Mecanismos y efectos de los mensajes persuasivos de promoción de la higiene del sueño para el control del peso corporal

  1. Vargas-Rosero, Elizabeth 1
  2. Igartua, Juan-José 2
  1. 1 Universidad Nacional de Colombia
    info

    Universidad Nacional de Colombia

    Bogotá, Colombia

    ROR https://ror.org/059yx9a68

  2. 2 Universidad de Salamanca
    info

    Universidad de Salamanca

    Salamanca, España

    ROR https://ror.org/02f40zc51

Revista:
Revista de comunicación

ISSN: 1684-0933 2227-1465

Año de publicación: 2024

Volumen: 23

Número: 1

Tipo: Artículo

DOI: 10.26441/RC23.1-2024-3321 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista de comunicación

Resumen

Healthy behaviors have traditionally been promoted through persuasive messages that provide information about figures or arguments and are designed with an openly persuasive objective. However, other strategies have recently been established, such as the use of narrative messages and mixed formats (which combine information and tell a story). The evidence is not conclusive about the efficacy of these three modalities of persuasion (informational, narrative, and mixed) nor about the mechanisms responsible. Methodology: Two experiments were carried out that compared the effects of the three modalities of persuasive messages mentioned and that were designed to promote sleep hygiene as a factor in controlling body weight. In addition, the role of involvement with the theme of the message and the need for cognition were considered as possible moderator variables. Results: It was observed that the informational message exerted significant indirect effects on the perceived effectiveness of the message, beliefs, and behavioral intention through the self-reference mechanism. In contrast, the narrative and mixed messages owed their persuasive effectiveness to emotional activation, narrative transport, and identification with the protagonist. Conclusions: This paper advances knowledge about persuasion and the most effective strategies to design campaigns to control body weight through the promotion of sleep hygiene.

