The Extended Parallel Process Model: Illuminating the Gaps in Research
Abstract
This article examines constructs, propositions, and assumptions of the extended parallel process model (EPPM). Review of the EPPM literature reveals that its theoretical concepts are thoroughly developed, but the theory lacks consistency in operational definitions of some of its constructs. Out of the 12 propositions of the EPPM, a few have not been tested explicitly and not a single one received unequivocal empirical support. This article proposes alternative operationalization for some of the constructs and examines some assumptions of this theory, such as additive relationship between the constructs, the role of time and issue of thresholds, and disregard for the existing state of the audience. Finally, the role of the EPPM as a potential foundation for a general theory of negative emotional appeals is addressed.
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The updated review is consistent with conclusions from prior reviews that mechanisms are often under-studied and need additional research.
“Although some of the theories investigated do discuss mechanism to some degree (e.g., EPPM; Witte, 1992), our updated review of the literature is consistent with conclusions from prior reviews that these mechanisms are often under-studied and are in need of additional research (e.g., Popova, 2012).”
From Appealing to fear: A meta-analysis of fear appeal effectiveness and theories (2015) · cites this paper as Popova, 2012
Cites
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925 · see citing works
The Health Belief Model: a decade later.
Janz, N. K., & Becker, M. H. (1984) · Health Education Quarterly · doi:10.1177/109019818401100101 · Cited by 8,437 · see citing works
Putting the fear back into fear appeals: the extended parallel process model
Witte, K. (1992) · Communication Monographs · doi:10.1080/03637759209376276 · Cited by 3,880 · see citing works
On the practice of dichotomization of quantitative variables.
MacCallum, R. C., Zhang, S., Preacher, K. J., & Rucker, D. D. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.19 · Cited by 3,538 · cited 1× · see citing works
“Costs include loss of variance (from one fifth to one third of variance; Cohen, 1983), loss of power and effect size, and, as a result, failure to detect actual relationships among the variables and the potential to overlook nonlinear relationships (MacCallum et al., 2002).”
BackgroundA Meta-Analysis of Fear Appeals: Implications for Effective Public Health Campaigns
Witte, K., & Allen, M. (2000) · Health Education & Behavior · doi:10.1177/109019810002700506 · Cited by 3,216 · see citing works
The limited capacity model of mediated message processing
Lang, A. (2000) · Journal of Communication · doi:10.1111/j.1460-2466.2000.tb02833.x · Cited by 2,153 · cited 2× · see citing works
“However, a fear-arousing message could produce diverse physiological reactions such as fight, flight, freezing, or simply increased attention depending on the situational and individual differences (Bradley & Lang, 2007). Witte (1992) used self-reports of fear precisely because self-repot items evaluated the subjectiv…”
BackgroundCohen, J. (1983) · Applied Psychological Measurement · doi:10.1177/014662168300700301 · Cited by 1,564 · cited 4× · see citing works
“However, this practice has received a lot of criticism (e.g., Cohen, 1983; Irwin & McClelland, 2003; MacCallum, Zhang, Preacher, & Rucker, 2002).”
BackgroundInfluentialFear-Arousing Persuasive Messages
Boster, F. J., & Mongeau, P. (1984) · Annals of the International Communication Association · doi:10.1080/23808985.1984.11678581 · Cited by 271 · see citing works
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Appealing to fear: A meta-analysis of fear appeal effectiveness and theories
Tannenbaum, M. B., Hepler, J., Zimmerman, R. S., Saul, L., Jacobs, S., Wilson, K., & Albarracín, D. (2015) · Psychological Bulletin · doi:10.1037/a0039729 · Cited by 1,203 · see citing works
Carey, R. N., & Sarma, K. M. (2016) · BMC Public Health · doi:10.1186/s12889-016-3227-2 · Cited by 65 · see citing works
Horne, J., Gilliland, J., O'Connor, C., Seabrook, J., & Madill, J. (2020) · BMJ Nutrition, Prevention & Health · doi:10.1136/bmjnph-2020-000073 · Cited by 65 · see citing works
Zhu, X., Kim, Y., & Park, H. (2020) · Computers in Human Behavior · doi:10.1016/j.chb.2019.09.006 · Cited by 61 · see citing works
Wissinger, C. L., & Stiegler, Z. (2019) · Teaching and Learning in Medicine · doi:10.1080/10401334.2018.1528155 · Cited by 16 · see citing works
- Authors
- Popova, L.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Popova, Lucy
- ORCID
- Popova, Lucy
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2011-10-14
- Volume
- 39
- Issue
- 4
- Pages
- 455-473
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- OpenAlex
- W2037531034
- Cited by
- 361
- References
- 8
- Citations by year
- 2026: 30 · 2025: 28 · 2024: 40 · 2023: 41 · 2022: 45 · 2021: 42 · 2020: 29 · 2019: 17 · 2018: 21 · 2017: 25 · 2016: 12 · 2015: 12 · 2014: 11 · 2013: 7
- FWCI
- 7.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Social Sciences › Sociology and Political Science › Risk Perception and Management
- Keywords
- Extended Parallel Process Model, health communication, emotional appeal, construct operationalization, threshold
- MeSH terms
- Fear, Health Education, Humans, Models, Theoretical, Motivation, Research Design, Health Behavior, Risk Assessment, Self Efficacy
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