Misinformation and Its Correction: Continued Influence and Successful Debiasing

Myths in psychology: psychological misconceptions among Spanish psychology students

Myths in Psychology are beliefs that are widely spread and inconsistent with the empirical evidence available within this field of knowledge. They are characterized by being relatively stable, resistant to change, and prevalent both among the non-academic population and among students and professionals within this discipline. The aim of this study was to analyse the prevalence of these myths among Spanish psychology students and the influence of three variables: the type of university, face-to-face (UAM) and online (UNED), the academic year in which participants were enrolled and familiarity with scientific dissemination. Results show that participants from the face-to-face university, enrolled in higher academic years and that reports familiarity with scientific dissemination believe less in myths than those from the online university, enrolled in lower years and that report no familiarity with scientific dissemination.

Information discernment and online reading behaviour: an experiment

Purpose

This paper intends to explore the relationship between participants' eye fixations (a measure of attention) and durations (a measure of concentration) on areas of interest within a range of online articles and their levels of information discernment (a sub-process of information literacy characterising how participants make judgements about information).

Design/methodology/approach

Eye-tracking equipment was used as a proxy measure for reading behaviour by recording eye-fixations, dwell times and regressions in males aged 18–24 (n = 48). Participants' level of information discernment was determined using a quantitative questionnaire.

Findings

Data indicates a relationship between participants' level of information discernment and their viewing behaviours within the articles' area of interest. Those who score highly on an information discernment questionnaire tended to interrogate the online article in a structured and linear way. Those with high-level information discernment are more likely to pay attention to an article's textual and graphical information than those exhibiting low-level information discernment. Conversely, participants with low-level information discernment indicated a lack of curiosity by not interrogating the entire article. They were unsystematic in their saccadic movements spending significantly longer viewing irrelevant areas.

Social implications

The most profound consequence is that those with low-level information discernment, through a lack of curiosity in particular, could base their health, workplace, political or everyday decisions on sub-optimal engagement with and comprehension of information or misinformation (such as fake news).

Originality/value

Ground-breaking analysis of the relationship between a persons' self-reported level of information literacy (information discernment specifically) and objective measures of reading behaviour.

A framework to analyze opinion formation models

Comparing model predictions with real data is crucial to improve and validate a model. For opinion formation models, validation based on real data is uncommon and difficult to obtain, also due to the lack of systematic approaches for a meaningful comparison. We introduce a framework to assess opinion formation models, which can be used to determine the qualitative outcomes that an opinion formation model can produce, and compare model predictions with real data. The proposed approach relies on a histogram-based classification algorithm, and on transition tables. The algorithm classifies an opinion distribution as perfect consensus, consensus, polarization, clustering, or dissensus; these qualitative categories were identified from World Values Survey data. The transition tables capture the qualitative evolution of the opinion distribution between an initial and a final time. We compute the real transition tables based on World Values Survey data from different years, as well as the predicted transition tables produced by the French-DeGroot, Weighted-Median, Bounded Confidence, and Quantum Game models, and we compare them. Our results provide insight into the evolution of real-life opinions and highlight key directions to improve opinion formation models.

Countering Narrative Misinformation: Investigating the Effects of Narrative Corrections and Character Trust on Story-Related Knowledge of HPV

Guided by the entertainment overcoming resistance model (EORM), participants (N = 334) were exposed to narrative correction strategies designed to reduce reliance on a character that portrayed misinformation about HPV within a narrative. In a 2 × 2 experiment, participants were randomly assigned to either read a warning about an untrustworthy character or a description of the show and to view a post-show video where hosts discussed the motives and actions of that character or a control clip. Both narrative correction strategies reduced individuals' trust of the protagonist and, in turn, increased the number of correct answers on an HPV knowledge test. Identification moderated the indirect relationship between exposure to the post-show discussion and HPV knowledge. For those who reported greater identification with the protagonist, the post-show discussion reduced character trust whereas those who reported low identification were not impacted by this narrative correction strategy. The effect of the pre-show warning did not depend on level of identification. The results build on previous studies concerning narrative correction strategies as well as extend the EORM to narrative correction outcomes.

Emotion, analytic thinking and susceptibility to misinformation during the COVID-19 outbreak

Misinformation has become prevalent since the beginning of the COVID-19 pandemic. To understand why people believe and share misinformation, we conducted a nationwide survey during the COVID-19 outbreak in China. We found the indirect effects of COVID-19 risk on people's information accuracy judgment and associated information sharing intention through people's emotional states. People faced with a higher level of COVID-19 risk (measured by a 7-day moving average of daily new deaths or new cases) experienced weaker positive and stronger negative emotions, and heightened emotionality (both the positive and negative emotions) was associated with increased belief in and greater likelihood to share the COVID-19 information regardless of veracity. We also found that only the negative emotion mediated the relation between the COVID-19 risk and the truth discernment regarding accuracy judgment. However, the mediating effect of negative emotion disappeared among people with high analytic thinking ability. These findings suggest that the analytic thinking ability could moderate the destructive relationship between negative emotion and accuracy discernment. Based on a large sample, our findings provide actionable insights for the policymakers to respond to the spread of misinformation appropriately and promptly during the pandemic.