Referencias bibliográficas

  • Allen, M., y Preiss R. W. (1997). Comparing the persuasiveness of narrative and statistical evidence using meta‐analysis. Communication Research Reports, 14(2), 125-131. https://doi.org/10.1080/08824099709388654
  • Allen, M., Bruflat, R., Fucilla, R., Kramer, M., McKellips, S., Ryan, D.J., y Spiegelhoff, M. (2000). Testing the persuasiveness of evidence: combining narrative and statistical forms. Communication Research Reports, 17(4), 331-336. https://doi.org/10.1080/08824090009388781
  • American Sleep Association. (2019). Sleep Hygiene. https://www.sleepassociation.org/patients- general-public/insomnia/sleep-hygiene-tips/
  • Appel, M., Gnambs, T., Richter, T., y Green, M. C. (2015). The Transportation Scale–Short form (TS–SF). Media Psychology, 18(2), 243-266. https://doi.org/10.1080/15213269.2014.987400
  • Appel, M., y Richter, T. (2010). Transportation and need for affect in narrative persuasion: a mediated moderation model. Media Psychology, 13(2), 101–135. https://doi.org/10.1080/15213261003799847
  • Ash, T., y Taveras, E. M. (2017). Associations of short sleep duration with childhood obesity and weight gain: summary of a presentation to the National Academy of Science’s roundtable on obesity solutions. Sleep Health, 3(5), 389-392. https://doi.org/10.1016/j.sleh.2017.07.008
  • Baumeister, R. F., y Vohs, K. D. (2007). Encyclopedia of social psychology. Sage.
  • Bekalu, M. A., Bigman, C. A., McCloud, R. F., Lin, L. K., y Viswanath K. (2018). The relative persuasiveness of narrative versus non-narrative health messages in public health emergency communication: evidence from a field experiment. Preventive Medicine, 111, 284-290. https://doi.org/10.1016/j.ypmed.2017.11.014
  • Boeijinga, A., Hoeken, H., y Sanders, J. (2017). Storybridging: four steps for constructing effective health narratives. Health Education Journal, 76(8), 923–935. https://doi.org/10.1177/0017896917725360
  • Bosone, L., Martinez, F., y Kalampalikis, N. (2015). When the model fits the frame: the impact of regulatory fit on efficacy appraisal and persuasion in health communication. Personality and Social Psychology Bulletin, 41(4), 526-539. https://doi.org/10.1177/0146167215571089
  • Braddock, K., y Dillard, J. P. (2016). Meta-analytic evidence for the persuasive effect of narratives on beliefs, attitudes, intentions, and behaviors. Communication Monographs, 83(4), 446-467. https://doi.org/10.1080/03637751.2015.1128555
  • Braverman, J. (2008). Testimonials versus informational persuasive messages. The moderating effect of delivery mode and personal involvement. Communication Research, 35(5), 666-694. https://doi.org/10.1177/0093650208321785
  • Burnkrant, R. E., y Unnava, H. R. (1989). Self-referencing: a strategy for increasing processing of message content. Personality and Social Psychology Bulletin, 15(4), 628-638. https://doi.org/10.1177/07399863870092005
  • Burnkrant, R. E., y Unnava, H. R. (1995). Effects of self-referencing on persuasion. Journal of Consumer Research, 22(1), 17-26. https://psycnet.apa.org/doi/10.1086/209432
  • Burrows, C. N., y Blanton, H. (2015). Real-world persuasion from virtual-world campaigns: how transportation into virtual worlds moderates in-game influence. Communication Research, 43(4), 1-29. https://doi.org/10.1177/0093650215619215
  • Cacioppo, J., Petty, R., y Kao, C. F. (1984). The efficient assessment of need for cognition. Journal of Personality Assessment, 48(3), 306-307. https://doi.org/10.1207/s15327752jpa4803_13
  • Chang, C. (2011). Enhancing self-referencing to health messages. Journal of Consumer Affairs, 45(1), 147–64. https://doi.org/10.1111/j.1745-6606.2010.01196.x
  • Chen, T., y Chang, H. C. (2017). The effect of narrative transportation in mini-film advertising on reducing counterarguing. International Journal of Electronic Commerce Studies, 8(1), 25-46. https://doi.org/10.7903/ijecs.1476
  • Cho, H., Shen, L., y Wilson, K. (2014). Perceived realism: dimensions and roles in narrative persuasion. Communication Research, 41(6), 828–851. https://doi.org/10.1177/0093650212450585
  • Cohen, J. (2001). Defining identification: a theoretical look at the identification of audiences with media character. Mass Communication & Society, 4(3), 245-264. https://doi.org/10.1207/S15327825MCS0403_01
  • Record-Cornwall, J., González-Cañete, N., Velásquez, A., Bartoli, M., y Durán-Agüero, S. (2022). Circunferencia de cintura y sueño en universitarios de Chile, Panamá y Paraguay: estudio multicéntrico. Revista Española de Nutrición Comunitaria, 28(1), 69-77.
