phua, j.j. (2014). the effects of similarity, parasocial identification, and source credibility in...

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Journal of Health Psychology 1–10 © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1359105314536452 hpq.sagepub.com Introduction Obesity is a growing health issue, due to the incidence of obesity-related health problems, including Type II diabetes, stroke, heart dis- ease, and hypertension. Obesity rates have dou- bled worldwide since 1980, and in 2008, more than 1.4 billion (approximately 35%) adults, 20 years and older, were overweight, with over 500 million (11%) classified as obese (World Health Organization (WHO), 2013). Perhaps more troubling is the fact that at least 2.8 mil- lion people die each year from obesity-related causes (WHO, 2013). To curb this impending health epidemic, health organizations in many countries, including the United States, United Kingdom, and Australia, have initiated mass media campaigns to raise awareness about the dangers of obesity. Drawing on parasocial inter- action (PSI), associative network model of memory, match-up hypothesis, and source cred- ibility, this study examined the effect of per- ceived similarity to, and parasocial identification with, spokespersons in obesity public service The effects of similarity, parasocial identification, and source credibility in obesity public service announcements on diet and exercise self-efficacy Joe Phua Abstract This study examined the effect of the audience’s similarity to, and parasocial identification with, spokespersons in obesity public service announcements, on perceived source credibility, and diet and exercise self-efficacy. The results (N = 200) indicated that perceived similarity to the spokesperson was significantly associated with three dimensions of source credibility (competence, trustworthiness, and goodwill), each of which in turn influenced parasocial identification with the spokesperson. Parasocial identification also exerted a positive impact on the audiences’ diet and exercise self-efficacy. Additionally, significant differences were found between overweight viewers and non-overweight viewers on perceived similarity, parasocial identification with the spokesperson, and source credibility. Keywords advertising, health behavior, media, obesity, self-efficacy University of Georgia, USA Corresponding author: Joe Phua, University of Georgia, 120 Hooper Street, Athens, GA 30602, USA. Email: [email protected] 536452HPQ 0 0 10.1177/1359105314536452Journal of Health PsychologyPhua research-article 2014 Article by guest on July 27, 2015 hpq.sagepub.com Downloaded from

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Journal of Health Psychology 1 –10© The Author(s) 2014Reprints and permissions: sagepub.co.uk/journalsPermissions.navDOI: 10.1177/1359105314536452hpq.sagepub.com

Introduction

Obesity is a growing health issue, due to the incidence of obesity-related health problems, including Type II diabetes, stroke, heart dis-ease, and hypertension. Obesity rates have dou-bled worldwide since 1980, and in 2008, more than 1.4 billion (approximately 35%) adults, 20 years and older, were overweight, with over 500 million (11%) classified as obese (World Health Organization (WHO), 2013). Perhaps more troubling is the fact that at least 2.8 mil-lion people die each year from obesity-related causes (WHO, 2013). To curb this impending health epidemic, health organizations in many countries, including the United States, United

Kingdom, and Australia, have initiated mass media campaigns to raise awareness about the dangers of obesity. Drawing on parasocial inter-action (PSI), associative network model of memory, match-up hypothesis, and source cred-ibility, this study examined the effect of per-ceived similarity to, and parasocial identification with, spokespersons in obesity public service

The effects of similarity, parasocial identification, and source credibility in obesity public service announcements on diet and exercise self-efficacy

Joe Phua

AbstractThis study examined the effect of the audience’s similarity to, and parasocial identification with, spokespersons in obesity public service announcements, on perceived source credibility, and diet and exercise self-efficacy. The results (N = 200) indicated that perceived similarity to the spokesperson was significantly associated with three dimensions of source credibility (competence, trustworthiness, and goodwill), each of which in turn influenced parasocial identification with the spokesperson. Parasocial identification also exerted a positive impact on the audiences’ diet and exercise self-efficacy. Additionally, significant differences were found between overweight viewers and non-overweight viewers on perceived similarity, parasocial identification with the spokesperson, and source credibility.

