Entertainment is fun, and fun is an emotion. What fun is as an emotion, and how it depends on features of entertainment messages and on other emotions, needs to be understood if we want to explain the appeal of entertainment. Entertainment messages such as movies, stories, drama, games, and sports spectacles can move us in a great variety of ways. But characteristic for the use of all genres is a remarkable, intense focus on interacting with the entertainment message and the virtual world it stages. Gamers in action or listeners of radio drama tend to persist in using the message, apparently blind and deaf to any distraction. Persistence is emotion driven. Intrinsic pleasure in what is a playful activity drives this passionate persistence. Enjoyment, interest, or excitement and absorption are the emotions that make entertainees go for more fun in the ongoing use of an entertainment message. In the use of an entertainment message, these go-emotions complement emotional responses to what happens in the world staged by the message. Horror incites fear and disgust, while serious drama elicits sadness and bittersweet feelings. In our conception, go and complementary emotions are immediate effects of the use of entertainment content: I feel excitement and apprehension now, while I am watching this thriller.
Models of distal effects of media entertainment, such as ones on mood, behavior, beliefs, attitudes, and preferences require a proper understanding of immediate emotional responses to concrete messages. The effects of entertainment are only incidental; the emphasis is on immediate emotional experiences in the use of entertainment messages. Immediate emotional responses can be understood and predicted from an analysis of entertainment messages.
Entertainment comes in messages with a characteristic temporal structure. Entertainment emotions develop across the presentation time of the message. Their development can be captured and understood in models of a message’s emotion structure. The emotion structure of a message represents the dynamics of go and complementary emotions across consecutive events, such as story episodes or drama scenes, and within these.
Research into the uses and effects of media entertainment has a long tradition. Immediate emotional responses to mediated entertainment messages have been theorized and researched since the seminal work of Dolf Zillmann in the 1970s. The state of the art in research on the entertainment emotions needs to be discussed—starting with a general model of these, and elaborating it for selected entertainment genres.
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Media Entertainment and Emotions
Ed S. Tan
Article
Media Literacy
Renee Hobbs
This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of Communication. Please check back later for the full article.
The concept of media literacy has been circulating in the United States and Europe since the beginning of the 20th century as a means to acknowledge the set of knowledge, skills, and habits of mind required for full participation in a contemporary media-saturated society. The concept continues to morph and change as a result of rapid changes in digital media, mass media, social media, popular culture, and society. There are a number of competing approaches to media literacy in the United States and around the world. But the acquisition of digital and media literacy competences cannot be conceptualized merely as a set of technical and operative skills; rather, these competencies are embedded in a process of cultural change.
Empowerment and protection have long been identified as the two overarching themes in the media literacy education community, reflecting a dynamic and generally productive tension between those who see media literacy education as a means to address the harms, risks, and challenges of growing up in a media and technology-saturated cultural environment and those who see media literacy as a tool for personal, social, cultural, and political empowerment. Contributing to these distinctive perspectives is the rise of a community of scholars and practitioners who conceptualize media literacy as an expansion of literacy, which has traditionally been understood as the sharing of meaning through spoken and written language. Media literacy can also be understood as a form of advocacy or as a social movement, aimed in particular at young adults, children, and parents; many see it as a specialized academic field associated with either media studies or education. A set of key concepts and core principles have been developed as a result of increased contact among members of the media literacy community, through national and international conferences and increased publication in academic journals. These concepts emphasize the relationship between authors and audiences, messages and meanings, and representation and reality. Among educational practitioners and scholars, an interest in media literacy pedagogy has developed to explore how critical analyses of media texts, tools, and technologies are integrated into elementary, secondary, and higher education, as well as in libraries, museums, and other informal learning settings. As media literacy has entered the education and cultural system, a number of policy issues have emerged. The rise of media literacy in Europe, led by a mandate from the European Commission, has exacerbated an interest in examining policy issues that either support or limit the implementation of media literacy education in relation to economic development or the preservation of cultural heritage. Today, media literacy initiatives occurs in many nations; it is evident that differences in cultural values, press freedoms, media systems, education structures, education policy, and media technology all shape the specific direction, goals, implementation, and assessment of media literacy initiatives.
