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This paper reports an experimental study investigating the role of cognitive factors and fear in mediating the effects of "fear-arousing" health threat communications. Seventy-seven cigarette smokers were shown either a videotape about smoking or a control videotape on a different health topic before completing a questionnaire assessing their intentions to try to quit, the level of fear aroused, and three cognitive factors: (a) probability difference (perceived reduction in risk of health damage that follows from successful cessation), (b) utility of health damage, and (c) confidence. The smoking videotape influenced probability difference, utility, intentions, and follow-up reports of attempts at cessation. As predicted, both probability difference and utility influenced intention, which in turn influenced behavior. Neither confidence nor the amount of fear aroused by the videotape had significant effects on intention.

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In an experimental study designed to investigate a decision‐making model of seat‐belt use, 227 employees of an agrochemical company participated in a health information program in which they watched either a videotape on seat belts or a control videotape and completed questionnaires immediately afterward and at 3 months and 1 year after exposure. In terms of total effects, the seat‐belt videotape influenced beliefs, fear, and intentions assessed immediately after exposure, but had no effect on self‐reported frequency of belt use at 3 months or 1 year. A full path analysis indicated some support for the decision‐making model. In particular, probability difference (the perceived reduction in risk of death or serious injury due to wearing a belt) had a large influence on intentions to wear a belt and partly mediated the effect of the videotape on intentions. Reported frequency of belt use at 3 months was influenced both by post‐test intentions and by initial frequency of belt use. Similarly, belt use at 1 year was affected by belt use at 3 months and by initial belt use. The findings are discussed in terms of the role of subjective probabilities and habitual factors in seat‐belt use.

In a controlled trial of brief treatment for smoking using nicotine chewing gum in a workplace setting, 270 of 334 cigarette smokers who expressed interest were invited to take part in the program, which consisted of two individual consultations; 172 attended. The remaining 64 smokers constituted a no-intervention control group. Using a criterion of sustained one-year abstinence with biochemical validation, success rates were 12 per cent among participants, I per cent among those who were invited but did not attend, and 2 per cent in