First-Person, Third-Person, or Bystander? Exploring the Persuasive Influence of Perspective in Mental Health Narratives

J Health Commun. 2021 Apr 3;26(4):225-238. doi: 10.1080/10810730.2021.1916658. Epub 2021 Apr 29.

Abstract

As evidence suggests that college students are particularly vulnerable to mental health distress and illness, guidance for designing messages that inspire help-seeking behavior is needed. The purpose of this study was to evaluate the influence of perspective of storytelling on health message involvement and persuasion. A controlled experiment (N= 430) compared the influence of online mental health narratives targeted to college students that featured a bystander perspective to those that used first- and third-person perspectives. Evidence suggests that the bystander perspective was more effective for producing persuasive outcomes, including mental health information recall and beliefs. Results also indicate that self-referencing mediated the effects of message involvement on outcomes across all message conditions. People with experience with mental illness became involved with and were influenced by mental health narratives in different ways.

MeSH terms

  • Female
  • Health Communication / methods*
  • Help-Seeking Behavior
  • Humans
  • Male
  • Mental Disorders*
  • Narration*
  • Persuasive Communication*
  • Psychological Distress*
  • Students / psychology*
  • Students / statistics & numerical data
  • Surveys and Questionnaires
  • United States
  • Universities
  • Young Adult