College students' influenza vaccine hesitation: a reasoned action investigation with quantitative and qualitative data

This two-wave longitudinal study (performed pre-COVID), using both quantitative and qualitative data, investigated college students’ influenza vaccine hesitancy and confidence using the theory of planned behavior (TPB). At Time 1, college students (n = 277) completed TPB measures and reported past influenza vaccine behavior. At Time 2 (30 days later), participants indicated whether they received the influenza vaccine since Time 1. At Time 2, participants who indicated that they had not received the influenza vaccine since Time 1 also described their most important reasons for not doing so. The TPB model fit the quantitative data well; direct paths from attitude and norms to intention, and from intention to future behavior, were strong and significant. The TPB model explained 71% of the variance in intention and 28% of the variance in future behavior. Neither perceived behavioral control nor past behavior improved the model’s ability to predict intentions or future behavior. From the qualitative data, participants’ reasons for not getting vaccinated focused on perceived behavioral control (e.g., time cost) and attitudes (e.g., unimportance and low susceptibility). Theoretical implications for message development are discussed.

Examining Rules in Friends with Benefits Relationships

Establishing communicative and behavioral boundaries in romantic relationships provides partners with a greater sense of relational stability and certainty. For romantic relationships, these boundaries, such as sexual exclusivity, are relatively straightforward. For casual sex relationships, however, the relational rules are less stable and certain. This exploratory study examined rules in friends with benefits relationships (FWBRs) for 109 college students in the USA. Responses to open-ended questions were collected through an online questionnaire, and data were qualitatively analyzed through an inductive thematic analysis. The data were structured into communication rules, sexual rules, and relational definition rules. Results provide overlap and extension of previous work investigating rules in FWBRs. Notably, participants reported sexual exclusivity as an important rule. Additionally, potentially competing discourses in FWBR rules were best understood through the lens of relational dialectics. Findings reflect a tension in terms of relational work, as partners struggle with maintaining their sexual and friendship relationship while not falling into the "territory" of romantic relationships.

Success Bias and Inflation Bias After Planning and Communicating Emotional Support

This study investigates the potential for cancer patients' supporters to experience cognitive biases after communicating emotional support messages. A success bias was predicted, such that those who planned their messages would rate those messages as more effective in comparison with those who did not plan their messages (H1a-H1c). An inflation bias was also predicted, such that supporters would rate their messages as more effective than cancer patients who also rated the messages (H2a-H2c). One hundred laboratory participants were randomly assigned to a planning or distraction task before recording an emotional support message for a friend who had hypothetically been diagnosed with cancer. Laboratory participants rated their own messages in terms of relational assurances, problem-solving utility, and emotional awareness. Subsequently, cancer patients viewed and rated the laboratory participants' messages on the same characteristics. Participants who planned their messages rated their messages significantly higher than those who did not plan their messages in terms of relational assurance and problem-solving utility but not emotional awareness. Irrespective of planning or distraction condition, participants also rated their messages significantly higher on all three dependent variables than did cancer patients. Supporters should be aware of the propensity to overrate their supportive abilities and guard against the assumption that planning messages results in more effective support messages.

"Fear the Flu, Not the Flu Shot": A Test of the Extended Parallel Process Model

This study investigates the effects of manipulated threat and efficacy on college students' attitudes, intentions, and behavior toward receiving the influenza vaccine (flu shot). Meta-analysis results indicate that during the nearly 70-year history of fear-appeal research, as few as six studies have orthogonally manipulated threat and efficacy, randomly assigned participants to conditions, and included a behavioral dependent variable. While there may be several practical reasons for this, it is problematic theoretically. The primary goal of this study is to add to this small but important body of literature. We tested the Extended Parallel Process Model, utilizing a 2 (high threat/low threat) × 2 (high efficacy/low efficacy) between-subjects design with random assignment to conditions. Dependent variables were attitudes and intentions regarding the flu shot (measured immediately after reading the message at Time 1) and flu shot behavior (measured 30 days later at Time 2). Results indicate that participants in the high threat condition reported greater perceived severity, susceptibility, and fear than participants in the low threat condition; and that that participants in the high-efficacy condition reported greater self-efficacy and response-efficacy than individuals in the low efficacy condition. Nonetheless, the predicted threat × efficacy interaction was not observed for attitude, intention, or behavior. Instead, there was a main effect for efficacy (but not threat) on attitudes and intentions, and no effect for either efficacy or threat on behavior. The theoretical and practical implications of these findings are discussed.

Identifying and explicating variation among friends with benefits relationships

This two-study report identifies and validates a typology containing seven types of "friends with benefits relationships" (FWBRs). Study 1 asked heterosexual students to define the term FWBR and to describe their experience with the relationship type. Qualitative analysis of these data identified seven types of FWBRs (true friends, network opportunism, just sex, three types of transition in [successful, failed, and unintentional], and transition out). Study 2 quantitatively differentiates these relationship types in the amount of nonsexual interaction, strength of the friendship at the first sexual interaction, and history of romantic relationships with the FWBR partner (before the FWBR, after it, or both). Results from both studies clearly suggest that FWBRs represent a diverse set of relationship formulations where both the benefits (i.e., repeated sexual contact) and the friends (i.e., relationship between partners) vary widely. In many cases, FWBRs represent a desire for, or an attempt at, shifting the relationship from friends to a romantic partnership. Other implications are discussed, as are limitations and directions for future research. The diverse nature of FWBRs provides challenges for researchers that likely require multiple methods and theoretical frames.

Employing interpersonal influence to promote multivitamin use

Boster, Kotowski, Andrews, and Serota (2011 ) proposed that superdiffusers are well connected, persuasive, and a maven in a content area. They proposed that superdiffusers, if recruited, could promote the adoption of health practices. In this article a model of this process is presented, and an intervention designed to test the efficacy of this influence strategy is introduced. Specifically, superdiffusers were recruited to persuade their peers to take a daily multivitamin. Evidence was found consistent with the intervention's effectiveness.