The use of the Dark Web as a COVID-19 information source: A three-country study

The Dark Web (i.e., the anonymous web or Darknet) contains potentially harmful COVID-19-related information and content such as conspiracy theories and forged certificates. The Dark Web may particularly attract individuals who are suspicious about the pandemic, but there is no research concerning the use of the Dark Web as a COVID-19 information source. In this study, we investigated the role of COVID-19 skepticism, online activities, and loneliness in the use of the Dark Web platforms as a COVID-19 information source. The data (N = 3000) were gathered in April 2021 from 18 to 75-year-old respondents from Finland (n = 1000), Sweden (n = 1000) and the United Kingdom (n = 1000). The respondents were asked how often they had utilized Dark Web platforms (for example via TOR-network) as a COVID-19 information source during the pandemic. Self-reported measures of institutional trust, anti-vaccine stances, restriction obedience, online activities, and loneliness were used as predictors in the logistic regression model. Age, gender, and education were also included in the model. The Dark Web use was more prevalent in the UK and Sweden. There was an association between anti-vaccine stances and active Dark Web use in the UK and Sweden, while low institutional trust predicted use among Finnish respondents. In all countries, restriction disobedience was related to Dark Web use as a COVID-19 information source. Frequent online gambling, increased social media use, and loneliness predicted Dark Web use, and these associations were even stronger among frequent Dark Web users than occasional users. Younger age and male gender were also associated with Dark Web use. The unregulated nature of the Dark Web makes it a risky alternative to COVID-19 information, attracting individuals who are suspicious about the pandemic and overall active online users. Misleading information and availability of forged certificates on the Dark Web challenge official health policies, posing significant risks for both individual and public health.

Why are people antiscience, and what can we do about it?

From vaccination refusal to climate change denial, antiscience views are threatening humanity. When different individuals are provided with the same piece of scientific evidence, why do some accept whereas others dismiss it? Building on various emerging data and models that have explored the psychology of being antiscience, we specify four core bases of key principles driving antiscience attitudes. These principles are grounded in decades of research on attitudes, persuasion, social influence, social identity, and information processing. They apply across diverse domains of antiscience phenomena. Specifically, antiscience attitudes are more likely to emerge when a scientific message comes from sources perceived as lacking credibility; when the recipients embrace the social membership or identity of groups with antiscience attitudes; when the scientific message itself contradicts what recipients consider true, favorable, valuable, or moral; or when there is a mismatch between the delivery of the scientific message and the epistemic style of the recipient. Politics triggers or amplifies many principles across all four bases, making it a particularly potent force in antiscience attitudes. Guided by the key principles, we describe evidence-based counteractive strategies for increasing public acceptance of science.

Growing Out of the Experience: How Subjective Experiences of Effort and Learning Influence the Use of Interleaved Practice

In higher education, many students make poor learning strategy decisions. This, in part, results from the counterintuitive nature of effective learning strategies: they enhance long-term learning but also cost high initial effort and appear to not improve learning (immediately). This mixed-method study investigated how students make learning strategy decisions in category learning, and whether students can be supported to make effective strategy decisions through a metacognitive prompt, designed to support accurate monitoring of effort and learning. Participants (N = 150) studied painting styles through blocked and interleaved practice, rated their perceived effort and perceived learning across time, and chose between either blocked or interleaved practice. Half of the participants (N = 74) were provided with a metacognitive prompt that showed them how their subjective experiences per strategy changed across time and required them to relate these experiences to the efficacy of learning strategies. Results indicated that subjective experiences with interleaved practice improved across time: students’ perceived learning increased as their perceived effort decreased. Mediation analysis revealed that the increased feeling of learning increased the likelihood to select interleaved practice. The percentage of students who chose interleaved practice increased from 13 to 40%. Students’ learning strategy decisions, however, did not benefit from the metacognitive prompt. Qualitative results revealed that students initially had inaccurate beliefs about the efficacy of learning strategies, but on-task experiences overrode the influence of prior beliefs in learning strategy decisions. This study suggests that repeated monitoring of effort and learning have the potential to improve the use of interleaved practice.

Examining the role of information integration in the continued influence effect using an event segmentation approach

Misinformation regarding the cause of an event often continues to influence an individual’s event-related reasoning, even after they have received a retraction. This is known as the continued influence effect (CIE). Dominant theoretical models of the CIE have suggested the effect arises primarily from failures to retrieve the correction. However, recent research has implicated information integration and memory updating processes in the CIE. As a behavioural test of integration, we applied an event segmentation approach to the CIE paradigm. Event segmentation theory suggests that incoming information is parsed into distinct events separated by event boundaries, which can have implications for memory. As such, when an individual encodes an event report that contains a retraction, the presence of event boundaries should impair retraction integration and memory updating, resulting in an enhanced CIE. Experiments 1 and 2 employed spatial event segmentation boundaries in an attempt to manipulate the ease with which a retraction can be integrated into a participant’s mental event model. While Experiment 1 showed no impact of an event boundary, Experiment 2 yielded evidence that an event boundary resulted in a reduced CIE. To the extent that this finding reflects enhanced retrieval of the retraction relative to the misinformation, it is more in line with retrieval accounts of the CIE.

EXPRESS: Experiencing misinformation: The effect of pre-exposure warnings and debunking on psychic beliefs

Misinformation can have a detrimental impact on our beliefs, and it is therefore necessary to understand the cognitive mechanism by which false information is integrated or can be changed. In two experiments, we worked with fake psychic demonstrations, because observers easily adopt the experience as reflecting a « true » psychic event. We manipulated the availability of alternative explanations by providing a general warning that the performer is a magician with no psychic abilities (Experiment 1), or disclosing afterwards how the fake demonstration had been staged (Experiment 2). In experiment 1, witnessing the psychic demonstration significantly increased participants' psychic beliefs, even though they had been warned. However, providing the alternative explanation about the deceptive method mitigated this effect. In experiment 2, the realization of deception significantly reduced participants' psychic beliefs directly after the performance, and remained reduced at the one week later.

Reducing Misperceptions About Very Low Nicotine Content Cigarettes: Insights From Adults Who Smoke

INTRODUCTION

Many people incorrectly think that very low nicotine content (VLNC) cigarettes are less carcinogenic than current cigarettes. This risk misperception by people who smoke could reduce motivation to quit under a nicotine reduction policy. We qualitatively examined perspectives on campaign messages designed to reduce misperceptions.

