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ISSN : 1229-8778
Previous studies on cigarette graphic warnings found that fear mediates the effect of warnings for nonsmoking. However, very few things are known about the relations between fear and other individual or situational factors. This study tried investigate the role of fear, perceived threat, and perceived efficacy, which are the main factors of extended parallel process model (EPPM), on the effect of cigarette graphic warning. 312 smokers in their 20s to 30s (female 159, male 153) were randomly exposed to one of three cigarette package images(text warning vs. low graphic warning vs. high graphic warning) and reported their perceived threat, perceived efficacy, fear and desire to quit smoking. The results showed the significant moderated mediation. Fear mediated the relation between the graphicness of warnings and the desire to quit. Moreover, perceived threat moderated the relation between the grarphicness of warning and fear and perceived efficacy moderated the relation between fear and desire to quit smoking. This results contributed to better understanding of the psychological mechanism of the effect of cigarette graphic warning and identification of the role of fear, which previous EPPM research did not address.
박준우․권경희․김대진․전승우 (2016). 담뱃갑 경고그림 효과에 대한 정서 및 인지의 역할: 흡연자와 비흡연자의 비교. 광고학연구, 27(7), 7-30.
차동필 (2006). 공포소구 메시지의 위협과 효능감 수준에 따른 설득효과. 한국언론학보, 50(4), 411-436.
Averbeck, J. M., Jones, A., & Robertson, K. (2011). Prior knowledge and health messages: An examination of affect as heuristics and information as systematic processing for fear appeals. Southern Communication Journal, 76(1), 35-54.
Bansal-Travers, M., Hammond, D., Smith, P., & Cummings, K. M. (2011). The impact of cigarette pack design, descriptors, and warning labels on risk perception in the US. American Journal of Preventive Medicine, 40(6), 674-682.
Blumberg, S. J. (2000). Guarding against threatening HIV prevention messages: An information-processing model. Health Education & Behavior, 27(6), 780-795.
Boster, F. J., & Mongeau, P. (1984). Fear-arousing persuasive messages. In R. N. Bostrom & B. H. Westley (Eds.), Communication yearbook 8 (pp. 330-375). Newbury Park, CA: Sage.
Borrelli, B., Hayes, R. B., Dunsiger, S., & Fava, J. L. (2010). Risk perception and smoking behavior in medically ill smokers: A prospective study. Addiction, 105(6), 1100- 1108.
Davis, C., & Burton, S. (2016). Understanding graphic pictorial warnings in advertising: A replication and extension. Journal of Advertising, 45(1), 33-42.
de Hoog, N., Stroebe, W., & de Wit, J. B. F. (2007). The impact of vulnerability to and severity of a health risk on processing and acceptance of fear-arousing communications: A meta-analysis. Review of General Psychology, 11, 258-285.
Earl, A., & Albarracin, D. (2007). Nature, decay, and spiraling of the effects of fear-inducing arguments and HIV counseling and testing: a meta-analysis of the short-and long-term outcomes of HIV-prevention interventions. Health Psychology, 26(4), 496-506.
Emery, L. F., Romer, D., Sheerin, K. M., Jamieson, K. H., & Peters, E. (2014). Affective and cognitive mediators of the impact of cigarette warning labels. Nicotine & Tobacco Research, 16(3), 263-269.
Evans, A. T., Peters, E., Strasser, A. A., Emery, L. F., Sheerin, K. M., & Romer, D. (2015). Graphic warning labels elicit affective and thoughtful responses from smokers: Results of a randomized clinical trial. PloS One, 10(12), e0142879.
Gleicher, F., & Petty, R. E. (1992). Expectations of reassurance influence the nature of fear-stimulated attitude change. Journal of Experimental Social Psychology, 28(1), 86-100.
Gore, T. D., & Bracken, C. C. (2005). Testing the theoretical design of a health risk message: Reexamining the major tenets of the extended parallel process model. Health Education & Behavior, 32(1), 27-41.
Hammond, D. (2011). Health warning messages on tobacco products: A review. Tobacco Control, 20(5), 327-337.
Hammond, D., Fong, G. T., Borland, R., Cummings, K. M., McNeill, A., & Driezen, P. (2007). Text and graphic warnings on cigarette packages: Findings from the international tobacco control four country study. American Journal of Preventive Medicine, 32(3), 202-209.
Hammond, D., Fong, G. T., McDonald, P. W., Brown, K. S., & Cameron, R. (2004). Graphic Canadian cigarette warning labels and adverse outcomes: Evidence from Canadian smokers. American Journal of Public Health, 94(8), 1442-1445.