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Media Literacy and Communication
Erica Scharrer and Yuxi Zhou
Media literacy refers to the ability to interact with media from a position of active inquiry, carefully considering media texts, the forces and factors that shape those texts, and the ways in which audiences interpret the texts or otherwise respond. Media access, use, creation, analysis, and evaluation skills are considered essential for citizenship in the contemporary world. Media literacy education encompasses efforts to advance media literacy within a group of individuals and spur their motivation to apply media literacy skills and perspectives in interactions with media. Yet, there are barriers that impede the widespread adoption of media literacy education in various global locations. There is disparity, for instance, in the degree to which local, regional, or national policies support media literacy education in schools as well as in the training, funding, or other resources available to educators.
Considerable variability in the assumptions and objectives that scholars and practitioners bring to media literacy education has been identified. Some of that variability reflects differing emphases in Communication and Media Studies paradigms including whether media literacy education should be considered as a means of protecting children and adolescents from the potential for negative effects of media. Sometimes positioned as an alternative to a more protectionist approach, media literacy education can be viewed as a platform from which to encourage young people’s creative self-expression and to emphasize their (and others’) agency rather than vulnerability. The ways in which media literacy education is carried out and how and what is assessed to determine what such education can achieve differs, as well. In spite of these differences, there are overarching commonalities in media literacy conceptualization and empirical evidence that media literacy education can build skills necessary for citizenship in an increasingly media- and information-rich world.
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Media Ownership and Journalism
Helle Sjøvaag and Jonas Ohlsson
Media ownership is of interest to research on journalism due to the assumption that ownership can have an impact of the contents and practices of journalism. Ownership of news media take many forms: state ownership, family ownership, party ownership, trust ownership, public or corporate ownership. The main concern with ownership in journalism scholarship is market concentration and monopolization, and the undue effects this may have on media diversity, public opinion formation, democracy, and journalistic autonomy. Throughout the research, ownership motivations are assumed to lie with the potential financial and political benefits of owning journalistic media. Benevolence is seldom assumed, as the problematic aspects of ownership are treated both from the management side of the research, and from the critical political economy perspective. News and journalism are largely understood as public goods, the quality of which is often seen as threatened by commercialism and market realities, under the economic aims of owners. However, the many forms and shapes that ownership of news media assume have different impacts on the competition between media outlets, the organization of editorial production, journalistic and professional cultures, and the intensity of corporate and profit maximizing philosophies that journalists work under. Ownership, however, assumes different forms in different media systems.
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Medical Tourism and Communication
Alicia Mason
Medical tourism (MT), sometimes referred to as health tourism or medical travel, involves both the treatment of illness and the facilitation of wellness, with travel. Medical tourism is a multifaceted and multiphase process involving many agents and actors that requires careful planning and execution. The coordinated process involves the biomedical, transportation, tourism, and leisure industries. From the communication perspective, the process can be viewed as a 5-stage model consisting of the: (a) orientation, (b) preparation, (c) experiential and treatment, (d) convalescence, and (e) reflection phases. Medical tourism is uniquely situated in a nexus of academic literature related to communication, business and management, travel and tourism, policy and law, healthcare and health administration. Communication permeates and perpetuates the medical tourism process and does so at the levels of interpersonal interactions (provider-patient communication), small group (healthcare teams), organizational (between healthcare providers), and mass and computer-mediated communication (marketing, advertising, and patient social support). This process may, in some cases, involve high rates of international and intercultural variation. Further study of the MT process can help to gain a better understanding of how healthcare consumers evaluate information about medical procedures and possible risks, as well as the specific message features and effects associated with various communication channels and information delivery systems. Continuing scholarly efforts also should focus on the relationship between medical tourism and communication.
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Message Tailoring in Health and Risk Messaging
Mia Liza A. Lustria
In today’s saturated media environment, it is incumbent for designers of health education materials to find more effective and efficient ways of capturing the attention of the public, particularly when the intent is to influence individual behavior change. Tailoring is a message design strategy that has been shown to amplify the effectiveness of health messages at an individual level. It is a data-driven and theory-informed strategy for crafting a message using knowledge of various factors that might influence the individual’s responsiveness to the message, such as their information needs, beliefs, motivations, and health behaviors. It also enhances the persuasiveness of a message by increasing its perceived relevance, drawing attention to the message, and encouraging deeper elaboration of the information. Tailoring content based on known antecedents of the intended behavioral outcomes has been shown to enhance tailoring effectiveness. Compared to generic messages, tailored messages are perceived to be more personally relevant, command greater attention, are recalled more readily, and encourage more positive evaluations of the information overall. Various meta-analyses have demonstrated the effectiveness of tailored interventions promoting a number of health behaviors, such as smoking cessation, healthy diet and nutrition, physical activity, and regular recommended health screenings.
