Social Media Industry Standards Needed to Protect Adolescent Mental Health, Says National Academies.

This Medical News article discusses new recommendations to maximize the benefits and minimize the harms of the social media platforms, including suggestions for research and clinician training.

An evaluation of a national mass media campaign to raise public awareness of possible lung cancer symptoms in England in 2016 and 2017.

BACKGROUND: A two-phase 'respiratory symptoms' mass media campaign was conducted in 2016 and 2017 in England raising awareness of cough and worsening shortness of breath as symptoms warranting a general practitioner (GP) visit. METHOD: A prospectively planned pre-post evaluation was done using routinely collected data on 15 metrics, including GP attendance, GP referral, emergency presentations, cancers diagnosed (five metrics), cancer stage, investigations (two metrics), outpatient attendances, inpatient admissions, major lung resections and 1-year survival. The primary analysis compared 2015 with 2017. Trends in metrics over the whole period were also considered. The effects of the campaign on awareness of lung cancer symptoms were evaluated using bespoke surveys. RESULTS: There were small favourable statistically significant and clinically important changes over 2 years in 11 of the 15 metrics measured, including a 2.11% (95% confidence interval 1.02-3.20, p < 0.001) improvement in the percentage of lung cancers diagnosed at an early stage. However, these changes were not accompanied by increases in GP attendances. Furthermore, the time trends showed a gradual change in the metrics rather than steep changes occurring during or after the campaigns. CONCLUSION: There were small positive changes in most metrics relating to lung cancer diagnosis after this campaign. However, the pattern over time challenges whether the improvements are wholly attributable to the campaign. Given the importance of education on cancer in its own right, raising awareness of symptoms should remain important. However further research is needed to maximise the effect on health outcomes.

They promised this ten years ago. Effects of diabetes news characteristics on patients' perceptions and attitudes towards medical innovations and therapy adherence.

Patients have ever-increasing access to web-based news about hopeful scientific developments that may or may not cure them in the future. Science communication experts agree that the quality of news provision is not always guaranteed. However, literature does not clarify in what way users are actually affected by typical news characteristics such as the news object (described developmental phase of an innovation), the news source (degree of authority), and the news style (degree of language intensification). An online vignette experiment (N = 259) investigated causal relationships between characteristics of news about diabetes innovations and patients' perceptions of future success, their interest in the innovation, and attitudes regarding current therapy adherence. Findings show that descriptions of success in mice led to higher estimations of future success chances than earlier and later developmental phases. Furthermore, news from a nonauthoritative source led to an increased interest in the innovation, and a more negative attitude towards current lifestyle advice. Lastly, the intensification of the language used in news messages showed slight adverse effects on the readers' attitude. These findings, combined with their small effect sizes, support the optimistic view that diabetes patients are generally critical assessors of health news and that future research on this topic should focus on affected fragile subgroups.

[Differences in the adequacy of news about suicide in Spain vs. Victoria, Australia: are interventions aimed to the media effective?] / Diferencias en la adecuación de las noticias sobre suicidio en España frente a Victoria (Australia): ¿resultan efectivas las intervenciones sobre los medios de comunicación?

OBJECTIVE: News about suicide may have either a contagion effect or a protective effect. For this reason, interventions aimed to the media are a priority. However, the effectiveness of the interventions has not yet been elucidated. The objective of the study was to evaluate comparatively the characteristics and adequacy of suicide news articles between geographical areas in which interventions aimed at media either exist or not. METHODS: We evaluated suicide news articles in the four main digital media of Spain (without interventions) and Victoria, Australia (with interventions), according to Alexa (a website traffic statistics). We assessed adherence to World Health Organization (WHO) recommendations, avoidability, frequency, and typology of suicide news articles. The evaluation period was 6 months. Bivariate analysis was performed comparing the samples using t-test, Chi-Squared test and Fisher's exact test according to the type of variable. RESULTS: We identified 378 suicide news articles: 141 in Spain and 237 in Victoria. Suicide news articles in Spain showed a lower degree of adherence to the WHO recommendations than those from Victoria (2.97 vs. 11.8; p<0.001). Mean daily number of suicide news articles was lower in Spain (0.78 vs. 1.31; p<0.001). Typology according to contents was different between both regions (p=0.045), with greater prevalence of "suicide after murder" in Spain. However, there were no differences either in avoidability, or in typology according to behaviour. CONCLUSIONS: Suicide news articles are more adequate in the geographic area in which interventions aimed at media are performed. These better characteristics imply lower risk of contagion effect, greater likelihood of protective effect and, therefore, a potential beneficial effect on the suicidal behaviour in the reference population.

