Mecanismos y efectos de los mensajes persuasivos de promoción de la higiene del sueño para el control del peso corporal

Autores/as

DOI:

https://doi.org/10.26441/RC23.1-2024-3321

Palabras clave:

persuasión, comunicación para la salud, investigación experimental, análisis de procesos condicionales, sobrepeso, obesidad, higiene del sueño

Resumen

La promoción de comportamientos saludables se ha realizado tradicionalmente a través de mensajes persuasivos que entregan información sobre cifras o argumentos y son diseñados con un objetivo abiertamente persuasivo. No obstante, recientemente se han establecido otras estrategias como el uso de mensajes narrativos y de formatos mixtos (que combinan información y narran una historia). La evidencia no es concluyente sobre la eficacia de estas tres modalidades de persuasión (informacional, narrativa y mixta) ni sobre los mecanismos responsables. Metodología: Se realizaron dos experimentos que compararon los efectos de las tres modalidades de mensajes persuasivos mencionados y que fueron diseñados para promover la higiene del sueño como un factor de control del peso corporal. Además, se contempló el papel de la implicación con el tema del mensaje y la necesidad de cognición como posibles variables moderadoras. Resultados: Se observó que el mensaje informacional ejercía efectos indirectos significativos sobre la efectividad percibida del mensaje, las creencias y la intención de conducta a través del mecanismo de la auto-referencia. En cambio, los mensajes narrativos y mixto debían su eficacia persuasiva a la activación emocional, el transporte narrativo y la identificación con el protagonista. Conclusiones: El presente trabajo avanza los conocimientos sobre persuasión y sobre las estrategias más efectivas para diseñar campañas de control del peso corporal a través de la promoción de la higiene del sueño.

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Biografía del autor/a

Elizabeth Vargas-Rosero, Universidad Nacional de Colombia

Doctora en Comunicación por la Universidad del Norte. Profesora Asociada de la Universidad Nacional de Colombia y Vicedecana Académica de la Facultad de Enfermería. Sus principales líneas de investigación son la comunicación para la salud, la promoción de la salud y la prevención de la enfermedad, y la salud cardiovascular. https://orcid.org/0000-0003-2710-4320, evargasr@unal.edu.co

Juan-José Igartua, Universidad de Salamanca

Doctor en Psicología de la Universidad del País Vasco (1996) y Catedrático de Universidad (Full Professor) del área de Comunicación Audiovisual y Publicidad de la Universidad de Salamanca, donde dirige el Observatorio de los Contenidos Audiovisuales (www.ocausal.es). Además, es miembro de la “Academia Europaea: The Academy of Europe” (https://www.ae-info.org), en la sección “Film, Media and Visual Studies". Su investigación se centra en el análisis de los efectos mediáticos (media effects). https://orcid.org/0000-0002-9865-2714, jigartua@usal.es

Citas

Allen, M., y Preiss R. W. (1997). Comparing the persuasiveness of narrative and statistical evidence using meta‐analysis. Communication Research Reports, 14(2), 125-131. https://doi.org/10.1080/08824099709388654

Allen, M., Bruflat, R., Fucilla, R., Kramer, M., McKellips, S., Ryan, D.J., y Spiegelhoff, M. (2000). Testing the persuasiveness of evidence: combining narrative and statistical forms. Communication Research Reports, 17(4), 331-336. https://doi.org/10.1080/08824090009388781

American Sleep Association. (2019). Sleep Hygiene. https://www.sleepassociation.org/patients- general-public/insomnia/sleep-hygiene-tips/

Appel, M., Gnambs, T., Richter, T., y Green, M. C. (2015). The Transportation Scale–Short form (TS–SF). Media Psychology, 18(2), 243-266. https://doi.org/10.1080/15213269.2014.987400

Appel, M., y Richter, T. (2010). Transportation and need for affect in narrative persuasion: a mediated moderation model. Media Psychology, 13(2), 101–135. https://doi.org/10.1080/15213261003799847

Ash, T., y Taveras, E. M. (2017). Associations of short sleep duration with childhood obesity and weight gain: summary of a presentation to the National Academy of Science’s roundtable on obesity solutions. Sleep Health, 3(5), 389-392. https://doi.org/10.1016/j.sleh.2017.07.008

Baumeister, R. F., y Vohs, K. D. (2007). Encyclopedia of social psychology. Sage.

