Hussman School of Journalism and Media, University of North Carolina , Chapel Hill, NC, USA.
Lineberger Comprehensive Cancer Center, University of North Carolina , Chapel Hill, NC, USA.
J Health Commun. 2020 Jun 2;25(6):501-513. doi: 10.1080/10810730.2020.1818148. Epub 2020 Sep 29.
Audience involvement processes - such as parasocial interaction and identification - may impact an individual's response to celebrity health events, yet to date, no synthesis of the literature exists. The present meta-analysis examined audience involvement processes and their influence on health behavior intentions in the context of celebrity health events. Fourteen studies ( = 5,718) met criteria and were analyzed using meta-analytic procedures. The weighted mean effect of the association between audience involvement and behavioral intentions was = 0.20 (95% CI, 0.08-0.31, <.001), indicating a statistically significant small-to-medium-sized positive association. Moderator analyses revealed that celebrity disclosures and events had greater effects than depictions of a media persona with a health condition; greater effects were also found for health behaviors not requiring a medical procedure. Our findings suggest that those who most feel a sense of attachment or affinity for a celebrity or media personae may be the ones who are most likely to modify their behavioral intentions in the wake of a celebrity health event. Results highlight the need for health practitioners to recognize the role of audience involvement in celebrity health events and to better assess how to harness these opportunities to promote healthy behaviors.
受众参与过程——如拟社会互动和认同——可能会影响个体对名人健康事件的反应，但迄今为止，尚无相关文献综述。本元分析考察了受众参与过程及其在名人健康事件背景下对健康行为意向的影响。符合标准的 14 项研究（n=5718）采用元分析程序进行了分析。受众参与与行为意向之间关联的加权平均效应 = 0.20（95%置信区间，0.08-0.31，<.001），表明存在统计学上显著的小到中等强度的正相关。调节分析表明，名人披露和事件比媒体人物健康状况的描述具有更大的影响；对于不需要医疗程序的健康行为，也发现了更大的影响。我们的研究结果表明，那些对名人或媒体人物最有归属感或亲和力的人，最有可能在名人健康事件发生后改变他们的行为意向。研究结果强调了健康从业者认识到受众参与在名人健康事件中的作用的必要性，并需要更好地评估如何利用这些机会来促进健康行为。
