First Advisor

Lauren Frank

Term of Graduation

Spring 2025

Date of Publication

9-29-2025

Document Type

Thesis

Degree Name

Master of Science (M.S.) in Communication

Department

Communication

Language

English

Subjects

COVID-19, Pandemic, Public Health

Physical Description

1 online resource (iv,73 pages)

Abstract

The COVID-19 pandemic prompted widespread public health messaging encouraging behaviors such as vaccination, mask-wearing, and staying home when sick. However, persistent exposure to these messages has sometimes produced unintended effects, including message fatigue and psychological reactance. Drawing on psychological reactance theory (PRT) and the integrative model of behavioral prediction (IMBP), this study examines the relationships between message fatigue, psychological reactance, and behavioral intentions toward three COVID-19 preventive behaviors: vaccination, masking, and staying home when sick. A survey of 348 U.S. adults assessed participants' levels of message fatigue, psychological reactance, attitudes, perceived norms, self-efficacy, response efficacy, collective efficacy, and behavioral intentions. Results revealed that message fatigue was positively associated with psychological reactance. Psychological reactance, in turn, was negatively associated with attitudes, perceived norms, self-efficacy, response efficacy, and behavioral intentions related to COVID-19 prevention behaviors, though varied depending on the specific behavior. These findings highlight the need for public health campaigns to consider the long-term effects of repetitive messaging and psychological resistance when promoting health behaviors, particularly as societies transition from crisis response to ongoing public health management.

Rights

© 2025 Lillian Hamilton Mantel

In Copyright. URI: http://rightsstatements.org/vocab/InC/1.0/ This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).

Persistent Identifier

https://archives.pdx.edu/ds/psu/44155

Included in

Communication Commons

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