Advances in information and communication technologies have led to more sophisticated, multimodal tailored interventions with improved reach, and more powerful expert systems and data analysis models. Web technologies have made it possible to scale the production and delivery of tailored messages to multiple individuals at relatively low cost and to improve access to expert feedback, particularly among hard-to-reach population groups.
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Mobile Journalism and MoJos
Oscar Westlund and Stephen Quinn
Journalism and news are so much a part of our lives that most societies take them for granted. To access the news, people have traditionally had to pay for newspapers or acquire television and radio receivers with accompanying licenses or cable subscriptions. To a large extent, accessing the news has been connected to specific physical domains, especially the home. The widespread diffusion of computers, the Web, and news sites that started in the mid-1990s has made news increasingly accessible, and over the past decade, mobile news has fueled this even more. Digital technologies have become an accepted part of our lives. Access to news and information is easier than ever, with an abundance of free news via connected and ubiquitous digital platforms. News is expensive to produce, however, creating concerns about future business models to support journalism. It means we cannot take journalism for granted. News media must produce content that is valuable to society.
Mobile devices and different forms of mobile media and communication have become integral parts of contemporary societies. The nexus of mobile media and reporting has become one of the most important developments for journalism. Research into mobile news production falls into two main strands. On the one hand, we find research taking an organizational approach, with studies of intra-organizational collaborations in developments of mobile services, what mobile platforms to use, business model considerations, and so forth. On the other hand, we encounter research focusing more specifically on news production among mobile journalists (so-called MoJos). For the working journalist, the mobile device has become the key tool for gathering information, images, and video, and for communicating with colleagues and sources.
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Native Advertising
Bartosz Wojdynski
Native advertising has become an increasingly important revenue component for many online journalism publications. Because Web consumers engage in advertising avoidance strategies when using the Web, advertisers have gradually come to rely increasingly on paid advertising that resembles in format, appearance, and content non-advertising content on websites. On news websites, native advertising forms include sponsored content, sponsored homepage links, and sponsored article-referral links. The spread of native advertising news content has led to concern that news consumers fail to recognize it as advertising, and questions about whether it is unethical or deceptive.
Contemporary native advertising is not the first content delivered alongside news that blurs the boundaries between editorial and paid promotional content. Print advertorials, which took root in newspapers and magazines in the mid-20th century, are a direct analogue, but host-read ads on radio and television programs, text-based search engine result advertising, and newspaper special advertising sections can all be seen as advertising content designed to feel like non-paid content. However, because contemporary native advertising takes so many different forms, and because practices of disclosure to the user are so varied, there has been a rise in public concern and academic inquiry into the prevalence and effects of native advertising.
Native advertising on online news sites has generated a number of ethical concerns from practitioners, media critics, and consumers. On the production side, scholars and practitioners worry that the creation of content on behalf of, or in partnership with, advertisers may erode norms of editorial independence that have governed media organizations’ practices for over half a century. Others are concerned that as consumers become accustomed to seeing articles produced with advertiser input, the credibility of news organizations and trust in their non-advertising content will decrease. Perhaps most prominent have been concerns that native advertising deliberately disables consumers’ ability to recognize advertising elements on a website, rendering advertiser and publisher liable for deceiving consumers.
Research on native advertising has focused primarily on understanding how consumers detect and perceive native advertising, with additional streams focused on descriptive analyses of native advertising content and practitioner perspectives. Empirical studies show that many consumers do not recognize native advertising, and that there are substantial differences in how the content is received and trusted between those who recognize it and those who do not. Scholars have also identified characteristics of content, disclosure practices, and individual characteristics that influence the likelihood of advertising recognition.
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News Audiences and News Habits
Jannie Møller Hartley
The focus of news-audience research has shifted from investigating news audiences of single platforms—such as newspapers, television, or radio news—to audiences in an inherently cross-media context; and from examining the audience as passive, choosing between content made available for them; to investigating what audiences do with the news more actively, often coined by the term “news engagement.”
