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Grant Details

Grant Number: 5R21CA218054-02 Interpret this number
Primary Investigator: Nagler, Rebekah
Organization: University Of Minnesota
Project Title: Effects of Prior Exposure to Conflicting Health Information on Responses to Subsequent Unrelated Health Messages
Fiscal Year: 2019


Abstract

PROJECT SUMMARY/ABSTRACT Many population-level public health strategies rely on messaging to promote cancer prevention and control. These strategies do not take place in a vacuum; rather, they occur in the context of a broader public information environment, which is increasingly characterized by conflicting and often controversial health information. Although studies have documented that such information is prevalent, a critical question remains unanswered: does exposure to conflicting health information in people's routine interactions with the broader information environment threaten the success of message-based population-level public health strategies? And, if so, who is most susceptible to the effects of such exposure? These are questions that cannot be ignored, given the substantial investments made in such strategies, including the estimated $2.2-$2.6 billion that NIH spends every year on behavioral interventions to prevent cancer and other chronic diseases. The proposed study will provide a rigorous empirical test of these critical answered questions, guided by two specific aims: First, to evaluate whether prior exposure to conflicting health information influences responses to subsequent unrelated and uncontested health messages, a phenomenon that has been described as “carryover effects” (Primary Aim); and second, to identify whether there are individual-level differences in how conflict affects responses to these unrelated and uncontested health messages (Secondary Aim). To accomplish these aims, an online survey-based experiment using a population-based sample of U.S. adults (N=~1400) will be conducted. At 3 time points across a 3-week period, participants will be exposed to real news stories about several health topics (e.g., nutrition, mammography, HPV vaccine). Participants will be randomized to 1 of 2 treatment groups that differ only in the amount of conflict presented in these news stories (high conflict, no conflict). After the 3-week period, all participants will be exposed to unrelated messages about behaviors for which there is scientific consensus (e.g., skin cancer prevention). To assess carryover effects, cognitive, affective, and behavioral intentional responses to these messages (e.g., attitudes toward and interest in sun-protective behaviors) will be measured. These messages are expected to be less effective among those who were randomized to receive conflicting health information. Individual-level differences in the pattern of these responses are also expected, with carryover effects of exposure to conflict being more pronounced among certain groups (e.g., those with greater trust in media sources, those of lower socioeconomic position). Using an innovative research design, the proposed project will directly assess whether the broader information environment, with its ubiquitous conflicting health messages, undermines the success of message-based population-level public health strategies.



Publications

Effects of Exposure to Conflicting Information About Mammography on Cancer Information Overload, Perceived Scientists' Credibility, and Perceived Journalists' Credibility.
Authors: Shi W. , Rothman A.J. , Yzer M.C. , Nagler R.H. .
Source: Health communication, 2023 Oct; 38(11), p. 2481-2490.
EPub date: 2022-05-23.
PMID: 35607276
Related Citations

Vulnerability to the Effects of Conflicting Health Information: Testing the Moderating Roles of Trust in News Media and Research Literacy.
Authors: Nagler R.H. , Vogel R.I. , Rothman A.J. , Yzer M.C. , Gollust S.E. .
Source: Health education & behavior : the official publication of the Society for Public Health Education, 2023 Apr; 50(2), p. 224-233.
EPub date: 2022-07-21.
PMID: 35861247
Related Citations

Prevalence and Potential Consequences of Exposure to Conflicting Information about Mammography: Results from Nationally-Representative Survey of U.S. Adults.
Authors: Gollust S.E. , Fowler E.F. , Nagler R.H. .
Source: Health communication, 2023 Feb; 38(2), p. 349-362.
EPub date: 2021-07-14.
PMID: 34259097
Related Citations

Americans' perceptions of health disparities over the first year of the COVID-19 pandemic: Results from three nationally-representative surveys.
Authors: Gollust S.E. , Fowler E.F. , Vogel R.I. , Rothman A.J. , Yzer M. , Nagler R.H. .
Source: Preventive medicine, 2022 Sep; 162, p. 107135.
EPub date: 2022-07-06.
PMID: 35803354
Related Citations

Effects of Prior Exposure to Conflicting Health Information on Responses to Subsequent Unrelated Health Messages: Results from a Population-Based Longitudinal Experiment.
Authors: Nagler R.H. , Vogel R.I. , Gollust S.E. , Yzer M.C. , Rothman A.J. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2022-05-18; 56(5), p. 498-511.
PMID: 34398961
Related Citations

Americans' perceptions of disparities in COVID-19 mortality: Results from a nationally-representative survey.
Authors: Gollust S.E. , Vogel R.I. , Rothman A. , Yzer M. , Fowler E.F. , Nagler R.H. .
Source: Preventive medicine, 2020 Dec; 141, p. 106278.
EPub date: 2020-10-04.
PMID: 33027615
Related Citations

Public perceptions of conflicting information surrounding COVID-19: Results from a nationally representative survey of U.S. adults.
Authors: Nagler R.H. , Vogel R.I. , Gollust S.E. , Rothman A.J. , Fowler E.F. , Yzer M.C. .
Source: PloS one, 2020; 15(10), p. e0240776.
EPub date: 2020-10-21.
PMID: 33085719
Related Citations

Effects of Media Exposure to Conflicting Information About Mammography: Results From a Population-based Survey Experiment.
Authors: Nagler R.H. , Yzer M.C. , Rothman A.J. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2019-08-29; 53(10), p. 896-908.
PMID: 30596830
Related Citations




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