AIMS AND METHODS

Adults who smoke from North Carolina participated in online interviews. After being introduced to the idea of a VLNC policy, participants were shown VLNC messages and asked about their perceptions on the clarity, understandability, persuasiveness, and meaning of the messages. We conducted a thematic content analysis of the transcripts.

RESULTS

Thirty adults who smoke cigarettes participated (15 females, 13 males, 2 nonbinary) with a mean age of 43 years. Central themes that emerged were: (1) Confusion about the proposed VLNC cigarette policy affected how messages were interpreted; (2) Messages that promote self-efficacy for quitting rather than guilt or fear were better received; and (3) Direct and succinct messages were seen as more able to grab attention and inform people who smoke. Some participant concerns focused on whether VLNC cigarettes would relieve their nicotine cravings and whether they would need to smoke more VLNC cigarettes to feel satisfied.

CONCLUSION

Campaign messages to educate the public about the harmful effects of smoking VLNC cigarettes may be more effective if people who smoke are informed about the policy's rationale to understand why nicotine is removed rather than the other harmful chemicals. Messages should also acknowledge the difficulty of quitting and be short and direct to capture attention.

IMPLICATIONS

Adults who smoke have some confusion about nicotine reduction in cigarettes and this affects how they perceive potential communication campaign messages about the risk of smoking VLNC cigarettes. In our qualitative research, we found that adults who smoke prefer messages about VLNC cigarettes that acknowledge the challenge of quitting and that are direct and succinct. With further development, campaign messages may be able to reduce misperceptions about VLNC cigarettes and maximize the public health benefit of a nicotine reduction policy.

Design Principles for an Educational Intervention Into Online Vaccine Misinformation

As part of a design-based research effort into disrupting the spread of COVID-19 misinformation, we have iteratively designed, developed, and evaluated a learning intervention intended for public audiences. In this paper we describe the design principles we created to guide our applied research into education on the topic of online misinformation. The six principles guiding our design are: microlearning; equity; relevance and appeal to learners; interventions that do not inadvertently spread misinformation; effective counter messaging; and engagement on an emotional level. These principles are grounded on equitable design, anti-misinformation design, and emotional design.

"My People Already Know That": The Imagined Audience and COVID-19 Health Information Sharing Practices on Social Media

This article examines how imagined audiences and impression management strategies shape COVID-19 health information sharing practices on social media and considers the implications of this for combatting the spread of misinformation online. In an interview study with 27 Canadian adults, participants were shown two infographics about masks and vaccines produced by the World Health Organization (WHO) and asked whether or not they would share these on social media. We find that interviewees' willingness to share the WHO infographics is negotiated against their mental perception of the online audience, which is conceptualized in three distinct ways. First, interviewees who would not share the infographics frequently describe a self-similar audience of peers that are "in the know" about COVID-19; second, those who might share the infographics conjure a specific and contextual audience who "needs" the information; and finally, those who said they would share the infographics most frequently conjure an abstract audience of "the public" or "my community" to explain that decision. Implications of these sharing behaviors for combatting the spread of misinformation are discussed.

Hesitancy to receive the novel coronavirus vaccine and potential influences on vaccination among a cohort of healthcare workers in the Democratic Republic of the Congo

Hesitancy to receive the COVID-19 vaccine among healthcare workers (HCWs) in low-resource settings, such as the Democratic Republic of the Congo (DRC), is a major global health challenge. This study identifies changes in willingness to receive vaccination among 588 HCWs in the DRC and reported influences on COVID-19 vaccination intentions. Up to 25 repeated measures were collected from participants between August 2020 to August 2021. Among the overall cohort, between August 2020 and mid-March 2021, the proportion of HCWs in each period of data collection reporting COVID-19 vaccine hesitancy ranged from 8.6% (95% CI: 5.97, 11.24) to 24.3% (95% CI: 20.12, 28.55). By early April 2021, the proportion reporting hesitancy more than doubled (52.0%; 95% CI: 46.22, 57.83). While hesitancy in the cohort began to decline by late-June 2021, 22.6% (95% CI: 18.05, 27.18) respondents indicated hesitancy in late-August 2021 which remains greater than the proportion of hesitancy at any time prior to early-March 2021. Patterns in reported influences on COVID-19 vaccination were varied with the proportion reporting some influences (e.g., no serious side effects, country of vaccine production) remaining stable throughout the year and other factors (e.g., recommendation of Ministry of Health, ease of vaccination) falling in popularity among respondents. Agreement that the national vaccination schedule should be followed apart from the COVID-19 vaccine remained high among respondents throughout the study period. This study shows that, among a cohort of HCWs in the DRC who have likely been influenced by regional, national, and global factors, COVID-19 vaccine hesitancy has fluctuated during the pandemic and should not be treated as a static factor. Additional research to determine which factors most influence HCWs’ willingness to receive the COVID-19 vaccine offers opportunities to reduce vaccine hesitancy among this important population through tailored public health messaging.

EXPRESS: Combining Refutations and Social Norms Increases Belief Change

Misinformed beliefs are difficult to change. Refutations that target false claims typically reduce false beliefs, but tend to be only partially effective. In this study, a social norming approach was explored to test whether provision of peer norms could provide an alternative or complementary approach to refutation. Three experiments investigated whether a descriptive norm-by itself or in combination with a refutation-could reduce the endorsement of worldview-congruent claims. Experiment 1 found that using a single point estimate to communicate a norm affected belief but had less impact than a refutation. Experiment 2 used a verbally-presented distribution of four values to communicate a norm, which was largely ineffective. Experiment 3 used a graphically-presented social norm with 25 values, which was found to be as effective at reducing claim belief as a refutation, with the combination of both interventions being most impactful. These results provide a proof of concept that normative information can aid in the debunking of false or equivocal claims, and suggests that theories of misinformation processing should take social factors into account.

