Skip to main content
Erschienen in: Zeitschrift für die gesamte Versicherungswissenschaft 5/2020

Open Access 20.07.2020 | Abhandlung

The effect of message framing and the presentation of health vs. social consequences on health risk perception

verfasst von: F. Unger, M. Steul-Fischer

Erschienen in: Zeitschrift für die gesamte Versicherungswissenschaft | Ausgabe 5/2020

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

With health prevention campaigns health insurance providers can increase the perception of health risks among customers in order to promote healthy behaviour. The presentation format of health information has a significant influence on the health-related behaviour of customers. We investigate in our experimental study the impact of positive vs. negative presentation (message framing) as well as the presentation of health vs. social consequences in health prevention campaigns on health risk perception. The results reveal that loss- (vs. gain-) framed messages and the presentation of health (vs. social) consequences increase health risk perception more strongly. This effect is mediated by a stronger perceived severity of health (vs. social) consequences. Women perceive health (vs. social) consequences more likely and closer in time than men. Our findings show the importance of increasing health risk perception in order to promote healthy behaviour intentions.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Literatur
Zurück zum Zitat Abhyankar, P., O’Connor, D.B., Lawton, R.: The role of message framing in promoting MMR vaccination: evidence of a loss-frame advantage. Psychol. Health Med. 13(1), 1–16 (2008)CrossRef Abhyankar, P., O’Connor, D.B., Lawton, R.: The role of message framing in promoting MMR vaccination: evidence of a loss-frame advantage. Psychol. Health Med. 13(1), 1–16 (2008)CrossRef
Zurück zum Zitat Baek, T.H., Shen, L., Reid, L.N.: Effects of message framing in anti-binge drinking psas: The moderating role of counterfactual thinking. J. Health Commun. 18(4), 442–458 (2013)CrossRef Baek, T.H., Shen, L., Reid, L.N.: Effects of message framing in anti-binge drinking psas: The moderating role of counterfactual thinking. J. Health Commun. 18(4), 442–458 (2013)CrossRef
Zurück zum Zitat Bassett-Gunter, R.L., Ginis, K.A.M., Latimer-Cheung, A.E.: Do you want the good news or the bad news? Gain-versus loss-framed messages following health risk information: the effects on leisure time physical activity beliefs and cognitions. Health Psychol. 32(12), 1188–1198 (2013)CrossRef Bassett-Gunter, R.L., Ginis, K.A.M., Latimer-Cheung, A.E.: Do you want the good news or the bad news? Gain-versus loss-framed messages following health risk information: the effects on leisure time physical activity beliefs and cognitions. Health Psychol. 32(12), 1188–1198 (2013)CrossRef
Zurück zum Zitat Brewer, N.T., Chapman, G.B., Gibbons, F.X., Gerrard, M., McCaul, K.D., Weinstein, N.D.: meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychol. 26(2), 136–145 (2007)CrossRef Brewer, N.T., Chapman, G.B., Gibbons, F.X., Gerrard, M., McCaul, K.D., Weinstein, N.D.: meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychol. 26(2), 136–145 (2007)CrossRef
Zurück zum Zitat Chandran, S., Menon, G.: When a day means more than a year: effects of temporal framing on judgments of health risk. J. Consum. Res. 31(2), 375–389 (2004)CrossRef Chandran, S., Menon, G.: When a day means more than a year: effects of temporal framing on judgments of health risk. J. Consum. Res. 31(2), 375–389 (2004)CrossRef
Zurück zum Zitat Cornelis, E., Cauberghe, V., De Pelsmacker, P.: Being healthy or looking good? The effectiveness of health versus appearance-focused arguments in two-sided messages. J. Health Psychol. 19(9), 1132–1142 (2014)CrossRef Cornelis, E., Cauberghe, V., De Pelsmacker, P.: Being healthy or looking good? The effectiveness of health versus appearance-focused arguments in two-sided messages. J. Health Psychol. 19(9), 1132–1142 (2014)CrossRef
Zurück zum Zitat Courbage, C., Loubergé, H., Peter, R.: Optimal prevention for multiple risks. J. Risk Insur. 84(3), 899–922 (2017)CrossRef Courbage, C., Loubergé, H., Peter, R.: Optimal prevention for multiple risks. J. Risk Insur. 84(3), 899–922 (2017)CrossRef
