health communication teams

Abstract: TikTok has become a primary channel for nutrition information, and alongside evidence-based content, it hosts a growing stream of \emph{fear-based} wellness messaging that frames ordinary foods as ``toxic,'' ``poison,'' or things to ``never eat.'' Prior work has extensively studied political and public-health misinformation and audited the accuracy of health videos, but to the best of our knowledge, no work has examined how everyday food-fear content spreads and how audiences respond to it. To investigate this, we collected 97,234 TikTok food and nutrition videos, labeled them \textit{Fear} or \textit{Non-Fear} with a zero-shot multimodal classifier built on Gemini~3 Flash that is validated against human consensus (Cohen's $κ=0.81$), and analyzed more than 1.1M comments and 272K parent-reply pairs. Contrary to the intuition that fear ``goes viral,'' fear videos reach fewer people than non-fear videos. Their distinctive signature lies in dynamics: they are shared more per view (1.7--2.1$\times$ after controls) and their discussion persists longer (comment half-life 1.62$\times$ after controls). These shifts are modest in size but hold after controlling for reach. Comments on fear videos are more negative, angrier, and more disgusted, yet negativity is \emph{not} more self-reinforcing: negative comments draw negative replies at the same rate as in non-fear threads, while positive comments are far less likely to stay positive. Fear threads are contested rather than one-sided, with both more corrective and more alarm-amplifying replies. Fear discourse concentrates in frames about industrial ingredients, contaminants, and institutional distrust, and its repertoire of frames widens over 2020--2026. Our results argue for persistence-based rather than virality-based signals when platforms seek harmful health content.

Abstract: Biomedical research articles are mainly written for experts and often contain terms that are difficult for the general public to understand. Automated lay summarization has become a solution to make biomedical knowledge easier for patients and the public to understand. However, generating lay summaries from full-text articles requires more computing power because the articles are long and costly to process. Fine-tuning large language models for this task also requires substantial resources. This study asks two questions: (1) whether abstracts contain enough information to produce lay summaries as good as those based on full-text articles, and (2) whether few-shot learning performs as well as task-specific fine-tuning. The study used two public biomedical lay summarization datasets and two recent models, evaluated for readability, factual consistency, semantic similarity, and runtime efficiency. Results show that abstract-based summarization performs better overall. Across both datasets and models, abstract fine-tuning is 4.70 times faster, while abstract zero- and few-shot prompting is 5.31 times faster than full-text methods. These results show that abstract-based prompting reduces runtime cost while maintaining lay summary quality.

Abstract: Social media heavily influences health decisions, yet few opinion dynamics models account for how information is delivered. This work investigates how signaling source expertise shapes trust and long-term opinion formation. Through an online experiment, we find that adding a professional title to the sender's display name significantly increases a post's perceived credibility. Incorporating these findings to create a data-driven opinion dynamics model, we prove that (1) connecting users through some paths to an expert guarantees consensus with experts' opinion, while (2) higher rates of expertise signaling accelerate reaching consensus. Simulations show that (3) convincing even 20% of users to signal their title reduces consensus time to nearly one-third in Erdos-Renyi networks and (4) higher title adoption brings average opinion much closer to that of experts in scale-free and real-world networks. Altogether, our work highlights expertise signaling as a viable intervention to promote validated medical information online.

Abstract: This paper presents an end-to-end study of automatic speech recognition (ASR) for adolescent health communication in three Ghanaian languages (Twi, Dagbani, and Ewe). The work proceeds in three connected stages; First, we benchmark five ASR systems (three language-specific Wav2Vec2 models and two multimodal LLMs, Gemma 3n and Gemma 4) on a general-domain Bible corpus and a Youth Adolescent Sexual and Reproductive Health (ASRH) Domain ASR dataset, using Character and Word Error Rate (CER, WER). Second, guided by the benchmark, we perform supervised domain adaptation: although Gemma 4 was the strongest zero-shot candidate, fine-tuning it proved computationally infeasible, so we pivoted to the compact Qwen3-ASR-0.6B, fine-tuned on a large Ghana Bible corpus (~90k samples) and evaluated strictly on held-out human-collected in-domain audio. Fine-tuning reduced WER on every language, most dramatically for Ewe (WER from 109.3% to 64.8%, a drop of 44.5 pp; CER from 65.1% to 24.9%). Third, we validate the work through KasaHealth, a live voice-first ASRH application deployed in all three languages, complemented by Senti-Check, a technical evaluation harness. KasaHealth was tested by 50 community respondents and achieved a 100% chat-approval rate, a 72% Good-or-Excellent translation rating, and a 92% would-recommend rate, while surfacing the domain gaps that most constrain real-world use. Across all three stages the evidence converges: for these languages the binding constraint is validated in-domain data, not model capability or computation.

Abstract: Health misinformation disproportionately harms women, yet interventions rarely address the community norms that sustain false beliefs. We test whether culturally adaptive AI-generated video in which the presenter looks like someone from her community reduces misinformation belief among low-literacy women in suburban India. In a field experiment (N=434), participants watched an AI-generated video featuring either an adaptive or neutral presenter. The culturally adaptive presenter reduced misinformation belief by 30%, nearly twice the reduction produced by the neutral presenter compared to the non-intervention control condition. Post-experiment interviews suggest women recalled the neutral condition as a generic video but recognized the adaptive presenter. Gains persisted for three weeks. The adaptive advantage was largest for beliefs reinforced by community, such as blaming women for infertility, and negligible for medical knowledge gaps, such as understanding vaccines. These findings demonstrate the potential of culturally adaptive AI interventions to counter socially embedded health misinformation.

Abstract: Peer stories have been shown to boost self-efficacy in older adults' health behavior change. Despite their effectiveness, peer stories are difficult to deploy in health promotion at scale given the difficulty of matching the diverse health concerns and coping styles of heterogeneous older populations. Large language models (LLMs) have been shown to generate authentic narratives, yet how personalization and narrative affective style, such as humor, jointly shape older adults' responses remains unknown. We developed a theory-driven system that generates first-person peer health narratives varying in personalization and humor through a three-stage LLM pipeline grounded in self-efficacy mechanisms. Thirty-one older adults were invited to participate in a within-subjects lab study. Results showed that personalization increased perceived relatability and relevance of peer stories, especially for older adults with lower humor preference. These findings position individual differences in affective styles as a second dimension in designing personalization for LLM-assisted health communication.