Keywordsadvertising, health behavior, media, obesity, self-efficacy

University of Georgia, USA

Corresponding author:Joe Phua, University of Georgia, 120 Hooper Street, Athens, GA 30602, USA. Email: [email protected]

536452 HPQ0010.1177/1359105314536452Journal of Health PsychologyPhuaresearch-article2014

Article

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2 Journal of Health Psychology

announcements (PSAs), on viewers’ diet and exercise self-efficacy.

Endorser attributes play an important role in audience evaluations of persuasive health mes-sages (Salmon and Atkin, 2003). The associa-tive network model of memory argues that when a spokesperson endorses a brand, two unconnected nodes become linked in the view-er’s memory through associative learning (Anderson and Bower, 1972; Collins and Quillian, 1969; Till and Shimp, 1998). The viewer’s feelings toward, and perceived image of, the endorser, are then transferred to the brand, strengthening with repeated exposure (Collins and Loftus, 1975; Furstenberg et al., 1987; Nelson et al., 1985).Prior research inves-tigating the effect of endorsers on brand evalua-tions has found that endorsers transfer their distinct personalities onto brands with consum-ers’ perceptions of the endorser influencing this relationship (Amos et al., 2008; McCracken, 1989; Thwaites et al., 2012). The match-up hypothesis, meanwhile, argues that when a “fit” exists between an endorser’s characteristics and an endorsee, viewers will be more positive toward the endorsed message (Kahle and Homer, 1985; Kamins, 1990). In prior research, brand messages were most effective when endorsers were matched to brands based on per-ceived expertise (Biswas et al., 2006; Westover and Randle, 2009) and congruency between endorser and brand (Koernig and Page, 2002; Lynch and Schuler, 1994).

Source credibility is the positive characteris-tics of spokespersons that influence viewers’ acceptance of persuasive messages in advertise-ments (Hovland and Weiss, 1951; McCroskey and Teven, 1999). Prior studies have found that selection of appropriate advertising spokesper-sons can enhance persuasiveness and accelerate attitude change (Baker and Churchill, 1977; Chaiken, 1979; Ohanian, 1990; Whitehead, 1968). In research focusing on changing health behaviors, source credibility has been linked to effectiveness of HIV/ AIDs prevention mes-sages (Major and Coleman, 2012), online health information-seeking (Dutta-Bergman, 2003; Hu and Sundar, 2010; Spence et al., 2013), online social support (Wright and Rains, 2013),

and smoking cessation (Byrne et al., 2012). Studies on obesity prevention have found posi-tive impact of source credibility on persuasive exercise and fitness messages (Berry and Shields, 2013; Jones et al., 2003; Kozak et al., 2013). While early theoreticians (e.g. Hovland and Weiss, 1951) identified source credibility under the rubric of trustworthiness, along with expertise, more recent research (e.g. McCroskey and Teven, 1999) added goodwill (or caring) as a third, distinct factor influencing social persua-sion and attitude change.

Similarity between a spokesperson and the consumer can have a strong influence on source credibility. Previous research has found that similarities based on race (Morimoto and LaFerle, 2008; Spence et al., 2013; Whittler and DiMeo, 1991), gender (Flanagin and Metzger, 2003), sexual preference (Atkinson et al., 1981), and language (Aune and Kikuchi, 1993) significantly impact spokesperson credibility. We hypothesize that viewers’ perceived similar-ity to the spokesperson would significantly impact each source credibility factor.

H1: Similarity to the spokesperson will positively influence perceived (a) competence, (b) trustworthiness, and (c) goodwill, of the spokesperson.

PSI refers to a one-sided personal relation-ship between a viewer and a media character (Horton and Wohl, 1956). During PSI, the viewer believes the media character is directly communicating to him or her, resulting in a one-sided feeling of intimacy (Giles, 2002; Hoffner, 1996; Rubin et al., 1985). Parasocial identification (Cohen, 2001) focuses on view-ers sharing media characters’ perspective and feelings and is therefore distinct from feelings of similarity to the media character. We hypoth-esize that viewers who perceive the spokesper-son as being more competent, trustworthy, and caring would be more likely to engage in PSI with the spokesperson.