Effect of a Science of Learning Course on Beliefs in Neuromyths and Neuroscience Literacy

Misconceptions about the brain (neuromyths) among educators have been found across different countries, but little has been done to dispel them. The present study assessed the effect of a one-year Science of Learning (SoL) course on neuroscience literacy and beliefs in neuromyths in a sample of Chilean pre-service teachers. An experimental group of pre-service teachers, who took the SoL course as part of their university training, and a control group were needed for the study. Participants in both groups completed an online survey three times during the year (beginning, middle and end of year). The results showed that participants in both groups responded correctly to most assertions but held major misconceptions about the brain (Time 1), in line with previous studies. Regarding neuroscience literacy, participants in the experimental and control groups did not differ significantly at Time 1, but the experimental group showed significantly better performance than the control group at Time 2 and Time 3. Unlike neuroscience literacy, the results in neuromyth beliefs did not differ significantly by group at Time 1 and Time 2; however, at Time 3, the experimental group showed a significant decline in neuromyth beliefs. Overall, these results suggest that the SoL course significantly improved overall neuroscience literacy and reduced neuromyth belief among pre-service teachers, but the effect of the intervention was small.

If fear of infertility restricts contraception use, what do we know about this fear? An examination in rural Ethiopia

BACKGROUND

Ethiopia has made great progress toward reducing unmet need for family planning and increasing contraception use over the last decade. However, almost one-quarter of women still have an unmet need. The primary reason for non-use is "method-related health concerns" and, within this broad category, the belief that using contraception will cause infertility is common. This belief extends beyond Ethiopia to low-, middle-, and high-income countries across the world. The objective of this paper is to examine associations with the belief that contraception use causes infertility and to subsequently suggest potential strategies to address this misperception.

METHODS

We collected data from women of reproductive age (between 15 and 49 years old) in 115 rural districts of Ethiopia (n = 706). Our main outcome variable was the belief that contraception causes infertility. We analyzed data, both individual-level factors and interpersonal factors, using nested logistic regression models.

RESULTS

Almost half of women in our sample (48.2%) believed that contraceptive use causes infertility. In the final model that included factors from both levels, self-efficacy to use contraception (AOR = 0.81, p < 0.05), visiting a health center and speaking to a provider about family planning in the last 12 months (AOR = 0.78, p < 0.05), and husband support of contraception (AOR = 0.77, p < 0.01) were associated with a reduction in the odds of believing that contraception causes infertility. The belief that infertility will result in abandonment from one's husband (AOR = 3.06, p < 0.001) was associated with an increase in the odds of holding the belief that contraception causes infertility. A home visit in the last 12 months from a health worker who discussed family planning was not associated with the belief that contraceptive use causes infertility.

CONCLUSIONS

Given that this belief is both salient and positively associated with other fears such as abandonment from one's husband, it is critical for family planning programs to address it. Communication campaigns or interventions that address this misperception among couples may diminish this belief, thereby increasing contraception use and reducing unmet need in rural Ethiopia.

Parental socioeconomic and psychological determinants of the 2009 pandemic influenza A(H1N1) vaccine uptake in children

BACKGROUND

Before COVID-19, the previous pandemic was caused by influenza A(H1N1)pdm09 virus in 2009. Identification of factors behind parental decisions to have their child vaccinated against pandemic influenza could be helpful in planning of other pandemic vaccination programmes. We investigated the association of parental socioeconomic and psychosocial factors with uptake of the pandemic influenza vaccine in children in 2009-2010.

METHODS

This study was conducted within a prospective birth-cohort study (STEPS Study), where children born in 2008-2010 are followed from pregnancy to adulthood. Demographic and socioeconomic factors of parents were collected through questionnaires and vaccination data from electronic registers. Before and after the birth of the child, the mother's and father's individual and relational psychosocial well-being, i.e. depressive symptoms, dissatisfaction with the relationship, experienced social and emotional loneliness, and maternal anxiety during pregnancy, were measured by validated questionnaires (BDI-II, RDAS, PRAQ, and UCLA).

RESULTS

Of 1020 children aged 6-20 months at the beginning of pandemic influenza vaccinations, 820 (80%) received and 200 (20%) did not receive the vaccine against influenza A(H1N1)pdm09. All measures of parents' psychosocial well-being were similar between vaccinated and non-vaccinated children. Children of younger mothers had a higher risk of not receiving the influenza A(H1N1)pdm09 vaccine than children of older mothers (OR 2.59, 95% CI 1.52-4.43, for mothers < 27.7 years compared to ≥ 33.6 years of age). Children of mothers with lower educational level had an increased risk of not receiving the vaccine (OR 1.46, 95% CI 1.00-2.14).

CONCLUSIONS

Mother's younger age and lower education level were associated with an increased risk for the child not to receive the 2009 pandemic influenza vaccine, but individual or relational psychosocial well-being of parents was not associated with children's vaccination. Our findings suggest that young and poorly educated mothers should receive targeted support in order to promote children's vaccinations during a pandemic.

COVID-19 vaccines in patients with cancer: immunogenicity, efficacy and safety

Patients with cancer have a higher risk of severe coronavirus disease (COVID-19) and associated mortality than the general population. Owing to this increased risk, patients with cancer have been prioritized for COVID-19 vaccination globally, for both primary and booster vaccinations. However, given that these patients were not included in the pivotal clinical trials, considerable uncertainty remains regarding vaccine efficacy, and the extent of humoral and cellular immune responses in these patients, as well as the risks of vaccine-related adverse events. In this Review, we summarize the current knowledge generated in studies conducted since COVID-19 vaccines first became available. We also highlight critical points that might affect vaccine efficacy in patients with cancer in the future.

