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Physical activity interventions using mass media, print media, and information technology.

INTRODUCTION: Media-based physical activity interventions include a variety of print, graphic, audiovisual, and broadcast media programs intended to influence behavior change. New information technology allows print to be delivered in personalized, interactive formats that may enhance efficacy. Media-based interventions have been shaped by conceptual models from health education, Social Cognitive Theory, the Transtheoretical Model, and Social Marketing frameworks. METHODS: We reviewed 28 studies of media-based interventions of which seven were mass media campaigns at the state or national level and the remaining 21 were delivered through health care, the workplace, or in the community. RESULTS: Recall of mass-media messages generally was high, but mass-media campaigns had very little impact on physical activity behavior. Interventions using print and/or telephone were effective in changing behavior in the short term. Studies in which there were more contacts and interventions tailored to the target audience were most effective. CONCLUSION: A key issue for research on media-based physical activity interventions is reaching socially disadvantaged groups for whom access, particularly to new forms of communication technology, may be limited. There is a clear need for controlled trials comparing different forms and intensities of media-based physical activity interventions. Controlled studies of personalized print, interactive computer-mediated programs, and web-based formats for program delivery also are needed. The integration of media-based methods into public and private sector service delivery has much potential for innovation.

Adolescent↗

Drugs in the Brazilian print media: an exploratory survey of newspaper and magazine stories in the year 2000.

Print media is one of the key factors for defining public opinion and setting public policies regarding drugs. Therefore, surveying its content should provide us with a better understanding of the situation. The few existing surveys on this issue in Brazil point out discrepancies between print media and public health. The objective of the present survey is to enhance the analysis of drug-related stories in the Brazilian print media, based on a new time frame, in the year 2000. Major newspapers and magazines of all Brazilian state capitals have been surveyed throughout year 2000, with 4,669 stories presenting drugs as their main topic. A random sample of 964 stories underwent content analysis. Approximately half the stories (49.6%) dealt with smuggling- and repression-related issues. The remainder of the stories (50.4%) approached health, legislation, and public policy issues. Tobacco was the most widely discussed drug, with stories focusing mainly on damage caused by use and on measures for reducing consumption rates among the population. Articles about cocaine, also featured frequently in the print media, dealt mainly with the issues of drug dealing and of damage caused by cocaine use. Regarding marijuana, in addition to the law enforcement repressive approach, some articles dealt with decriminalization and therapeutic use. Articles about alcoholic beverages, featured less frequently in the print media, approached the subject matter from various angles. The number of stories on solvents and psychotropic medication was negligible. The results confirm discrepancies between print media coverage and epidemiology. They also indicate that each drug is approached differently, allowing for a better understanding of the "social climate" in Brazil regarding each drug. Of all possible social interventions for dealing with the issue repression stands out, whereas stories about treatment and damage reduction are relatively scarce. These findings suggest the need for improved communication between journalists and health professionals.

Alcoholism↗

The print media and aging policy: how differential coverage of Medicare Catastrophic led congress astray.

This article examines the role of the print media in covering complex policy issues. Two models of journalism are considered. "Pack journalism" predicts that print media coverage will be highly consistent in content due to the reliance by those in the media on the same sources of information. In this article, another model--"Beltway journalism"--is proposed. It implies that coverage by the print media indigenous to the Washington, D.C. area (inside the Beltway) will diverge from that of other print media, presenting a potentially distorted view of the world to policymakers in Washington. Using the Washington Post and the Los Angeles Times as possible indicators of the two models, aging policy is addressed through a case study of newspaper coverage during passage and repeal of the Medicare Catastrophic Coverage Act of 1988. Findings suggest that Congress was unduly influenced by the way that Medicare Catastrophic was framed in the Washington Post, lending credence to the Beltway journalism model. By paying insufficient attention to the way Medicare Catastrophic was being framed by sources of print outside the Beltway area, lawmakers allowed themselves to assume a grassroots-level understanding of the issue and support for the bill, both of which turned out to be illusory.

Aged↗

Coverage of beverage alcohol issues in the print media in the United States, 1985-1991.