Bekalu, M. A., Bigman, C. A., McCloud, R. F., Lin, L. K., y Viswanath K. (2018). The relative persuasiveness of narrative versus non-narrative health messages in public health emergency communication: evidence from a field experiment. Preventive Medicine, 111, 284-290. https://doi.org/10.1016/j.ypmed.2017.11.014

Boeijinga, A., Hoeken, H., y Sanders, J. (2017). Storybridging: four steps for constructing effective health narratives. Health Education Journal, 76(8), 923–935. https://doi.org/10.1177/0017896917725360

Bosone, L., Martinez, F., y Kalampalikis, N. (2015). When the model fits the frame: the impact of regulatory fit on efficacy appraisal and persuasion in health communication. Personality and Social Psychology Bulletin, 41(4), 526-539. https://doi.org/10.1177/0146167215571089

Braddock, K., y Dillard, J. P. (2016). Meta-analytic evidence for the persuasive effect of narratives on beliefs, attitudes, intentions, and behaviors. Communication Monographs, 83(4), 446-467. https://doi.org/10.1080/03637751.2015.1128555

Braverman, J. (2008). Testimonials versus informational persuasive messages. The moderating effect of delivery mode and personal involvement. Communication Research, 35(5), 666-694. https://doi.org/10.1177/0093650208321785

Burnkrant, R. E., y Unnava, H. R. (1989). Self-referencing: a strategy for increasing processing of message content. Personality and Social Psychology Bulletin, 15(4), 628-638. https://doi.org/10.1177/07399863870092005

Burnkrant, R. E., y Unnava, H. R. (1995). Effects of self-referencing on persuasion. Journal of Consumer Research, 22(1), 17-26. https://psycnet.apa.org/doi/10.1086/209432

Burrows, C. N., y Blanton, H. (2015). Real-world persuasion from virtual-world campaigns: how transportation into virtual worlds moderates in-game influence. Communication Research, 43(4), 1-29. https://doi.org/10.1177/0093650215619215

Cacioppo, J., Petty, R., y Kao, C. F. (1984). The efficient assessment of need for cognition. Journal of Personality Assessment, 48(3), 306-307. https://doi.org/10.1207/s15327752jpa4803_13

Chang, C. (2011). Enhancing self-referencing to health messages. Journal of Consumer Affairs, 45(1), 147–64. https://doi.org/10.1111/j.1745-6606.2010.01196.x

Chen, T., y Chang, H. C. (2017). The effect of narrative transportation in mini-film advertising on reducing counterarguing. International Journal of Electronic Commerce Studies, 8(1), 25-46. https://doi.org/10.7903/ijecs.1476

Cho, H., Shen, L., y Wilson, K. (2014). Perceived realism: dimensions and roles in narrative persuasion. Communication Research, 41(6), 828–851. https://doi.org/10.1177/0093650212450585

Cohen, J. (2001). Defining identification: a theoretical look at the identification of audiences with media character. Mass Communication & Society, 4(3), 245-264. https://doi.org/10.1207/S15327825MCS0403_01

Record-Cornwall, J., González-Cañete, N., Velásquez, A., Bartoli, M., y Durán-Agüero, S. (2022). Circunferencia de cintura y sueño en universitarios de Chile, Panamá y Paraguay: estudio multicéntrico. Revista Española de Nutrición Comunitaria, 28(1), 69-77.

De Graaf, A. (2014). The effectiveness of adaptation of the protagonist in narrative impact: similarity influences health beliefs through self-referencing. Human Communication Research, 40(1), 73-90. https://doi.org/10.1111/hcre.12015

De Graaf, A., Hoeken, H., Sanders, J., y Beentjes, J. W. (2012). Identification as a mechanism of narrative persuasion. Communication Research, 39(6), 802-823. https://doi.org/10.1177/0093650211408594

De Graaf, A., Van den Putte, B., Nguyen, M. H., Zebregs, S., Lammers, J., y Neijens, P. (2017). The effectiveness of narrative versus informational smoking education on smoking beliefs, attitudes and intentions of low-educated adolescents. Psychology and Health, 32(7), 810-825. https://doi.org/10.1080/08870446.2017.1307371

De Graaf, A., y Hustinx, L. (2011). The effect of story structure on emotion, transportation, and persuasion. Information Design Journal, 19(2), 142–154. https://doi.org/10.1075/idj.19.2.05gra

Debevec, K., y Romeo, J. B. (1992). Self-referent processing in perceptions of verbal and visual commercial information. Journal of Consumer Psychology, 1(1), 83-102. https://doi.org/10.1016/S1057-7408(08)80046-0

Dillard, J. P., y Peck, E. (2000). Affect and persuasion: emotional responses to public service announcements. Communication Research, 27(4), 461-495. https://doi.org/10.1177/009365000027004003

