This study investigates gain-framed and loss-framed messages on graphic cigarette warning labels and their effects on adolescents' smoking-related attitudes and behaviors. Canadian cigarette warning labels emphasizing health consequences of smoking (loss-framed) were digitally manipulated into gain-framed versions. High school students (N = 210) completed a questionnaire measuring attitudes, perceptions of the warnings, and behavioral intentions. The study used a posttest-only comparison group design with random assignment. The independent variable was message framing (loss-framed, gain-framed avoidance, gain-framed benefits), and the dependent variables were (a) attitudes toward the warning, (b) attitudes toward smoking, (c) effectiveness in reducing smoking levels, (d) intentions to smoke, (e) effectiveness in improving one's ability to quit, and (f) effectiveness in increasing the likelihood of a smoker quitting. Results indicate that adolescents had more favorable attitudes toward the loss-framed warnings and perceived them as more effective than the gain-framed warnings. Further, smokers exposed to the loss-framed version featuring decaying teeth had significantly lower intentions to smoke in the future. Loss-framed warning labels appear to have a positive influence on adolescents' smoking-related attitudes and behavioral intentions.

The authors conducted a content analysis, investigating the first 5 months of national print and electronic news coverage of the H1N1 virus. They collected all stories about H1N1 appearing in 6 national news outlets between April and September 2009. Of these stories meeting the analysis criteria, the authors randomly selected 200 for inclusion. Using models of fear appeal message processing, this study investigated the nature and prevalence of threat and efficacy messages in news coverage of the virus. Such models have traditionally been applied to strategic health message contexts (e.g., campaigns) rather than to health news coverage. Results suggest that most stories made reference to the threat of the H1N1 virus, sometimes overemphasizing and sensationalizing virus-related death. With regard to efficacy, approximately half mentioned actions individuals or organizations/communities could take to protect themselves from the virus, but almost none provided evidence that such methods are effective, and some explicitly questioned their effectiveness. In addition, a number of stories referenced uncertainty about the threat of the virus (38%) and/or solutions to the potential threat (18%). The authors discuss the implications from the perspective of fear appeal message processing models.

A study was conducted to determine the effects of perceived threat and efficacy on physicians' intentions and behavior to test their patients' level of kidney functioning. Guided by the extended parallel process model, 151 physicians completed an initial survey measuring threat to patients (i.e., susceptibility and severity) and efficacy (i.e., response-efficacy and self-efficacy), as well as their current intentions and behavior. One-hundred and twelve of these physicians also completed and returned a follow-up survey sent approximately 4 months later using identical measures of intentions and behavior. As predicted, physicians who perceived greater threat to patients and greater efficacy demonstrated greater intentions and behavior to test their patients' level of kidney functioning. The theoretical and practical insights and implications of these findings are discussed.

An experiment investigated emotional reactions to news on policy support. Stimuli were selected from a nationally representative sample of local crime/accident news, and a nationally representative online panel of U.S. adults. Stories were manipulated to mention or not mention the role of alcohol. Anger elicited by stories increased blame of individuals, whereas fear increased consideration of contributing societal factors. Mention of alcohol increased likelihood of different emotional responses dominating--greater anger when alcohol was mentioned and greater fear when not mentioned. Such emotions influence policy support: enforcement of existing laws controlling individual behavior in addition to new laws when anger predominated, and, indirectly, support for new laws changing social context in which alcohol is promoted and sold when fear predominated.

Evidence for media effects in survey research often depends upon measures of selfreported attention to various types of media content, under the assumption that such attention measures gauge the extent of cognitive processing of content. However, effects associated with self-reports of attention might often be due to reverse causation (the attitude or knowledge tested as the outcome might in fact give rise to self-reports of greater attention) or third variable effects. To better assess whether self-reported attention to content actually measures differential processing of content, an experiment was conducted in the context of media influences on health and safety risk perceptions. A pool of 120 eligible news stories concerning violent crime, car crashes, and other unintentional injuries was randomly selected from a national random sample of such news coverage. These stories were manipulated to contain or not contain reference to alcohol as a contributing factor in the incident. Consistent with predictions and prior crosssectional survey results, self-reports of attention and the exposure treatment interacted in estimating concern about alcohol-related risks, with the pattern of results suggesting that between-participant differences in self-reports of attention in fact reflected differences in processing of the message. Methodological advantages of using random samples of messages in experiments for inference are also discussed.