H2: Perceived (a) competence, (b) trust-worthiness, and (c) goodwill of the spokesperson will positively influence

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parasocial identification with the spokesperson.

Furthermore, the study also hypothesizes that parasocial identification with the spokes-person would lead to increased dieting and exercise self-efficacy for viewers. Self-efficacy (Bandura, 2001) is a person’s perceived behav-ioral control that develops through his or her observations of others in his or her social group and relates to the ability to carry out particular tasks. When a person has high self-efficacy, he or she is able to face challenges competently, leading to greater ability to act upon, and reach behavioral goals. In prior research on health behaviors, when identification is high, one is more likely to learn from observations of role models (Fishbein and Cappella, 2006; Phua, 2013). This form of vicarious learning results in increased self-efficacy beliefs, specifically in the form of instruction and guidance on per-forming a desired behavior (Ajzen, 1991). Specifically, viewers who parasocially identify more strongly with the spokesperson are expected to be more highly motivated to engage in diet and exercise due to their internalization of the spokesperson’s health issue as their own.

H3: Parasocial identification with the spokesperson will positively influence (a) diet self-efficacy and (b) exercise self-efficacy.

Based on these hypotheses, a structural model linking perceived similarity to the spokesperson to the three dimensions of source credibility (competence, trustworthiness, and goodwill), parasocial identification, and diet

and exercise self-efficacy was proposed and tested (Figure 1).

Additionally, since obesity PSAs often fea-ture spokespersons who may be overweight or obese themselves, this study attempted to find out whether viewers’ own weight would have an impact on their perceptions of their similar-ity to, and parasocial identification with, the spokesperson, as well as on their ratings of the spokesperson’s source credibility (competence, trustworthiness, and goodwill). The following research question was posed:

RQ1: Does viewer weight category (whether overweight or not over-weight) significantly influence (a) perceived similarity to, (b) paraso-cial identification with, and (c) perceived competence, (d) trustwor-thiness, and (e) goodwill of, the spokesperson?

Method

Participants

In total, 200 participants were recruited for the study. Seventy-four (37%) were 18–21 years old, 81 (40.5%) 22–34 years old, 15 (7.5%) 35–44 years old, 18 (9%) 45–54 years old, 9 (4.5%) 55–64 years old, and 3 (1.5%) 65 and older. Eighty-four (42%) were male, and 116 (58%) female. A total of 128 (64%) were single, 36 (18%) married, 20 (10%) divorced/separated, 2 (1%) widowed, and 14 (7%) other. For race/eth-nicity, 102 (51%) were Caucasian, 70 (35%) Black, 6 (4%) Asian, 8 (4%) Latino/Hispanic, and 14 (7%) Mixed/Other. Among them, 111

H1a H2a H3a

H1b H2b

H3bH1c H2c

Parasocial Identification

with Spokesperson

Diet Self-Efficacy

Spokesperson Competence

Spokesperson Trustworthiness

SpokespersonGoodwill / Caring

Exercise Self-Efficacy

Perceived Similarity

to Spokesperson

Figure 1. Theoretical model for the effect of perceived similarity to spokesperson on source credibility, parasocial identification, and diet and exercise self-efficacy (N = 200).

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(55.5%) earned <US$20,000 per year, 43 (21.5%) earned US$20,001–US$40,000, 31 (15.5%) earned US$40,001–US$60,000, 8 (4%) earned US$60,001–US$80,000, 2 (1%) earned US$80,001–US$100,000, and 5 (2.5%) earned >US$100,000. Participants also reported their weight and height, and based on these, body mass index (BMI) was calculated. Eleven (5.5%) were underweight (BMI < 18.5), 89 (44.5%) were normal weight (BMI 18.5–24.9), and 100 (50%) were overweight (BMI > 25).