Hammond, D., Fong, G. T., McNeill, A., Borland, R., & Cummings, K. M. (2006). Effectiveness of cigarette warning labels in informing smokers about the risks of smoking: Findings from the International Tobacco Control (ITC) Four Country Survey. Tobacco Control, 15(suppl 3), iii19-iii25.
Harris, P. R., Mayle, K., Mabbott, L., & Napper, L. (2007). Self-affirmation reduces smokers' defensiveness to graphic on-pack cigarette warning labels. Health Psychology, 26(4), 437.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.
Holmes, E. A., & Mathews, A. (2010). Mental imagery in emotion and emotional disorders. Clinical Psychology Review, 30(3), 349-362.
Hovland, C., Janis, I., & Kelly, H. (1953). Communication and persuasion. New Haven, CT: Yale University Press.
Janis, I. L., & Feshbach, S. (1954). Personality differences associated with responsiveness to fear-arousing communications. Journal of Personality, 23(2), 154-166.
Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education & Behavior, 11(1), 1-47.
Jung, M. (2016). Implications of graphic cigarette warning labels on smoking behavior: An international perspective. Journal of Cancer Prevention, 21(1), 21-25.
Kees, J., Burton, S., Andrews, J. C., & Kozup, J. (2010). Understanding how graphic pictorial warnings work on cigarette packaging. Journal of Public Policy & Marketing, 29(2), 265-276.
Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (1997), Motivated attention: Affect, activation, and action, in Peter J. Lang, Robert F. Simons, & Marie T. Balaban (eds.), Attention and orienting: Sensory and motivational processes (97-135). Hillsdale, NJ: Lawrence Erlbaum Associates.
Leventhal, H. (1971). Fear appeals and persuasion: The differentiation of a motivational construct. American Journal of Public Health, 61(6), 1208-1224.
Lazarus, R. S. (1991). Cognition and motivation in emotion. American Psychologist, 46(4), 352-367
Lipkus, I., & Shepperd, J. (2009). College smokers' estimates of their probabilities of remaining a smoker in the near future. Journal of Health Psychology, 14(4), 547-555.
Macy, J. T., Chassin, L., Presson, C. C., & Yeung, E. (2016). Exposure to graphic warning labels on cigarette packages: Effects on implicit and explicit attitudes towards smoking among young adults. Psychology & Health, 31(3), 349-363.
Magnan, R. E., & Cameron, L. D. (2015). Do young adults perceive that cigarette graphic warnings provide new knowledge about the harms of smoking?. Annals of Behavioral Medicine, 49(4), 594-604.
McKay, D. L., Berkowitz, J. M., Blumberg, J. B., & Goldberg, J. P. (2004). Communicating cardiovascular disease risk due to elevated homocysteine levels: Using the EPPM to develop print materials. Health Education & Behavior, 31(3), 355-371.
Mewborn, C. R., & Rogers, R. W. (1979). Effects of threatening and reassuring components of fear appeals on physiological and verbal measures of emotion and attitudes. Journal of Experimental Social Psychology, 15(3), 242-253.
Nabi, R. (2002). Anger, fear, uncertainty, and attitudes: A test of the cognitive-functional model. Communication Monographs, 69(3), 204- 216.
Netemeyer, R. G., Burton, S., Andrews, J. C., & Kees, J. (2016). Graphic health warnings on cigarette packages: The role of emotions in affecting adolescent smoking consideration and secondhand smoke beliefs. Journal of Public Policy & Marketing, 35(1), 124-143.
Noar, S. M., Hall, M. G., Francis, D. B., Ribisl, K. M., Pepper, J. K., & Brewer, N. T. (2016). Pictorial cigarette pack warnings: a meta-analysis of experimental studies. Tobacco Control, 25(3), 341-354.
Patterson Silva Wolf, D. A., Tovar, M., Thompson, K., Ishcomer, J., Kreuter, M. W., Caburnay, C., & Boyum, S. (2016). Speaking out about physical harms from tobacco use: Response to graphic warning labels among American Indian/Alaska Native communities. BMJ open, 6(3), e008777.
Popova, L. (2012). The extended parallel process model illuminating the gaps in research. Health Education & Behavior, 39(4), 455-473.
Pyszczynski, T., Greenberg, J., Solomon, S. (1999). A dual process model of defense against conscious and unconscious death-related thoughts: An extension of terror management theory. Psychological Review, 106(4), 835-845.
