Educommunication and empowerment in cardiovascular health of Lisbon citizens
Open accessAbstract
Online educommunication and empowerment are crucial dimensions in awareness, literacy and change processes, and their articulation may bring benefits to cardiovascular health, given that cardiovascular diseases are the deadliest in the world, including in Portugal. This paper aims to explore the relationship between online educommunication and empowerment in cardiovascular health, using Lisbon citizens as a case. The theoretical framework is composed by the interactivity and empowerment model, the health belief model and the uses and gratifications theory. The questionnaire survey was applied to a gender and age quota sample (N=400). The questionnaire includes thematic dimensions, such as online informative practices on cardiovascular health, the eHEALS scale, and the importance and effectiveness of the educommunicative message on cardiovascular health features. Results show that the educommunicative message has characteristics at the level of purpose, content, type, format, emotions, and logic, which enhance it the most. This indicates that exposure to messages with these characteristics may instigate empowerment and behavior change. Respondents self-rated with the most positive levels on the eHEALS scale, showing empowerment at the eHealth level, with age rather than gender differences. There is evidence that eHealth skills and having cardiovascular disease influence information seeking and empowerment. The main contribution lies in identifying characteristics of the cardiovascular health educommunication message that can optimize recipient’s empowerment.
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In health information settings, users pursue gratifications related to reassurance, risk reduction, and practical decision-making by engaging with peer experiences, expert content, or healthcare influencers.
“In such settings, users pursue gratifications related to reassurance, risk reduction, and practical decision-making by engaging with peer experiences, expert content, or healthcare influencers.”
From Classic Communication Theories in the Digital Realm: A Literature Review (2026) · cites this paper as Belim et al., 2024
eHealth literacy intersects with user motivations to seek credible health information through digital platforms.
“Belim et al. (2024) show how eHealth literacy intersects with user motivations to seek credible health information through digital platforms.”
From Classic Communication Theories in the Digital Realm: A Literature Review (2026) · cites this paper as Belim et al., 2024
Cites
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
The process of empowerment a model for use in research and practice
Cattaneo, L. B., & Chapman, A. R. (2010) · American Psychologist · doi:10.1037/a0018854 · Cited by 569 · see citing works
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Classic Communication Theories in the Digital Realm: A Literature Review
Tasente, T. (2026) · Mediaciones Sociales · doi:10.5209/meso.104881
- Authors
- Belim, C., Baptista, R., Cruz, C., & Cunha, M. J.
- Affiliations
- University of Lisbon (PT)
- Venue
- Comunicar
- Publisher
- Oxbridgepublishinghouse
- Published
- 2024-01-16
- ISSN
- 1134-3478 (ISSN-L)
- 1988-3293
- OpenAlex
- W4394565407
- Cited by
- 6
- References
- 2
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- diamond
- dx.doi.org
- Licence
- Locations
- Comunicar (publishedVersion, cc-by-nc-nd)
- Dialnet (Universidad de la Rioja) (submittedVersion)
- Repositorio Institucional de la Universidad de Huelva (Universidad de Huelva) (submittedVersion)
- Repositorio Institucional de la Universidad de Huelva (Universidad de Huelva) (submittedVersion, cc-by-nc-nd)
- Funders
- Fundação para a Ciência e a Tecnologia (UIDB/04304/2020, UIDP/00713/2020)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Social Sciences › Health › Social Media in Health Education
- Keywords
- educommunication, health empowerment, cardiovascular health, cardiovascular disease, online health information, digital health literacy, Health Belief Model, uses and gratifications theory, health behavior change, information seeking, age and gender differences, Lisbon
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