Department of Psychological Sciences, Kent State University, 390 Kent Hall, Kent, OH, 44242-0001, USA.
J Behav Med. 2022 Apr;45(2):159-171. doi: 10.1007/s10865-021-00266-2. Epub 2021 Nov 23.
Perceiving ambiguity in health information-that is, uncertainty elicited from believing information lacks credibility, reliability, or adequacy-is typically associated with pessimistic appraisals (e.g., high perceived disease risk) and behavioral avoidance. We examined the effect of ambiguous health information about COVID-19 on health cognitions and vaccination intentions, and tested a "normalized-uncertainty" intervention. Two studies with identical methodology (online adult sample: n = 299, undergraduate sample: n = 150) were conducted in March to April 2020. Participants were randomly assigned to read one of three health messages about COVID-19 that emphasized what was currently unknown (ambiguity condition), what was currently unknown but that scientific uncertainty is expected (intervention condition), or what was currently known (control condition). The ambiguity condition led to greater perceived ambiguity than the control condition and perceived ambiguity in the intervention condition was comparable to the ambiguity condition. There were few differences in health cognitions, and no differences in vaccination intentions, when examining pairwise comparisons across the three conditions. Correlational analyses collapsing across condition indicated evidence of pessimistic appraisal but not behavioral avoidance among individuals who perceived greater ambiguity. Future research should examine longer, more detailed normalized-uncertainty interventions.
感知健康信息中的模棱两可——即,认为信息缺乏可信度、可靠性或充分性所引起的不确定性——通常与悲观的评估(例如,高感知疾病风险)和行为回避有关。我们研究了关于 COVID-19 的模棱两可的健康信息对健康认知和疫苗接种意愿的影响,并测试了一种“规范化不确定性”干预措施。这两项研究采用相同的方法(在线成人样本:n=299,本科生样本:n=150)于 2020 年 3 月至 4 月进行。参与者被随机分配阅读三种关于 COVID-19 的健康信息中的一种,这些信息强调了目前未知的内容(模棱两可条件)、目前未知但预计科学不确定性的内容(干预条件)或目前已知的内容(对照条件)。与对照条件相比,模糊条件导致更高的感知模糊度,而干预条件中的感知模糊度与模糊条件相当。在比较三个条件时,健康认知和疫苗接种意愿几乎没有差异。对整个条件进行相关分析表明,在感知到更大模糊度的个体中存在悲观评估的证据,但不存在行为回避的证据。未来的研究应该检验更长、更详细的规范化不确定性干预措施。