OBJETIVO: Dado que las noticias sobre suicidio pueden favorecer tanto un efecto contagio como protector, las intervenciones dirigidas a los medios de comunicación resultan prioritarias. Sin embargo, la efectividad de las intervenciones aún no se ha dilucidado. El objetivo del estudio fue evaluar comparativamente las características y adecuación de las noticias sobre suicidio entre áreas geográficas en las que existían o no intervenciones dirigidas a los medios. METODOS: Evaluamos las noticias sobre suicidio en los cuatro principales periódicos digitales de España (sin intervenciones) y de Victoria, estado de Australia (con intervenciones), utilizando Alexa (herramienta que proporciona una clasificación de tráfico web). Evaluamos la adhesión a las recomendaciones de la Organización Mundial de la Salud (OMS), así como su evitabilidad, frecuencia y tipología. El periodo de estudio fue de 6 meses. Se realizó análisis bivariado comparando las muestras mediante t-Student, Chi-cuadrado, y test exacto de Fisher según el tipo de variable. RESULTADOS: Identificamos 378 noticias sobre suicidio: 141 en España y 237 en Victoria. Las noticias de España presentaron menor grado de adhesión a las recomendaciones de la OMS que las de Victoria (2,97 frente a 11,8; p<0,001). La media de noticias diarias fue menor en España (0,78 respecto a 1,31; p<0,001). La tipología según contenido fue diferente entre ambas regiones (p=0,045), con mayor notificación del "suicidio tras asesinato" en España. CONCLUSIONES: Las noticias sobre suicidio con mayor adecuación se producen en el área donde se realizan intervenciones, lo que sugiere su efectividad. Estas mejores características suponen menor riesgo de efecto contagio y mayor probabilidad de efecto protector y, por ende, un potencial efecto beneficioso sobre la conducta suicida de la población.

How Accurate Are Accuracy-Nudge Interventions? A Preregistered Direct Replication of Pennycook et al. (2020).

As part of the Systematizing Confidence in Open Research and Evidence (SCORE) program, the present study consisted of a two-stage replication test of a central finding by Pennycook et al. (2020), namely that asking people to think about the accuracy of a single headline improves "truth discernment" of intentions to share news headlines about COVID-19. The first stage of the replication test (n = 701) was unsuccessful (p = .67). After collecting a second round of data (additional n = 882, pooled N = 1,583), we found a small but significant interaction between treatment condition and truth discernment (uncorrected p = .017; treatment: d = 0.14, control: d = 0.10). As in the target study, perceived headline accuracy correlated with treatment impact, so that treatment-group participants were less willing to share headlines that were perceived as less accurate. We discuss potential explanations for these findings and an unreported change in the hypothesis (but not the analysis plan) from the preregistration in the original study.

A desire for authoritative science? How citizens' informational needs and epistemic beliefs shaped their views of science, news, and policymaking in the COVID-19 pandemic.