OBJECTIVES: This study assessed the portrayal of alcohol-related issues in the print media in the United States during the 7-year period bracketing implementation of the US alcohol warning label act in November 1988. METHODS: All articles that appeared from 1985 to 1991 in 5 national newspapers and that were indexed as dealing with beverage alcohol were identified. Content analysis of a 15% sample of these articles allowed an in-depth assessment of the conceptualization of alcohol in the US print media. RESULTS: A slight decrease in articles related to alcoholism was offset by an increase in articles about the more general health-related effects of alcohol. The warning label act received little attention. Most articles portrayed alcohol neutrally or negatively, using information from government sources. CONCLUSIONS: Portrayal of alcohol in the US print media has changed in recent decades. A general shift noted as early as the 1960s has increasingly emphasized public health issues and deemphasized clinical aspects of alcoholism. This has been accompanied by a continuing shift away from a biopsychological definition of alcohol-related behavior to a definition stressing external environmental factors.

Alcohol Drinking↗

People never see us living well: an appraisal of the personal stories about mental illness in a prospective print media sample.

OBJECTIVE: Having found no discussions of self-depictions offered by psychiatric patients in the mass media we sought such items in a prospective national sample of print media and analysed how those speakers portrayed themselves. METHOD: As part of a larger study of media depictions of mental illnesses in print media all items with any mental health or illness aspect that appeared in a New Zealand publication over a four-week period were collected. The resulting collection of 600 items ranged from news briefs to full-page newspaper articles. From that set we selected and analysed items in which a person identified as having been a psychiatric patient or as having a mental disorder was either quoted by the reporter who had interviewed them, or personally described their experiences. Employing both propositional analyses and discourse analysis we explored how the speakers were positioned and identified patterns or themes in their construction of living with a mental illness. RESULTS: Only five articles (0.8%) met our criteria for a person with a mental disorder being reported directly. In those items the journalists had positioned the speakers as credible, expert sources who, in representing their lives and experiences, drew on five clusters of resources, that we titled: Ordinariness/Living Well; Vulnerability; Stigma; Crisis; and Disorder/Treatment. Ordinariness/Living Well foregrounded the role of personal strengths in living well and in overcoming adversity, particularly that associated with being stigmatized. We identified that theme as central to the ways in which these speakers depicted themselves as recognizably human and understandable. CONCLUSION: The findings are preliminary but these depictions are different from those reported by most researchers. Unlike those depictions, these speakers provided accessible and recognizably human self-portrayals. That finding intensifies our concern that most researchers appear to be unaware that these consumer voices are largely absent from mass media depictions of mental illnesses.

Adult↗

Legitimate family violence as represented in the print media: textual analysis.

AIM: This paper reports a study of how issues around the use of smacking by parents are represented in the print media. Our purpose was not to state a case for or against the use of smacking. Rather, within the contemporary social context we sought to answer the question, 'Why is smacking considered to be a legitimate part of parenting in the United Kingdom?' BACKGROUND: Although a number of government proposals aiming to ban the use of smacking by parents have been presented in the United Kingdom parliament and Scottish Executive, current legislation allows parents to use this form of physical discipline as long as it does not result in physical injury to the child. For the purposes of this discussion, smacking is considered as a social phenomenon rather than an activity simply to be favoured or to be opposed. METHOD: A sample of 244 articles from five different United Kingdom newspapers was examined during 2004. Schema analysis that drew upon semiotics was used to analyse these print media representations about the use of legitimate violence by parents towards children. FINDINGS: Newspaper reportage about the parental use of physical discipline has increased over the past 20 years. Only one newspaper (The Independent) published on this topic prior to 1994. The discourse about the use of physical discipline by parents has changed over time from one that focuses on the effectiveness of smacking to one that about the human rights of the child. The main themes identified in the print media discourse were the rights of the child, the effectiveness of smacking, long-term effects and consequences, and the role of the state. CONCLUSION: Media texts can influence and reinforce social dimensions of the label. The beliefs and attitudes of healthcare professionals and parents about smacking may be influenced by such representations.

Child↗

Print media framing of the environmental movement in a Canadian forestry debate.

