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. 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Court of jurisdiction is Zürich.</p> How do Hematologists Communicate with Patients Suffering from Chronic Lymphocytic Leukemia? <p>Chronic Lymphocytic Leukemia (CLL) is a chronic hematologic malignancy with great heterogeneity and unpredictable clinical course. The European Research Initiative on CLL (ERIC), in the context of its CLL Patient Empowerment Program, conducted a study exploring hematologists’ experience of communication. Thirty semi-structured interviews were conducted with hematologists caring for CLL patients in Greece. Inductive thematic qualitative analysis was employed revealing 3 major themes: (i) disclosure of information encompassing ‘negotiating the level of disclosure’, ‘the power of cultural perceptions’, ‘fear of being held culpable’, ‘fear of patients’ and own emotions’; (ii) medical-decision making which described ‘balancing autonomy and beneficence’, ‘considering patients’ preferences’ and ‘adhering to practice guidelines’; (iii) emotional support which included ‘assessment of emotional distress’, ‘identifying and regulating patients’ emotions’ and ‘maintaining a supportive relationship’. In conclusion, physicians are aware of the importance of communication and its potential impact on CLL patients. They use a wide range of communication strategies which serve the diversity of communication goals they must achieve. However, the majority have not received formal education on patient interactions. Present findings highlight the need for specific communication protocols, guidance and training that will empower physicians to overcome challenges, inherent to the nature of CLL.</p> Christina Karamanidou Aliki Xochelli Paolo Ghia Kostas Stamatopoulos Copyright (c) 2021 Christina Karamanidou, Aliki Xochelli, Paolo Ghia, Kostas Stamatopoulos 2021-12-02 2021-12-02 2 3 110 135 10.47368/ejhc.2021.306 Beyond Medical Pluralism <p>Medical pluralism does not only mean the presence of multiple therapies but also the variety of health discourses and norms. By analysing the rhetoric of active participants in the Estonian health field, we portray the diverse discourses in defining and positioning complementary and alternative medicine (CAM) in relation to biomedicine (BM). On a scale of attitudes, five different positions of CAM and BM emerge. Both ends of the spectrum dominantly represent a system-level view characterized by distinct categories, opposition, and labelling. In between, integrative positions focus more on an individual’s personal needs by combining and “taking the best out of” all available knowledge systems. The presence of these competing discourses poses several challenges for health communication. Meanings offered by CAM-related health approaches are increasingly visible and influential as unlicensed health workers and laypeople contribute more to public communication due to the openness of social media. On the other hand, critics of CAM and proponents of scientific thinking have mobilized to set boundaries to defend the authoritative position of scientific medicine. Our analysis suggests that using system-level categories supports polarization, which could lead people to seek alternative explanations based on their individual experiences, and thus feeding distrust towards medicine and doctors.</p> Marko Uibu Katre Koppel Copyright (c) 2021 Marko Uibu, Katre Koppel 2021-12-02 2021-12-02 2 3 85 109 10.47368/ejhc.2021.305 Trading Data for Health <p>mHealth apps are growing in popularity among smartphone users. Such apps often contain social features that enable users to compare their behavior with others but to function, mHealth apps require users to share health information which is considered a threat to individuals’ privacy. Building on social comparison theory and research on privacy decision-making, we investigate the effects of users’ social comparison orientation and privacy attitudes as well as the potential mediating effect of health information disclosure on users’ intention to use a dietary app. Relying on a PLS-based structural-equation model in a sample of N = 528 participants, our study supports claims of a positive effect of social comparison orientation on intention to use a mHealth app. Further, the negative effect of privacy attitude and the positive mediation of information disclosure were supported as well. The study also demonstrated that findings were stable when the context of information disclosure is changed.