The coronavirus pandemic created a situation in which virological and epidemiological science became highly politically relevant but was uncertain and fragmented. This raises the question as to how science could inform policymaking and public debate on societal crisis management. Based on an online survey of Germans (N = 1513) representative for age, gender, education, and place of residence, we investigate citizens' prescriptive views of the relationships between science, policymaking, and the media. Views differ depending on their informational needs and epistemic beliefs. People with a need for definite information and a view of scientific knowledge as static wanted scientists to dominate policymaking and journalists to deliver definite information about the coronavirus. People with an informational need to construct their own opinions wanted journalists to question policy and scientific advice. Furthermore, they rejected the idea of scientists dominating policymaking. Results are discussed with reference to theories of science and democracy.

[News articles in the spanish digital press media: characteristics of the sample and adherence to World Health Organization guidelines.] / Noticias sobre suicidio en medios digitales de España: Características y adhesión a las recomendaciones de la OMS.

OBJECTIVE: News about suicide may cause a contagion effect or a protective effect. For this reason, the World Health Organization (WHO) has published recommendations on responsible media coverage of suicide. Certain characteristics of suicide news articles and their frequency have been associated to such effects. Despite their importance, these aspects have been scarcely studied in the Spanish media. The objective of this study was to identify the characteristics of suicide news articles in the Spanish digital media. METHODS: We identified the adherence to WHO recommendations, avoidability, frequency, and typology of suicide news articles in the four main spanish digital media (El País, El Mundo, El Confidencial and ABC), according to Alexa (a website traffic statistics). Adherence was evaluated from a dichotomous and continuous perspective by using an ad hoc scale, and avoidability was conceptually defined. The evaluation period was 6 months (11/1/2016-04/30/2017). The statistical program used was R Core Team (2017). RESULTS: We analysed 141 suicide news articles. Of these, 99.12% did not adhere to the recommendations, the degree of adherence was 2.97 (95% CI, 2.19-3.75; range between +22 and -22), 34.51% were avoidable, 34.04% were about "suicide after murder", and 90.04% about death by suicide. CONCLUSIONS: Adherence to WHO recommendations is very low in suicide news articles. Furthermore, almost one third of them are avoidable. The identified profile points out the need for interventions aimed at the media. Besides, it allows adjusting their contents to the identified specific needs.

OBJETIVO: Las noticias sobre suicidio pueden ocasionar un efecto contagio o un efecto protector, por lo que la OMS ha publicado recomendaciones para su redacción. Determinadas características de dichas noticias y su frecuencia se han asociado a tales efectos. A pesar de su importancia, estas apenas han sido estudiadas en medios de comunicación españoles. El objetivo del estudio fue identificar las características de las noticias sobre suicidio en la prensa digital española. METODOS: Identificamos la adhesión a las recomendaciones de la OMS, evitabilidad, frecuencia, y tipología de las noticias sobre suicidio en los cuatro principales medios digitales españoles (El País, El Mundo, El Confidencial y ABC), de acuerdo a Alexa (herramienta que proporciona un ranking de tráfico web). La adhesión se evaluó de forma dicotómica y continua mediante una escala ad hoc, y la evitabilidad se definió conceptualmente. El periodo de estudio fue de 6 meses (1/11/2016-30/04/2017). El programa estadístico utilizado fue R Core Team (2017). RESULTADOS: Analizamos 141 noticias sobre suicidio. De estas, un 99,12% presentaron no adhesión a las recomendaciones, el grado de adhesión fue 2,97 (IC 95%, 2,19-3,75; rango entre +22 y -22), un 34,51% fueron evitables, un 34,04% trataron sobre suicidio-asesinato, y un 90,07% versaron sobre suicidio consumado. CONCLUSIONES: La adhesión a las recomendaciones de la OMS es baja, especialmente a aquellas con efecto protector, y un tercio de las noticias son evitables. El perfil identificado implica la necesidad de intervenciones dirigidas a los medios de comunicación, y permite adaptarlas para incidir especialmente en los aspectos más deficitarios.

What cancer research makes the news? A quantitative analysis of online news stories that mention cancer studies.

