When a Celebrity Shares a Health Story: Role of Parasocial Relationship and Narrative Involvement on Influencing Living Organ Donation-Related Outcomes

Abstract

This study examined the role parasocial relationships with a celebrity figure (Selena Gomez) plays in influencing people’s perceptions and willingness to become living organ donors following the sharing of a celebrity health narrative involving living organ donation. Researchers recruited participants from a large university and an online research panel (i.e., Qualtrics panel) for an online experiment. In the experiment, participants viewed one of two treatment messages (i.e., an Instagram post or TV interview) featuring Gomez talking about her living organ donation experience or a control message (informational video about organ donation). Researchers measured participants’ parasocial relationship with Gomez and the level of narrative transportation experienced after viewing the messages. The primary outcome variables were attitudes towards and willingness to be a living organ donor. Several predictions were made based on the entertainment overcoming resistance model and narrative engagement research. Results show that people with a strong parasocial relationship with Gomez reported higher levels of narrative transportation, which positively predicted the willingness to become a living organ donor. The results of this study offer evidence to show the potential power celebrity health narratives have for promoting health activism among audiences.

Keywords

Celebrity-figure relationship parasocial organ donation narrative involvement

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References

Beck

C. S.

, Aubuchon

S. M.

, McKenna

T. P.

, Ruhl

, & Simmons

(2014). Blurring personal health and public priorities: An analysis of celebrity health narratives in the public sphere. Health Communication, 29(3), 244–256. https://doi.org/10.1080/10410236.2012.741668

Brown

W. J.

, & Basil

M. D.

(1995). Media celebrities and public health: Responses to ‘Magic’ Johnson’s HIV disclosure and its impact on AIDS risk and high-risk behaviors. Health Communication, 7(4), 345–370. https://doi.org/10.1207/s15327027hc0704_4

Brown

W. J.

, & Basil

M. D.

(2010). Parasocial interaction and identification: Social change processes for effective health interventions. Health Communication, 25(6–7), 601–602. https://doi.org/10.1080/10410236.2010.496830

Casey

M. K.

, Allen

, Emmers-Sommer

, Sahlstein

, Degooyer

, Winters

A. M.

, Wagner

A. E.

, & Dun

(2003). When a celebrity contracts a disease: The example of Earvin “Magic” Johnson’s announcement that he was HIV positive. Journal of Health Communication, 8(3), 249–265. https://doi.org/10.1080/10810730305682

Chapman

, McLeod

, Wakefield

, & Holding

(2005). Impact of news of celebrity illness on breast cancer screening: Kylie Minogue’s breast cancer diagnosis. The Medical Journal of Australia, 183(5), 247–250. https://doi.org/10.5694/j.1326-5377.2005.tb07029.x

Cohen

E. L.

, & Hoffner

(2016). Finding meaning in a celebrity’s death: The relationship between parasocial attachment, grief, and sharing educational health information related to Robin Williams on social network sites. Computers in Human Behaviors, 65, 643–650. https://doi.org/10.1016/j.chb.2016.06.042

Dibble

J. L.

, Hartmann

, & Rosaen

S. F.

(2016). Parasocial interaction and parasocial relationship: Conceptual clarification and a critical assessment of measures. Human Communication Research, 42(1), 21–44. https://doi.org/10.1111/hcre.12063

Forgas

J. P.

(2001). The affect infusion model (AIM): An integrative theory of mood effects on cognition and judgments. In Martin

L. L.

& Clore

G. L.

(Eds). Theories of mood and cognition: A user’s guidebook (pp. 99–134). Lawrence Erlbaum Associates Publishers.

Giles

D. C.

(2002). Parasocial interaction: A review of the literature and a model for future research. Media Psychology, 4(3), 279–305. https://doi.org/10.1207/S1532785XMEP0403_04

10.

Gomez

[@selenagomez]. (n.d.). Instagram profile. https://www.instagram.com/selenagomez/

11.

Green

M. C.

, & Brock

T. C.

(2000). The role of transportation in the persuasiveness of public narratives. Journal of Personal and Social Psychology, 79(5), 701–721. https://doi.org/10.1037/0022-3514.79.5.701

12.