In a recent paper, it was suggested that one of the reasons behind the decline in public regard toward British Columbia's environmental movement was an increasingly negative portrayal of them by the print media. To investigate this suggestion, we undertook a content analysis of print media reporting of forestry and environmental activities in the province's most widely read newspaper, the Vancouver Sun, during 1993 and 1997. We hypothesized that if the print media did contribute to the decline in public regard toward the environmental movement, we would find increasingly negative coverage of the environmental movement over the periods studied. We also hypothesized that this would be accompanied by a decrease in the frequency of articles dealing with issues consistent with the agenda of the environmental movement. We were not able to provide support for our initial hypothesis, nor did we observe a decrease in coverage emphasizing the environmental issues. We did, however, observe an increase in coverage of articles emphasizing typically proindustry issues with many more articles written with a proforestry slant in 1997 than articles written in 1993. This suggests that there had been an agenda shift from environmentally oriented concerns in British Columbia to those associated with the forest industry. As an explanation for the agenda shift, we point to changes in the management and reporting philosophy at the Vancouver Sun, the emergence of an organized, proindustry counterframing strategy by the BC Forest Alliance, and the implementation of several government policies aimed at regulating the activities of the forest industry.

British Columbia↗

Spreading on and penetration into thin, permeable print media: application to ink-jet printing.

This paper examines spreading and penetration of surfactant-laden drops on thin-permeable media with reference to ink-jet printing. A detailed review of the interaction of both pure liquids and surfactant containing solutions with porous substrates is given for individual spreading and penetration and for the combined processes. A new model based on energy arguments is derived and compared to current hydrodynamic equations used to describe simultaneous spreading and penetration. Three studies of how surfactant solutions interact with thin commercial ink-jet photographic quality papers are presented. Here, two relevant systems are examined: Tergitol 15-S-5 and 1,2-octanediol. The first study examines the spreading and penetration profiles for surfactant solutions over a range of concentrations spanning their critical micelle concentration. As expected, these profiles depend on the concentration of surfactant and the chemistry of the medium with which it interacts. In many cases, partial vertical penetration of the region directly beneath the drop dominates at low interaction times and will be significant in ink-jet applications. The second study consists of a parametric investigation of the energy-based model derived herein. It shows that the model can capture all of the behaviors observed in the first study. In the final study, the ability of the energy-based model to fully predict the spreading behavior of Tergitol 15-S-5 solutions is tested. It is found that the model produces good quantitative agreement at the highest concentrations and, as such, will be useful in screening spreading dynamics concentrated systems like ink-jet inks. Agreement at low to intermediate concentrations is often limited by finite induction periods prior to significant spreading and penetration. Possible corrections that could improve the agreement for weakly concentrated solutions are discussed, and directions for future studies of simultaneous spreading and penetration are proposed.

Journal Article↗

Dental print media and their value in forensic odontology.

Teeth are one of the most important factors in the identification of unknown cadavers. One of the most efficient methods the police have of publicizing a case is to publish the victim's dental x-rays of treatment records in the dental print media which dentists will often recognize and thus be able to contribute to the identification. To evaluate the efficiency of this procedure, 177 cases published between 1975 and 1995 were reviewed. The results show that only 3% of the cases were identified from recognition in the dental print media. A survey of 500 dentists was carried out to gauge the efficacy of the presentation of identification cases in their dental print media. According to these results a revised method of presentation needs to be developed to improve the efficiency of this odontoforensic publicity medium. New technologies could also open new avenues for forensic identification such as digital x-raying or online data transfer. The Internet itself could be useful regarding international cooperation of forensic odontologists in the identification of unknown corpses.

Dental Records↗

How the media do drugs: quality control and the reporting of drug issues in the UK print media.