Journalists' health and science reporting aid the public's direct access to research through the inclusion of hyperlinks leading to original studies in peer-reviewed journals. While this effort supports the US-government mandate that research be made widely available, little is known about what research journalists share with the public. This cross-sectional exploratory study characterises US-government-funded research on cancer that appeared most frequently in news coverage and how that coverage varied by cancer type, disease incidence and mortality rates. The subject of analysis was 11436 research articles (published in 2016) on cancer funded by the US government and 642 news stories mentioning at least one of these articles. Based on Altmetric data, researchers identified articles via PubMed and characterised each based on the news media attention received online. Only 1.88% (n = 213) of research articles mentioning US government-funded cancer research included at least one mention in an online news publication. This is in contrast to previous research that found 16.8% (n = 1925) of articles received mention by online mass media publications. Of the 13 most common cancers in the US, 12 were the subject of at least one news mention; only urinary and bladder cancer received no mention. Traditional news sources included significantly more mentions of research on common cancers than digital native news sources. However, a general discrepancy exists between cancers prominent in news sources and those with the highest mortality rate. For instance, lung cancer accounted for the most deaths annually, while melanoma led to 56% less annual deaths; however, journalists cited research regarding these cancers nearly equally. Additionally, breast cancer received the greatest coverage per estimated annual death, while pancreatic cancer received the least coverage per death. Findings demonstrated a continued misalignment between prevalent cancers and cancers mentioned in online news media. Additionally, cancer control and prevention received less coverage from journalists than other cancer continuum stages, highlighting a continued underrepresentation of prevention-focused research. Results revealed a need for further scholarship regarding the role of journalists in research dissemination.

Effectiveness of Mass Media Campaigns to Improve Handwashing-Related Behavior, Knowledge, and Practices in Rural Bangladesh.

Water, sanitation, and handwashing interventions that use intensive interpersonal communication improve targeted behaviors, but are expensive at scale. Mass media is an alternative that could reach more people at lower cost but has rarely been rigorously evaluated. We assessed the effectiveness of a mass media campaign in improving handwashing knowledge and practices in rural Bangladesh. We conducted a cross-sectional assessment before the campaign among 8,947 households and again after 4 months of the campaign among 8,400 different households in the same areas. Trained enumerators conducted spot checks of water, sanitation, and hygiene facilities, and recorded reported knowledge and practices. We compared these outcomes after versus before the campaign using generalized linear models with robust standard errors. After the media campaign, caregivers were more likely to recall ≥ 3 messages regarding handwashing (prevalence ratio [PR] = 1.44, 1.34-1.55), sanitation (PR = 1.45, 1.35-1.55), and safe water (PR = 1.17, 1.08-1.26). After the campaign, the prevalence of using soap and water during handwashing demonstrations was higher among caregivers (PR = 1.15, 1.12-1.19) and children (PR = 1.31, 1.22-1.41). Hands were more commonly observed to be visibly clean among caregivers (PR = 1.14, 1.07-1.20) and children (PR = 1.13, 1.05-1.21). Soap and water was more commonly observed in handwashing stations near latrines (PR = 1.12, 1.06-1.19) and in cooking/eating places (PR = 1.09, 1.01-1.18). Our findings indicate improved handwashing knowledge and behaviors following a mass media campaign. This promising approach can be deployed to improve water, sanitation, and hygiene practices at scale and should be evaluated in other contexts.

Mental health consequences of COVID-19 media coverage: the need for effective crisis communication practices.

