Publications by authors named "Michael D Slater"

Article Synopsis
  • - The HEALing Communities Study (HCS) aimed to reduce opioid overdose deaths in 67 affected communities by implementing health campaigns focused on opioid use disorder (OUD), overdose prevention, and stigma reduction, developed with community input.
  • - Surveys conducted via Facebook/Instagram indicated that participants in HCS communities experienced reduced stigma related to OUD and improved beliefs about the efficacy of naloxone, though recognition of campaign messages was not significantly different from control communities.
  • - The study suggests a connection between recognizing campaign messages and achieving positive outcomes, but it also raises concerns about the effectiveness of traditional evaluation methods for social media health campaigns.
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In a secondary analysis, we examine how trust in pro-recommendation versus alternative communication channels mediated effects of demographic, personality, lifestyle, and political variables on COVID-19 protective behavior in England. In so doing, we adapt the media-as-mediator approach to the pandemic context. Respondents reported that family, close friends, primary care medical providers, and mainstream news media were relatively supportive of public health recommendations, and social media friend networks, faith/community groups, alternative news sites, and alternative health practitioners were relatively unsupportive.

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Article Synopsis
  • The study examines a community-based intervention aimed at reducing opioid-related overdose deaths by increasing the adoption of evidence-based practices including overdose education and naloxone distribution, medication treatment for opioid use disorder, and prescription safety.
  • In a cluster-randomized trial, 67 communities across Kentucky, Massachusetts, New York, and Ohio were assigned to either receive the intervention or serve as a control group during a period marked by the COVID-19 pandemic and an increase in fentanyl overdoses.
  • Results showed no significant difference in opioid-related overdose death rates between the intervention and control groups, with both averaging similar rates, indicating that the community-engaged strategies did not have a measurable impact during the study period.
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Pandemics such as Covid-19 pose tremendous public health communication challenges in promoting protective behaviours, vaccination, and educating the public about risks. Segmenting audiences based on attitudes and behaviours is a means to increase the precision and potential effectiveness of such communication. The present study reports on such an audience segmentation effort for the population of England, sponsored by the United Kingdom Health Security Agency (UKHSA) and involving a collaboration of market research and academic experts.

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Health warning labels (HWLs) on alcohol containers may help reduce population-level alcohol consumption. However, few studies have examined the most effective formats for alcohol HWLs. This study tested the effects of three different types of alcohol HWLs.

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Objectives: Earlier initiation of alcohol use and problematic drinking among adolescents are linked with adverse health outcomes. Exposure to alcohol advertisements is associated with drinking among adolescents, but the association between the attitudes toward alcohol advertisements and drinking behaviors is understudied. We evaluated the association between attitudes towards alcohol advertisements and initiation of alcohol use among adolescent boys.

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  • Alcohol increases cancer risk, but many young adults lack awareness of this connection, making it vital for cancer prevention efforts.
  • A study surveyed 1,328 young adults (ages 18-30) to assess their awareness and perceptions regarding alcohol as a cancer risk factor, revealing that only 18.5% believed it did not increase cancer risk.
  • Higher socioeconomic status, increased alcohol consumption, and tobacco use correlated with greater awareness and perceived risk, suggesting targeted interventions are needed to improve understanding of these risks among young adults.
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Exposure to tobacco advertisements is associated with initiation of tobacco use among youth. The mechanisms underlying this association are less clear. We estimated longitudinal associations between youths' cognitive and affective responses to advertisements for cigarettes, e-cigarettes, and smokeless tobacco (SLT) and initiation of these products.

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Article Synopsis
  • Mass media can encourage support for alcohol-control policies by highlighting its role in accidents and crime.
  • Research shows that mentioning alcohol in news articles can provoke emotional and empathetic responses, which increase support for alcohol regulations.
  • Additionally, public service announcements (PSAs) that depict the consequences of drinking and driving on innocent victims more effectively garner support for policies than those focused only on the driver’s consequences.
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Using the mediated wisdom of experience (MWOE) theoretical framework, this study examines how eudaimonic testimonials versus comparable didactic presentations, and the presence or absence of modeling target behavior, influence death acceptance and intentions to converse about end-of-life care preferences. Effects for testimonials on attitudes and behaviors proved contingent on modeling. When testimonials incorporated modeled behavior, individuals were more likely to intend to carry out conversations about end-of-life conversations.

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Rationale: Many people overestimate the amount of alcohol that increases their risk of harm and so may not perceive any need to change their drinking behaviour. Several countries have developed low-risk drinking guidelines, yet awareness of these guidelines remains low. Furthermore, mass media campaigns about alcohol-related harms may have limited impact if people do not perceive their current consumption as potentially harmful.

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Background: The HEALing Communities Study (HCS) is testing whether the Communities that Heal (CTH) intervention can decrease opioid overdose deaths through the implementation of evidence-based practices (EBPs) in highly impacted communities. One of the CTH intervention components is a series of communications campaigns to promote the implementation of EBPs, increase demand for naloxone and medications for opioid use disorder (MOUD), and decrease stigma toward people with opioid use disorder and the use of EBPs, especially MOUD. This paper describes the approach to developing and executing these campaigns.

