European Journal of Health Communication <p>The European Journal of Health Communication (EJHC) is a peer-reviewed open access journal for high-quality health communication research with relevance to Europe or specific European countries. It aims to represent the international character of health communication research given the cultural, political, economic, and academic diversity in Europe.&nbsp;</p> University of Zurich, IKMZ – Department of Communication and Media Research en-US European Journal of Health Communication 2673-5903 <p>The authors agree to the following license and copyright agreement:</p> <p><em>a.</em> Authors retain copyright in their work.</p> <p><em>b.</em> Authors grant the European Journal of Health Communication the right of first publication online on the internet (on the publication platform HOPE of the Main Library of the University of Zurich).</p> <p><em>c.</em> The electronic contributions on the internet are distributed under the „Creative Commons Attribution 4.0 International“- License (CC BY 4.0). 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Court of jurisdiction is Zürich.</p> Are Drug Safety Advisories Compatible with Physicians’ Information Behaviour? <p>Physicians critically depend on up-to-date risk information when prescribing drugs, but they typically have little time to navigate the vast information. In the European Union, Direct to Healthcare Professional Communications (DHPC) letters are distributed to physicians to mitigate drug risks that emerge after market approval, but the letters show low impact. This study characterises general practitioners’ (GPs) information behaviour regarding drug safety and assesses the compatibility of DHPCs with the identified information behaviour. We conducted 17 semi-structured interviews and four follow-up interviews with Danish GPs about safety concerns and analysed them using Wilson’s model of information behaviour. We found that GPs primarily use an online drug monograph for point-of-care information needs and a newsletter from the authorities for clinical management strategies. They generally did not consider DHPCs a useful source of information. GPs argued that numerous sources contained the same information as the DHPC and believed these to be superior in terms of convenience, clinical relevance, and quality of evidence. A new digital mode of DHPC delivery from a public authority may improve the general adoption but also generated new problems. Overall, this suggests that DHPCs in their current form are not very compatible with information behaviour of GPs.</p> Mathias Møllebæk Susanne Kaae Copyright (c) 2022 Mathias Møllebæk, Susanne Kaae 2022-08-09 2022-08-09 3 3 1 17 10.47368/ejhc.2022.301 Organ Donation in Romanian Online Media <p>Mass media represents the primary source of information about organ donation for the general public. The present study explored the content of Romanian online media concerning organ donation. We conducted a content analysis of 313 media materials published online between October 2012 and October 2019 in Romanian. The coding categories were year of publication, media outlet, type of material, type of evidence, valence, topic, and proximity of the story. A semestral web-search was conducted between February 2016 and November 2019. The analysis revealed that the Romanian online coverage of organ donation was modest across time. Regarding the valence, results indicated that 57.2% of the materials presented organ donation in a positive way, 14.1% were neutral, 12.5% were negative, whereas 16.3% of the materials were mixed. Moreover, the valence of the materials varied across media outlets, proximity of the story and publication year. Promotion, information about organ donation and system were the topics that occurred most frequently, followed by events, policy, and legal categories. Findings provide insight into how media may shape people's opinions about organ donation. The study also contributes to understanding the Romanian organ donation macro-social environment and provides valuable information for practice.</p> Oana Alexandra Petre Adriana Băban Copyright (c) 2022 Oana A. Petre, Adriana Băban 2022-08-10 2022-08-10 3 3 18 40 10.47368/ejhc.2022.302 Message Reminders Encouraging Brisk Walking by Considering the Dynamic Factor of Cognitive Fatigue <p>Physical inactivity and sedentary behaviours are leading risk factors for preventable health problems worldwide. Therefore, several smartphone-based interventions have tried to enhance physical activity (PA) through goal reminders based on relatively stable characteristics. However, time-varying factors, such as cognitive fatigue, may act as barriers to engagement in PA. This study aims to unravel what type of goal reminder messages are effective for enhancing PA in situations of cognitive fatigue. First, using a 3 x 3 between-subjects design, we evaluated the effectiveness of goal reminders matched with real-time goals under different levels of cognitive fatigue. This study did not find evidence that the tested goal reminders, intended to be adapted to the real-time goals of the participants, were more effective in promoting PA than goal reminders not adapted to individuals’ real-time goals. Second, to better understand how to design future reminders, two questions explored what format and what content participants considered to be helpful when feeling cognitively fatigued. Results show that GIFs, textual reminders, and pictures are suitable formats in smartphone-based interventions and that humorous content is preferred when feeling cognitively fatigued. These findings contribute to the development of just-in-time adaptive interventions that consider dynamic factors to promote PA.</p> Michelle Symons Heidi Vandebosch Clara Alida Cutello Karolien Poels Copyright (c) 2022 Michelle Symons, Heidi Vandebosch, Clara Alida Cutello, Karolien Poels 2022-08-22 2022-08-22 3 3 41 68 10.47368/ejhc.2022.303