Navigating credibility of online information during COVID-19: using mnemonics to empower the public to spot red flags in health information online

Misinformation creates challenges for the general public in differentiating truth from fiction in web-based content. During the COVID-19 pandemic, this issue has been amplified due to high volumes of news and changing information. Evidence on misinformation largely focuses on understanding the psychology of misinformation and debunking strategies but neglects to explore critical thinking education for the general public. This viewpoint outlines the science of misinformation and the current resources available to the public. This paper describes the development and theoretical underpinnings of a mnemonic (Conflict of Interest, References, Author, Buzzwords, Scope of Practice [CRABS]) for identifying misinformation in web-based health content. Leveraging evidence-based educational strategies may be a promising approach for empowering the public with the confidence needed to differentiate truth from fiction in an infodemic.

Pro-vaccination Groups Expressing Hesitant Attitudes: A Cross-Sectional Study About the Difference Between Attitudes and Actual Behavior in Israel

Background

Vaccines have contributed to the decline in mortality, morbidity, and even the eradication of various infectious diseases. Over time, the availability of information to the public and the request for public involvement in the health decision-making process have risen, and the confidence in vaccines has dropped. An increasing number of parents and individuals are choosing to delay or refuse vaccines.

Objectives

(1) Identifying hesitant attitudes among pro-vaccination parents; (2) testing the difference between the rate of hesitant attitudes and the rate of hesitancy in practice among pro-vaccination parents; and (3) examining the association of sociodemographic characteristics (gender, age, marital status education and religious affiliation) with the difference between hesitant attitudes and hesitancy in practice among pro-vaccination parents.

Methods

Descriptive cross-sectional survey using an online survey that measured vaccine hesitancy among pro-vaccination parents (n = 558) whose children were in kindergarten (3–5 years), according to a variety of sociodemographic characteristics.

Results

A significant difference was found between the rate of hesitant attitudes and the rate of hesitation in actual vaccination among pro-vaccination and hesitant parents, where despite that 26% of the parents had hesitant attitudes, only 19% hesitated in practice [P = 0.0003]. There was also a significant difference between the rate of hesitant attitudes and the rate of hesitancy in practice among women [P = 0.0056] and men [P = 0.0158], parents between 30 and 39 years of age [P = 0.0008], traditional parents [P = 0.0093], Non-academic parents [P = 0.0007] and parents with BA degree [P = 0.0474].

Conclusion

Pro-vaccination individuals may have hesitant attitudes regarding vaccines. Therefore, it is very important for health authorities to address the public's fears and concerns, including those who are classified as pro-vaccination.

Examining the impact of sharing COVID-19 misinformation online on mental health

Misinformation about the COVID-19 pandemic proliferated widely on social media platforms during the course of the health crisis. Experts have speculated that consuming misinformation online can potentially worsen the mental health of individuals, by causing heightened anxiety, stress, and even suicidal ideation. The present study aims to quantify the causal relationship between sharing misinformation, a strong indicator of consuming misinformation, and experiencing exacerbated anxiety. We conduct a large-scale observational study spanning over 80 million Twitter posts made by 76,985 Twitter users during an 18.5 month period. The results from this study demonstrate that users who shared COVID-19 misinformation experienced approximately two times additional increase in anxiety when compared to similar users who did not share misinformation. Socio-demographic analysis reveals that women, racial minorities, and individuals with lower levels of education in the United States experienced a disproportionately higher increase in anxiety when compared to the other users. These findings shed light on the mental health costs of consuming online misinformation. The work bears practical implications for social media platforms in curbing the adverse psychological impacts of misinformation, while also upholding the ethos of an online public sphere.

A Study on the Effectiveness of Rumor Control via Social Media Networks to Alleviate Public Panic About COVID-19

The COVID-19 outbreak triggered a massive spread of unverified news on social media and has become a source of rumors. This paper studies the impact of a virtual rumor control center (RCC) on Weibo user behavior. The collected COVID-19 breaking news stories were divided into positive, negative, and neutral categories, while the moderating effect model was used to analyze the influence of anti-rumor on user behavior (forwarding, liking, and commenting). Our research found that rumor refuting does not directly affect user behavior but does have an indirect moderating effect. Rumor refuting has a profound impact on user forwarding behavior in cases of positive and negative news. Specifically, when the epidemic becomes more serious, the role of rumor refuting becomes critical, and vice versa. Refuting rumors reduces user willingness to forward positive or negative news, with more impact on negative news. Time lag analysis shows a significant moderation of unverified news within 72 h of refuting rumors but indicated an apparent weakening trend over time. Furthermore, we discovered non-linear feature and counter-cyclical phenomena in the moderating effect of rumor refutation.

Leveraging information literacy: Mapping the conceptual influence and appropriation of information literacy in other disciplinary landscapes

Information literacy forms a key concept within Library and Information Science, where it forms the focus of scholarship, conferences, journals and teaching librarian practice, alike. However, little is known about how other fields and disciplines have employed these outputs within their own research and practice. This paper examines how the concept of information literacy has been leveraged into the discourses of non-Library and Information Science disciplinary landscapes. This is achieved through a qualitative mapping of five different fields and disciplines, including Higher Education, Management and Business, Public Health, Nursing and Psychology, to identify how information literacy terminology, definitions, theories and frameworks have travelled across scholarly and practice boundaries to become appropriated into other disciplinary landscapes. The aim of this collaborative work is to develop an indicative rather than an exhaustive understanding of what travels within information literacy research and practice and to strengthen the Library and Information Science narrative on the impact of information literacy activities.

Efficacy information influences intention to take COVID-19 vaccine

OBJECTIVES

A successful response to the COVID-19 pandemic requires achieving high levels of vaccine uptake. We tested whether directly contrasting the high efficacy of COVID-19 vaccines with the lower efficacy of the annual flu vaccine would increase intentions to take a COVID-19 vaccine.

DESIGN

A pre-registered online study of 481 participants compared four information conditions: (1) no information; (2) COVID-19 Vaccine Information Only; and COVID-19 Vaccine Information combined with flu vaccine information suggesting either (3) 60% efficacy or (4) 40% efficacy; we measured COVID-19 and flu vaccine intentions along with several other vaccine-related variables.