Exaggeration, distortion, inaccuracy, sensationalism; each of these labels has been consistently applied to the reporting of drug related issues in the print and other media over the last 40 years and beyond. This research sought to understand what quality control mechanisms are employed by the UK print media in relation to issues related to illicit drugs to ensure accurate, informed and appropriate reporting. It was found that the print media in the UK employ almost no quality control mechanisms to ensure that such reporting takes place and that they predominately rely on the demonstrably insufficient qualities of the 'good reporting' skills that journalists bring to their research and writing. What concerns did exist regarding accuracy related predominately to protecting the publication from being sued for libel and no specific journalistic expertise of drug issues was considered necessary. A discussion of these issues is undertaken followed by the recommendation for the production of a negotiated media guide.

Journal Article↗

Depictions of mental illness in print media: a prospective national sample.

OBJECTIVE: Because there are no published reports of depictions of mental illness in print media based on national samples, we set out to prospectively collect and analyse a near complete New Zealand sample of print media. METHODS: A commercial clipping bureau was contracted to provide cuttings of all items with any mental health or illness aspect over a four week period. These items were analysed for potentially positive and negative depictions and how mental illness was represented within each item. An independent search for additional newspaper items concerning one prominently featured topic indicated that the rate of identification of relevant stories was at least 91%. RESULT: The collection consisted of six hundred print items which were most commonly news or editorial pieces (n = 562, 93.7%). Negative depictions predominated, with dangerousness to others (n = 368, 61.3%) and criminality (n = 284, 47.3%) being the most common. Positive depictions, including human rights themes, leadership and educational accomplishments occurred in 27% (n = 164) of all items. Generic mental illness terminology without reference to specific diagnostic categories was present in 47% of all items (n = 284). CONCLUSIONS: Negative depictions that predominate confirm the stereotypic understanding of mental illness that is stigmatizing. These findings underscore the challenge facing us as mental health professionals attempting to change attitudes towards mental disorders when the stereotypes are so regularly reinforced.

Humans↗

Print media coverage of risk-risk tradeoffs associated with West Nile encephalitis and pesticide spraying.

When mosquito-borne West Nile virus emerged in the United States in 1999 and triggered pesticide spraying, society was faced with a controversy over an important risk-risk tradeoff-the risks of pesticide exposure versus those of West Nile encephalitis. Effective public communication about risk-risk tradeoffs is important because it can assist individuals and society in investing resources optimally. This study examined how effectively major North American print media in the year 2000 provided information on this risk-risk tradeoff. My colleagues and I found that the print media were generally ineffective in providing precise information about pesticide risks and in comparing risks of pesticide exposure with those of West Nile encephalitis. The media were also ineffective in mentioning the efficacy of pesticide spraying or comparing the economic costs of pesticide spraying with those of West Nile encephalitis. We suggest that greater effort in collecting and reporting precise risk information, fostering more active relationships between journalists and scientists/public health professionals, and recognizing biases resulting from preconceptions can help improve reporting by the print media and public health agencies on risk-risk tradeoffs associated with emerging insect-borne infectious diseases. These efforts could help improve public health by improving decision making related to the control of insect-borne diseases.

Animals↗

Being female: the portrayal of women's health in print media.

In this article, we examine the portrayal of women's health issues in two of Melbourne's print media: The Age and the Herald Sun. In particular, we aim to examine the patterns of coverage of women's health and the underlying message in articles on women's health issues. We employed an unobtrusive method, and the study was conducted over a three-month period: May to July 1998. We found that many of the articles and public reactions centred on women and reproduction. This implies that women are still seen in relation to their reproductive role in Australian society. In addition, there are many issues regarding women and their health missing from the media's publication during the research period. The message emerging from the analysis implies that if women do not fit into the "ideal women" framework of the society, their health needs are given little attention by the print media and, therefore, their health is likely to suffer. This can be interpreted as one form of women's oppression in Australian society.

Australia↗

[The perception of veterinary medicine in the print media].

Between January 2000 and October 2003, a print media data bank on published contributions was screened for the German key words "Tierarzt/Tierärztin" and "Veterinär/Veterinärin" (veterinary surgeon) and related items. 267 articles have been found. Regarding the contents, the articles were characterised according to the content (VPH, surgeons, other), and the cause of the article. Regarding the surgeon part, mostly companion animals are dealt with. If it comes to VPH, primarily so called scandals such as misuse of therapeuticals or epidemics (BSE, FMD) have been reported. In the first instance these articles reflect only a temporary interest, and they do not give real insight into the daily work of the profession. As a consequence, public intelligence on veterinary medicine may be misled by such press articles, possibly generating wrong expectations in young people who might start with veterinary medicine. Institutional bodies should provide information, which covers the subject in a more realistic way in order to prevent a wrong understanding of the profession and to offer the whole scope of the public functions of veterinary medicine.