Zurück zum Zitat Dillard, A.J., Ferrer, R.A., Ubel, P.A., Fagerlin, A.: Risk perception measures’ associations with behavior intentions, affect, and cognition following colon cancer screening messages. Health Psychol. 31(1), 106–113 (2012)CrossRef Dillard, A.J., Ferrer, R.A., Ubel, P.A., Fagerlin, A.: Risk perception measures’ associations with behavior intentions, affect, and cognition following colon cancer screening messages. Health Psychol. 31(1), 106–113 (2012)CrossRef
Zurück zum Zitat Ferrer, R.A., Klein, W.M.P., Zajac, L.E., Land, S.R., Ling, B.S.: An affective booster moderates the effect of gain- and loss-framed messages on behavioral intentions for colorectal cancer screening. J. Behav. Med. 35(4), 452–461 (2012)CrossRef Ferrer, R.A., Klein, W.M.P., Zajac, L.E., Land, S.R., Ling, B.S.: An affective booster moderates the effect of gain- and loss-framed messages on behavioral intentions for colorectal cancer screening. J. Behav. Med. 35(4), 452–461 (2012)CrossRef
Zurück zum Zitat Fife-Schaw, C., Abraham, C.: How much behavior change should we expect from health promotion campaigns targeting cognitions? An approach to pre-intervention assessment. Psychol. Health 24(9), 763–776 (2009)CrossRef Fife-Schaw, C., Abraham, C.: How much behavior change should we expect from health promotion campaigns targeting cognitions? An approach to pre-intervention assessment. Psychol. Health 24(9), 763–776 (2009)CrossRef
Zurück zum Zitat Gallagher, K.M., Updegraff, J.A.: Health message framing effects on attitudes, intentions, and behavior: a meta-analytic review. Ann. Behav. Med. 43(1), 101–116 (2012)CrossRef Gallagher, K.M., Updegraff, J.A.: Health message framing effects on attitudes, intentions, and behavior: a meta-analytic review. Ann. Behav. Med. 43(1), 101–116 (2012)CrossRef
Zurück zum Zitat Gerend, M.A., Cullen, M.: Effects of message framing and temporal context on college student drinking behavior. J. Exp. Soc. Psychol. 44(4), 1167–1173 (2008)CrossRef Gerend, M.A., Cullen, M.: Effects of message framing and temporal context on college student drinking behavior. J. Exp. Soc. Psychol. 44(4), 1167–1173 (2008)CrossRef
Zurück zum Zitat Gerend, M.A., Maner, J.K.: Anger, fruits and veggies: interactive effects of emotions and message framing on health behavior. Health Psychol. 30(4), 420–423 (2011)CrossRef Gerend, M.A., Maner, J.K.: Anger, fruits and veggies: interactive effects of emotions and message framing on health behavior. Health Psychol. 30(4), 420–423 (2011)CrossRef
Zurück zum Zitat Gerend, M.A., Shepherd, J.E.: Using message framing to promote acceptance of the human papillomavirus vaccine. Health Psychol. 26(6), 745–752 (2007)CrossRef Gerend, M.A., Shepherd, J.E.: Using message framing to promote acceptance of the human papillomavirus vaccine. Health Psychol. 26(6), 745–752 (2007)CrossRef
Zurück zum Zitat Greene, K., Rubin, D.L., Hale, J.L., Walters, L.H.: The utility of understanding adolescent egocentrism in designing health promotion messages. Health Commun. 8(2), 131–152 (1996)CrossRef Greene, K., Rubin, D.L., Hale, J.L., Walters, L.H.: The utility of understanding adolescent egocentrism in designing health promotion messages. Health Commun. 8(2), 131–152 (1996)CrossRef
Zurück zum Zitat Heideker, S., Steul-Fischer, M.: Werbeanzeigen von Versicherungsunternehmen zur Aufklärung über Gesundheitsrisiken. Z. Vers. Wiss. 105(5), 549–561 (2016)CrossRef Heideker, S., Steul-Fischer, M.: Werbeanzeigen von Versicherungsunternehmen zur Aufklärung über Gesundheitsrisiken. Z. Vers. Wiss. 105(5), 549–561 (2016)CrossRef
Zurück zum Zitat Heideker, S., Steul-Fischer, M.: The effects of message framing and ad credibility on health risk perception. Mark. ZFP 39(2), 49–66 (2017)CrossRef Heideker, S., Steul-Fischer, M.: The effects of message framing and ad credibility on health risk perception. Mark. ZFP 39(2), 49–66 (2017)CrossRef
Zurück zum Zitat Hwang, Y., Cho, H., Sands, L., Jeong, S.H.: Effects of gain- and loss-framed messages on the sun safety behavior of adolescents: the moderating role of risk perceptions. J. Health Psychol. 17(6), 929–940 (2012)CrossRef Hwang, Y., Cho, H., Sands, L., Jeong, S.H.: Effects of gain- and loss-framed messages on the sun safety behavior of adolescents: the moderating role of risk perceptions. J. Health Psychol. 17(6), 929–940 (2012)CrossRef
