A Metacognitive Approach to Reconsidering Risk Perceptions and Uncertainty: Understand Information Seeking During COVID-19

Huang, Yan; Yang, Chun Yuh

doi:10.1177/1075547020959818

Cited by 61 publications

(40 citation statements)

References 75 publications

(151 reference statements)

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“…AYAs struggled to understand this risk and how the varying guidelines in response to the pandemic (e.g., quarantining) would impact or change risk. While unknown risk is not unique to AYA cancer patients and survivors [ 19 , 20 ], the unclear risk perception among AYAs created additional stress around medical decision-making. At times, for example, it was not clear to AYAs whether it was safer to postpone treatment or surveillance care and risk possible recurrence or to attend scheduled appointments when they were available and risk potential COVID-19 exposure.…”

Section: Discussionmentioning

confidence: 99%

“Every day is just kind of weighing my options.” Perspectives of young adult cancer survivors dealing with the uncertainty of the COVID-19 global pandemic

Shay

Allicock

2021

J Cancer Surviv

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Purpose We explored adolescent and young adult cancer survivor (AYA) experiences with COVID-19 to understand the impact of living through a pandemic, unmet needs, and coping strategies. Methods AYAs were recruited nationally, completed an online survey, and attended one of six online focus groups. We used qualitative content analysis to analyze focus group data. Results Thirty-nine AYAs completed the survey, and 24 also participated in the focus groups. In the survey, AYAs responded that COVID-19 increased anxiety about their health or their family’s health, feelings of isolation, and worries about job security. Overarching focus group themes included AYA behavioral responses to the pandemic similar to their peers, the added burden of cancer, and unexpected advantages of a cancer history. When discussing the added burden of cancer, subthemes included difficulties and delays in medical care, mental health stressors, and compounding uncertainty. Unexpected advantages of a cancer history included relying on coping strategies developed during active treatment and resiliency from practicing social distancing during treatment. Conclusions AYAs have struggled in the early pandemic in ways similar to their peers but with compounding uncertainty regarding their unknown risk due to cancer history. Healthcare providers and systems can better support AYAs by providing additional psychosocial supports, developing strategies to triage good candidates for telehealth, and providing information about cancer survivor-specific risks for COVID-19. Implications for Cancer Survivors Our findings indicate a need for psychosocial supports that address managing anxiety and uncertainty. AYAs may be able to draw on their cancer experiences to navigate the COVID-19 pandemic. Supplementary Information The online version contains supplementary material available at 10.1007/s11764-021-01069-9.

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Section: Discussionmentioning

confidence: 99%

“Every day is just kind of weighing my options.” Perspectives of young adult cancer survivors dealing with the uncertainty of the COVID-19 global pandemic

Shay

Allicock

2021

J Cancer Surviv

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“…These studies found that during the initial phases of the SARS outbreak, risk perception steadily increased and then leveled off in later phases [ 21 , 31 ]. As explained by other studies of public risk perception, the risk associated with COVID-19 was novel and poorly known, disrupting the safety system of people’s cognitions, which was reflected by an explosion in information seeking [ 32 ]. However, as an infectious disease, the increase in risk perception could be neutralized by effective vaccines or behavioral containment measures, which would likely lead to less concern regarding the notion of risk.…”

Section: Discussionmentioning

confidence: 99%

Risk Perception and Emotion Reaction of Chinese Health Care Workers Varied During COVID-19: A Repeated Cross-Sectional Research

Yin

Ying

Chen

et al. 2021

Int J Public Health

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Objectives: To examine risk perception and negative emotions during two periods of the COVID-19 and provide plausible intervention points for the psychological aid under a stressful condition.Methods: The current study adopted the repeated cross-sectional research and was participated by a cohort of Chinese HCWs who were assigned to work at the current disease resistance line. The between-group information about gender, profession, and location was collected in the demographic questionnaire. Risk perception questionnaire was adapted for COVID-19 to assess risk perception and the Chinese version of emotional self-rating scale (PANAS) was used to evaluate HCWs’ negative emotions.Results: Findings revealed the risk perception and negative emotions of HCWs varied in different gender, profession, location, as well as different periods of COVID-19. Over the different periods, the predominated negative emotion expressed by HCWs varied, but negative emotion was consistently associated with risk perception and could be a significant indicator of risk perception.Conclusion: The significance of this research lies in its examination of risk perception and negative emotions of HCWs confronting the COVID-19 during two periods of the pandemic, which underscored the importance of monitoring the risk perception and negative emotions of HCWs to ensure safety and prevent the return of the pandemics.

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“…Nan et al (2018) proposed an integrative framework that called special attention to the mode of information processing. Guided by this framework, psychological uncertainty, a concept centering around information experience (Huang & Yang, 2020), may be particularly relevant to understanding how individuals process framed messages promoting COVID-19 vaccination.…”

Section: Moderating Effects Of Psychological Uncertaintymentioning

confidence: 99%

Promoting COVID-19 Vaccination: The Interplay of Message Framing, Psychological Uncertainty, and Public Agency as a Message Source

Huang

Liu

2021

Science Communication

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The study examines how framing, psychological uncertainty, and agency type influence campaign effectiveness in promoting coronavirus disease 2019 (COVID-19) vaccines. A 2 (gain vs. loss frame) × 2 (high vs. low uncertainty) × 2 (national vs. local agency) between-subjects experiment was conducted among Houston residents ( N = 382). Findings revealed that a loss frame was more effective among participants primed with high uncertainty through a thought-listing task; however, it was less persuasive under conditions of low uncertainty due to increased psychological reactance. Moreover, there was an interaction effect between uncertainty and agency type on vaccine beliefs. The study contributes to the framing literature by identifying psychological uncertainty as a moderator and provides useful suggestions for vaccine message design.

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A Metacognitive Approach to Reconsidering Risk Perceptions and Uncertainty: Understand Information Seeking During COVID-19

Cited by 61 publications

References 75 publications

“Every day is just kind of weighing my options.” Perspectives of young adult cancer survivors dealing with the uncertainty of the COVID-19 global pandemic

“Every day is just kind of weighing my options.” Perspectives of young adult cancer survivors dealing with the uncertainty of the COVID-19 global pandemic

Risk Perception and Emotion Reaction of Chinese Health Care Workers Varied During COVID-19: A Repeated Cross-Sectional Research

Promoting COVID-19 Vaccination: The Interplay of Message Framing, Psychological Uncertainty, and Public Agency as a Message Source

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