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Published on: November 20, 2015
Use of the extended parallel processing model to evaluate culturally relevant kernicterus messages
Jessica C Russell1, Sandi Smith, Wilma Novales
1Michigan State University, East Lansing, MI 48842, USA. russe346@msu.edu
Summary
This study evaluated educational materials on kernicterus (a preventable newborn disease). The parent guide was effective, but the poster needs more information on jaundice treatment to improve prevention efforts.
Area of Science:
- Neonatal Health
- Public Health Communication
- Preventable Disease Education
Background:
- Kernicterus is a severe, preventable newborn condition often overlooked by healthcare professionals.
- Educational materials on kernicterus awareness and prevention were developed by the CDC.
- The Extended Parallel Process Model guided the study's framework.
Purpose of the Study:
- To evaluate the effectiveness of a CDC-generated parent guide and poster on kernicterus awareness and prevention.
- To assess audience reception and identify areas for improvement in educational materials.
- To understand how perceived threat and efficacy influence recommended health behaviors.
Main Methods:
- In-depth interviews were conducted with diverse parents and healthcare professionals.
- Evaluated parent guide and poster content, varying baby ethnicity and interview language (English/Spanish).
- Utilized the Extended Parallel Process Model for interview protocol and analysis.
Main Results:
- The parent guide received positive evaluations, while poster feedback was mixed.
- Posters attracted attention but lacked crucial details on jaundice identification and treatment.
- The parent guide effectively conveyed information, particularly regarding treatment efficacy.
- Participants generally showed engagement with recommended preventive actions when efficacy matched perceived threat.
Conclusions:
- Recommendations for improving educational materials on kernicterus are provided.
- The inclusion of diverse ethnicities in materials was deemed potentially counterproductive.
- Both parents and professionals highlighted the need for more information on jaundice and kernicterus treatment, including duration and effectiveness, to enhance prevention efficacy.