News-audience studies can be divided into five approaches: (1) media-effect studies of news consumption; (2) studies of news-media use and motives; (3) cultural audience studies of news practices; (4) news audiences’ comprehension and recall of news; and (5) news engagement in the digital age.
Due to changes in the media landscape, both technological and commercial, traditional analytical models in news-audience research have been challenged. The final discussion addresses how a tendency to focus on either reducing audiences to quantifiable aggregates in big-data research or labeling news audiences as a thing of the past can be observed—in both cases removing news-audience research from actual empirical audiences.
Article
News, Children, and Young People
Eiri Elvestad
Studies of how children and young people relate to news have made important contributions to the field of journalism. As early as the early 1900s, children’s and young people’s news exposure was considered with interest. News exposure plays an important role for citizenship in democracies, and for news media organizations, recruiting new generations of audiences is important for survival in the future. From the early days, scholars have mainly focused on four areas in studies of news children and young people. First, the role of mass media as an agent of political socialization and how news exposure can inspire children and young people to civic engagement. Second, the introduction of television and television news increased the numbers of studies of children’s and adolescent’s emotional reactions to news coverage, and the emotional reactions to violence in the news coverage in particular. Third, an increasing focus on children’s rights and children as a minority group has further inspired studies of representation of children and young people in the news. Finally, inspired by methodological approaches focusing on people’s motivation for the use of different media and how they were used (“uses and gratification” studies), a main area for researchers has been to grasp how children and young people engage with news and how they do so in changed media environments. In the last decade, journalism studies have increasingly focused on how children and young people receive, evaluate, produce, and share news in social media.
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News Editing and the Editorial Process
Tim Klein, Elisabeth Fondren, and Leonard M. Apcar
Throughout the ages, the editor’s primary role has been to connect writers with readers by deciding what to publish. In modern scholarship, this is known as gatekeeping. The stories an editor allows through the metaphorical “gate” can influence what readers find important—what scholars call agenda setting. But editors not only influence which stories are told; they also shape how stories are told, through word choice, story arrangement, selection of examples, photos, and the all-important headline; this is known as framing. Historians and biographers have written a good deal about individual editors—their publications, their editorial instincts, their altercations with powerful politicians, and their pursuit of truth, entertainment, profit, and influence. But there has been less focus on the broader changes that have impacted the work of editors as the media ecosystem has shifted. Cultural and social changes have created new demands on editors, who have had to adjust to stay in sync with audiences’ tastes and expectations. Technological invention—and the disruption of old economic models—have forced editors to adapt to new mediums of mass communication that serve new audiences and new financial realities. In short, broader economic, political, technological, and social changes have all influenced what type of editing has flourished and what practices drifted into the past. The Internet has posed an existential threat to editors as gatekeepers. Countless new gates that connect readers and writers have been thrown open, some with little to no editorial oversight. This is far from the first time editors have been forced to adapt to change—the history of editing has been a story of innovation in a continuing quest to find new ways to connect readers and writers. Today, despite the decline in gatekeeping power, professional editing still has an essential role—to curate quality out of the multitude of online voices and uphold a rigor for accuracy and truthfulness that can be easily overlooked on social media and non-professional news sites. Whether it is approving (or rejecting) a topic of investigation, copy-editing prose, fact-checking a story, arranging the home page of a website, managing a newsroom, or deciding which journalist to hire, editors play an integral role in shaping the information that is shared with audiences.
Article
News Sources and Journalist–Source Interaction
Caroline Fisher
The relationship between journalists and their sources is central to journalism practice. It is a relationship based on a power struggle over the presentation of information to the public. The nature of that relationship continues to change in response to cultural, social, political, and technological circumstances. Historically, the relationship between journalists and sources has been predominantly characterized as interdependent, oscillating between cooperation and conflict over the control of information. However, the arrival of digital publishing platforms and growing use of artificial intelligence and automation in journalism have significantly disrupted this mutually dependent exchange. It has blurred the boundaries between the two roles by complicating the concept of “source” and “journalist” and released sources from their traditional reliance on journalists to disseminate their messages to citizens. Using digital platforms, sources have the option to bypass the traditional media and communicate directly with the public if it meets their strategic communication goals. Depending on whether the source is trying to reach a specific audience via social media or a wider audience via mass media, they can “opt-in” or “opt-out” of a traditional journalist–source relationship. The shift in power between reporters and sources poses a challenge to the authority and control of journalists who have lost their stranglehold over the means of publication. This change points to issues of accountability and scrutiny and raises questions about the ongoing relevance of journalism’s “fourth estate” role in democracy.
