Educommunication and empowerment in cardiovascular health of Lisbon citizens
DOI:
https://doi.org/10.58262/V32I78.9Keywords:
Educommunication, empowerment, cardiovascular health, online communication, Lisbon, surveyAbstract
Online educommunication and empowerment are crucial dimensions in awareness, literacy and change processes, and their articulation may bring benefits to cardiovascular health, given that cardiovascular diseases are the deadliest in the world, including in Portugal. This paper aims to explore the relationship between online educommunication and empowerment in cardiovascular health, using Lisbon citizens as a case. The theoretical framework is composed by the interactivity and empowerment model, the health belief model and the uses and gratifications theory. The questionnaire survey was applied to a gender and age quota sample (N=400). The questionnaire includes thematic dimensions, such as online informative practices on cardiovascular health, the eHEALS scale, and the importance and effectiveness of the educommunicative message on cardiovascular health features. Results show that the educommunicative message has characteristics at the level of purpose, content, type, format, emotions, and logic, which enhance it the most. This indicates that exposure to messages with these characteristics may instigate empowerment and behavior change. Respondents self-rated with the most positive levels on the eHEALS scale, showing empowerment at the eHealth level, with age rather than gender differences. There is evidence that eHealth skills and having cardiovascular disease influence information seeking and empowerment. The main contribution lies in identifying characteristics of the cardiovascular health educommunication message that can optimize recipient’s empowerment.
References
Acilar, A., & Sæbø, Ø. (2023). Towards understanding the gender digital divide: a systematic literature review. Global Knowledge, Memory and Communication, 72(3), 233-249. https://doi.org/10.1108/GKMC-09-2021-0147
Aguaded, I., Civila, S., & Vizcaíno-Verdíº, A. (2022). Paradigm changes and new challenges for media education: Review and science mapping (2000-2021). Profesional de la Información, 31(6), e310606. https://doi.org/10.3145/epi.2022.nov.06
Aguaded, I., & Delgado?Ponce, A. (2019). Educommunication. In The International Encyclopedia of Media Literacy (pp. 1-6). John Wiley & Sons. https://doi.org/10.1002/9781118978238.ieml0061
Andrade, N., Alves, E., Costa, A. R., Moura-Ferreira, P., Azevedo, A., & Lunet, N. (2018). Knowledge about cardiovascular disease in Portugal. Revista Portuguesa de Cardiologia, 37(8), 669-677. https://doi.org /10.1016/j.repc.2017.10.017
Baptista, R. M. (2022). Comunicação online para a saúde cardiovascular: A mensagem das entidades de saúde públicas e de cardiologia portuguesas e a sua receção por residentes do concelho de Lisboa [Unpublished doctoral dissertation]. Universidade de Lisboa. https://bit.ly/3QkF5IP
Barry, M., & Doherty, G. (2017). What we talk about when we talk about interactivity: Empowerment in public discourse. New Media & Society, 19(7), 1052-1071. https://doi.org/10.1177/1461444815625944
Becheur, I., & Valette-Florence, P. (2014). The use of negative emotions in health communication messages: Study of the effects of fear, guilt, and shame. Recherche et Applications en Marketing (English Edition), 29(4), 89-109. https://doi.org/10.1177/2051570714552620
