Abstract
Evaluations of 40 mass media programs/campaigns designed to influence cigarette smoking were reviewed. Information/motivation programs/campaigns generally produced changes in awareness, knowledge, and attitudes. Extensive national campaigns also produced meaningful behavioral change. Programs/campaigns designed to promote some specific smoking-related action produced mixed results, depending in large part on the type of promotion involved. Mass media cessation clinics were found to be effective, with media plus social support being more effective than viewing plus printed material, and either combination being more effective than viewing alone. It was concluded that mass media health promotion programs can be more effective than many academics may have thought, but that the knowledge necessary to ensure such success is seriously lacking. Research studies, rather than simple evaluations, are needed to improve our knowledge base and build a science of mass media health promotion.
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- Ben-Sira Z. Latent fear-arousing potential of fear-moderating and fear-neutral health promoting information. Soc Sci Med E. 1981 May;15(2):105–112. doi: 10.1016/0271-5384(81)90030-2. [DOI] [PubMed] [Google Scholar]
- Ben-Sira Z. The health promoting function of mass media and reference groups: motivating or reinforcing of behavior change. Soc Sci Med. 1982;16(7):825–834. doi: 10.1016/0277-9536(82)90235-0. [DOI] [PubMed] [Google Scholar]
- Cartwright D. Some principles of mass persuasion: selected findings of research on the sale of United States war bonds. Hum Relat. 1949 Jul;2(3):253–267. doi: 10.1177/001872674900200303. [DOI] [PubMed] [Google Scholar]
- Danaher B. G., Berkanovic E., Gerber B. Smoking and television: review of extant literature. Addict Behav. 1983;8(2):173–182. doi: 10.1016/0306-4603(83)90011-4. [DOI] [PubMed] [Google Scholar]
- Davis A. L., Faust R., Ordentlich M. Self-help smoking cessation and maintenance programs: a comparative study with 12-month follow-up by the American Lung Association. Am J Public Health. 1984 Nov;74(11):1212–1217. doi: 10.2105/ajph.74.11.1212. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Donovan R. J., Fisher D. A., Armstrong B. K. "Give it away for a day": an evaluation of Western Australia's first smoke free day. Community Health Stud. 1984;8(3):301–306. doi: 10.1111/j.1753-6405.1984.tb00458.x. [DOI] [PubMed] [Google Scholar]
- Doxiadis S. A., Trihopoulos D. V., Phylactou H. D. Impact of a nationwide anti-smoking campaign. Lancet. 1985 Sep 28;2(8457):712–713. doi: 10.1016/s0140-6736(85)92945-9. [DOI] [PubMed] [Google Scholar]
- Dubren R. Evaluation of a televised stop-smoking clinic. Public Health Rep. 1977 Jan-Feb;92(1):81–84. [PMC free article] [PubMed] [Google Scholar]
- Dubren R. Self-reinforcement by recorded telephone messages to maintain nonsmoking behavior. J Consult Clin Psychol. 1977 Jun;45(3):358–360. doi: 10.1037//0022-006x.45.3.358. [DOI] [PubMed] [Google Scholar]
- Dwyer T., Pierce J. P., Hannam C. D., Burke N. Evaluation of the Sydney "Quit. For Life" anti-smoking campaign. Part 2. Changes in smoking prevalence. Med J Aust. 1986 Mar 31;144(7):344–347. [PubMed] [Google Scholar]
- Egger G., Fitzgerald W., Frape G., Monaem A., Rubinstein P., Tyler C., McKay B. Results of large scale media antismoking campaign in Australia: North Coast "Quit for Life" programme. Br Med J (Clin Res Ed) 1983 Oct 15;287(6399):1125–1128. doi: 10.1136/bmj.287.6399.1125. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Eiser J. R., Sutton S. R., Wober M. Can television influence smoking? Br J Addict Alcohol Other Drugs. 1978 Jun;73(2):215–219. doi: 10.1111/j.1360-0443.1978.tb00145.x. [DOI] [PubMed] [Google Scholar]