During global pandemics, such as coronavirus disease 2019 (COVID-19), crisis communication is indispensable in dispelling fears, uncertainty, and unifying individuals worldwide in a collective fight against health threats. Inadequate crisis communication can bring dire personal and economic consequences. Mounting research shows that seemingly endless newsfeeds related to COVID-19 infection and death rates could considerably increase the risk of mental health problems. Unfortunately, media reports that include infodemics regarding the influence of COVID-19 on mental health may be a source of the adverse psychological effects on individuals. Owing partially to insufficient crisis communication practices, media and news organizations across the globe have played minimal roles in battling COVID-19 infodemics. Common refrains include raging QAnon conspiracies, a false and misleading "Chinese virus" narrative, and the use of disinfectants to "cure" COVID-19. With the potential to deteriorate mental health, infodemics fueled by a kaleidoscopic range of misinformation can be dangerous. Unfortunately, there is a shortage of research on how to improve crisis communication across media and news organization channels. This paper identifies ways that legacy media reports on COVID-19 and how social media-based infodemics can result in mental health concerns. This paper discusses possible crisis communication solutions that media and news organizations can adopt to mitigate the negative influences of COVID-19 related news on mental health. Emphasizing the need for global media entities to forge a fact-based, person-centered, and collaborative response to COVID-19 reporting, this paper encourages media resources to focus on the core issue of how to slow or stop COVID-19 transmission effectively.

Midwifery students' views and experiences of birth on mainstream factual television.

OBJECTIVES: To investigate midwifery students' experiences of viewing childbirth on mainstream factual television and to explore implications for student career intentions and potential pedagogical uses of television excerpts in midwifery education. DESIGN: Twenty-two undergraduate midwifery students at one of two universities took place in focus groups between February and June 2019. Ethical approval was obtained at both sites. Thematic analysis was employed to generate key themes from the data. SETTING: Two UK universities based in the East Midlands and East Yorkshire regions of England. PARTICIPANTS: Twenty-two midwifery students at any stage of their studies. FINDINGS: Researchers generated four key themes from the data a) Changed Perspectives on Televised Childbirth, b) Representations of Midwives and Social Implications, c) Representation of Childbirth and Social Implications and d) The Role of Televising Childbirth in Midwifery Education. KEY CONCLUSIONS: Midwifery students often experience a change of perspective on birth on television as they acquire new knowledge and skills. They recognise the potential social implications of how childbirth and midwifery are represented on television. Pedagogical use of televised birth has potential benefits but needs further investigation in the context of midwifery education. IMPLICATIONS FOR PRACTICE: Midwifery students are likely to begin their studies with pre-existing views and experiences around how birth is represented on mainstream factual television. They may need support to reflect on these to consider their expectations of the profession, to effectively support childbearing women and to potentially influence future production of media images of childbirth.

Cancer in the news: Bias and quality in media reporting of cancer research.

Cancer research in the news is often associated with sensationalised and inaccurate reporting, which may give rise to false hopes and expectations. The role of study selection for cancer-related news stories is an important but less commonly acknowledged issue, as the outcomes of primary research are generally less reliable than those of meta-analyses and systematic reviews. Few studies have investigated the quality of research that makes the news and no previous analyses of the proportions of primary and secondary research in the news have been found in the literature. We analysed distribution of study types, research sources, reporting quality, gender bias, and national bias in online news reports by four major news outlets in USA, UK and Australia over six-months. We measured significant variation in reporting quality and observed biases in many aspects of cancer research reporting, including the types of study selected for coverage, the spectrum of cancer types, gender of scientists, and geographical source of research represented. We discuss the implications of these findings for guiding accurate, contextual reporting of cancer research, which is critical in helping the public understand complex science, appreciate the outcomes of publicly-funded research, maintain trust, and assist informed decision-making. The striking gender bias observed may compromise high-quality coverage of research by limiting diversity of opinion, reinforces stereotypes and skews public visibility and recognition towards male scientists. Our findings provide useful guidelines for scientists and journalists alike to consider in providing the most informative and accurate reporting of research.

Trust, risk perception, and COVID-19 infections: Evidence from multilevel analyses of combined original dataset in China.

