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Health Communication Theory


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to disseminating promotional messages to the general public, is a much more efficient and effective strategy (McKenzie and Smeltzer 2001). For this reason, during the early stages of a campaign, social marketers and health communication practitioners devote considerable resources to formative research efforts to identify the appropriate psychographics (e.g. barriers, benefits, competition) associated with the specific behavior of interest (Andreasen 1995). Traditionally, social marketers reject the notion of experts designing, implementing, and evaluating promotional efforts without an adequate understanding of the priority audience’s perceptions and self‐efficacy with respect to performing the behavior (Finnell and John 2017).

      Involvement is a commonly invoked concept to better understand the situations under which individuals are more or less likely to be persuaded (Johnson and Eagly 1989). Though conceptual definitions of involvement are varied (cf. Allport 1943; Eagly and Chaiken 1993; Johnson and Eagly 1989; Petty and Cacioppo 1986), the term involvement has broadly been defined as the extent to which a topic or issue is considered personally relevant or significant to an individual (Perloff 2003). Several theories of persuasion – including social judgment theory (Sherif and Hovland 1961; Sherif, Sherif, and Nebergall 1965), the elaboration likelihood model (Petty and Cacioppo 1986), and the heuristic‐systematic model (Chaiken 1980) – posit that involvement is a fundamental variable affecting how individuals process and respond to persuasive messages. Despite widespread agreement that involvement affects message processing, the directionality of its influence is variable. For instance, according to social judgment theory (Sherif and Hovland 1961; Sherif et al. 1965), involvement is hypothesized to have a direct, albeit negative, effect on attitude change. In contrast, the elaboration likelihood model (Petty and Cacioppo 1986) posits that involvement is positively associated with an individual’s elaboration motivation, or desire to engage in issue‐relevant thinking about a topic (see O’Keefe 2013). These mixed findings propelled researchers to develop more nuanced conceptualizations for the involvement construct.

      The first type of involvement identified by Johnson and Eagly (1989) is value‐relevant involvement. Value‐relevant involvement represents the relationship between an attitude object and an individual’s enduring values. In Johnson and Eagly’s (1989) words, value‐relevant involvement is “the psychological state that is created by the activation of attitudes that are linked to important values” (p. 290). These values refer to the traits and ideals that are particularly salient to individuals and correspondingly are used by individuals in defining their self‐concept. Value‐relevant involvement is analogous to ego‐involvement as originally studied by Sherif and his colleagues (Sherif and Cantril 1947; Sherif and Hovland 1961; Sherif et al. 1965). In their meta‐analysis, Johnson and Eagly (1989) concluded that the effects of value‐relevant involvement on persuasion are quite straightforward. Individuals who are highly value‐involved are harder to persuade than those who have low value‐involvement, although this can be overcome with strong arguments. In line with Johnson and Eagly’s (1989) finding, subsequent research has demonstrated that individuals who have high value‐relevant involvement in an issue are in fact more difficult to persuade (Cho and Boster 2005; Pfau et al. 2010).

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