Article
Pacific Media
Tara Ross
Pacific media are viewed here as the media of the Pacific region, an area that covers vast cultural, economic, and geographic differences. Like the region, Pacific media are diverse, ranging from large media systems in the bigger island groups to little more than government-produced newsletters in smaller island states. Pacific media face unique challenges, with their small yet diverse and often scattered audiences, which, inevitably, influence both their media practices and content. Like all media, they also face the contemporary challenges of rapid technological change and shifts in audience tastes. There has been relatively little research on Pacific media (at least compared with media elsewhere), but what there is demonstrates a range of media systems, where radio is important and web and social media are growing in influence. Checks on media freedom have been an issue in some Pacific states, as has the influence of foreign ownership and content. Cultural norms around community and social obligation appear to be influential in shaping both the structure of some Pacific media (which are notable for their commercial/community hybridity) and a close relationship with their audiences. In terms of academic scholarship, there is a need for more empirical research to build on earlier works—to fill gaps in understanding about Pacific audiences and their evolving transnational media practices, and the mediascapes of underexplored island states, and to map contemporary media practices in the face of rapid change. There is also a need for more research that can build local theory about Pacific media, particularly research by Pacific researchers that is grounded in Indigenous Pacific perspectives.
Article
Perceptions of the Childfree
Elizabeth A. Hintz and Rachel Tucker
Being voluntarily childless (i.e., “childfree”) is a growing trend in the United States and around the world. Although most childfree people know early in life that they do not wish to become parents, the decision to forgo having children is an ongoing process that requires childfree people to construct a life that deviates from the normative family life cycle. Increasing rates of voluntary childlessness is a trend spurred by a variety of shifting social, economic, and environmental factors. Yet despite the increasing normalcy of voluntary childlessness, childfree people (and especially childfree women) face social sanctions for deciding not to become parents, being broadly perceived more negatively than childless people (who do not have children but want them) and parents. Such sanctions include social confrontations in which others (e.g., family members) question or contest the legitimacy of their childfree identity. Media coverage of voluntary childlessness forwards the notion that motherhood and femininity are inseparable and that voluntary childlessness is an issue that primarily concerns and affects women. Furthermore, childfree people face discrimination in health care contexts when seeking voluntary sterilization and in workplace contexts when “family-friendly” policies create unequal distributions of labor for those without children. Members of the childfree community use the Internet to share resources and seek support to navigate challenging interactions with outsiders. Beyond this, although some studies have begun to interrogate the roles of geographic location, race, and sexual orientation in shaping the experience of voluntary childlessness, at present, a largely White, wealthy, able-bodied, cisgender, heteronormative, and Western view of this topic is still perpetuated in the literature.
Article
Persuasive Health Message Design
Nancy Grant Harrington
The study of persuasive health messages—their design, dissemination, and impact—is ubiquitous in the communication discipline. Words, sounds, and images—alone or in combination—can move people to change their minds and their bodies. Micro-level topics surround questions of message content (argumentation scheme, evidence, qualifying language, and figurative language), structure (message sidedness, standpoint articulation, inoculation, and sequential strategies), and format (channel and audiovisual effects). Macro-level topics in this area include message sensation value, narrative, framing, emotional appeals, and tailoring. Central theoretical frameworks used to guide message design research, include health behavior change theories, information processing theories, and theories/frameworks for message design. In addition, some of the methodoligical issues inherent in message design research are questions of analysis, validity, and measurement. Four streams of past scholarship that inform persuasive health message design research: Greek rhetoric, mass communication research begun during World War II, the development of health communication as a research focus within the communication discipline, and the development of computer and telecommunications technology. Directions and challenges for future research include the need for a clear, coherent, and comprehensive taxonomy to classify message characteristics and attention to several methodological issues.