Measures

Similarity to spokesperson. Similarity was meas-ured using six items from Whittler and DiMeo (1991), assessing viewers’ perceived similarity to the spokesperson in overall lifestyle, cultural background, appearance, basic values, body size/shape, and dressing style, using 7-point Likert-type scales ranging from “Not similar at all” to “Very similar,” summed to create a simi-larity scale (Cronbach’s α = .87).

Credibility of spokesperson. Credibility was meas-ured using McCroskey and Teven’s (1999) source credibility scale, which included three sub-scales assessing perceptions of the spokes-person’s competence, trustworthiness, and car-ing/goodwill, on 7-point semantic differential scales. Competence (six items) included the fol-lowing: “Inexpert/Expert,” “Unintelligent/Intel-ligent,” and “Uninformed/Informed,” summed to create a competence scale (Cronbach’s α = .88). Trustworthiness (six items) included the following: “Dishonest/Honest,” “Untrustworthy/Trustworthy,” and “Phony/Genuine,” summed to create a trustworthiness scale (Cronbach’s α = .92). Caring/goodwill (six items) included the following: “Doesn’t care about me/Cares about me,” “Insensitive/Sensitive,” and “Self-centered/Not self-centered,” summed to create a caring/goodwill scale (Cronbach’s α = .89).

Parasocial identification with spokesperson. Para-social identification was measured using 10 items from Cohen’s (2001) identification with media characters scale, on 7-point Likert-type

scales, ranging from “Strongly disagree” to “Strongly agree.” Items included the following: “I was able to understand the problem faced by the spokesperson in the way she understood it,” “After viewing the PSA, I could feel the emo-tions the spokesperson portrayed,” and “At key moments during the PSA, I knew exactly what the spokesperson was going through,” summed to create a parasocial identification scale (Cron-bach’s α = .92).

Diet self-efficacy. Diet self-efficacy was meas-ured using 20 items from the eating habits con-fidence survey (Sallis et al., 1988), assessing confidence to change eating habits, on 7-point Likert-type scales, ranging from “Definitely not” to “Definitely yes.” Examples include the following: “I can eat smaller portions at din-ner,” “I can eat smaller portions of food at a party,” and “I can cook smaller portions so there are no leftovers,” summed to create a diet self-efficacy scale (Cronbach’s α = .82).

Exercise self-efficacy. Exercise self-efficacy was measured using 12 items from the exercise con-fidence survey (Sallis et al., 1988), assessing ability to participate in exercise under specific conditions, on 7-point Likert-type scales, rang-ing from “Definitely not” to “Definitely yes.” Examples include the following: “I can stick to my exercise program after a long, tiring day at work,” “I can set aside time for a physical activ-ity program for at least 30 minutes, 3 times a week,” and “I can get up early, even on week-ends, to exercise,” summed to create an exer-cise self-efficacy scale (Cronbach’s α = .96).

Procedure

Data for the study were collected through a cen-tral intercept interviewing method at a shopping mall in the Southeastern United States. Trained interviewers recruited participants (N = 200) by intercepting shoppers at a prominent mall loca-tion. Participants received $5 gift cards as incentive. Each participant viewed the study stimulus (the obesity PSA) on a computer and completed an online questionnaire assessing

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perceived source credibility, parasocial identifi-cation with, and similarity to, the spokesperson, and post-exposure diet and exercise self- efficacy. The study stimulus was a 30-second Strong4Life obesity campaign PSA featuring an overweight African-American teenager, along with a voiceover by her mother describing how her daughter’s weight led to health problems, including Type II diabetes. The PSA was cho-sen for its scenario depicting a parent–child dis-cussion of obesity’s negative consequences.

Results

Confirmatory factor analysis

Confirmatory factor analysis (CFA) was con-ducted to test the measurement model. To test for common method variance (CMV), the seven variables were loaded as one single factor to examine the fit of the one-factor measurement model versus the full seven-factor model. According to Harman (1976), the one-factor measurement model would fit the data well if CMV was present. The CFA results revealed that the one-factor model did not fit the data well (χ2(28) = 183.97, p < .001, goodness-of-fit index (GFI) = .63, adjusted goodness-of-fit index (AGFI) = .67, root mean square error of approximation (RMSEA) = .09), compared to the seven-factor model (χ2(11) = 8.72, p = .69, GFI = .99, AGFI = .98, RMSEA = .01). Therefore, CMV was not considered a threat, and unlikely to confound interpretation of the results.