</p> Sven Joeckel Jakob Henke Leyla Dogruel Copyright (c) 2021 Sven Joeckel, Jakob Henke, Leyla Dogruel 2021-11-03 2021-11-03 2 3 62 84 10.47368/ejhc.2021.304 The Onset of Habituation Effects <p>While extraordinary events like pandemics may prompt an increase in information-seeking behaviour, such trends are unlikely to be sustainable. Over time, issue fatigue/overdose is expected to set in. This study employed generalised additive mixed models (GAMMs) to determine whether attention to TV news corresponded with real-world developments. We sought to predict news use in Germany during the first wave of the COVID-19 pandemic based on disease occurrence next to two well-established predictors of news use (total TV use and day of the week). The association of key events with news use was also assessed. Initially, news use increased with disease occurrence. However, as the pandemic progressed, the linkage between the two variables weakened considerably, suggesting the onset of a habituation effect. Some support emerged for the idea that key events increased news use. Overall, our results are more in line with the explanation provided by agenda-setting theory and various information-seeking models than with the notion of coping through information avoidance. Thus, how the pandemic progresses appears to be a good predictor of news use at the aggregate level, although its predictive power decreases over time.</p> Viorela Dan Hans-Bernd Brosius Copyright (c) 2021 Viorela Dan, Hans-Bernd Brosius 2021-10-11 2021-10-11 2 3 44 61 10.47368/ejhc.2021.303 Sick for Information? <p>During a pandemic outbreak, timely and accurate information that matches the information needs of the public is vital to inform the public. In April 2020, 977 individuals completed a questionnaire that measured the Dutch public’s health information needs and media consumption during the early stages of the coronavirus outbreak. Results show that respondents sought information about prevention of contamination, (the severity of) symptoms, treatment, and vaccination. News outlets, both online and offline, were the most preferred sources for information. Older people were more likely to search for information in traditional media, such as on TV, in newspapers, and on the radio. Younger people more often used news websites to find information. Respondents with lower levels of education obtained information via TV more frequently than respondents with higher levels of education, who in turn used newspapers more frequently. This study, guided by the Risk Information Seeking and Processing (RISP) model, was conducted during the early stages of the pandemic in the Netherlands to provide information that public health officials and governments can use to optimise information provision during pandemics. Presently, news media have the highest degree of coverage and impact and should thus be used first to convey reliable information.</p> Fam te Poel Annemiek J. Linn Susanne E. Baumgartner Liset van Dijk Eline S. Smit Copyright (c) 2021 Fam te Poel, Annemiek J. Linn, Susanne E. Baumgartner, Liset van Dijk, Eline S. Smit 2021-09-09 2021-09-09 2 3 24 43 10.47368/ejhc.2021.302 Influence of Animation- Versus Text-Based Delivery of a Web-Based Computer-Tailored Smoking Cessation Intervention on User Perceptions <p>Computer-tailored (CT) digital health interventions have shown to be effective in obtaining behaviour change. Yet, user perceptions of these interventions are often unsatisfactory. Traditional CT interventions rely mostly on text-based feedback messages. A way of presenting feedback messages in a more engaging manner may be the use of narrated animations instead of text. The goal of this study was to assess the effect of manipulating the mode of delivery (animation vs. text) in a smoking cessation intervention on user perceptions among smokers and non-smokers. Smokers and non-smokers (<em>N = </em>181) were randomized into either the animation or text condition. Participants in the animation condition assessed the intervention as more effective (η<sub>p</sub><sup>2</sup> = .035), more trustworthy (η<sub>p</sub><sup>2</sup> = .048), more enjoyable (η<sub>p</sub><sup>2</sup> = .022), more aesthetic (η<sub>p</sub><sup>2</sup> = .233), and more engaging (η<sub>p</sub><sup>2</sup> = .043) compared to participants in the text condition. Participants that received animations compared to text messages also reported to actively trust the intervention more (η<sub>p</sub><sup>2</sup> = .039) and graded the intervention better (η<sub>p</sub><sup>2</sup> = .056). These findings suggest that animation-based interventions are superior to text-based interventions with respect to user perceptions.</p> Jan Mathis Elling Hein de Vries Copyright (c) 2021 Jan Mathis Elling, Hein de Vries 2021-07-28 2021-07-28 2 3 1 23 10.47368/ejhc.2021.301