- Farquhar J. W., Maccoby N., Wood P. D., Alexander J. K., Breitrose H., Brown B. W., Jr, Haskell W. L., McAlister A. L., Meyer A. J., Nash J. D. Community education for cardiovascular health. Lancet. 1977 Jun 4;1(8023):1192–1195. doi: 10.1016/s0140-6736(77)92727-1. [DOI] [PubMed] [Google Scholar]
- Farquhar J. W. The community-based model of life style intervention trials. Am J Epidemiol. 1978 Aug;108(2):103–111. doi: 10.1093/oxfordjournals.aje.a112593. [DOI] [PubMed] [Google Scholar]
- Flay B. R., DiTecco D., Schlegel R. P. Mass media in health promotion: an analysis using an extended information-processing model. Health Educ Q. 1980 Summer;7(2):127–147. doi: 10.1177/109019818000700203. [DOI] [PubMed] [Google Scholar]
- Gredler B., Kunze M. Impact of a national campaign on smoking attitudes and patterns in Austria. Int J Health Educ. 1981;24(4):271–279. [PubMed] [Google Scholar]
- Hunt W. A., Bespalec D. A. An evaluation of current methods of modifying smoking behavior. J Clin Psychol. 1974 Oct;30(4):431–438. doi: 10.1002/1097-4679(197410)30:4<431::aid-jclp2270300402>3.0.co;2-5. [DOI] [PubMed] [Google Scholar]
- Klos D. M., Rosenstock I. M. Some lessons from the North Karelia Project. Am J Public Health. 1982 Jan;72(1):53–54. doi: 10.2105/ajph.72.1.53. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leroux R. S., Miller M. E. Electronic media-based smoking cessation clinic, in the USA. Hygie. 1983 Mar;2(1):23–37. [PubMed] [Google Scholar]
- Leventhal H., Cleary P. D. The smoking problem: a review of the research and theory in behavioral risk modification. Psychol Bull. 1980 Sep;88(2):370–405. doi: 10.1037/0033-2909.88.2.370. [DOI] [PubMed] [Google Scholar]
- Maccoby N., Farquhar J. W. Communication for health: unselling heart disease. J Commun. 1975 Summer;25(3):114–126. doi: 10.1111/j.1460-2466.1975.tb00613.x. [DOI] [PubMed] [Google Scholar]
- Maccoby N., Farquhar J. W., Wood P. D., Alexander J. Reducing the risk of cardiovascular disease: effects of a community-based campaign on knowledge and behavior. J Community Health. 1977 Winter;3(2):100–114. doi: 10.1007/BF01674232. [DOI] [PubMed] [Google Scholar]
- McAlister A., Puska P., Koskela K., Pallonen U., Maccoby N. Psychology in action. Mass communication and community organization for public health education. Am Psychol. 1980 Apr;35(4):375–379. doi: 10.1037//0003-066x.35.4.375. [DOI] [PubMed] [Google Scholar]
- McAlister A., Puska P., Salonen J. T., Tuomilehto J., Koskela K. Theory and action for health promotion illustrations from the North Karelia Project. Am J Public Health. 1982 Jan;72(1):43–50. doi: 10.2105/ajph.72.1.43. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Meyer A. J., Nash J. D., McAlister A. L., Maccoby N., Farquhar J. W. Skills training in a cardiovascular health education campaign. J Consult Clin Psychol. 1980 Apr;48(2):129–142. doi: 10.1037//0022-006x.48.2.129. [DOI] [PubMed] [Google Scholar]
- Michielutte R., Diseker R. A. Racial differences in knowledge of cancer: a pilot study. Soc Sci Med. 1982;16(3):245–252. doi: 10.1016/0277-9536(82)90335-5. [DOI] [PubMed] [Google Scholar]
- Pierce J. P., Dwyer T., Frape G., Chapman S., Chamberlain A., Burke N. Evaluation of the Sydney "Quit. For Life" anti-smoking campaign. Part 1. Achievement of intermediate goals. Med J Aust. 1986 Mar 31;144(7):341–344. [PubMed] [Google Scholar]
- Puska P., Koskela K. Community-based strategies to fight smoking. Experiences from the North Karelia project in Finland. N Y State J Med. 1983 Dec;83(13):1335–1338. [PubMed] [Google Scholar]
