Examining fear appeals and information seeking in tuberculosis health education campaigns: an experimental test of the extended parallel processing model with perceived barriers as a moderator.

Tuberculosis (TB) health education campaigns often struggle to motivate at-risk populations by employing one-size-fits-all fear appeals without considering how structural barriers shape audiences' ability to respond. Drawing on the Extended Parallel Processing Model (EPPM), this study tested how var...

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Publicado en:Health Education Research Vol. 41; no. 3; pp. 1 - 13
Autores principales: Fu, Lunrui, Han, Huaizhi, Chen, Liang
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Oxford University Press / USA Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
      vid: 41
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      pub: Oxford University Press / USA
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        10.1093/her/cyag017
        194516631
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        atl: Examining fear appeals and information seeking in tuberculosis health education campaigns: an experimental test of the extended parallel processing model with perceived barriers as a moderator.
      aug:
        au:
          Fu, Lunrui
          Han, Huaizhi
          Chen, Liang
        affil: School of Journalism and Communication, Tsinghua University, Shuangqing Road 30, Haidian District, Beijing 100084, China
      sug:
        subj:
          Tuberculosis Prevention and Control
          Fear Evaluation
          Information Seeking Behavior Evaluation
          Health Education
          Health Promotion
          Human
          Male
          Female
          China
          Experimental Studies
          Randomized Controlled Trials
          Random Assignment
          Chinese Persons
          Models, Psychological
          Risk Taking Behavior
          Attitude to Risk
          Chi Square Test
          T-Tests
          Analysis of Variance
          Post Hoc Analysis
          Data Analysis Software
          Descriptive Statistics
          Scales
          Funding Source
          Male
          Female
      ab: Tuberculosis (TB) health education campaigns often struggle to motivate at-risk populations by employing one-size-fits-all fear appeals without considering how structural barriers shape audiences' ability to respond. Drawing on the Extended Parallel Processing Model (EPPM), this study tested how varying levels of threat and efficacy in TB messages influence information-seeking intentions, with perceived barriers as a moderator. In a 2 (threat: low versus high) × 2 (efficacy: low versus high) between-subject experiment with 225 Chinese participants, results revealed that high-threat messages increased participants' TB information-seeking intentions compared with low-threat messages. In addition, low-barrier individuals responded best to high-threat, high-efficacy messages; moderate-barrier individuals were motivated by high-threat messages even with low efficacy messages. These findings demonstrate that accounting for structural barriers extends the EPPM framework and provide health educators with a practical framework for audience segmentation and message tailoring.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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