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Risk Communication Bibliography

Coding System

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Note that category names are given first, with additional clarifying information sometimes appearing in brackets. The category codes include the text in parentheses (if any is given), but not clarifying text occasionally present in brackets.

 

 
Example of Code
Publication Type
[If multiple codes apply, the code assigned is the highest that describes the publication.]
1. Discussion
“What is risk communication”
2. Review
“Overview of research on environmental risk communication”
3. Case study
“One town’s experience with environmental risk communication”
4. Empirical
“Formats for explaining risks used by physicians in a hospital”
5. Intervention
“A comparison of two formats for explaining health risks”
 
Focus
Emphasis in document
[The code assigned indicates the coder's judgment as to the issue or issues most emphasized. Sometimes several of these topics receive detailed attention in an article. A maximum of three focus codes were assigned to each article. If more than three topics received emphasis the code "11. Multiple" was used.]
1. Communicator
Physicians vs. peers as message source
2. Audience
Effects of individual differences on comprehension
3. Setting
Context of communication; Patient-provider relationship;
School setting vs. home setting; trust
4. Channel
Medium to deliver message; TV vs. Print media; Physicians vs. TV
5. Content
What information is communicated; Likelihood vs. Severity
6. Format
How risk information is presented/organized; Numbers vs. Graphics
7. Outcome
Consequences of receiving message; More worry?
8. Measurement/evaluation
How to study communication/perceptions;
Methodological; meta-analysis
9. Risk perception/comprehension
How/When/Why people understand/accept/recall risk info
10. Decision aid
Discusses/tests decision aids
11. Multiple
Multiple (3 or more) aspects of risk communication
12. General
Vague or broad discussion without much detail
   
Communicator
Source of message
0. Communicator (general)
Discusses role of communicator in general
1. Authority figure (non-expert)
Teacher
2. Business/corporation/commercial group
Chemical company, pharmaceutical company
3. Celebrity
Sports figure, actor/actress
4. Expert/researcher/scientist
Nuclear physicist, environmental engineer
5. Governmental organization (NCI)
National Cancer Institute, city government
6. Investigator/experimenter
Investigator for research project or intervention
7. Health professional/worker in health care setting
Physician, nurse, genetic counselor
8. Non-governmental organization (Am. Lung Assoc.)
American Heart Association
9. Parent
Mother or father
10. Patient/peer/community member (affected)
Person with HIV or cancer
11. Peer/community member (not affected)
Person without HIV or cancer
12. Unspecified
Article neglects to mention the type of communicator
13. Other
Does not fall into any other category
14. Media
Newspaper, television, radio
   
Audience role
Receiver of message (but NOT gender, ethnicity)
0. Audience role (general)
Discusses role of audience in general
1. Health/safety professional
Physicians, nurses, genetic counselors
2. Child/Pre-teen
Less than 13 years old
3. Teen
13-19 years old
4. College student/Graduate student
Introductory psychology students
5. Adult
More than 20 years old
6. Parent or prospective parent
Mother / father
7. Senior citizen
Older person, as defined by article
8. At risk/exposed-child or teen
Child living with smokers
9. At risk/exposed-adult
Adults living in homes with high levels of radon
10. At risk/exposed-parent of child
Intervention focused on the parents of an asthmatic child
11. At risk/exposed-senior citizen
Senior citizen with low bone density
12. Ill-child
Child with cancer
13. Ill-adult
Adult with cancer
14. Ill-parent of ill child
Parent of child with cancer
15. Ill-senior citizen
Senior citizen with cancer
16. General public
Random telephone survey
17. Other
Does not fall into any other category
20. Patient (general)
If none of the above patient categories are appropriate
21. Other professionals and experts
Risk communicators, social workers
** An “at risk” population must have some risk factor beyond the normal population of the same age, gender, race, etc. For example, because all elderly people are at risk for osteoporosis, a random sample of elderly people is not “at risk.” However, if a study includes a group of elderly people with particularly low bone density they would be considered “at risk-senior citizen.”
   