Dillard, J. P., y Shen, L. (2005). On the nature of reactance and its role in persuasive health communication. Communication Monographs, 72(2), 144-168. https://doi.org/10.1080/03637750500111815

Dunlop, S., Wakefield, M., y Kashima, Y. (2010). Pathways to persuasion: cognitive and experiential responses to health-promoting mass media messages. Communication Research, 37(1), 133-164. https://doi.org/10.1177/0093650209351912

Escalas, J. E. (2007). Self‐referencing and persuasion: narrative transportation versus analytical elaboration. Journal of Consumer Research, 33(4), 421–429. http://dx.doi.org/10.1086/510216

Falces, C., Briñol, P., Sierra, B., Becerra, A., y Alier, E. (2001). Validación de la escala de necesidad de cognición y su aplicación al estudio del cambio de actitudes. Psicothema, 13(4), 622–628.

Fatima, Y., Doi, S. A. R. y Mamun, A. A. (2016). Sleep quality and obesity in young subjects: a meta-analysis. Obesity Reviews, 17(11), 1154-1166. https://doi.org/10.1111/obr.12444

Frank, L. B., Murphy, S. T., Chatterjee, J. S., Moran, M. B., y Baezconde-Garbanati, L. (2015). Telling stories, saving lives: creating narrative health messages. Health Communication, 30(2), 154–163. https://doi.org/10.1080/10410236.2014.974126

Grandner, M. A. (2017). Sleep and obesity risk in adults: possible mechanisms; contextual factors; and implications for research, intervention, and policy. Sleep Health, 3(5), 393-400. https://doi.org/10.1016/j.sleh.2017.07.014

Green, M. C., Brock, T. C., y Kaufman, G. F. (2004). Understanding media enjoyment: the role of transportation into narrative worlds. Communication Theory, 14(4), 311-327. https://doi.org/10.1111/j.1468-2885.2004.tb00317.x

Green, M. C., y Brock, T. C. (2000). The role of transportation in the persuasiveness of public narrative. Journal of Personality and Social Psychology, 79(5), 701-721. https://doi.org/10.1037/0022-3514.79.5.701

Green, M. C., y Jenkins, K. M. (2020). Need for cognition, transportability, and engagement with interactive narratives. Games for Health Journal, 9(3), 1-5. https://doi.org/10.1089/g4h.2019.0095

Green, M. C., Strange, J., y Brock, T. (2002). Narrative impact: social and cognitive foundations. Mahwah, New Jersey: Lawrence Erlbaum Associates. https://doi.org/10.1017/CBO9781107415324.004

Hakemulder, F., Kuijpers, M., Tan, E., Balint, K., y Doicaru, M. (2017). Narrative absorption. John Benjaming Publishing Company.

Haugtvedt, P. C., y Petty E, R. (1989). Need for cognition and attitude persistence. Advances in Consumer Research, 16, 33-36. https://www.acrwebsite.org/volumes/6876/volumes/v16/NA-16

Hayes, A. (2022). Introduction to mediation, moderation and conditional Process Analysis. A regression-based approach. Guilford Press.

Hinyard, L. J., y Kreuter, M. W. (2007). Using narrative communication as a tool for health behavior change: a conceptual, theoretical, and empirical overview. Health Education & Behavior, 34(5), 777-792. https://doi.org/10.1177/1090198106291963

Hoeken, H., y Fikkers, K. M. (2014). Issue-relevant thinking and identification as mechanisms of narrative persuasion. Poetics, 44(June), 84-99. https://doi.org/10.1016/j.poetic.2014.05.001

Igartua, J. J. (2006). Métodos cuantitativos de investigación en comunicación. Bosch.

Igartua, J. J. (2007). Persuasión narrativa. Editorial Club Universitario.

Igartua, J. J. (2010). Identification with characters and narrative persuasion through fictional feature films. Communications, 35(4), 347–373. https://doi.org/10.1515/COMM.2010.019

Igartua, J. J. (2017). Comunicación para la salud y edu-entretenimiento. En U. Cuesta, C. Peñafiel, J. L. Terrón, E. Bustamante y S. Gaspar (Coords.). Comunicación y salud (pp. 161-181). Dextra.