Structural equation modeling

Following CFA, structural equation modeling (SEM) analysis was conducted to test the struc-tural model. A sample size of 10 for each free parameter, and a critical sample size of 200, was needed to provide sufficient statistical power (Hoe, 2008). With seven free parameters estimated, and a sample size of 200, the study fulfilled SEM requirements. The structural model addressed viewers’ perceived similarity to the spokesperson exerting an effect on source

credibility (competence, trustworthiness, and goodwill), each of which influenced parasocial identification, with parasocial identification impacting viewers’ diet self-efficacy and exer-cise self-efficacy. The structural model was tested using the maximum likelihood estima-tion procedure in LISREL. Error term for each endogenous variable was set at a mean of 0 and a variance of 1. We assessed model fit through a nonsignificant χ2 statistic, GFI, and AGFI of .90 and above, and RMSEA equal or less than .06 (Byrne, 1998).

The results of the SEM analysis indicated that the structural model was a good fit to the data. The χ2 goodness-of-fit test was not signifi-cant (χ2(11) = 8.72, p = .69, RMSEA = 0.01, GFI = .99, AGFI = .98). Therefore, the pre-dicted mechanisms put forth were supported. The complete model is shown in Figure 2.

Perceived similarity was significantly asso-ciated with competence (β = .28, p < .05), trust-worthiness (β = .37, p < .01), and goodwill (β = .39, p < .01), supporting H1a, b, and c. Competence (β = .27, p < .05), trustworthiness (β = .31, p < .05), and goodwill (β = .33, p < .01) were significantly associated with parasocial identification, supporting H2a, b, and c. Parasocial identification significantly predicted diet self-efficacy (β = .35, p < .01) and exercise self-efficacy (β = .26, p < .05), supporting H3a and b.

Multivariate analysis of variance and analysis of variance tests

One-way multivariate analysis of variance (MANOVA) and analysis of variance (ANOVA) tests were conducted to test for significant differences between overweight and non- overweight viewers on perceived similarity to, and identification with, the spokesperson, as well as source credibility (competence, trust-worthiness, and goodwill). Viewer weight was re-coded with two categories: overweight and non-overweight (which combined normal weight and underweight participants). There were 100 participants in each of the re-coded

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categories. This was entered in the tests as the “Factor” variable.

To reduce experiment-wise Type I error, an omnibus MANOVA test was conducted. The one-way MANOVA revealed a significant mul-tivariate main effect for viewer weight, F(8,112) = 108.52, p < .001, Wilks’ λ = .450, partial η2 = .321. There were significant differences between overweight and non-overweight view-ers on perceived similarity to, and identification with, the spokesperson, and source credibility (competence, trustworthiness, and goodwill). Five separate ANOVA tests were then con-ducted to examine univariate main effects, with a confidence interval of .01 set to protect against inflated alpha error. For perceived similarity, a significant main effect was found for viewer weight, F(1,198) = 121.81, p < .001, partial η2 = .285. Tukey’s honest significant difference (HSD) post hoc test revealed that similarity was significantly higher for overweight (M = 5.97, standard deviation (SD) = .95) than non- overweight viewers (M = 3.29, SD = .87). For identification, a significant main effect was found for viewer weight, F(1,198) = 108.72, p < .001, partial η2 = .316. Tukey’s HSD post hoc test revealed that identification was signifi-cantly higher for overweight (M = 5.86, SD = .89) than non-overweight viewers (M = 3.23, SD = .98). For competence, a significant main effect was found for viewer weight, F(1,198) = 132.96, p < .001, partial η2 = .211. Tukey’s HSD post hoc test revealed that competence was sig-nificantly higher for overweight (M = 5.28, SD