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Physiological Measures of Wellness and Message Processing
Kory Floyd, Corey A. Pavlich, and Dana R. Dinsmore
Research has shown that the expression of affection and other forms of prosocial communication between two or more people promotes wellness and has the potential to increase life expectancy. The human body contains multiple physiological subsystems that all contribute to the overall health and well-being of an individual; the simple act of engaging in prosocial communication has been shown to positively influence one’s health and well-being. The specific benefits of engaging in prosocial communication are not limited to one specific physiological subsystem; it is the pervasiveness of this benefit that is so important. The benefits of prosocial communication range from building the body’s defense systems to increasing the effectiveness of recovery; in essence, prosocial communication increases the body’s overall integrity and rejuvenating power. These benefits have been observed for a variety of prosocial behaviors, including the expression of affection, touch, social support and cohesion, and social influence. The health benefits of prosocial communication point to the importance of considering prosocial communication when designing health and risk messages.
Article
Popular Media and Exposure to Health and Risk Messages
Kimberly N. Kline
Popular media are a source of information, a powerful socializing agent, and generate sociopolitical and sociocultural meanings that impinge on health promotion and/or disease prevention efforts and individual lived experiences. Thus, motivated by the goal of improving individual and social health, multidisciplinary scholars attend to the implications of entertainment and news media with regard to a range of topics such as individual health threats related to prevention, health conditions and illnesses, patient–provider interactions and expectations, public health issues related to crisis management and health recommendations, and public policy. Scholarship in this line of research may approach the study of popular media guided by the social scientific tradition of media effects theory to explain and predict response or by critical theory to consider ideological implications and employ different methodologies to describe and evaluate the images of health and health-related matters to which people are being exposed or that focus on media representations or audience (both individual and societal) response.
Article
Postcolonial Media Theory
Juan Llamas-Rodriguez and Viviane Saglier
The postcolonial intellectual tradition has proved crucial to articulating cultural, film, and media formations from the geographical and theoretical perspective of (formerly) colonized people and countries. The object of media studies has expanded significantly beyond the screen in the past decades, including a renewed attention to non-visual media and an emerging attention to the material conditions of possibility for media representations. In this new mediascape, postcolonial theories and concepts potentially repoliticize media theory by questioning Western assumptions about technological progress and innovation. Postcolonial theories of media force a rethink of the tenets of traditional media theories while, at the same time, media theories demonstrate the centrality of media, in all its forms, to understanding the postcolonial condition.
Article
Press Subsidies
Mart Ots and Robert G. Picard
Due to its function as a watchdog or fourth estate in democratic societies and a variety of commercial challenges, policy-makers have undertaken initiatives to support the production and distribution of news. Press subsidies are one such policy initiative that particularly aims to provide support to private news producers. Paid as direct cash handouts or indirect reduced taxes and fees, they exist in some form in almost every country in the world. Subsidies are not uncontroversial, their effectiveness is unclear, and their magnitude, designs, and areas of application, differ across nations and their unique economic, cultural, and political contexts.
After periods of declining political and public interest in media subsidies, the recent economic crisis of journalism, and the rising influence of various forms of click-bait, fake, native, or biased news on social media platforms, has brought state support of original journalism back on the agenda.
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Presumed Media Influence in Health and Risk Messaging
Shirley S. Ho and Andrew Z. H. Yee
Health communication research has often focused on how features of persuasive health messages can directly influence the intended target audience of the messages. However, scholars examining presumed media influence on human behavior have underscored the need to think about how various audience’s health behavior can be unexpectedly influenced by their exposure to media messages. Two central theoretical frameworks have been used to guide research examining the unintended effects: the third-person effect and the influence of presumed media influence (IPMI). The theoretical explanations for presumed media influence is built on attribution bias, self-enhancement, perceived exposure, perceived relevance, and self-categorization. Even though both the third-person effect and the IPMI share some theoretical foundations, and are historically related, the IPMI has been argued to be better suited to explaining a broader variety of behavioral consequences. One major way that presumed media influence can affect an individual’s health behavior is through the shifting of various types of normative beliefs: descriptive, subjective, injunctive, and personal norms. These beliefs can manifest through normative pressure that is theoretically linked to behavioral intentions. In other words, media have the capability to create the perception that certain behaviors are prevalent, inculcating a normative belief that can lead to the uptake of, or restrain, health behaviors. Scholars examining presumed media influence have since provided empirical support in a number of specific media and behavioral health contexts. Existing findings provide a useful base for health communication practitioners to think about how presumed media influence can be integrated into health campaigns and message design. Despite the proliferation of research in this area, there remains a need for future research to examine these effects in a new media environment, to extend research into a greater number of health outcomes, to incorporate actual behavioral measures, and to ascertain the hypothesized causal chain of events in the model.