Animals↗

The role of the print media in informing the community about safety in public hospitals in Victoria, Australia: the case of "golden staph".

OBJECTIVE: In this article the authors explore how the print media contribute to information and education of the community on issues of safety and quality in the health services, since this is an important avenue of such information and education for many members of the community. STUDY DESIGN: The authors undertook a qualitative study of a random sample of articles in the Australian print press between 1996 and 2004 where "golden staph" was presented as a major issue of risk to the safety of consumers of health services. The content of each article was examined with reference to several criteria including title, the source of the article, and the metaphorical language employed by the journalist. RESULTS: Results show that while the articles are substantially accurate as sources of information on concrete events, they do not serve as sources of education on issues of safety, typically apportioning blame and serving to maintain the status quo. CONCLUSION: The authors conclude that print media are not a good source of community education in areas of safety and quality and do not assist members of the community to participate in addressing issues of safety in health services.

Bibliometrics↗

"The scarlet E": the presentation of epilepsy in the English language print media.

OBJECTIVE: To examine the coverage of epilepsy in English language newspapers and magazines to determine how they portray the medical risks associated with epilepsy, whether they report research and treatment advances accurately, whether stigmatizing biases toward persons with epilepsy persist, and to examine the sources of errors in reporting about epilepsy. BACKGROUND: The print media reflect and shape current views about epilepsy and other neurologic conditions. They also have the potential to further misconceptions about neurologic issues and particular brain disorders. Persistent myths about epilepsy, such as the ancient belief that it is a demonic disorder, can result in discrimination, emotional difficulties, and reluctance to seek effective treatment. METHODS: A large commercial database was used to search for stories about epilepsy from approximately 2,000 English language newspapers and popular magazines. Two epileptologists independently classified story themes and main sources, and screened for the presence of gross errors in 210 stories about epilepsy or seizures. The authors analyzed the metaphors and terminology used to describe seizures and epilepsy. RESULTS: The majority of English language print stories about epilepsy were accurate depictions of social and medical issues regarding the disorder, most commonly depictions of persons overcoming epilepsy and announcements of new therapies and reports of scientific advances. Thirty-one percent of the stories, however, contained gross errors, most commonly scientific inaccuracy, exaggerated treatment claims, and overestimates of the risks of dying during a seizure. New drug therapies were often described inaccurately by physicians and pharmaceutical spokespersons as curative and without side effects. Patients and their families frequently overemphasized the risk of dying during a seizure and misstated medical issues. Most celebrities with recurring seizures denied having epilepsy. Seizures were described with demonic imagery in 6% of stories. United States epilepsy associations discourage labeling patients as "epileptics"; however, the term was used in 45% of stories. CONCLUSION: Physicians and reporters should be aware of both professional and popular biases that influence the print media's presentation of the causes and consequences of epilepsy.

Anticonvulsants↗

Cost-effectiveness of television, radio, and print media programs for public mental health education.

Mass media campaigns to influence public attitudes and behaviors in the area of mental health must consider cost-effectiveness, which is based on actual costs, the number of people reached (exposures), and the impact of the program on the individual. Cost per exposure is a critical factor. The authors review their experience in developing media programs in several broadcast formats and in print. Their experience suggests that an effective television production has a very high per-exposure cost and that radio is a more cost-effective way to present health messages. Radio programs also have the advantage of reaching people in their homes or cars or at work. Brief segments may be particularly cost-effective because they can be can be inserted between programs during prime-time hours. Print media--newspapers, magazines, and newsletters--can be cost-effective if magazine or newspaper space is free, but newsletters can be costly due to fixed postage costs. One advantage of print is that it can be reread, clipped out, copied, and passed on.

Advertising↗