Belim Rodrigues, C. F., & Lagido, S. (2021). Géneros e formatos televisivos da comunicação em saúde na televisão: O talk show Diga Doutor. Revista Mediterránea de Comunicación, 12(2), 301-319. https://doi.org/10.14198/MEDCOM.19870
Berg, S. H., O’Hara, J. K., Shortt, M. T., Thune, H., Brønnick, K. K., Lungu, D. A., Røislien, J., & Wiig, S. (2021). Health authorities’ health risk communication with the public during pandemics: a rapid scoping review. BMC Public Health, 21(1), 1-23. https://doi.org/10.1186/s12889-021-11468-3
Bessarabova, E., Banas, J. A., & Bernard, D. R. (2020). The Role of Negative Emotions in Applied Communication Research. In The Handbook of Applied Communication Research (pp. 103-122). John Wiley & Sons. https://doi.org/10.1002/9781119399926.ch7
Bull, S. S., Gaglio, B., Mckay, H. G., & Glasgow, R. E. (2005). Harnessing the potential of the internet to promote chronic illness self-management: diabetes as an example of how well we are doing. Chronic Illness, 1(2), 143-155. https://doi.org/10.1177/17423953050010021101
Cai, Z., Luo, X., Xu, X., Shi, Z., Reis, C., Sharma, M., Hou, X., & Zhao, Y. (2023). Effect of WeChat-based intervention on food safety knowledge, attitudes and practices among university students in Chongqing, China: a quasi-experimental study. Journal of Health, Population and Nutrition, 42(1), 28. https://doi.org/10.1186/s41043-023-00360-y
Cattaneo, L. B., & Chapman, A. R. (2010). The process of empowerment: a model for use in research and practice. American Psychologist, 65(7), 646-659. https://doi.org/10.1037/a0018854
Chang, C. (2020). Self-control-centered empowerment model: Health consciousness and health knowledge as drivers of empowerment-seeking through health communication. Health Communication, 35(12), 1497-1508. https://doi.org/10.1080/10 4102 36. 2019.1652 385
Chang, C. (2022). Seeking scientific health information for empowerment: Empowered-Get-More-Empowered effects. Science Communication, 44(2), 169-199. https://doi.org/10.1177/10755470211063864
Chawla, S. P. S., Kaur, S., Bharti, A., Garg, R., Kaur, M., Soin, D., Ghosh, A., & Pal, R. (2019). Impact of health education on knowledge, attitude, practices and glycemic control in type 2 diabetes mellitus. Journal of Family Medicine and Primary Care, 8(1), 261-268. https://doi.org/10.4103/jfmpc.jfmpc_228_18
Eshah, N. F. (2018). Investigating cardiovascular patients’ preferences and expectations regarding the use of social media in health education. Contemporary Nurse, 54(1), 52-63. https://doi.org /10.1080/10376178.2018.1444497
Faux-Nightingale, A., Philp, F., Chadwick, D., Singh, B., & Pandyan, A. (2022). Available tools to evaluate digital health literacy and engagement with eHealth resources: A scoping review. Heliyon, 8(8), 10380. https://doi.org/10.1016/j.heliyon.2022.e10380
Foucault, M. (1997). A ordem do discurso. Relógio D’Água. https://bit.ly/47f 7oP1
Freire, P. (1973). By learning they can teach. Convergence, 6, 78-84. https://bit.ly/454bGGX
Ghomi, R., Vasli, P., Hosseini, M., & Ahmadi, F. (2019). Effect of an empowerment program on the caring behaviors of mothers with preterm infants: the health belief model approach. International Journal of Health Promotion and Education, 57(2), 55-66. https://doi.org/10.1080/14635240.2018.1549959
Gil, H. (2019). The elderly and the digital inclusion: A brief reference to the initiatives of the European union and Portugal. MOJ Gerontology & Geriatrics, 4(6), 213-221. https://doi.org/10.15406/mojgg.2019.04.00209
