Champlin Sara, Nisbett Gwendelyn
1 Mayborn School of Journalism, The University of North Texas, Denton, TX, USA.
Am J Health Promot. 2018 May;32(4):1140-1144. doi: 10.1177/0890117117740348. Epub 2017 Nov 12.
To design and test a persuasive health promotion campaign that aligns with the qualities of trying something new for the first time. Given that a majority of students have not previously sought/considered professional mental health assistance before, the hypothesis tested in this study asked whether a campaign that takes this into account is effective with this audience.
Participants viewed an online informational message (n = 84), information message plus first-time experience banner (n = 99), or 1 of 4 full campaigns, each depicting a student story and photo about a first-time experience (moving from home [n = 48], skydiving [n = 52], acting in a play [n = 48], and exercising with personal trainer [n = 48]).
Visual poster items: appeal (visually pleasing, 7 items, α = .92), support (value of poster, 5 items, α = .86) and behavioral intention items: engagement (participant seek help/pay attention, 3 items, α = .86), relevance (content as relevant, 3 items, α = .84), and judgment (judgment of others for not seeking help, 2 items, α = .87).
College students (N = 380).
In comparison to information-only messages, framing mental health help seeking as a first-time experience was linked with increased appeal, support, and engagement (M = 2.79 [standard deviation, SD = 1.34], M = 3.25 [SD = 1.23], M = 4.07 [SD = 1.28], P < .001, M = 4.38 [SD = 1.47], M = 4.92 [SD = 1.21], M = 4.57 [SD = 1.26], P = .014, and M = 3.13 [SD = 1.76], M = 3.56 [SD = 1.48], M = 4.02 [SD = 1.42], P < .001, respectively). As anticipated, the full campaign garnered the highest affect and engagement scores. When comparing the 4 first-time experiences, there were main effects on support and engagement (M = 5.06 [SD = 1.17], M = 4.27 [SD = 1.28], M = 4.59 [SD = 1.19], M = 4.38 [SD = 1.29], P = .009 and M = 4.50 [SD = 1.27], M = 3.75 [SD = 1.43], M = 4.01 [SD = 1.49], M = 3.84 [SD = 1.39], P = .042, respectively), with the novel experience of "working with a personal trainer" rated highest.
Findings from this study have implications for the design of health promotion materials on college campuses. Specifically, campaigns that frame seeking help for mental health as a new experience potentially increase student engagement in this behavior. A key finding from the present study is that a campaign in which this behavior is linked to a familiar form of interpersonal help seeking (personal training) can create receptivity to the stigmatized issue of mental health help seeking.
设计并测试一项有说服力的健康促进活动,该活动要符合首次尝试新事物的特点。鉴于大多数学生此前未曾寻求/考虑过专业心理健康援助,本研究中所测试的假设是,考虑到这一点的活动对这类受众是否有效。
参与者观看一条在线信息(n = 84)、信息加首次体验横幅(n = 99),或4个完整活动中的1个,每个活动都描绘了一个关于首次体验的学生故事和照片(从家里搬出来[n = 48]、跳伞[n = 52]、参演戏剧[n = 48]、与私人教练一起锻炼[n = 48])。
视觉海报项目:吸引力(视觉上令人愉悦,7项,α = 0.92)、支持度(海报的价值,5项,α = 0.86);行为意向项目:参与度(参与者寻求帮助/关注,3项,α = 0.86)、相关性(内容相关,3项,α = 0.84)、评判(对他人不寻求帮助的评判,2项,α = 0.87)。
大学生(N = 380)。
与仅提供信息的消息相比,将寻求心理健康帮助构建为首次体验与吸引力、支持度和参与度的提高相关(均值分别为M = 2.79[标准差,SD = 1.34]、M = 3.25[SD = 1.23]、M = 4.07[SD = 1.28],P < 0.001;M = 4.38[SD = 1.47]、M = 4.92[SD = 1.21]、M = 4.57[SD = 1.26],P = 0.014;M = 3.13[SD = 1.76]、M = 3.56[SD = 1.48]、M = 4.02[SD = 1.42],P < 0.001)。正如预期的那样,完整的活动获得了最高的情感和参与度得分。比较这4种首次体验时,对支持度和参与度有主效应(均值分别为M = 5.06[SD = 1.17]、M = 4.27[SD = 1.28]、M = 4.59[SD = 1.19]、M = 4.38[SD = 1.29],P = 0.009;M = 4.50[SD = 1.27]、M = 3.75[SD = 1.43]、M = 4.01[SD = 1.49]、M = 3.84[SD = 1.39],P = 0.042),其中“与私人教练一起锻炼”这种新颖体验的评分最高。
本研究结果对大学校园健康促进材料的设计具有启示意义。具体而言,将寻求心理健康帮助构建为一种新体验的活动可能会提高学生在这一行为上的参与度。本研究的一个关键发现是,一项将这种行为与一种常见的人际求助形式(私人训练)联系起来的活动,可以使人们更容易接受寻求心理健康帮助这一受污名化的问题。