METHODS

The Prolific platform was used to recruit 481 UK participants (64% female; aged between 18 and 85 years) who had been pre-screened to have intermediate levels of vaccine hesitancy. After reading a short text (~200 words) about COVID-19 vaccines, participants were asked about their vaccination intentions.

RESULTS

Providing information about the safety and efficacy of the new COVID-19 vaccines resulted in vaccination intentions that were, on average, 0.39 standard deviations (SDs) higher than those in the no information condition; providing the same COVID vaccine efficacy information in the context of information about flu vaccine efficacy resulted in a further significant increase in vaccination intentions that were 0.68 SD higher than those in the no information condition. This positive contrast effect for the COVID-19 vaccine was not associated with reduced flu vaccine intentions.

CONCLUSIONS

Vaccination intentions can be strengthened through a simple messaging intervention that utilizes context effects to increase perceived response efficacy.

Risk communication and community engagement during COVID-19

In today's information age, both excess and lack of information can cause a disaster. COVID-19 pandemic not only highlighted the significance of risk communication but also pointed out several unintended and distressing consequences due to information gaps and miscommunications. Despite facing a common threat, the local communities suffered differential impacts during the pandemic. This paper classifies the nature of risk communications experienced across different countries into three categories, namely: inadequate, ideal, and infodemic risk communication that influenced the local perceptions and responses. It further argues that inadequately planned risk communications tend to create new risks and compromise the efforts towards managing a disaster. As global risks are responded locally, there is a need for more inclusive and engaging risk communication that involves communities as responsible stakeholders who understand, plan, and respond to risks to increase their propensity for resilience during disasters and crisis situations.

A discourse analysis of health provider interactions with parents who are reluctant to vaccinate

OBJECTIVE

Vaccine hesitancy is a persistent barrier to vaccination uptake, and health professionals report interactions with such parents to be difficult. Using discourse analytic techniques, we examine the foundation of a therapeutic relationship: the display of empathy and attempts to build rapport, in consultations between immunisation specialists and vaccine reluctant parents.

METHODS

Consultations between consenting clinicians and parents in two Specialist Immunisation Clinics in Australia were recorded. Twelve conversations between the clinicians and parents were analysed using interactional sociolinguistic (IS) discourse analytic methods.

RESULTS

This paper takes a case study approach by citing two interactions that exemplify the interactional work of the consultants as they strive to engender mutual understanding and goodwill, noting examples of discursive choices that demonstrate empathy and the building of rapport.

CONCLUSION

Awareness of discourse strategies that interweave relational and clinical goals enable a more nuanced understanding of communication skills that support a guiding partnership in vaccine related decisions with parents.

PRACTICAL IMPLICATIONS

Through highlighting the strategic interactional work that displays empathy and builds rapport, we can inform educational approaches and build a repertoire of communication choices that strengthen the communication skills of health professionals.

Factors influencing fake news rebuttal acceptance during the COVID-19 pandemic and the moderating effect of cognitive ability

Fake news is spreading rapidly on social media and poses a serious threat to the COVID-19 outbreak response. This study thus aims to reveal the factors influencing the acceptance of fake news rebuttals on Sina Weibo. Drawing on the elaboration likelihood model (ELM), we used text mining and the econometrics method to investigate the relationships among the central route (rebuttal's information readability and argument quality), peripheral route (rebuttal's source credibility, including authority and influence), and rebuttal acceptance, as well as the moderating effect of receiver's cognitive ability on these relationships. Our findings suggest that source authority had a negative effect on rebuttal acceptance, while source influence had a positive effect. Second, both information readability and argument quality had positive effects on rebuttal acceptance. In addition, individuals with low cognitive abilities relied more on source credibility and argument quality to accept rebuttals, while individuals with high cognitive abilities relied more on information readability. This study can provide decision support for practitioners to establish more effective fake news rebuttal strategies; it is especially valuable to reduce the negative impact of fake news related to major public health emergencies and safeguard the implementation of anti-epidemic strategies.

Investigation of the determinants for misinformation correction effectiveness on social media during COVID-19 pandemic

The rapid dissemination of misinformation in social media during the COVID-19 pandemic triggers panic and threatens the pandemic preparedness and control. Correction is a crucial countermeasure to debunk misperceptions. However, the effective mechanism of correction on social media is not fully verified. Previous works focus on psychological theories and experimental studies, while the applicability of conclusions to the actual social media is unclear. This study explores determinants governing the effectiveness of misinformation corrections on social media with a combination of a data-driven approach and related theories on psychology and communication. Specifically, referring to the Backfire Effect, Source Credibility, and Audience's role in dissemination theories, we propose five hypotheses containing seven potential factors (regarding correction content and publishers' influence), e.g., the proportion of original misinformation and warnings of misinformation. Then, we obtain 1487 significant COVID-19 related corrections on Microblog between January 1st, 2020 and April 30th, 2020, and conduct annotations, which characterize each piece of correction based on the aforementioned factors. We demonstrate several promising conclusions through a comprehensive analysis of the dataset. For example, mentioning excessive original misinformation in corrections would not undermine people's believability within a short period after reading; warnings of misinformation in a demanding tone make correction worse; determinants of correction effectiveness vary among different topics of misinformation. Finally, we build a regression model to predict correction effectiveness. These results provide practical suggestions on misinformation correction on social media, and a tool to guide practitioners to revise corrections before publishing, leading to ideal efficacies.

