Design & analysis issues for field settings , 1979 .

[36]  C. Gaziano.  THE KNOWLEDGE GAP , 1983 .

[37]  T. Valente,et al.  Matching the message to the process: the relative ordering of knowledge, attitudes, and practices in behavior change research. , 1998, Human communication research.

[38]  A. Bandura.  Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[39]  E. Maibach,et al.  Cognitive Responses to AIDS Information , 1990 .

[40]  J. Potter,et al.  Self-Efficacy as a Target Population Segmentation Strategy in a Diet and Cancer Risk Reduction Campaign , 1993 .

[41]  J. Flora,et al.  Health campaign channels: tradeoffs among reach, specificity, and impact. , 1998, Human communication research.

[42]  J. Flora,et al.  Health Behavior Segmentation and Campaign Planning to Reduce Cardiovascular Disease Risk Among Hispanics , 1995, Health education quarterly.

[43]  J. Flora,et al.  Effects of the Stanford Five-City Project Media Advocacy Program , 1996, Health Education Quarterly.

[44]  W L Haskell,et al.  Effects of communitywide education on cardiovascular disease risk factors. The Stanford Five-City Project. , 1990, JAMA.