- Puska P., Koskela K., McAlister A., Pallonen U., Vartiainen E., Homan K. A comprehensive television smoking cessation program in Finland. Int J Health Educ. 1979;22(4 Suppl):1–28. [PubMed] [Google Scholar]
- Puska P., Koskela K., McAlister A., Pallonen U., Vartiainen E., Homan K. A comprehensive television smoking cessation program in Finland. Int J Health Educ. 1979;22(4 Suppl):1–28. [PubMed] [Google Scholar]
- Puska P., Nissinen A., Salonen J. T., Toumilehto J. Ten years of the North Karelia Project: results with community-based prevention of coronary heart disease. Scand J Soc Med. 1983;11(3):65–68. [PubMed] [Google Scholar]
- Puska P., Salonen J. T., Nissinen A., Tuomilehto J., Vartiainen E., Korhonen H., Tanskanen A., Rönnqvist P., Koskela K., Huttunen J. Change in risk factors for coronary heart disease during 10 years of a community intervention programme (North Karelia project). Br Med J (Clin Res Ed) 1983 Dec 17;287(6408):1840–1844. doi: 10.1136/bmj.287.6408.1840. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Salonen J. T., Puska P., Kottke T. E., Tuomilehto J. Changes in smoking, serum cholesterol and blood pressure levels during a community-based cardiovascular disease prevention program--the North Karelia Project. Am J Epidemiol. 1981 Jul;114(1):81–94. doi: 10.1093/oxfordjournals.aje.a113177. [DOI] [PubMed] [Google Scholar]
- Schwartz J. L., Dubitzky M. Expressed willingness of smokers to try 10 smoking withdrawal methods. Public Health Rep. 1967 Oct;82(10):855–861. [PMC free article] [PubMed] [Google Scholar]
- Stern M. P., Farquhar J. W., McCoby N., Russell S. H. Results of a two-year health education campaign on dietary behavior. The Stanford Three Community Study. Circulation. 1976 Nov;54(5):826–833. doi: 10.1161/01.cir.54.5.826. [DOI] [PubMed] [Google Scholar]
- Swinehart J. W. Changes over time in student reactions to the Surgeon General's Report on Smoking and Health. Am J Public Health Nations Health. 1966 Dec;56(12):2023–2027. doi: 10.2105/ajph.56.12.2023. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wagner E. H. The North Karelia Project: what it tells us about the prevention of cardiovascular disease. Am J Public Health. 1982 Jan;72(1):51–53. doi: 10.2105/ajph.72.1.51. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Warner K. E. Cigarette smoking in the 1970's: the impact of the antismoking campaign on consumption. Science. 1981 Feb 13;211(4483):729–731. doi: 10.1126/science.7455711. [DOI] [PubMed] [Google Scholar]
- Warner K. E., Murt H. A. Impact of the antismoking campaign on smoking prevalence: a cohort analysis. J Public Health Policy. 1982 Dec;3(4):374–390. [PubMed] [Google Scholar]
- Warner K. E., Murt H. A. Premature deaths avoided by the antismoking campaign. Am J Public Health. 1983 Jun;73(6):672–677. doi: 10.2105/ajph.73.6.672. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Warner K. E. Smoking and health implications of a change in the federal cigarette excise tax. JAMA. 1986 Feb 28;255(8):1028–1032. [PubMed] [Google Scholar]
- Warner K. E. The effects of the anti-smoking campaign on cigarette consumption. Am J Public Health. 1977 Jul;67(7):645–650. doi: 10.2105/ajph.67.7.645. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Warner K. E. Tobacco industry response to public health concern: a content analysis of cigarette ads. Health Educ Q. 1985 Summer;12(2):115–127. doi: 10.1177/109019818501200111. [DOI] [PubMed] [Google Scholar]
- Whelan E. M., Sheridan M. J., Meister K. A., Mosher B. A. Analysis of coverage of tobacco hazards in women's magazines. J Public Health Policy. 1981 Mar;2(1):28–35. [PubMed] [Google Scholar]