An energizing role for motivation in information-seeking during the early phase of the COVID-19 pandemic

The COVID-19 pandemic has highlighted the importance of understanding and managing information seeking behavior. Information-seeking in humans is often viewed as irrational rather than utility maximizing. Here, we hypothesized that this apparent disconnect between utility and information-seeking is due to a latent third variable, motivation. We quantified information-seeking, learning, and COVID-19-related concern (which we used as a proxy for motivation regarding COVID-19 and the changes in circumstance it caused) in a US-based sample (n = 5376) during spring 2020. We found that self-reported levels of COVID-19 concern were associated with directed seeking of COVID-19-related content and better memory for such information. Interestingly, this specific motivational state was also associated with a general enhancement of information-seeking for content unrelated to COVID-19. These effects were associated with commensurate changes to utility expectations and were dissociable from the influence of non-specific anxiety. Thus, motivation both directs and energizes epistemic behavior, linking together utility and curiosity.

Information-seeking behavior in humans is often viewed as irrational rather than utility maximizing. Here the authors describe data obtained in Spring 2020 showing that participants’ concern about COVID-19 was related not only to their drive to seek information about the virus, but also to their curiosity about other more general topics.

Vaccination against misinformation: The inoculation technique reduces the continued influence effect

The continued influence effect of misinformation (CIE) is a phenomenon in which certain information, although retracted and corrected, still has an impact on event reporting, reasoning, inference, and decisions. The main goal of this paper is to investigate to what extent this effect can be reduced using the procedure of inoculation and how it can be moderated by the reliability of corrections' sources. The results show that the reliability of corrections' sources did not affect their processing when participants were not inoculated. However, inoculated participants relied on misinformation less when the correction came from a highly credible source. For this source condition, as a result of inoculation, a significant increase in belief in retraction, as well as a decrease in belief in misinformation was also found. Contrary to previous reports, belief in misinformation rather than belief in retraction predicted reliance on misinformation. These findings are of both great practical importance as certain boundary conditions for inoculation efficiency have been discovered to reduce the impact of the continued influence of misinformation, and theoretical, as they provide insight into the mechanisms behind CIE. The results were interpreted in terms of existing CIE theories as well as within the remembering framework, which describes the conversion from memory traces to behavioral manifestations of memory.

Accuracy prompts are a replicable and generalizable approach for reducing the spread of misinformation

Interventions that shift users attention toward the concept of accuracy represent a promising approach for reducing misinformation sharing online. We assess the replicability and generalizability of this accuracy prompt effect by meta-analyzing 20 experiments (with a total N = 26,863) completed by our group between 2017 and 2020. This internal meta-analysis includes all relevant studies regardless of outcome and uses identical analyses across all studies. Overall, accuracy prompts increased the quality of news that people share (sharing discernment) relative to control, primarily by reducing sharing intentions for false headlines by 10% relative to control in these studies. The magnitude of the effect did not significantly differ by content of headlines (politics compared with COVID-19 related news) and did not significantly decay over successive trials. The effect was not robustly moderated by gender, race, political ideology, education, or value explicitly placed on accuracy, but was significantly larger for older, more reflective, and more attentive participants. This internal meta-analysis demonstrates the replicability and generalizability of the accuracy prompt effect on sharing discernment.

Hesitancy towards COVID-19 vaccines on social media in Canada

To effectively end the pandemic, the acceptance of effective vaccines against COVID-19 is critical. Comments posted in online platforms act as a barometer for understanding public concerns regarding vaccination and can be used to inform communication strategies for the 'moveable middle'. The aim of this exploratory study was to identify online dialogue regarding the nature of vaccine hesitancy related to COVID-19 vaccine(s). We analyzed user comment threads in response to news reports regarding COVID-19 vaccines on the Canadian Broadcasting Corporation national news website (with as many as 9.4 million unique visitors per day). User comments (n = 1145) were extracted from 19 articles between March 2020 and June 15th, 2020. Comments were then coded inductively for content to establish a coding framework that was subsequently applied to the dataset. Our data provide empirical support for misrepresentation as a form of misinformation and further demonstrate the utility of social media content as data for social research that informs public health communication materials. The data point to the need for, and value of, rapid communication interventions to foster vaccine acceptance. False information will continue to create challenges for delivering COVID-19 vaccines. Communication strategies to get ahead of the pace of misinformation are critical, particularly in light of boosters and the possibility of COVID-19 vaccination on an annual basis.

Verschwörungstheorien und paranoider Wahn: Lassen sich Aspekte kognitionspsychologischer Modelle zu Entstehung und Aufrechterhaltung von paranoiden Wahnüberzeugungen auf Verschwörungstheorien übertragen?

Der vorliegende narrative Übersichtsartikel stellt zunächst verschiedene Definitionen von Verschwörungstheorien und Verschwörungsmentalität vor und präsentiert Studien zu Zusammenhängen zwischen Persönlichkeitseigenschaften, Symptomen psychischer Störungen und Verschwörungstheorien. Anschließend werden die Kontinuumshypothese des Wahns sowie neuere Konzeptualisierungen von allgemeinem und paranoiden Wahn diskutiert, des Weiteren werden typische kognitionspsychologische Modelle präsentiert, die die Entstehung und Aufrechterhaltung von Wahnüberzeugungen durch eine Interaktion von biologischen Vulnerabilitätsfaktoren, psychologischen Faktoren und sozialen Faktoren erklären. In diesen Modellen mediieren sowohl kognitive Verarbeitungsstile („cognitive biases“) als auch emotionale Prozesse die Entstehung und Aufrechterhaltung von Wahn, beispielsweise die Tendenz, voreilige Schlussfolgerungen zu treffen („jumping to conclusions bias“), sowie externale Kontrollüberzeugungen und ein externalisierender personalisierender Kausalattributionsstil. Anschließend wird diskutiert, ob Menschen, die Verschwörungstheorien zugeneigt sind, ebenfalls ähnliche kognitive Verarbeitungsstile aufweisen, die auch bei Personen zu finden sind, die paranoiden Wahnüberzeugungen zustimmen und unter psychotischen Störungen leiden. Parallelen bestehen zwischen beiden Personengruppen beispielsweise im Hinblick auf eine Neigung zu externalen Kontrollüberzeugungen und einen external personalisierenden Kausalattributionsstil. Auch bestehen Ähnlichkeiten in der Neigung, voreilige Schlussfolgerungen zu treffen. Fragen nach Gemeinsamkeiten und Unterschieden zwischen beiden Phänomenen sollten in weiteren präregistrierten experimentellen Studien quer- sowie längsschnittlich untersucht werden. Möglicherweise könnten moderne niedrigschwellige Interventionsmethoden der kognitiven Verhaltenstherapie von Psychosen (CBTp) in die Beratung oder Prävention von Verschwörungstheorien implementiert werden.