= .76) than non-overweight viewers (M = 3.16, SD = .63). For trustworthiness, a significant main effect was found for viewer weight, F(1,198) = 132.96, p < .001, partial η2 = .285. Tukey’s HSD post hoc test revealed that trust-worthiness was significantly higher for over-weight (M = 6.01, SD = .83) than non-overweight viewers (M = 3.49, SD = .76). Finally, for good-will, a significant main effect was found for viewer weight, F(1,198) = 119.12, p < .001, partial η2 = .236. Tukey’s HSD post hoc test revealed that goodwill was significantly higher for overweight (M = 5.69, SD = .82) than non- overweight viewers (M = 3.28, SD = .91).

Discussion

The results of this study suggest that in obesity PSAs, viewers’ perceived similarity to the spokesperson wields a strong influence on the three dimensions of source credibility. Viewers who saw the spokesperson as being more simi-lar to them rated the spokesperson significantly higher on competence, trustworthiness, and goodwill. In viewers’ minds, the spokesperson was imbued with characteristics that rendered him or her as being more informed and expert on the health issue, while at the same time, being more honest, honorable, and moral; there-fore, the statements he or she made about the health issue were more likely to be believed (McCroskey and Teven, 1999). Additionally, a spokesperson who was more similar to the viewer was also perceived as being more

.28* .27* .35**

.37** .31*

.26*.39** .33**

Parasocial Identification

with Spokesperson

Diet Self-Efficacy

Spokesperson Competence

Spokesperson Trustworthiness

SpokespersonGoodwill / Caring

Exercise Self-Efficacy

Perceived Similarity

to Spokesperson

Figure 2. Theoretical model for the effect of perceived similarity to spokesperson on source credibility, parasocial identification, and diet and exercise self-efficacy (standardized solution, N = 200).GFI: goodness-of-fit index; AGFI: adjusted goodness-of-fit index; RMSEA: root mean square error of approximation; CI: confidence interval.χ2(11) = 8.72, p = .69, GFI = .99, AGFI = .98, RMSEA < .01 (90% CI: 0.00–0.09).Note: standardized coefficients are reported; *p < .05, **p < .01, ***p < .001.

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caring, understanding of, and sensitive toward the health issue, and as such exerted a greater persuasive impact through the health message. As the associative network model of memory posited, endorser characteristics have a power-ful influence on audiences’ evaluations of per-suasive health messages (Salmon and Atkin, 2003). The association between the endorser and his or her perceived personality that is trig-gered and linked in the audience’s minds over a period of time creates a more receptive frame of mind for the persuasive effect of the health message to take place. In this study, the view-er’s feelings toward the spokesperson, based on his or her similarity in lifestyle, cultural back-ground, appearance, basic values, dressing style, and body shape, are transferred over to the viewer’s evaluations of the spokesperson’s credibility in advocating the health message. A practical implication for social marketers and brand advertisers is that in order for endorsers to be most effective in persuasion, it is prefera-ble to hire and cast spokespersons who are simi-lar, both physically and culturally, to their target audience (Larson et al., 2005; Westover and Randle, 2009). People often choose to apply schema from their prior experiences, and self-concepts, to evaluating endorsers in advertising (Forehand et al., 2002), and therefore, it is imperative that when designing persuasive health messages, health organizations should incorporate source characteristics that are maxi-mally appealing to their targeted viewers.

A second major finding is that when viewers saw the spokesperson as being more credible, they also reported higher parasocial identifica-tion with the spokesperson. As the PSI litera-ture states, viewers develop one-sided relationships with media characters based on perceived positive traits exhibited by the char-acters (Cohen 2001; Hoffner, 1996). Viewers who saw the spokesperson as being competent, trustworthy, and caring therefore began to par-asocially identify with, and adopt the spokes-person’s perspective. Additionally, greater identification with the spokesperson resulted in higher diet and exercise self-efficacy. As the match-up hypothesis (Kamins, 1990) suggests,