Previous studies have revealed medical, democratic, and political factors altering responses to unexpected infectious diseases. However, few studies have attempted to explore the factors affecting disease infection from a social perspective. Here, we argue that trust, which plays an important role in shaping people' s risk perception toward hazards, can also affect risk perception toward infections from a social perspective. Drawing on the indication that risk perception of diseases helps prevent people from being infected by promoting responsible behaviors, it can be further asserted that trust may alter the infection rate of diseases as a result of risk perception toward infectious diseases. This is an essential point for preventing the spread of infectious diseases and should be demonstrated. To empirically test this prediction, this study uses the COVID-19 outbreak in China as an example and applies an original dataset combining real-time big data, official data, and social survey data from 317 cities in 31 Chinese provinces to demonstrate whether trust influences the infection rate of diseases. Multilevel regression analyses reveal three main results: (1) trust in local government and media helps to reduce the infection rate of diseases; (2) generalized trust promotes a higher rather than lower infection rate; and (3) the effects of different types of trust are either completely or partly mediated by risk perception toward diseases. The theoretical and practical implications of this study provide suggestions for improving the public health system in response to possible infectious diseases.

Leveraging media and health communication strategies to overcome the COVID-19 infodemic.

The COVID-19 pandemic has caused a complementary infodemic, whereby various outlets and digital media portals shared false information and unsourced recommendations on health. In addition, journals and authors published a mass of academic articles at a speed that suggests a non-existent or a non-rigorous peer review process. Such lapses can promote false information and adoption of health policies based on misleading data. Reliable information is vital for designing and implementing preventive measures and promoting health awareness in the fight against COVID-19. In the age of social media, information travels wide and fast, emphasizing a need for accurate data to be corroborated swiftly and for preventing misleading information from wide dissemination. Here, we discuss the implications of the COVID-19 infodemic and explore practical ways to leverage health communication strategies to overcome it. We propose the "Infodemic Response Checklist" as a comprehensive tool to overcome the challenges posed by the current and any future infodemics.

Outcomes of the National Head and Neck Cancer Awareness and Screening Campaign in Oman.

OBJECTIVES: The prognosis of head and neck cancer (HNC) depends substantially on disease stage at the time of diagnosis. Unfortunately, the majority of HNC patients present at relatively late stages. In Oman, a national screening campaign was conducted to increase public awareness of HNC and encourage early detection. This study aimed to report the outcomes of that campaign. METHODS: The campaign took the form of biannual events conducted at a tertiary care centre and in public malls in Muscat, Oman from April 2015 to July 2019. Data were collected from participants using the Head and Neck Cancer Alliance screening form. Otolaryngologists and oral maxillofacial surgeons performed a thorough physical evaluation of the head and neck region. RESULTS: Of the 1,500 individuals visiting the hospital and malls during the campaign events, a total of 509 agreed to undergo screening (response rate: 33.9%). Of these, 12.8% had positive screening results and 5.9% required further evaluation. However, none of the cases with suspicious findings were found to be malignant after a thorough evaluation. Overall, 16.9% of the participants were aware of the early signs of HNC; in addition, 5.5% knew how to perform an oral self-examination. CONCLUSION: Screening is a simple and safe method for the prevention and early detection of HNC. Mass screening and public awareness programmes may help to reduce the burden of this disease in Oman.

Altered health knowledge and attitudes among health sciences students following media exposure.

Communications media that fails to present information supported by evidence-based practice has the potential to adversely influence knowledge and, ultimately, behaviors. We assessed the immediate effect of a health science documentary on knowledge, attitude, and beliefs among collegiate health sciences students enrolled in an entry-level nutrition course using surveys administered online. Participants (n = 160) completed the pre-survey, watched the documentary What the Health, and immediately completed the post-survey in one setting. Compared with pre-survey scores, participants reported a significant decrease in knowledge, change in attitude to health toward regulation of animal products, and increased agreement with all seven, pre-selected contradictory health claims presented in the documentary. Post-documentary, most participants reported they were planning to make a change in their dietary habits to reflect a plant-based diet. Documentaries providing health information contradictory to the current body of scientific literature are persuasive and can potentially increase negative health behaviors. Inclusion of practices within the health curriculum that encourage, and ultimately, improve health literacy among students before entering the health care workforce is essential.