Audience gender
Only if gender issues are discussed, even if they discuss both genders
1. Female  
2. Male  
   
Audience ethnicity  
1. African-American  
2. Asian  
3. Caucasian  
4. Hispanic  
5. Native American  
6. Mixed/varied/multiple
If more than one ethnic group is mentioned
7. Other  
** In a cross-ethnicity comparison, each group compared is coded.
   
Setting
Where is the communication taking place?
0. Setting (general)
Discusses role of the setting in general
1. Armed Forces
Marine Corps, Army, Navy
2. Community meeting/community group
Town meeting regarding a power plant
3. Focus group/small group
Small group of people meet to evaluate risk messages
4. General community
Random telephone survey
5. Health care setting
Physician’s office
6. Laboratory
Research studies conducted at universities
7. Prison
Intervention implemented in prisons
8. Educational setting: school or university
NOT laboratory studies taking place in universities
9. Workplace
Intervention implemented at work
10. Other
Does not fall into any other category
11. Home
Intervention implemented in the home
   
Channels of risk communication
Medium through which message is communicated
0. Channels (general)
Discusses communication channels in general
1. Computer program (non-internet)
CD-ROM discussing safer sex practices
2. Internet (list serves, web pages)
Web site discussing safer sex practices
3. Lecture
A person speaking in front of a large group of people
4. One-on-one (face-to-face)
A person speaking directly with one other person
5. Pamphlets, newsletters, fact sheets, handouts, or questionnaires
Including lab studies that distribute written information to participants
6. Print media (newspaper or magazine)
A news article regarding the risk of colon cancer
7. Radio
A radio show discussing colon cancer
8. Small groups/focus groups
Small group of people discuss cancer risks
9. Telephone
A live or recorded message describing cancer risks
10. TV
A television show discussing cancer risks
11. Video
A video discussing cancer risks
12. Other
Does not fall into any other category
21. Letter
A letter mailed to homeowners regarding radon
22. Community meetings/community groups
A town meeting regarding radon
23. Audiotape
An audiotape discussing cancer risks
24. Product label/packaging
Warning labels on prescription medications
26. Media-general
If study doesn’t specify form of media involved
   
Content of risk message
What is in message? What is focus of message?
0. Content (general)
Discusses the role of content in general
1. Cause/source/communicability of risk/mode of transmission
AIDS is transmitted via…
2. Communication style
Authoritarian vs. sympathetic
3. Definition of hazard
Cancer results when certain cells…
4. Expense of hazard
Cost of treatment for disease
5. Likelihood-absolute
50% likelihood; “most likely” will happen
6. Likelihood-comparative (across people or hazards)
Are you more likely to develop breast cancer or lung cancer?
Are you more likely than the average woman your age to develop breast cancer?
7. Possible health outcomes
Diseases, death
8. Possible psychosocial outcomes
Depression, anxiety
9. Preventability of hazard/personal control
Exercising will reduce your risk…
10. Risk factors
Exposure levels, blood pressure, genetic risk
11. Severity of outcome
Extreme disfigurement or death
12. Time course of hazard
Death may result in two years
13. Treatability of hazard consequences
New drug therapies are available
14. Other
Does not fall into any other category
15. Costs/barriers/losses
Testing takes 20 minutes; vaccine costs $5
16. Benefits/gains
Penicillin is an effective treatment for…
17. Skill building/instructions
How to use a condom
18. Reminder
Reminder from insurance company to get mammogram
19. General information about hazard
HIV is…
20. General information about recommended action
Description of different tests
21. Test results
Genetic screening results
22. Personalized information
Information tailored to gender, exposure, etc.
   