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Objectives: Conduct a head-to-head experimental test of responses to alcohol harm reduction advertisements developed by alcohol industry Social Aspects/Public Relations Organisations (SAPROs) versus those developed by public health (PH) agencies. We hypothesised that, on average, SAPRO advertisements would be less effective at generating motivation (H1) and intentions to reduce alcohol consumption (H2) but more effective at generating positive perceptions of people who drink (H3).

Design: Online experiment with random assignment to condition.

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Article Synopsis
  • The study aimed to enhance smokers' awareness of harmful substances in cigarettes through different website formats.
  • Adult daily smokers (N = 279) were shown either an interactive website with branded content or a static, unbranded site, with eye tracking used to measure attention.
  • Surprisingly, smokers showed better recognition of harmful chemicals after viewing the simple, unbranded site, suggesting that less interactive designs can be more effective for delivering important health information.
  • Both website formats were user-friendly and easy to read, indicating usability was not a barrier to comprehension.
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Objectives: The tobacco industry has a history of making "natural" claims in advertisements. We report how viewing advertisements with such claims affected what adolescents found memorable.

Methods: Adolescent boys (N = 1220; 11-16 years old) were randomly assigned to view a Natural American Spirit (NAS) or other brand cigarette advertisement, and were asked what they remembered about the advertisement.

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Article Synopsis
  • Blu's 'Something Better' campaign in 2017 used fake warnings that mimicked FDA requirements, aiming to influence adolescent perceptions of e-cigarettes.
  • In a study of 775 Ohio adolescent males, those exposed to ads with fake warnings were less likely to remember actual health risks or brand information.
  • Findings highlight the need for monitoring tobacco advertisements and understanding their impact on youth awareness and perceptions of health risks.
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Introduction: Media tobacco and alcohol portrayals encourage adolescent substance use. Preventing adolescent initiation with these substances is critical, as they contribute to leading causes of morbidity and mortality in the United States. Television tobacco and alcohol portrayals have not been examined for more than 7 years.

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The homophily principle that perceived similarities among people produce positive reactions is a cross-cultural, global phenomenon. The prediction that photographs depicting models similar to the target population improve health communication was tested. Three nationally-representative samples (n = 1,796) of adults who are disabled, seniors, or considered overweight/obese were selected from GfK's Knowledge Panel®.

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Article Synopsis
  • Rumors can significantly undermine the effectiveness of public health messaging during a crisis by spreading inaccurate information.
  • Understanding the emotional connection between individuals and the rumors helps explain why people are more likely to believe them.
  • Preliminary data suggests that individuals who are in an angry emotional state are more likely to accept rumors that also evoke anger, highlighting an important consideration for public health officials.
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  • The study explored how real-time exposure to tobacco marketing affects adolescents' attitudes and behaviors regarding tobacco use, using ecological momentary assessment (EMA) on participants aged 11-16 in Ohio.
  • Results showed that adolescents encountered tobacco marketing nearly twice a day on average, with most exposures occurring at retail points-of-sale, particularly among tobacco users and those in rural areas.
  • The findings revealed a clear link between higher exposure to tobacco marketing and more positive attitudes toward tobacco, increased usage, and expectations of future use, highlighting the need for robust regulations to protect youth from these marketing influences.
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Article Synopsis
  • The study examined how the size of warning labels on smokeless tobacco (SLT) ads influences adolescent boys' ability to remember warnings, brands, and product risks.
  • Participants (ages 11-16) viewed various tobacco ads and were asked to recall their impressions, which were analyzed for specific responses.
  • Findings showed that larger warnings on SLT ads led to better recall compared to smaller warnings on cigarette and e-cigarette ads, with warning recall linked to a decreased mention of brand features and an increased mention of product risks.
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Aims: To compare the immediate effects on drinkers of television advertisements focusing upon short- versus long-term harms with and without low-risk drinking guidelines.

Design: Between-participants on-line experiment, with random assignment to view: (a) alcohol product advertisements (ALC control); (b) advertisements unrelated to alcohol (NON-ALC control); (c) advertisements featuring short-term harms (STH) of alcohol; (d) advertisements featuring STH plus a STH guideline (STH+G); (e) advertisements featuring long-term harms (LTH); or (f) advertisements featuring LTH plus a LTH guideline (LTH+G).

Setting: Australia, 2016.

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Background: Previous studies have examined what adolescents find appealing in tobacco and alcohol advertisements and how different themes in advertisements are used to manipulate consumer behaviors. Yet, we know little about the relationship between the themes portrayed in advertisements and youth attitudes towards those themes.

Objectives: This study compared attitudes towards advertisements for different consumer products in a sample of urban and rural adolescent boys in order to examine how key marketing themes impact adolescent attitudes towards those advertisements.

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We explored how adolescent marijuana edible users differ in regards to marijuana use and related beliefs from marijuana users who do not use edibles. We analyzed California Healthy Kids Survey data collected in one Northern California school district with a racially and ethnically diverse student population. Survey respondents were youth in grades 9-12.

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Objectives: To improve the effectiveness of alcohol harm reduction mass media campaigns, this study aimed to (1) identify existing advertisements (ads) with greatest potential to motivate reduced alcohol consumption, (2) assess consistency across audience subgroups in ad effectiveness and (3) identify ad features associated with effectiveness.

Design: Cross-sectional online ad response study with random assignment to view ads.

Participants: 2174 Australian adult weekly drinkers recruited from an online panel.

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