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Id 577
Author Langdridge D., Davis M., Gozdzielewska L., McParland J., Williams L., Young M., Smith F., MacDonald J., Price L., Flowers P.
Title A visual affective analysis of mass media interventions to increase antimicrobial stewardship amongst the public
Reference
Langdridge D., Davis M., Gozdzielewska L., McParland J., Williams L., Young M., Smith F., MacDonald J., Price L., Flowers P.; A visual affective analysis of mass media interventions to increase antimicrobial stewardship amongst the public ;British Journal of Health Psychology vol:24 issue: 1.0 page:66.0

Link to article https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053443117&doi=10.1111%2fbjhp.12339&partnerID=40&md5=796dc000b5299c311d853bb6f3711e4d
Abstract Objectives: In an innovative approach to improve the contribution of health psychology to public health we have analysed the presence and nature of affect within the visual materials deployed in antimicrobial stewardship interventions targeting the public identified through systematic review. Design: A qualitative analysis focused on the affective content of visual materials garnered from a systematic review of antibiotic stewardship (k = 20). Methods: A novel method was devised drawing on concepts from semiotics to analyse the affective elements within intervention materials. Results: Whilst all studies examined tacitly rely on affect, only one sought to explicitly deploy affect. Three thematic categories of affect are identified within the materials in which specific ideological machinery is deployed: (1) monsters, bugs, and superheroes; (2) responsibility, threat, and the misuse/abuse of antibiotics; (3) the figure of the child. Conclusions: The study demonstrates how affect is a present but tacit communication strategy of antimicrobial stewardship interventions but has not – to date – been adequately theorized or explicitly considered in the intervention design process. Certain affective features were explored in relation to the effectiveness of antimicrobial resistance interventions and warrant further investigation. We argue that further research is needed to systematically illuminate and capitalize upon the use of affect to effect behaviour change concerning antimicrobial stewardship. Statement of contribution What is already known on this subject? The (mis)use of antibiotics and consequent risk of antimicrobial resistance is a critical public health problem. If sufficient action is not taken, global society will face the ‘post-antibiotic’ era, in which common infections will lead to death for many millions. Key desirable behavioural changes are decreased patient demands for antibiotics, use of them for targeted purposes alone, and compliance with prescribed dosing. There is a growth of interest in the role of affect in mass media interventions designed to engage publics and produce health-related behavioural change. What does this study add? This article presents a novel analytic approach to understanding and intervening within behaviour change in public health that may complement other types of analysis. We present findings specifically from an ‘affective’ analysis based on semiotics in which we critically interrogated the visual imagery being deployed in mass media public health interventions concerning antimicrobial stewardship. Three thematic categories of affect are identified within the materials in which specific ideological machinery is deployed and that demonstrate some association with intervention effectiveness worthy of further investigation and testing. © 2018 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society

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Summary:



Objectives: In an innovative approach to improve the contribution of health psychology to public health we have analysed the presence and nature of affect within the visual materials deployed in antimicrobial stewardship interventions targeting the public identified through systematic review. With this in mind it is as important to evaluate the affective impact as much as the effectiveness of any health intervention designed to change awareness and increase antimicrobial stewardship amongst the public. None of the interventions that have been analysed in this study have referred to emotion or affect as explicit elements within their theoretical framework but they invariably relied on modes of affect to convey meaning nuance it and engage audiences. Of the remaining three studies two employed the most affectively powerful material in this analysis with a strong focus on the image of the child as the means to generate a sense of future-focused responsibility for antibiotic stewardship. both appropriately use the colour red to alert the recipient to the sense of threat being communicated in their textual material and were largely effective.


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