Hocevar, K. P., Metzger, M., & Flanagin, A. J. (2017). Source credibility, expertise, and trust in health and risk messaging. In OxfordResearch Encyclopedia of Communication. Oxford University Press. https://doi.org/10.1093/acrefore/9780190228613.013.287
Huo, J., Desai, R., Hong, Y. R., Turner, K., Mainous III, A. G., & Bian, J. (2019). Use of Social Media in Health Communication: Findings From the Health Information National Trends Survey 2013, 2014, and 2017. Cancer Control, 26(1), 1-10. https://doi.org/10.1177/1073274819841442
Im, E.-O., & Chee, W. (2011). Quota sampling in internet research: practical issues. CIN: Computers, Informatics, Nursing, 29(7), 381-385. https://doi.org/10.1097/NCN.0b013e3181f9dc45
INE. (2020, 21 February). Mortes por doenças do aparelho respiratório aumentaram 3,8% - 2018. Instituto Nacional de Estatística. https://go.revistacomunicar.com/3novJy
Kadel, P., Herwig, I. E., & Mata, J. (2023). Deliberate ignorance—a barrier for information interventions targeting reduced meat consumption? Psychology & Health, 1-18. https://doi.org/10.1080/08870446.2023.2182895
Khan, M. I., Rahman, Z. U., Saleh, M. A., & Khan, S. U. Z. (2022). Social media and social support: a framework for patient satisfaction in healthcare. Informatics, 9(1), 22. https://doi.org/10.3390/informatics9010022
Kim, R., Kim, H. J., & Jeon, B. (2018). The good, the bad, and the ugly of medical information on the internet. Movement Disorders, 33(5), 754-757. https://doi.org/10.1002/mds.27324
Kite, J., Foley, B. C., Grunseit, A. C., & Freeman, B. (2016). Please like me: Facebook and public health communication. PloS One, 11(9), e0162765. https://doi.org/10.1371/journal.pone.0162765
Korp, P. (2006). Health on the Internet: implications for health promotion. Health Education Research, 21(1), 78-86. https://doi.org /10.1093/ her/cyh043
Liu, C., Wang, D., Liu, C., Jiang, J., Wang, X., Chen, H., Ju, X., & Zhang, X. (2020). What is the meaning of health literacy? A systematic review and qualitative synthesis. Family Medicine and Community Health, 8(2), e000351. https://doi.org/10.1136/fmch-2020-000351
Maffei, S., Meloni, A., Deidda, M., Sciomer, S., Cugusi, L., Cadeddu, C., Gallina, S., Franchini, M., Scambia, G., & Mattioli, A. V. (2022). Cardiovascular risk perception and knowledge among Italian women: lessons from IGENDA protocol. Journal of Clinical Medicine, 11(6), 1695. https://doi.org/10.3390/jcm11061695
Martínez-Sala, A.-M., & Peña-Acuña, B. (2023). Educommunication 2.0 in food and physical activity. Study of mobile applications in the fast food sector. Journal of Foodservice Business Research, 1-22. https://doi.org/10.1080/15378020.2023.2183336
Muscat, D. M., Mouwad, D., McCaffery, K., Zachariah, D., Tunchon, L., Ayre, J., & Nutbeam, D. (2023). Embedding health literacy research and best practice within a socioeconomically and culturally diverse health service: A narrative case study and revised model of co?creation. Health Expectations, 26(1), 452-462. h t t p s : / /d o i . o r g / 10 .1111 / h e x .1 3 6 7 8
Nikbakht Nasrabadi, A., Sabzevari, S., & Negahban Bonabi, T. (2015). Women Empowerment through Health Information Seeking: A Qualitative Study. Journal of Community Based Nursing & Midwifery, 3(2), 105-115. https://go.revistacomunicar.com /oIXQX1
Noar, S. M., & Harrington, N. G. (Eds.). (2012). eHealth Applications: Promising Strategies for Behavior Change. Routledge. https://doi.org /10.4324/9780203149096.
