Examining Reactance to Visual and Verbal Features of Mask Promotion PSAs
Chelsea L Ratcliff1, Andy J King2, Rebekah Wicke3
1Department of Communication Studies, University of Georgia, Athens, Georgia, USA.
Journal of Health Communication
|March 31, 2025
Summary
Health campaigns often overlook visual elements. This study found forceful language, not gestures, reduced mask-wearing intentions by increasing psychological reactance, with model demographics also impacting reactions.
Area of Science:
- Health Communication
- Social Psychology
- Message Design
Background:
- Health promotion research primarily examines language, neglecting visual message components.
- The influence of visual elements, such as depicted individuals' characteristics, on health message reception is understudied.
- Understanding reactance to health messages requires considering both verbal and visual cues.
Purpose of the Study:
- To investigate the impact of verbal and visual message features on psychological reactance and intentions to wear masks.
- To examine how message forcefulness (verbal and nonverbal) and model demographics affect reactions to a COVID-19 mask PSA.
- To extend research on reactance by incorporating visual elements in health communication.
Main Methods:
- An experiment involving 856 U.S. adults evaluated reactions to a public service announcement (PSA) about mask-wearing.
- Verbal appeal forcefulness (forceful vs. courteous) and model nonverbal gestures (stop gesture vs. neutral) were manipulated.
- Demographic characteristics (gender, race) of PSA models were analyzed for their influence on participant responses.
Main Results:
- A forceful verbal appeal significantly lowered mask-wearing intentions, mediated by psychological reactance.
- A forceful nonverbal gesture did not increase perceived freedom threat or reduce intentions.
- Demographic factors of the models, including gender and race, unexpectedly influenced PSA reception.
Conclusions:
- Verbal message design is crucial in health campaigns to avoid triggering reactance and maintain compliance.
- Visual elements, particularly model demographics, play a significant role in how health messages are perceived and influence behavior.
- Future research should systematically explore the multifaceted effects of visual features in health promotion to optimize message effectiveness.
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