Threatening communication: a critical re-analysis and a revised meta-analytic test of fear appeal theory
Top Cited Papers
Open Access
- 1 May 2013
- journal article
- research article
- Published by Taylor & Francis Ltd in Health Psychology Review
- Vol. 7 (sup1), S8-S31
- https://doi.org/10.1080/17437199.2012.703527
Abstract
Despite decades of research, consensus regarding the dynamics of fear appeals remains elusive. A meta-analysis was conducted that was designed to resolve this controversy. Publications that were included in previous meta-analyses were re-analysed, and a number of additional publications were located. The inclusion criteria were full factorial orthogonal manipulations of threat and efficacy, and measurement of behaviour as an outcome. Fixed and random effects models were used to compute mean effect size estimates. Meta-analysis of the six studies that satisfied the inclusion criteria clearly showed a significant interaction between threat and efficacy, such that threat only had an effect under high efficacy (d=0.31), and efficacy only had an effect under high threat (d=0.71). Inconsistency in results regarding the effectiveness of threatening communication can likely be attributed to flawed methodology. Proper tests of fear appeal theory yielded the theoretically hypothesised interaction effect. Threatening communication should exclusively be used when pilot studies indicate that an intervention successfully enhances efficacy.Keywords
This publication has 74 references indexed in Scilit:
- Theory of planned behavior and smoking: meta-analysis and SEM modelSubstance Abuse and Rehabilitation, 2010
- Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on EfficacyJournal of Medical Internet Research, 2010
- Effective elements of school health promotion across behavioral domains: a systematic review of reviewsBMC Public Health, 2009
- A taxonomy of behavior change techniques used in interventions.Health Psychology, 2008
- Nature, decay, and spiraling of the effects of fear-inducing arguments and HIV counseling and testing: A meta-analysis of the short- and long-term outcomes of HIV-prevention interventions.Health Psychology, 2007
- Bridging the intention–behaviour gap: The role of moral normBritish Journal of Social Psychology, 2005
- Quantifying heterogeneity in a meta-analysisStatistics in Medicine, 2002
- Fear control and danger control: A test of the extended parallel process model (EPPM)Communication Monographs, 1994
- Putting the fear back into fear appeals: The extended parallel process modelCommunication Monographs, 1992
- Publication Decisions and their Possible Effects on Inferences Drawn from Tests of Significance—or Vice VersaJournal of the American Statistical Association, 1959