Zurück zum Zitat Jung, W.S., Villegas, J.: The effects of message framing, involvement and nicotine dependence on anti-smoking public service announcements. Health Mark. Q. 28(3), 219–231 (2011)CrossRef Jung, W.S., Villegas, J.: The effects of message framing, involvement and nicotine dependence on anti-smoking public service announcements. Health Mark. Q. 28(3), 219–231 (2011)CrossRef
Zurück zum Zitat Kahneman, D., Tversky, A.: Prospect theory: an analysis of decision under risk. Econometrica 47(2), 263–291 (1979)CrossRef Kahneman, D., Tversky, A.: Prospect theory: an analysis of decision under risk. Econometrica 47(2), 263–291 (1979)CrossRef
Zurück zum Zitat Keller, P.A., Lehmann, D.R.: Designing effective health communications: a meta-analysis. J. Public Policy Mark. 27(2), 117–130 (2008)CrossRef Keller, P.A., Lehmann, D.R.: Designing effective health communications: a meta-analysis. J. Public Policy Mark. 27(2), 117–130 (2008)CrossRef
Zurück zum Zitat Latimer, A.E., Rench, T.A., Rivers, S.E., Katulak, N.A., Materese, S.A., Cadmus, L., Hicks, A., Hodorowski, J.K., Salovey, P.: Promoting participation in physical activity using framed messages: an application of prospect theory. Br. J. Health Psych. 13(4), 659–681 (2008)CrossRef Latimer, A.E., Rench, T.A., Rivers, S.E., Katulak, N.A., Materese, S.A., Cadmus, L., Hicks, A., Hodorowski, J.K., Salovey, P.: Promoting participation in physical activity using framed messages: an application of prospect theory. Br. J. Health Psych. 13(4), 659–681 (2008)CrossRef
Zurück zum Zitat Levin, I.P., Gaeth, G.J., Schreiber, J., Lauriola, M.: A new look at framing effects: distribution of effect sizes, individual differences, and independence of types of effects. Organ. Behav. Hum. Dec. 88(1), 411–429 (2002)CrossRef Levin, I.P., Gaeth, G.J., Schreiber, J., Lauriola, M.: A new look at framing effects: distribution of effect sizes, individual differences, and independence of types of effects. Organ. Behav. Hum. Dec. 88(1), 411–429 (2002)CrossRef
Zurück zum Zitat Maddux, J.E., Rogers, R.W.: Protection motivation and self-efficacy: a revised theory of fear appeals and attitude change. J. Exp. Soc. Psychol. 19(5), 469–479 (1983)CrossRef Maddux, J.E., Rogers, R.W.: Protection motivation and self-efficacy: a revised theory of fear appeals and attitude change. J. Exp. Soc. Psychol. 19(5), 469–479 (1983)CrossRef
Zurück zum Zitat Martin, I.M., Kamins, M.A.: Effectively using death in health messages: social loss versus physical mortality salience. J. Consum. Behav. 18(3), 205–2018 (2019)CrossRef Martin, I.M., Kamins, M.A.: Effectively using death in health messages: social loss versus physical mortality salience. J. Consum. Behav. 18(3), 205–2018 (2019)CrossRef
Zurück zum Zitat Menon, G., Raghubir, P., Agrawal, N.: Health risk perception and consumer behavior. In: Haugtvedt, C.P., Herr, P.M., Kardes, F.R. (eds.) The Handbook of Consumer Psychology, pp. 981–1010. Taylor & Francis, New York (2008) Menon, G., Raghubir, P., Agrawal, N.: Health risk perception and consumer behavior. In: Haugtvedt, C.P., Herr, P.M., Kardes, F.R. (eds.) The Handbook of Consumer Psychology, pp. 981–1010. Taylor & Francis, New York (2008)
Zurück zum Zitat Murdock, M.R., Rajagopal, P.: The sting of social: how emphasizing social consequences in warning messages influences perceptions of risk. J. Mark. 81(2), 83–98 (2017)CrossRef Murdock, M.R., Rajagopal, P.: The sting of social: how emphasizing social consequences in warning messages influences perceptions of risk. J. Mark. 81(2), 83–98 (2017)CrossRef
Zurück zum Zitat O’Keefe, D.J., Wu, D.: Gain-framed messages do not motivate sun protection: a meta-analytic review of randomized trials comparing gain-framed and loss-framed appeals for promoting skin cancer prevention. Int. J. Env. Res. Public Health 9(6), 2121–2133 (2012)CrossRef O’Keefe, D.J., Wu, D.: Gain-framed messages do not motivate sun protection: a meta-analytic review of randomized trials comparing gain-framed and loss-framed appeals for promoting skin cancer prevention. Int. J. Env. Res. Public Health 9(6), 2121–2133 (2012)CrossRef