  • De Graaf, A. (2014). The effectiveness of adaptation of the protagonist in narrative impact: similarity influences health beliefs through self-referencing. Human Communication Research, 40(1), 73-90. https://doi.org/10.1111/hcre.12015
  • De Graaf, A., Hoeken, H., Sanders, J., y Beentjes, J. W. (2012). Identification as a mechanism of narrative persuasion. Communication Research, 39(6), 802-823. https://doi.org/10.1177/0093650211408594
  • De Graaf, A., Van den Putte, B., Nguyen, M. H., Zebregs, S., Lammers, J., y Neijens, P. (2017). The effectiveness of narrative versus informational smoking education on smoking beliefs, attitudes and intentions of low-educated adolescents. Psychology and Health, 32(7), 810-825. https://doi.org/10.1080/08870446.2017.1307371
  • De Graaf, A., y Hustinx, L. (2011). The effect of story structure on emotion, transportation, and persuasion. Information Design Journal, 19(2), 142–154. https://doi.org/10.1075/idj.19.2.05gra
  • Debevec, K., y Romeo, J. B. (1992). Self-referent processing in perceptions of verbal and visual commercial information. Journal of Consumer Psychology, 1(1), 83-102. https://doi.org/10.1016/S1057-7408(08)80046-0
  • Dillard, J. P., y Peck, E. (2000). Affect and persuasion: emotional responses to public service announcements. Communication Research, 27(4), 461-495. https://doi.org/10.1177/009365000027004003
  • Dillard, J. P., y Shen, L. (2005). On the nature of reactance and its role in persuasive health communication. Communication Monographs, 72(2), 144-168. https://doi.org/10.1080/03637750500111815
  • Dunlop, S., Wakefield, M., y Kashima, Y. (2010). Pathways to persuasion: cognitive and experiential responses to health-promoting mass media messages. Communication Research, 37(1), 133-164. https://doi.org/10.1177/0093650209351912
  • Escalas, J. E. (2007). Self‐referencing and persuasion: narrative transportation versus analytical elaboration. Journal of Consumer Research, 33(4), 421–429. http://dx.doi.org/10.1086/510216
  • Falces, C., Briñol, P., Sierra, B., Becerra, A., y Alier, E. (2001). Validación de la escala de necesidad de cognición y su aplicación al estudio del cambio de actitudes. Psicothema, 13(4), 622–628.
  • Fatima, Y., Doi, S. A. R. y Mamun, A. A. (2016). Sleep quality and obesity in young subjects: a meta-analysis. Obesity Reviews, 17(11), 1154-1166. https://doi.org/10.1111/obr.12444
  • Frank, L. B., Murphy, S. T., Chatterjee, J. S., Moran, M. B., y Baezconde-Garbanati, L. (2015). Telling stories, saving lives: creating narrative health messages. Health Communication, 30(2), 154–163. https://doi.org/10.1080/10410236.2014.974126
  • Grandner, M. A. (2017). Sleep and obesity risk in adults: possible mechanisms; contextual factors; and implications for research, intervention, and policy. Sleep Health, 3(5), 393-400. https://doi.org/10.1016/j.sleh.2017.07.014
  • Green, M. C., Brock, T. C., y Kaufman, G. F. (2004). Understanding media enjoyment: the role of transportation into narrative worlds. Communication Theory, 14(4), 311-327. https://doi.org/10.1111/j.1468-2885.2004.tb00317.x
  • Green, M. C., y Brock, T. C. (2000). The role of transportation in the persuasiveness of public narrative. Journal of Personality and Social Psychology, 79(5), 701-721. https://doi.org/10.1037/0022-3514.79.5.701
  • Green, M. C., y Jenkins, K. M. (2020). Need for cognition, transportability, and engagement with interactive narratives. Games for Health Journal, 9(3), 1-5. https://doi.org/10.1089/g4h.2019.0095
  • Green, M. C., Strange, J., y Brock, T. (2002). Narrative impact: social and cognitive foundations. Mahwah, New Jersey: Lawrence Erlbaum Associates. https://doi.org/10.1017/CBO9781107415324.004
  • Hakemulder, F., Kuijpers, M., Tan, E., Balint, K., y Doicaru, M. (2017). Narrative absorption. John Benjaming Publishing Company.
  • Haugtvedt, P. C., y Petty E, R. (1989). Need for cognition and attitude persistence. Advances in Consumer Research, 16, 33-36. https://www.acrwebsite.org/volumes/6876/volumes/v16/NA-16
  • Hayes, A. (2022). Introduction to mediation, moderation and conditional Process Analysis. A regression-based approach. Guilford Press.
  • Hinyard, L. J., y Kreuter, M. W. (2007). Using narrative communication as a tool for health behavior change: a conceptual, theoretical, and empirical overview. Health Education & Behavior, 34(5), 777-792. https://doi.org/10.1177/1090198106291963
