Cited by 680Behavioral Health and InterventionsMedia Influence and HealthRisk Perception and Management

The DOI matches its Crossref record; 82 of the 82 references it cites were found in a registry or an index; none of the 42 sources its claims cite is checked for support yet.

Threatening communication: a critical re-analysis and a revised meta-analytic test of fear appeal theory

Open access
Peters, Gjalt-Jorn Ygram, Ruiter, Robert A.C., Kok, Gerjo·2013·Health Psychology Review

Abstract

Despite decades of research, consensus regarding the dynamics of fear appeals remains elusive. A meta-analysis was conducted that was designed to resolve this controversy. Publications that were included in previous meta-analyses were re-analysed, and a number of additional publications were located. The inclusion criteria were full factorial orthogonal manipulations of threat and efficacy, and measurement of behaviour as an outcome. Fixed and random effects models were used to compute mean effect size estimates. Meta-analysis of the six studies that satisfied the inclusion criteria clearly showed a significant interaction between threat and efficacy, such that threat only had an effect under high efficacy (d = 0.31), and efficacy only had an effect under high threat (d = 0.71). Inconsistency in results regarding the effectiveness of threatening communication can likely be attributed to flawed methodology. Proper tests of fear appeal theory yielded the theoretically hypothesised interaction effect. Threatening communication should exclusively be used when pilot studies indicate that an intervention successfully enhances efficacy.

Overview

Integrity signals

Registry

Crossref · 10.1080/17437199.2012.703527

Cites

82 of 82 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

0 of 42 cited sources checked · 0 supported · 0 flagged

Show all 36 claims

  • It may state two separate claims as one. 40
  • Probably not a substantial claim. 23
  • Not yet classified. 1
56 of 56
  • The paper relies on this without support.

    No validated scales exist for measuring efficacy for different behaviours.

    “as no validated scales for efficacy for the different behaviours exist”
  • The paper relies on this without support.

    The quality ratings used for the behavioural measure and the two manipulations validly capture the quality of those study features.

    “we ran a number of explorative moderation analyses using the quality ratings of the behaviour measure and the two manipulations as moderators.”
  • The paper relies on this without support.

    Previous fear appeal meta-analyses suffered from a problematic interaction between significant outcome bias and theoretical fear appeal dynamics.

    “These previous meta-analyses suffered two problems that were currently addressed: problematic interaction of the significant outcome bias, SOB, with theoretical fear appeal dynamics; and the inclusion of attitude and/or intention as outcome measures.”
  • The paper relies on this without support.

    Previous fear appeal meta-analyses suffered from including attitude and/or intention as outcome measures.

    “These previous meta-analyses suffered two problems that were currently addressed: problematic interaction of the significant outcome bias, SOB, with theoretical fear appeal dynamics; and the inclusion of attitude and/or intention as outcome measures.”
  • The paper relies on this without support.

    Buying a stun gun is a behaviour for which most people have high efficacy.

    “an excellent example of a behaviour for which most people will have a high efficacy.”
5 of 5

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • ConsistentQ(8) = 14.66reported p = .066 · recomputed p = .066

    “Q(8) = 14.66, p = .066”

  • ConsistentQ(6) = 10.66reported p = .099 · recomputed p = .099

    “Q(6) = 10.66, p = .099”

  • Consistentz = 2.07reported p = .039 · recomputed p = .038

    “(z = 2.07, p = .039”

3 of 3

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • The reported funnel-plot test count does not cover every effect

    Minor

    The paper identifies seven effects-two main effects, one interaction and four simple effects. Testing two sets of funnel plots for every effect would produce 14 tests, not the reported 10.

1 of 1

Citations

Cites

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Research works printed but not linked: 2

  1. 10.1207/s15327027hc2001 · DOI
  2. Stobbe , M. 2012 , April 15 . CDC Anti-Smoking Ad Campaign Set To Launch . The Huffington Post . Retrieved from http://www.huffingtonpost.com/2012/03/15/cdc-anti-smoking-ad-campaign_n_1347174.html

Cited by

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Metadata

Authors
Peters, G.-J. Y., Ruiter, R. A. C., & Kok, G.
Affiliations
Maastricht University (NL)
Corresponding author
Peters, Gjalt-Jorn Ygram
Venue
Health Psychology Review
Published
2012-07-19
Volume
7
Issue
sup1
Pages
S8-S31
ISSN
  • 1743-7199 (ISSN-L)
  • 1743-7202
OpenAlex
W2152023319
Cited by
679
References
81
Citations by year
2026: 24 · 2025: 29 · 2024: 41 · 2023: 36 · 2022: 59 · 2021: 74 · 2020: 132 · 2019: 30 · 2018: 48 · 2017: 54 · 2016: 44 · 2015: 42 · 2014: 40 · 2013: 22 · 2012: 3
FWCI
48.75
Type
journal article
Language
en
Open access
Locations
  • Health Psychology Review (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, other-oa)
  • DSpace (Open University in the Netherlands) (submittedVersion, other-oa)
  • Research Publications (Maastricht University) (submittedVersion)
Topics
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Social Sciences › Communication › Media Influence and Health
  • Social Sciences › Sociology and Political Science › Risk Perception and Management
Keywords
fear appeals, persuasion, health communication, behavior change

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