The Role of Perceived Facework and Freedom Threat in Health Recommendation Responses: Integrating Reactance and Advice Evaluation Pathways

= 389) were evenly distributed across gender, education, and age. Structural equation model results indicated that the theories complement-rather than compete-with each other, as theoretical mechanisms between language and intentions were supported for both theories and some associations merged theoretical predictions. Participants who perceived messages to be freedom threatening experienced increased reactance and therefore had reduced positive attitudes about the behavior and reduced behavioral intentions. Participants who evaluated messages as having more desirable characteristics, specifically positive facework, negative facework, efficacy, and feasibility, experienced increased behavioral intentions, either through direct associations or by also having reduced reactance or increased positive attitudes about the behavior. Indirect effects occurred between the language manipulations and behavioral intentions through perceptions of positive facework, negative facework, and freedom threat, but surprisingly differences only emerged between mitigated and aggravated face-threatening language, with no distinctions between whether the language centered on positive or negative face. We discuss theoretical and practical implications, including merging theoretical considerations of face-threat, efficacy and feasibility evaluations, reactance, and attitudes to maximize predictions of behavioral intentions.

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Publication Details

Journal
Health Communication
Published
2026-05-18
DOI
https://doi.org/10.1080/10410236.2026.2672673
Primary Topic
Social and Intergroup Psychology
Type
article
Field-Weighted Citation Impact
0.00
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article

The Role of Perceived Facework and Freedom Threat in Health Recommendation Responses: Integrating Reactance and Advice Evaluation Pathways

Elisabeth Bigsby, Lisa M. Guntzviller
Health Communication
Social and Intergroup Psychology
article

The Role of Perceived Facework and Freedom Threat in Health Recommendation Responses: Integrating Reactance and Advice Evaluation Pathways

Elisabeth Bigsby, Lisa M. Guntzviller
article en

Abstract

= 389) were evenly distributed across gender, education, and age. Structural equation model results indicated that the theories complement-rather than compete-with each other, as theoretical mechanisms between language and intentions were supported for both theories and some associations merged theoretical predictions. Participants who perceived messages to be freedom threatening experienced increased reactance and therefore had reduced positive attitudes about the behavior and reduced behavioral intentions. Participants who evaluated messages as having more desirable characteristics, specifically positive facework, negative facework, efficacy, and feasibility, experienced increased behavioral intentions, either through direct associations or by also having reduced reactance or increased positive attitudes about the behavior. Indirect effects occurred between the language manipulations and behavioral intentions through perceptions of positive facework, negative facework, and freedom threat, but surprisingly differences only emerged between mitigated and aggravated face-threatening language, with no distinctions between whether the language centered on positive or negative face. We discuss theoretical and practical implications, including merging theoretical considerations of face-threat, efficacy and feasibility evaluations, reactance, and attitudes to maximize predictions of behavioral intentions.

Health Communication
University of Illinois Urbana-Champaign (US)
Gender equality
Openalex Percentile: Top 3%
Social and Intergroup Psychology
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