Igartua, J. J., y Barrios, I. (2012). Changing real-world beliefs with controversial movies: processes and mechanisms of narrative persuasion. Journal of Communication, 62(3), 514-531. https://doi.org/10.1111/j.1460-2466.2012.01640.x

Igartua, J. J., Cheng, L., y Lopes, O. (2003). To think or not to think: two pathways towards persuasion by short films on aids prevention. Journal of Health Communication, 8(6), 513-528. https://doi.org/10.1080/716100420

Igartua, J. J., y Hayes, A. F. (2021). Mediation, moderation, and conditional process analysis: concepts, computations, and some common confusions. Spanish Journal of Psychology, 24, e49. https://doi.org/10.1017/SJP.2021.46

Igartua, J. J., y Vega, J. (2016). Identification with characters, elaboration, and counterarguing in entertainment-education interventions through audiovisual fiction. Journal of Health Communication, 21(3), 293-300. http://dx.doi.org/10.1080/10810730.2015.1064494

Kettner, N. M., Mayo, S. A., Hua, J., Lee, C., Moore, D. D., y Fu, L. (2015). Circadian dysfunction induces leptin resistance in mice. Cell Metabolism, 22(3), 448-459. https://doi.org/10.1016/j.cmet.2015.06.005

Kim, M. (2019). When similarity strikes back: conditional persuasive effects of character-audience similarity in anti-smoking campaign. Human Communication Research, 45(1), 52-77. https://doi.org/10.1093/hcr/hqy013

Kreuter, M. W., Green, M. C., Cappella, J., Slater, M.D., Wise, M., Storey, D., Clark, E., O'Keefe, D. J., Erwin, D., Holmes, K., Hinyard, L. J., Houston, T., y Woolley, S. (2007). Narrative communication in cancer prevention and control: a framework to guide research and application. Annals of Behavioral Medicine, 33(3), 221-235. https://doi.org/10.1007/BF02879904

Kreuter, M. W., Holmes, K., Alcaraz, K., Kalesan, B., Rath, S., Richert M., McQueen, A., Caito, N., Robinson, L., y Clark, E. M. (2010). Comparing narrative and informational videos to increase mammography in low-income African American women. Patient Education and Counseling, 81S(SUPPL.1), S6-S14. https://doi.org/10.1016/j.pec.2010.09.008

Mazor, K. M., Baril, J., Dugan, E., Spencer, F., Burgwinkle, P., y Gurwitz, J. H. (2007). Patient education about anticoagulant medication: is narrative evidence or statistical evidence more effective? Patient Education and Counseling, 69(1–3), 145–157. https://doi.org/10.1016/j.pec.2007.08.010

Meyers-Levy, J., y Peracchio, L. A. (1996). Moderators of the impact of self-reference on persuasion. Journal of Consumer Research, 22(4), 408–423. https://doi.org/10.1086/209458

Moyer-Gusé, E. (2008). Toward a theory of entertainment persuasion: explaining the persuasive effects of entertainment-education messages. Communication Theory, 18(3), 407-425. https://doi.org/10.1111/j.1468-2885.2008.00328.x

Moyer-Gusé, E. (2014). Entertainment-education: role of involvement. En T. L. Thompson (Ed.), Encyclopedia of health Communication (413-415). Sage.

Moyer-Gusé, E., y Nabi, R.L. (2010). Explaining the effects of narrative in an entertainment television program: overcoming resistance to persuasion. Human Communication Research, 36, 26-52. https://doi.org/10.1111/j.1468-2958.2009.01367.x

Murphy, S. T., Frank, L. B., Chatterjee, J. S., y Baezconde-Garbanati, L. (2013). Narrative versus nonnarrative: the role of identification, transportation, and emotion in reducing health disparities. Journal of Communication, 63(1), 116-137. https://doi.org/10.1111/jcom.12007

Nabi, R. L. (1999). A cognitive-functional model for the effects of discrete negative emotions on information processing, attitude change, and recall. Communication Theory, 9(3), 292–320. https://doi.org/10.1111/j.1468-2885.1999.tb00172.x

Nabi, R. L., y Green, M. C. (2015). The role of a narrative’s emotional flow in promoting persuasive outcomes. Media Psychology, 18, 137-162. https://doi.org/10.1080/15213269.2014.912585

Niederdeppe J., Shapiro M. A., y Porticella, N. (2011). Attributions of responsibility for obesity: narrative communication reduces reactive counterarguing among liberals. Human Communication Research, 37(3), 295-323. https://doi.org/10.1111/j.1468-2958.2011.01409.x

Ogilvie, R. P., y Patel, S. R. (2017). The epidemiology of sleep and obesity. Sleep Health, 3(5), 383-388. https://doi.org/10.1016/j.sleh.2017.07.013