Zurück zum Zitat Park, S.Y.: The effects of message framing and risk perceptions for HPV vaccine campaigns: focus on the role of regulatory fit. Health Mark. Q. 29(4), 283–302 (2012)CrossRef Park, S.Y.: The effects of message framing and risk perceptions for HPV vaccine campaigns: focus on the role of regulatory fit. Health Mark. Q. 29(4), 283–302 (2012)CrossRef
Zurück zum Zitat Peters, E., Hart, S., Fraenkel, L.: Informing patients: the influence of numeracy, framing, and format of side effect information on risk perceptions. Med. Decis. Mak. 31(3), 432–436 (2011)CrossRef Peters, E., Hart, S., Fraenkel, L.: Informing patients: the influence of numeracy, framing, and format of side effect information on risk perceptions. Med. Decis. Mak. 31(3), 432–436 (2011)CrossRef
Zurück zum Zitat Rogers, R.W.: A protection motivation theory of fear appeals and attitude change. J. Psychol. 91(1), 93–114 (1975)CrossRef Rogers, R.W.: A protection motivation theory of fear appeals and attitude change. J. Psychol. 91(1), 93–114 (1975)CrossRef
Zurück zum Zitat Rosenstock, I.M.: The health belief model and preventive health behavior. Health Educ. Monogr. 2(4), 324–473 (1974)CrossRef Rosenstock, I.M.: The health belief model and preventive health behavior. Health Educ. Monogr. 2(4), 324–473 (1974)CrossRef
Zurück zum Zitat Rothman, A.J., Salovey, P.: Shaping perceptions to motivate healthy behavior: the role of message framing. Psychol. Bull. 121(1), 3–19 (1997)CrossRef Rothman, A.J., Salovey, P.: Shaping perceptions to motivate healthy behavior: the role of message framing. Psychol. Bull. 121(1), 3–19 (1997)CrossRef
Zurück zum Zitat Rothman, A.J., Bartels, R.D., Wlaschin, J., Salovey, P.: The strategic use of gain- and loss-framed messages to promote healthy behavior: how theory can inform practice. J. Commun. 56(1), 202–220 (2006)CrossRef Rothman, A.J., Bartels, R.D., Wlaschin, J., Salovey, P.: The strategic use of gain- and loss-framed messages to promote healthy behavior: how theory can inform practice. J. Commun. 56(1), 202–220 (2006)CrossRef
Zurück zum Zitat Samper, A., Schwartz, J.A.: Price inferences for sacred versus secular goods: changing the price of medicine influences perceived health risk. J. Consum. Res. 39(6), 1343–1358 (2013)CrossRef Samper, A., Schwartz, J.A.: Price inferences for sacred versus secular goods: changing the price of medicine influences perceived health risk. J. Consum. Res. 39(6), 1343–1358 (2013)CrossRef
Zurück zum Zitat Trope, Y., Liberman, N.: Construal-level theory of psychological distance. Psychol. Rev. 117(2), 440–463 (2010)CrossRef Trope, Y., Liberman, N.: Construal-level theory of psychological distance. Psychol. Rev. 117(2), 440–463 (2010)CrossRef
Zurück zum Zitat Wirtz, J.G., Kulpavaropas, S.: The effects of narrative and message framing on engagement and eating intention among a sample of adult hispanics. J. Nutr. Educ. Behav. 46(5), 396–400 (2014)CrossRef Wirtz, J.G., Kulpavaropas, S.: The effects of narrative and message framing on engagement and eating intention among a sample of adult hispanics. J. Nutr. Educ. Behav. 46(5), 396–400 (2014)CrossRef
Zurück zum Zitat Wirtz, J.G., Sar, S., Ghuge, S.: The moderating role of mood and personal relevance on persuasive effects of gain- and loss-framed health messages. Health Mark. Q. 32(2), 180–196 (2015)CrossRef Wirtz, J.G., Sar, S., Ghuge, S.: The moderating role of mood and personal relevance on persuasive effects of gain- and loss-framed health messages. Health Mark. Q. 32(2), 180–196 (2015)CrossRef
Zurück zum Zitat Yan, D., Sengupta, J.: The influence of base rate and case information on health-risk perceptions: a unified model of self-positivity and self-negativity. J. Consum. Res. 39(5), 931–946 (2012)CrossRef Yan, D., Sengupta, J.: The influence of base rate and case information on health-risk perceptions: a unified model of self-positivity and self-negativity. J. Consum. Res. 39(5), 931–946 (2012)CrossRef
Metadaten
Titel
The effect of message framing and the presentation of health vs. social consequences on health risk perception
verfasst von
F. Unger
M. Steul-Fischer
Publikationsdatum
20.07.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Zeitschrift für die gesamte Versicherungswissenschaft / Ausgabe 5/2020
Print ISSN: 0044-2585
Elektronische ISSN: 1865-9748
DOI
https://doi.org/10.1007/s12297-020-00470-0

Weitere Artikel der Ausgabe 5/2020

Zeitschrift für die gesamte Versicherungswissenschaft 5/2020 Zur Ausgabe