Green

M. C.

, Brock

T. C.

, & Kaufman

G. E.

(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

13.

Gregg

P. B.

(2022). Text to speech: Transportation-imagery theory and outcomes of narrative delivery format. Journal of Radio & Audio Media, 29(2), 304–321. https://doi-org.libproxy.utdallas.edu/10.1080/19376529.2020.1801689

14.

Harel

, Kogut

, Pinchas

, & Slovic

(2017). Effect of media presentations on willingness to commit to organ donation. Proceedings of the National Academy of Sciences, 114, 201703020. https://doi.org/10.1073/pnas.1703020114

15.

Hartmann

, Stuke

, & Daschmann

(2008). Positive parasocial relationships with drivers affect suspense in racing sport spectators. Journal of Media Psychology, 20(1), 24–34. https://doi.org/10.1027/1864-1105.20.1.24

16.

Hayes

A. F.

(2022). Introduction to mediation, moderation, and conditional analysis: A regression-based approach (3rd ed.). Guilford Press.

17.

Health Resources and Services Administration. (2022). How donation works. https://www.organdonor.gov/learn/process

18.

Kim

(2022). Patient influencers’ promotion of prescription drugs on Instagram: Effects of illness disclosure on persuasion knowledge through narrative transportation. International Journal of Advertising, 41(8), 1541–1566. https://doi.org/10.1080/02650487.2022.2054614

19.

Kosenko

K. A.

, Binder

A. R.

, & Hurley

(2016). Celebrity influence and identification: A test of the Angelina effect. Journal of Health Communication, 21(3), 318–326. https://doi.org/10.1080/10810730.2015.1064498

20.

Kresovich

, & Noar

S. M.

(2020). The power of celebrity health events: Meta-analysis of the relationship between audience involvement and behavioral intentions. Journal of Health Communication, 25, 501–513. https://doi.org/10.1080/10810730.2020.1818148

21.

Lerner

B. H.

(2006). When illness goes public. John Hopkins University Press.

22.

Lee

S. Y.

(2018). The effect of media coverage of celebrities with panic disorder on the health behaviors of the public. Health Communication, 34(9), 1021–1031. https://doi.org/10.1080/10410236.2018.1452093

23.

Lewis

, Koukoura

, Tsianos

G. I.

, Gargavanis

A. A.

, Nielsen

A. A.

, & Vassiliadis

(2021). Organ donation in the US and Europe: The supply vs demand imbalance. Transplantation reviews (Orlando, Fla.), 35(2), 100585. https://doi.org/10.1016/j.trre.2020.100585

24.

Lim

, & Childs

(2020). Visual storytelling on Instagram: Branded photo narrative and the role of telepresence. Journal of Research in Interactive Marketing, 14(1), 33–50. https://doi.org/10.1108/JRIM-09-2018-0115

25.

Mayo Clinic. (n.d.). Living-donor kidney transplant. Mayo Clinic. https://www.mayoclinic.org/tests-procedures/living-donor-kidney-transplant/pyc-20384838

26.

Moe

(2012). Revealing rather than concealing disability: The rhetoric of Parkinson’s advocate Michael J. Fox. Rhetoric Review, 31(4), 443–460. https://doi.org/10.1080/07350198.2012.711200

27.

Morgan

S. E.

, Harrison

T. R.

, Afifi

W. A.

, Long

S .D.

, & Stephenson

M. T.

(2008). In their own words: The reasons why people will (not) donate organs. Health Communication, 23(1), 23–33. https://doi.org/10.1080/10410230701805158

28.

Morgan

S. E.

, King

A. J.

, Smith

J. R.

, & Ivic

(2010). A kernel of truth? The impact of television storylines exploring myths about organ donation on the public’s willingness to donate. Journal of Communication, 60, 778–796. https://doi.org/10.1111/j.1460-2466.2010.01523.x

29.

Morgan

S. E.

, Movius

, & Cody

(2009). The power of narratives: The effect of organ donation entertainment television storylines on the attitudes, knowledge, and behaviors of donors and non-donors. Journal of Communication, 59(1), 135–151. https://doi.org/10.1111/j.1460-2466.2008.01408.x

30.