  • Hoeken, H., y Fikkers, K. M. (2014). Issue-relevant thinking and identification as mechanisms of narrative persuasion. Poetics, 44(June), 84-99. https://doi.org/10.1016/j.poetic.2014.05.001
  • Igartua, J. J. (2006). Métodos cuantitativos de investigación en comunicación. Bosch.
  • Igartua, J. J. (2007). Persuasión narrativa. Editorial Club Universitario.
  • Igartua, J. J. (2010). Identification with characters and narrative persuasion through fictional feature films. Communications, 35(4), 347–373. https://doi.org/10.1515/COMM.2010.019
  • Igartua, J. J. (2017). Comunicación para la salud y edu-entretenimiento. En U. Cuesta, C. Peñafiel, J. L. Terrón, E. Bustamante y S. Gaspar (Coords.). Comunicación y salud (pp. 161-181). Dextra.
  • Igartua, J. J., y Barrios, I. (2012). Changing real-world beliefs with controversial movies: processes and mechanisms of narrative persuasion. Journal of Communication, 62(3), 514-531. https://doi.org/10.1111/j.1460-2466.2012.01640.x
  • Igartua, J. J., Cheng, L., y Lopes, O. (2003). To think or not to think: two pathways towards persuasion by short films on aids prevention. Journal of Health Communication, 8(6), 513-528. https://doi.org/10.1080/716100420
  • Igartua, J. J., y Hayes, A. F. (2021). Mediation, moderation, and conditional process analysis: concepts, computations, and some common confusions. Spanish Journal of Psychology, 24, e49. https://doi.org/10.1017/SJP.2021.46
  • Igartua, J. J., y Vega, J. (2016). Identification with characters, elaboration, and counterarguing in entertainment-education interventions through audiovisual fiction. Journal of Health Communication, 21(3), 293-300. http://dx.doi.org/10.1080/10810730.2015.1064494
  • Kettner, N. M., Mayo, S. A., Hua, J., Lee, C., Moore, D. D., y Fu, L. (2015). Circadian dysfunction induces leptin resistance in mice. Cell Metabolism, 22(3), 448-459. https://doi.org/10.1016/j.cmet.2015.06.005
  • Kim, M. (2019). When similarity strikes back: conditional persuasive effects of character-audience similarity in anti-smoking campaign. Human Communication Research, 45(1), 52-77. https://doi.org/10.1093/hcr/hqy013
  • Kreuter, M. W., Green, M. C., Cappella, J., Slater, M.D., Wise, M., Storey, D., Clark, E., O'Keefe, D. J., Erwin, D., Holmes, K., Hinyard, L. J., Houston, T., y Woolley, S. (2007). Narrative communication in cancer prevention and control: a framework to guide research and application. Annals of Behavioral Medicine, 33(3), 221-235. https://doi.org/10.1007/BF02879904
  • Kreuter, M. W., Holmes, K., Alcaraz, K., Kalesan, B., Rath, S., Richert M., McQueen, A., Caito, N., Robinson, L., y Clark, E. M. (2010). Comparing narrative and informational videos to increase mammography in low-income African American women. Patient Education and Counseling, 81S(SUPPL.1), S6-S14. https://doi.org/10.1016/j.pec.2010.09.008
  • Mazor, K. M., Baril, J., Dugan, E., Spencer, F., Burgwinkle, P., y Gurwitz, J. H. (2007). Patient education about anticoagulant medication: is narrative evidence or statistical evidence more effective? Patient Education and Counseling, 69(1–3), 145–157. https://doi.org/10.1016/j.pec.2007.08.010
  • Meyers-Levy, J., y Peracchio, L. A. (1996). Moderators of the impact of self-reference on persuasion. Journal of Consumer Research, 22(4), 408–423. https://doi.org/10.1086/209458
  • Moyer-Gusé, E. (2008). Toward a theory of entertainment persuasion: explaining the persuasive effects of entertainment-education messages. Communication Theory, 18(3), 407-425. https://doi.org/10.1111/j.1468-2885.2008.00328.x
  • Moyer-Gusé, E. (2014). Entertainment-education: role of involvement. En T. L. Thompson (Ed.), Encyclopedia of health Communication (413-415). Sage.
  • Moyer-Gusé, E., y Nabi, R.L. (2010). Explaining the effects of narrative in an entertainment television program: overcoming resistance to persuasion. Human Communication Research, 36, 26-52. https://doi.org/10.1111/j.1468-2958.2009.01367.x
  • Murphy, S. T., Frank, L. B., Chatterjee, J. S., y Baezconde-Garbanati, L. (2013). Narrative versus nonnarrative: the role of identification, transportation, and emotion in reducing health disparities. Journal of Communication, 63(1), 116-137. https://doi.org/10.1111/jcom.12007
  • Nabi, R. L. (1999). A cognitive-functional model for the effects of discrete negative emotions on information processing, attitude change, and recall. Communication Theory, 9(3), 292–320. https://doi.org/10.1111/j.1468-2885.1999.tb00172.x