Organización Mundial de la Salud (2021). Obesidad y sobre peso: datos y cifras. https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight

Petraglia, J. (2007). Narrative intervention in behavior and public health. Journal of Health Communication, 12(5), 493-505. https://doi.org/10.1080/10810730701441371

Petty, R., y Cacioppo, J. (1986). The elaboration likelihood model of persuasion. Advances in Experimental Social Psychology, 19, 123-205. https://doi.org/10.1016/S0065-2601(08)60214-2

Petty, R., Cacioppo. J., y Goldman, R. (1981) Personal involvement as a determinant of argument-based persuasion. Journal of Personality and Social Psychology, 41(5), 847–55. http://dx.doi.org/10.1037/0022-3514.41.5.847

Petty, R. E., y Cacioppo, J. T. (1990). Involvement and persuasion: tradition versus integration. Psychological Bulletin, 107(3), 367-374. https://doi.org/10.1037/0033-2909.107.3.367

Petty, R. E., Rucker, D. D., Bizer, G. Y., y Cacioppo, J. T. (2004). The elaboration likelihood model of persuasion. En J. S. Seiter y R. H. Gass (Eds.). Perspectives on persuasion, social influence and compliance gaining (65-89). Allyn & Bacon.

Ratcliff, C. L., y Sun, Y. (2020). Overcoming resistance through narratives: findings from a meta-analytic review. Human Communication Research, 46(4), 412-443. https://doi.org/10.1093/hcr/hqz017

Sasaki, N., Fujiwara, S., Yamashita, H., Ozono, R., Monzen, Y., Teramen, K., y Kihara, Y. (2018). Association between obesity and self-reported sleep duration variability, sleep timing, and age in the Japanese population. Obesity Research and Clinical Practice, 12(2), 187-194. https://doi.org/10.1016/j.orcp.2017.10.008

See, Y. H. M., Petty, R. E., y Evans, L. M. (2009). The impact of perceived message complexity and need for cognition on information processing and attitudes. Journal of Research in Personality, 43(5), 880-889. https://doi.org/10.1016/j.jrp.2009.04.006

Slater, M. D., y Rouner, D. (2002). Entertainment-education and elaboration likelihood: understanding the processing of narrative persuasion. Communication Theory, 12(2), 173-191. https://doi.org/10.1111/j.1468-2885.2002.tb00265.x

Suckfüll, M., y Scharkow, M. (2009). Modes of reception for fictional films. Communications, 34(4), 361–384. https://doi.org/10.1515/COMM.2009.023

Tajiri, E., Yoshimura, E., Hatamoto, Y., Tanaka, H., y Shimoda, S. (2018). Effect of sleep curtailment on dietary behavior and physical activity: a randomized crossover trial. Physiology and Behavior, 184, 60-67. https://doi.org/10.1016/j.physbeh.2017.11.008

Tasali, E., Wroblewski, K., Kahn, E., Kilkus, J., y Schoeller, D. A. (2022). Effect of sleep extension on objectively assessed energy intake among adults with overweight in real-life settings. A randomized clinical trial. JAMA Internal Medicine, 182(4), 365-370. https://doi.org/10.1001/jamainternmed.2021.8098

Thompson, T., y Kreuter, M. W. (2014). Using written narratives in public health practice: a creative writing perspective. Preventing Chronic Disease, 11(6), 1-7 https://doi.org/10.5888/pcd11.130402

Todd, R. M., Miskovic, V., Chikazoe, J., y Anderson, A. K. (2020). Emotional objectivity: neural representations of emotions and their interaction with cognition. Annual Review of Psychology, 71(1), 1–24. https://doi.org/10.1146/annurev-psych-010419-051044

Troutman, E., Nabi, R. L., Noar, S. M., Evans, R., y Widman, L. (2022). How emotional shifts effect youth perceptions of opioid risk and efficacy: testing a know the truth campaign narrative. Health Communication, 37(14), 1820-1831. https://doi.org/10.1080/10410236.2021.1921349

Zebregs, S., van den Putte, B., Neijens, P., y De Graaf, A. (2015). The differential impact of statistical and narrative evidence on beliefs, attitude, and intention: a meta-analysis. Health Communication, 30(3), 282-289. https://doi.org/10.1080/10410236.2013.842528

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01-03-2024

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Vargas-Rosero, E., & Igartua, J.-J. (2024). Mecanismos y efectos de los mensajes persuasivos de promoción de la higiene del sueño para el control del peso corporal. Revista De Comunicación, 23(1), 555–581. https://doi.org/10.26441/RC23.1-2024-3321

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