Moyer-Gusé

(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

31.

Moyer-Gusé

, & Nabi

R. L.

(2010). Explaining the effects of narrative in an entertainment television program: Overcoming resistance to persuasion. Human Communication Research, 36(1), 26–52. https://doi.org/10.1111/j.1468-2958.2009.01367.x

32.

Murphy

S. T.

, Frank

L. B.

, Moran

M. B.

, & Patnoe-Woodley

(2011). Involved, transported, or emotional? Exploring the determinants of change in knowledge, attitudes, and behavior in entertainment-education. Journal of Communication, 61(3), 407–431. https://doi.org/10.1111/j.1460-2466.2011.01554.x

33.

Newton

J. D.

(2011). How does the general public view posthumous organ donation? A meta-synthesis of the qualitative literature. BMC Public Health, 11, 791–802. http://dx.doi.org/10.1186/1471-2458-11-791

34.

Noar

S. M.

, Willoughby

J. F.

, Myrick

J. G.

, & Brown

(2014). Public figure announcements about cancer and opportunities for cancer communication: A review and research agenda. Health Communication, 29(5), 445–461. https://doi.org/10.1080/10410236.2013.764781

35.

Organ Procurement and Transplantation Network. (2024). OPTN Data. https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/#

36.

Pincus

, Wojcieszak

, & Boomgarden

(2017). Do multimedia matter? Cognitive and affective effects of embedded multimedia Journalism. Journalism & Mass Communication Quarterly, 94(3), 747–771. https://doi-org.libproxy.utdallas.edu/10.1177/1077699016654679

37.

Rocheleau

C. A.

(2013). Organ donation intentions and behaviors: Application and extension of the theory of planned behavior. Journal of Applied Social Psychology, 43(1), 201–213. http://dx.doi.org/10.1111/j.1559-1816.2012.00998.x

38.

Rubin

A. M.

, & Perse

E. M.

(1987). Audience activity and soap opera involvement: A uses and effects investigation. Human Communication Research, 14(2), 246–268. https://doi.org/10.1111/j.1468-2958.1987.tb00129.x

39.

Schramm

, & Hartmann

(2008). The PSI-process scales: A new measure to assess the intensity and breadth of parasocial processes. Communications: The European Journal of Communication Research, 33(4), 385–401. https://doi.org/10.1515/COMM.2008.025

40.

Slater

M. D.

, Ewoldsen

D. R.

, & Woods

K. W.

(2018). Extending conceptualization and measurement of narrative engagement after-the-fact: Parasocial relationship and retrospective imaginative involvement. Media Psychology, 21(3), 329–351. https://doi.org/10.1080/15213269.2017.1328313

41.

Slater

M. D.

, & Rouner

(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

42.

Stephenson

M. T.

, Morgan

S. E.

, Roberts-Perez

S. D.

, Harrison

, Afifi

, & Long

S. D.

(2008). The role of religiosity, religious norms, subjective norms, and bodily integrity in signing an organ donor card. Health Communication, 23(5), 436–447. http://dx.doi.org/10.1080/10410230802342119

43.

Stone

(2011). Former First Lady Betty Ford dead at 93. USAToday.com. http://www.usatoday.com/news/washington/2011-07-08-betty-ford-obit_n.htm

44.

Tong

, Chapman

J. R.

, Wong

, Josephson

M. A.

, & Craig

J. C.

(2013). Public awareness and attitudes to living organ donation: Systematic review and integrative synthesis. Transplantation, 96, 429–437. https://doi.org/10.1097/tp.0b013e31829282ac

45.

Wakefield

C. E.

, Watts

K. J.

, Homewood

, Meiser

, & Siminoff

L. A.

(2010). Attitudes toward organ donation and donor behavior: A review of the international literature. Progress in Transplantation, 20(4), 380–391. https://doi.org/10.1177/152692481002000412

46.

Wong

N. C.

, Lookadoo

K. L.

, & Nisbett

G. S.

(2017). “I’m Demi and I have bipolar disorder”: Effect of parasocial contact on reducing stigma toward people with bipolar disorder. Communication Studies, 68(3), 314–333. https://doi.org/10.1080/10510974.2017.1331928