  • Nabi, R. L., y Green, M. C. (2015). The role of a narrative’s emotional flow in promoting persuasive outcomes. Media Psychology, 18, 137-162. https://doi.org/10.1080/15213269.2014.912585
  • Niederdeppe J., Shapiro M. A., y Porticella, N. (2011). Attributions of responsibility for obesity: narrative communication reduces reactive counterarguing among liberals. Human Communication Research, 37(3), 295-323. https://doi.org/10.1111/j.1468-2958.2011.01409.x
  • Ogilvie, R. P., y Patel, S. R. (2017). The epidemiology of sleep and obesity. Sleep Health, 3(5), 383-388. https://doi.org/10.1016/j.sleh.2017.07.013
  • Organización Mundial de la Salud (2021). Obesidad y sobre peso: datos y cifras. https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight
  • Petraglia, J. (2007). Narrative intervention in behavior and public health. Journal of Health Communication, 12(5), 493-505. https://doi.org/10.1080/10810730701441371
  • Petty, R., y Cacioppo, J. (1986). The elaboration likelihood model of persuasion. Advances in Experimental Social Psychology, 19, 123-205. https://doi.org/10.1016/S0065-2601(08)60214-2
  • Petty, R., Cacioppo. J., y Goldman, R. (1981) Personal involvement as a determinant of argument-based persuasion. Journal of Personality and Social Psychology, 41(5), 847–55. http://dx.doi.org/10.1037/0022-3514.41.5.847
  • Petty, R. E., y Cacioppo, J. T. (1990). Involvement and persuasion: tradition versus integration. Psychological Bulletin, 107(3), 367-374. https://doi.org/10.1037/0033-2909.107.3.367
  • Petty, R. E., Rucker, D. D., Bizer, G. Y., y Cacioppo, J. T. (2004). The elaboration likelihood model of persuasion. En J. S. Seiter y R. H. Gass (Eds.). Perspectives on persuasion, social influence and compliance gaining (65-89). Allyn & Bacon.
  • Ratcliff, C. L., y Sun, Y. (2020). Overcoming resistance through narratives: findings from a meta-analytic review. Human Communication Research, 46(4), 412-443. https://doi.org/10.1093/hcr/hqz017
  • Sasaki, N., Fujiwara, S., Yamashita, H., Ozono, R., Monzen, Y., Teramen, K., y Kihara, Y. (2018). Association between obesity and self-reported sleep duration variability, sleep timing, and age in the Japanese population. Obesity Research and Clinical Practice, 12(2), 187-194. https://doi.org/10.1016/j.orcp.2017.10.008
  • See, Y. H. M., Petty, R. E., y Evans, L. M. (2009). The impact of perceived message complexity and need for cognition on information processing and attitudes. Journal of Research in Personality, 43(5), 880-889. https://doi.org/10.1016/j.jrp.2009.04.006
  • Slater, M. D., y Rouner, D. (2002). Entertainment-education and elaboration likelihood: understanding the processing of narrative persuasion. Communication Theory, 12(2), 173-191. https://doi.org/10.1111/j.1468-2885.2002.tb00265.x
  • Suckfüll, M., y Scharkow, M. (2009). Modes of reception for fictional films. Communications, 34(4), 361–384. https://doi.org/10.1515/COMM.2009.023
  • Tajiri, E., Yoshimura, E., Hatamoto, Y., Tanaka, H., y Shimoda, S. (2018). Effect of sleep curtailment on dietary behavior and physical activity: a randomized crossover trial. Physiology and Behavior, 184, 60-67. https://doi.org/10.1016/j.physbeh.2017.11.008
  • Tasali, E., Wroblewski, K., Kahn, E., Kilkus, J., y Schoeller, D. A. (2022). Effect of sleep extension on objectively assessed energy intake among adults with overweight in real-life settings. A randomized clinical trial. JAMA Internal Medicine, 182(4), 365-370. https://doi.org/10.1001/jamainternmed.2021.8098
  • Thompson, T., y Kreuter, M. W. (2014). Using written narratives in public health practice: a creative writing perspective. Preventing Chronic Disease, 11(6), 1-7 https://doi.org/10.5888/pcd11.130402
  • Todd, R. M., Miskovic, V., Chikazoe, J., y Anderson, A. K. (2020). Emotional objectivity: neural representations of emotions and their interaction with cognition. Annual Review of Psychology, 71(1), 1–24. https://doi.org/10.1146/annurev-psych-010419-051044
  • Troutman, E., Nabi, R. L., Noar, S. M., Evans, R., y Widman, L. (2022). How emotional shifts effect youth perceptions of opioid risk and efficacy: testing a know the truth campaign narrative. Health Communication, 37(14), 1820-1831. https://doi.org/10.1080/10410236.2021.1921349
  • Zebregs, S., van den Putte, B., Neijens, P., y De Graaf, A. (2015). The differential impact of statistical and narrative evidence on beliefs, attitude, and intention: a meta-analysis. Health Communication, 30(3), 282-289. https://doi.org/10.1080/10410236.2013.842528