Form of risk information
What formats are used to communicate risk information?
0. Format (general)
The role of risk formats in general
1. Decision aid
Usually explicitly state that a decision aid was used
2. Graphical display
Graphs, charts, visual displays
3. Interactive
Done on a computer, where feedback from participant is used in communication
4. Text-numerical
35%; 1 in 3 people
5. Text-verbal
Very high risk…; most people do not get…
6. Other
Does not fall into any other category
7. Oral/spoken
Physician informing patient (regardless of verbal or numerical content)
   
Outcomes
What is an anticipated result of the communication?
0. Outcomes (general)
The role of outcomes in general
1. Attitude
Only drug users get AIDS
2. Comprehension of message
Asking to summarize communication
3. Knowledge/Accuracy
Identification of modes of HIV transmission
4. Communicator-Audience relationship
Trust
5. Psychological distress/affect/concern/preoccupation
Anxiety, depression
6. Recall of message
Rote repetition of information
7. Risk perception-likelihood
I have a 12% chance of getting…
8. Risk perception-severity
Diabetes would be painful
9. Risk perception-other attribute of risk
Risk acceptance
10. Satisfaction/communication appraisal
How would you rate the communication
11. Actual information seeking behavior
Picked up brochure on way out of lab
12. Actual preventive health behavior/risky behavior
Frequency of unsafe sex
13. Actual testing/screening
Going to get HIV test
14. Actual treatment behavior
Accepting antibiotic shot
15. Actual other behavior
Activism
16. Intended information seeking behavior
Plan to call hotline
17. Intended preventive health behavior/risky behavior
Plan to use condoms
18. Intended testing/screening
Plan to get genetic test
19. Intended treatment behavior
Plan to do chemotherapy
20. Intended other behavior
Plan to demonstrate at rally
21. Other
Does not fall into any other category
22. Perceptions of recommended action/treatment
Chemotherapy does not have bad side effects
23. Perceptions of efficacy/control
I have the ability to convince my partner…
24. Community or public response
Community demonstrations
25. Policy/regulation changes
State requiring companies to behave in environmental ways
26. Corporate response
Engaging in environmental clean-up
27. Information processing/decision-making process
Measure response time
28. Information/communication preferences
Prefer video-based info over print
   
Hazard
What particular hazard is the article about
0. Hazard (general)
The role of hazards in general
1. Alcohol
Wine, beer
2. Arthritis
Rheumatoid or osteoarthritis
3. Asthma/Emphysema/Chronic lung disease
Asthma, lung disease
4. Automobile safety
Air bags, safety belts
5. Birth defects
Fetal alcohol syndrome, Downs syndrome
6.0 Cancer
Unspecified cancer
6.1 Breast cancer
Mammography screening
6.2 Cervical cancer
Pap screening
6.3 Ovarian cancer
Genetic testing for ovarian cancer
6.4 Prostate cancer
PSA screening, treatment options
6.5 Skin cancer
Sunscreen use, self-examinations
6.9 Lung cancer
Smoking cessation intervention to prevent lung cancer
6.10 Pancreatic cancer
Pancreatic cancer
6.11 Bladder cancer
Bladder cancer
6.12 Colon cancer
Dietary intervention for prevention
6.13 Other cancer
Liver cancer, kidney cancer
7. Diabetes
Dietary intervention for prevention
8. Drug abuse
Methadone treatment for heroine addiction
9. Pollutants/chemical exposure
Mercury in fishing streams
10. Other environmental
Flooding, climate change/not pollutants
11. HIV/AIDS/STDs
Safer sex interventions
12. Other infectious diseases
Lyme disease
13. Hypertension/heart disease/stroke
Dietary interventions for preventions
14. Hypothetical risk
Hypothetical disease or side effects
15. Injury/safety
Non-auto
16. Radiation
Radon, sun exposure, x-ray
17. Smoking
The risks of tobacco use
18. Multiple (greater than 5)
More than 5 hazards discussed
19. General, unspecified
Article discusses hazards but does not indicate type
20. Other
Does not fall into any other category
21. Dental issues
Gum disease, cavities
22. Treatment related risks
Nausea, hair loss from chemotherapy
23. Food related risks
Salmonella
24. Menopause
Hormone replacement therapy
 
Methodological issues
1. Evaluation criteria
How to determine effectiveness of risk communication
2. Measurement
Studies of different response formats
3. Other
Theoretical issues

 

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