Romer, D., Peters, E., Strasser, A. A., & Langleben, D. (2013). Desire versus efficacy in smokers’ paradoxical reactions to pictorial health warnings for cigarettes. PloS One, 8(1), e54937.
Ridout, T. N., & Searles, K. (2011). It's my campaign I'll cry if I want to: How and when campaigns use emotional appeals. Political Psychology, 32(3), 439-458.
Rimal, R. N., & Real, K. (2003). Perceived risk and efficacy beliefs as motivators of change. Human Communication Research, 29(3), 370-399.
Rogers, R. W. (1975). A protection motivation theory of fear appeals and attitude change. Journal of Psychology, 91(1), 93-114.
Rogers, R. W., & Deckner, C. W. (1975). Effects of fear appeals and physiological arousal upon emotion, attitudes, and cigarette smoking. Journal of Personality and Social Psychology, 32(2), 222-230.
Sheeran, P., Harris, P. R., & Epton, T. (2014). Does heightening risk appraisals change people's intentions and behavior? A meta-analysis of experimental studies. Psychological bulletin, 140(2), 511-543.
Smith, C. A., & Lazarus, R. S. (1990). Lazarus, R. S. (1990). Emotion and adaptation. In L. A. Pervin (Ed.), Handbook of personality: Theory and research (pp. 609-637). New York, NY: Guilford.
So, J., Kuang, K., & Cho, H. (2016). Reexamining Fear Appeal Models from Cognitive Appraisal Theory and Functional Emotion Theory Perspectives. Communication Monographs, 83(1), 120-144.
Strasser, A. A., Tang, K. Z., Romer, D., Jepson, C., & Cappella, J. N. (2012). Graphic warning labels in cigarette advertisements: Recall and viewing patterns. American Journal of Preventive Medicine, 43(1), 41-47.
Sutton, S. (1992). Shock tactics and the myth of the inverted U. British Journal of Addiction, 87(4), 517-519.
Thayer, R. E. (1978). Toward a psychological theory of multidimensional activation (arousal). Motivation and Emotion, 2(1), 1-34.
Thompson, M. E., Fong, G. T., Hammond, D., Boudreau, C., Driezen, P., Hyland, A., . . . Mackintosh, A. M. (2006). Methods of the International Tobacco Control (ITC) Four-Country Survey. Tobacco Control, 15(suppl 3), iii12-iii18.
Thrasher, J. F., Swayampakala, K., Borland, R., Nagelhout, G., Yong, H. H., Hammond, D., ..., & Hardin, J. (2016). Influences of Self-Efficacy, Response Efficacy, and Reactance on Responses to Cigarette Health Warnings: A Longitudinal Study of Adult Smokers in Australia and Canada. Health Communication, 31(12), 1517-1526.
van't Riet, J. P., Ruiter, R. A., Werrij, M. Q., & Vries, H. D. (2008). The influence of self‐efficacy on the effects of framed health messages. European Journal of Social Psychology, 38(5), 800-809.
Vardavas, C. I., Connolly, G., Karamanolis, K., & Kafatos, A. (2009). Adolescents perceived effectiveness of the proposed European graphic tobacco warning labels. European Journal of Public Health, 19(2), 212-217.
Weinstein, N. D. (2000). Perceived probability, perceived severity, and health-protective behavior. Health Psychology, 19(1), 65-74.
White, V., Webster, B., & Wakefield, M. (2008). Do graphic health warning labels have an impact on adolescents’ smoking related beliefs and behaviours?. Addiction, 103(9), 1562-1571.
Williams, K. (2012). Fear Appeal Theory. Research in Business and Economics Journal. 5. Retrieved from http://www.aabri.com/manuscripts/11907. pdf
Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communications Monographs, 59(4), 329-349.
Witte, K., & Allen, M. (2000). A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Education & Behavior, 27(5), 591-615.
Witte, K., Cameron, K. A., McKeon, J., & Berkowitz, J. (1996). Predicting risk behaviors: Development and validation of a diagnostic scale. Journal of Health Communication, 1(4), 317-342.
World Health Organization. (2013). Guidelines for implementation of the WHO FCTC.
Yzer, M. C., Southwell, B. G., & Stephenson, M. T. (2012). Inducing fear as a public communication campaign strategy. In R. E. Rice & C. K. Atkin (Eds.), Public communication campaigns (4th ed., pp. 163-176). Thousand Oaks, CA: Sage.