a fit between an endorser and an endorsed brand will result in more positive consumer evaluations of the endorsed brand. In previous studies, persuasive messages are more effec-tive and more easily accepted when viewers see the message endorser(s)’ personality and physical characteristics as being more congru-ent with their own (Dutta-Bergman, 2003; Hu and Sundar, 2010). When viewers relate to the spokesperson parasocially, they incorporate the spokesperson’s problems as their own, result-ing in greater impact on their own health out-comes. As prior research found, exercise and fitness self-efficacy can be effectively primed by appropriate endorsers (Berry and Shields, 2013; Kozak et al., 2013). In this study, paraso-cial identification acted as an effective means for viewers to enact positive diet and exercise self-efficacy, in accordance with the PSA’s per-suasive message.

Another major contribution of this study is that viewers’ weight exerted a significant impact on perceived source characteristics, including similarity to, and parasocial identifi-cation with, the spokesperson, and source cred-ibility (competence, trustworthiness, and goodwill). In persuasive health PSAs aiming to reduce negative health behaviors, such as obe-sity, tobacco, and alcohol use, it is important to illustrate negative consequences of engaging in such behaviors, so as to encourage positive behavioral change (Salmon and Atkin, 2003). At the same time, it is also imperative for health organizations to reach the appropriate target audiences in accordance with the type of health behavior the persuasive message is trying to change (Perse et al., 1996). This study showed that in obesity PSAs, viewers’ own weight had an important influence on the way in which they viewed the spokesperson. Specifically, overweight viewers were more likely to see the spokesperson as being similar to them, compe-tent to advocate the health message, trustworthy for the health message to be believed, caring and concerned about them with regard to the health problem advocated, and thus more likely to adopt the spokesperson’s perspective regard-ing obesity. This finding establishes the need

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8 Journal of Health Psychology

for health organizations to design persuasive media messages through a framework that incorporates a “fit” between the endorser, endorsee, and the endorsed message, as stipu-lated in the associative network model of mem-ory and the match-up hypothesis. The structural model tested and supported provides evidence for viewers’ perceived source (spokesperson) characteristics in persuasive health PSAs exert-ing a strong influence on their diet and exercise self-efficacy.

There are some limitations to this study. First, the study was cross-sectional, and data collected may be subject to self-reporting biases. Future studies should be longitudinal to further establish causality. Second, study participants were adults while the PSA featured a teenager and her mother in a voiceover, so future studies should recruit more age-appropriate partici-pants. Third, additional data analyses, including multiple group modeling, may help further identify moderators and ensure invariance of latent construct measurements plus validity of theoretical models across different subpopula-tions. Fourth, future studies should include PSAs targeting other health issues to establish generalizability of the results. Fifth, the study examined diet and exercise self-efficacy rather than actual behavioral change, which future studies should address.

Conclusion

This study’s findings suggest that viewers’ per-ceived similarity to spokespersons in obesity PSAs exerts a strong influence on source cred-ibility (competence, trustworthiness, goodwill). Each dimension of source credibility, in turn, impacts viewers’ parasocial identification with spokespersons, with identification having a strong positive effect on diet and exercise self-efficacy. Overweight viewers are more likely than non-overweight viewers to rate spokesper-sons as being more similar to themselves, more trustworthy, competent, and caring, and report higher parasocial identification. By matching endorsers’ physical, cultural, and other salient characteristics to those of their intended target

audience, persuasive health messages in obesity PSAs can be more easily and effectively dis-seminated. This is especially important consid-ering obesity is an increasingly serious health epidemic, with millions of dollars spent each year on persuasive health campaigns to raise awareness about obesity-related health prob-lems (WHO, 2013). To effectively curb obesity rates, it is imperative to design and implement mass media campaigns that can most effec-tively appeal to overweight and obese individu-als. By taking the target audience’s expectations of source (endorser) characteristics into consid-eration when designing public health cam-paigns, health organizations can ensure greater compliance with health messages and positive behavioral change for health issues.

Funding

This research was funded by the University of Georgia Research Foundation (UGARF), and the University of Georgia’s Center for Health and Risk Communication (CHRC).

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