Tracking discussions of complementary, alternative, and integrative medicine in the context of the COVID-19 pandemic: a month-by-month sentiment analysis of Twitter data

BACKGROUND

Coronavirus disease 2019 (COVID-19) is a novel infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Despite the paucity of evidence, various complementary, alternative and integrative medicines (CAIMs) have been being touted as both preventative and curative. We conducted sentiment and emotion analysis with the intent of understanding CAIM content related to COVID-19 being generated on Twitter across 9 months.

METHODS

Tweets relating to CAIM and COVID-19 were extracted from the George Washington University Libraries Dataverse Coronavirus tweets dataset from March 03 to November 30, 2020. We trained and tested a machine learning classifier using a large, pre-labelled Twitter dataset, which was applied to predict the sentiment of each CAIM-related tweet, and we used a natural language processing package to identify the emotions based on the words contained in the tweets.

RESULTS

Our dataset included 28 713 English-language Tweets. The number of CAIM-related tweets during the study period peaked in May 2020, then dropped off sharply over the subsequent three months; the fewest CAIM-related tweets were collected during August 2020 and remained low for the remainder of the collection period. Most tweets (n = 15 612, 54%) were classified as positive, 31% were neutral (n = 8803) and 15% were classified as negative (n = 4298). The most frequent emotions expressed across tweets were trust, followed by fear, while surprise and disgust were the least frequent. Though volume of tweets decreased over the 9 months of the study, the expressed sentiments and emotions remained constant.

CONCLUSION

The results of this sentiment analysis enabled us to establish key CAIMs being discussed at the intersection of COVID-19 across a 9-month period on Twitter. Overall, the majority of our subset of tweets were positive, as were the emotions associated with the words found within them. This may be interpreted as public support for CAIM, however, further qualitative investigation is warranted. Such future directions may be used to combat misinformation and improve public health strategies surrounding the use of social media information.

Lateral reading and monetary incentives to spot disinformation about science

Disinformation about science can impose enormous economic and public health burdens. A recently proposed strategy to help online users recognise false content is to follow the techniques of professional fact checkers, such as looking for information on other websites (lateral reading) and looking beyond the first results suggested by search engines (click restraint). In two preregistered online experiments (N = 5387), we simulated a social media environment and tested two interventions, one in the form of a pop-up meant to advise participants to follow such techniques, the other based on monetary incentives. We measured participants’ ability to identify whether information was scientifically valid or invalid. Analysis of participants’ search style reveals that both monetary incentives and pop-up increased the use of fact-checking strategies. Monetary incentives were overall effective in increasing accuracy, whereas the pop-up worked when the source of information was unknown. Pop-up and incentives, when used together, produced a cumulative effect on accuracy. We suggest that monetary incentives enhance content relevance, and could be combined with fact-checking techniques to counteract disinformation.

Exposure to negative news stories about vaping, and harm perceptions of vaping, among youth in England, Canada, and the US before and after the outbreak of E-cigarette or Vaping-Associated Lung Injury (EVALI)

Introduction

Little is known about the international impact of E-cigarette or Vaping-Associated Lung Injury (‘EVALI’) on youth perceptions of vaping harms.

Methods

Repeat cross-sectional online surveys of youth aged 16–19 years in England, Canada, and the United States before (2017, 2018), during (2019 August/September), and after (2020 February/March, 2020 August) the ‘EVALI’ outbreak (N = 63380). Logistic regressions assessed trends, country differences, and associations between exposure to negative news stories about vaping and vaping harm perceptions.

Results

Exposure to negative news stories increased between 2017 and February–March 2020 in England (12.6% to 34.2%), Canada (16.7% to 56.9%), and the United States (18.0% to 64.6%), accelerating during (2019) and immediately after (February–March 2020) the outbreak (p < .001) before returning to 2019 levels by August 2020. Similarly, the accurate perception that vaping is less harmful than smoking declined between 2017 and February–March 2020 in England (77.3% to 62.2%), Canada (66.3% to 43.3%), and the United States (61.3% to 34.0%), again accelerating during and immediately after the outbreak (p < .001). The perception that vaping takes less than a year to harm users’ health and worry that vaping will damage health also doubled over this period (p ≤ .001). Time trends were most pronounced in the United States. Exposure to negative news stories predicted the perception that vaping takes less than a year to harm health (Adjusted Odds Ratio = 1.55, 1.48-1.61) and worry that vaping will damage health (Adjusted Odds Ratio = 1.32, 1.18-1.48).

Conclusions

Between 2017 and February–March 2020, youth exposure to negative news stories, and perceptions of vaping harms, increased, and increases were exacerbated during and immediately after ‘EVALI’. Effects were seen in all countries but were most pronounced in the United States.

Implications

This is the first study examining changes in exposure to news stories about vaping, and perceptions of vaping harms, among youth in England, Canada, and the United States before, during, and after ‘EVALI’. Between 2017 and February–March 2020, youth exposure to negative news stories, and perceptions of vaping harms, increased, and increases were exacerbated during and immediately after ‘EVALI’. By August 2020, exposure to negative news stories returned to 2019 levels, while perceptions of harm were sustained. Exposure to negative news stories also predicted two of the three harm perception measures. Overall, findings suggest that ‘EVALI’ may have exacerbated youth’s perceptions of vaping harms internationally.