Norman, C. D., & Skinner, H. A. (2006). eHEALS: The eHealth Literacy Scale. Journal of Medical Internet Research, 8(4), e27. https://doi.org/10.2196/jmir.8.4.e27
Ort, A., Siegenthaler, P., & Fahr, A. (2021). How positively valenced health messages can foster information selection: evidence from two experiments. Frontiers in Communication, 6, 534496. https://doi.org/10.3389/fcomm.2021.534496
Park, E., & Kwon, M. (2021). Testing the digital health literacy instrument for adolescents: cognitive interviews. Journal of Medical Internet Research, 23(3), e17856. https://doi.org/10.2196/17856
Picard, R. G., & Yeo, M. (2011). Medical and Health News and Information in the UK Media: The Current State of Knowledge. Reuters Institute for the Study of Journalism. https://bit.ly/3rPQQNa
Porr, C., Drummond, J., & Richter, S. (2006). Health Literacy as an Empowerment Tool for Low-Income Mothers. Family and Community Health, 29(4), 328-335. https://doi.org/10.1097/00003727-200610000-00011
Ramanadhan, S., Mendez, S. R., Rao, M., & Viswanath, K. (2013). Social media use by community-based organizations conducting health promotion: a content analysis. BMC Public Health, 13(1), 1-10. https://doi.org /10.1186/1471-2458 -13-1129
Rodgers, J. L., Jones, J., Bolleddu, S. I., Vanthenapalli, S., Rodgers, L. E., Shah, K., Karia, K., & Panguluri, S. K. (2019). Cardiovascular Risks Associated with Gender and Aging. Journal of Cardiovascular Development and Disease, 6(2), 19. https://doi.org/10.3390/jcdd6020019
Rus, H. M., & Cameron, L. D. (2016). Health communication in social media: message features predicting user engagement on diabetes-related Facebook pages. Annals of Behavioral Medicine, 50(5), 678-689. https://doi.org/10.1007/s12160-016-9793-9
Saffari, M., Sanaeinasab, H., Jafarzadeh, H., Sepandi, M., O’Garo, K.-G. N., Koenig, H. G., & Pakpour, A. H. (2020). Educational intervention based on the health belief model to modify risk factors of cardiovascular disease in police officers in Iran: A quasi-experimental study. Journal of Preventive Medicine and Public Health, 53(4), 275-284. https://doi.org/10.3961/jpmph.20.095
Shah, Z., & Wei, L. (2022). Source credibility and the information quality matter in public engagement on social networking sites during the COVID-19 crisis. Frontiers in Psychology, 13, 882705. https://doi.org/10.3389/fpsyg.2022.882705
Small, N., Bower, P., Chew-Graham, C. A., Whalley, D., & Protheroe, J. (2013). Patient empowerment in long-term conditions: development and preliminary testing of a new measure. Bmc Health Services Research, 13(1), 1-15. https://doi.org/10.1186/1472-6963-13-263
Tannenbaum, M. B., Hepler, J., Zimmerman, R. S., Saul, L., Jacobs, S., Wilson, K., & Albarracín, D. (2015). Appealing to fear: A meta-analysis of fear appeal effectiveness and theories. Psychological Bulletin, 141(6), 1178-1204. https://doi.org/10.1037/a0039729
Tárcia, L., Alzamora, G. C., Cunha, L., & Rampazzo Gambarato, R. (2023). Transmedia educommunication method for social sustainability in low-income communities. Frontiers in Communication, 8, 1077807. https://doi.org/10.3389/fcomm.2023.1077807
UNESCO. (1982). Grünwald declaration on media education. Grunwald, Federal Republic of Germany. https://go.revistacomunicar.com/sbP9e4
WHO. (2023). Cardiovascular diseases. World Health Organization. https://go.revistacomunicar.com/m8NVVi
Wong, D. K.-K., & Cheung, M.-K. (2019). Online Health Information Seeking and eHealth Literacy Among Patients Attending a Primary Care Clinic in Hong Kong: A Cross-Sectional Survey. Journal of Medical Internet Research, 21(3), e10831. https://doi.org/10.2196/10831
Yang, K., & Banamah, A. (2014). Quota sampling as an alternative to probability sampling? An experimental study. Sociological Research Online, 19(1), 56-66. https://doi.org/10.5153/sro.3199
Yu, C. H., Bahniwal, R., Laupacis, A., Leung, E., Orr, M. S., & Straus, S. E. (2012). Systematic review and evaluation of web-accessible tools for management of diabetes and related cardiovascular risk factors by patients and healthcare providers. Journal of the American Medical Informatics Association, 19(4), 514-522. https://doi.org/10.1136/amiajnl-2011-000307
Yu, C. H., Parsons, J. A., Mamdani, M., Lebovic, G., Hall, S., Newton, D., Shah, B. R., Bhattacharyya, O., Laupacis, A., & Straus, S. E. (2014). A web-based intervention to support self-management of patients with type 2 diabetes mellitus: effect on self-efficacy, self-care and diabetes distress. BMC Medical Informatics and Decision Making, 14(1), 1-14. https://doi.org/10.1186/s12911- 014- 0117-3
Zimmerman, M. A. (1995). Psychological empowerment: Issues and illustrations. American Journal of Community Psychology, 23(5), 581-599. https://doi.org/10.1007/BF02506983
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