A Multimodal Discourse Analysis of Health Communication Posters: A Case Study of U.S. Educational Institutions During the COVID-19 Pandemic
การวิเคราะห์วาทกรรมหลากรูปแบบในโปสเตอร์การสื่อสารด้านสุขภาพ: กรณีศึกษาสถาบันการศึกษาในสหรัฐอเมริกาในช่วงการแพร่ระบาดของโควิด-19
Keywords:
Multimodal Discourse Analysis , Health Communication , COVID-19, Face-Mask Promotion, Visual and Verbal SemioticsAbstract
The COVID-19 pandemic highlighted the need for effective health communication strategies, particularly within educational institutions. This study investigates how U.S. universities employed multimodal discourse in face-mask promotion posters to encourage preventive behaviors. Using Multimodal Discourse Analysis (MDA), the research examines verbal elements through advertising language features and commodity exchange theory, and visual elements through social semiotic frameworks. A mixed-methods approach combined qualitative analysis of semiotic strategies with quantitative frequency analysis to determine their prevalence. Findings reveal a predominant use of imperative language (90%) and phonological repetition, including alliteration (80%) and assonance (80%), to enhance memorability. Symbolism was universal (100%), with the mask serving as a central metaphor for protection and responsibility. Compositional techniques such as size prominence (90%) and color contrast (70%) heightened message visibility, while alignment between verbal and visual modes strengthened engagement and persuasion. Despite these strengths, most posters lacked cultural and linguistic diversity. The study contributes to digital health communication research by demonstrating how multimodal strategies reinforce public health messaging and by emphasizing the importance of culturally responsive and visually inclusive communication during health crises.
References
American Society for Healthcare Risk Management. (2016). A brief guide to crisis communications for health care providers. Washington, DC: Author.
Dews, S. A., Daley, R., Bansal, A., Preston, J., & Bohm, N. (2024). The power of language: How to bridge the gap between healthcare research and patients – a scoping review. Current Medical Research and Opinion, 40(2), 279–291. https://doi.org/10.1080/03007995.2023.2295984
Edmonds, M. D., Zayts-Spence, O., & Alder, K. (2022). Commentary: Communicating in crisis: Reflections, opportunities, and challenges for healthcare communication in the COVID-19 pandemic. Qualitative Health Communication, 1(2), 104–117. https://doi.org/10.7146/qhc.v1i2.128540
Ezirim, C. & Aworo-Okoroh, J. (2023). Multimodal Analysis of Selected Health Awareness Materials: A Visual Grammar Approach. South Asian Research Journal of Arts, Language and Literature, 5(4), 97–107. https://doi.org/10.36346/sarjall.2023.v05i04.002
Gilbert, John. (2009). Role of Educational Institutions in Identifying and Responding to Emerging Health Human Resources Needs. HealthcarePapers, 9(12), 6–19.
Githinji, P., Uribe, A. M., Szeszulski, J., Rethorst, C. D., Luong, V., Xin, L., Rolke, J. L., Smith, G. M., & Seguin-Fowler, R. A. (2024). Public health communication during the COVID-19 health crisis: Sustainable pathways to improve health information access and reach among underserved communities. Humanities and Social Sciences Communications, 11, 1218. https://doi.org/10.1057/s41599-024-03718-7
Quinn, Paul. (2018). Crisis Communication in Public Health Emergencies: The Limits of ‘Legal Control’ and the Risks for Harmful Outcomes in a Digital Age. Life Sciences, Society and Policy, 2018(14). https://doi.org/10.1186/s40504-018-0067-0
Haddow, George. & Kim, S. Haddow. (2014). Disaster Communications in a Changing Media World. Burlington: Elsevier.
Halliday, M. A. K. (1984). Language as Code and Language as Behaviour: A Systemic-Functional Interpretation of the Nature and Ontogenesis of Dialogue. London: Pinter.
Harrison, C. (2008). Real men do wear mascara: advertising discourse and masculine identity. Critical Discourse Studies, 5(1), 55–74. https://doi.org/10.1080/17405900701768638
Holden, L. C. Alexander. (2019). Dentistry and Oral Health in Online Media Sources: A Discourse Analysis. Community Dental Health, 2019(36), 221–228.
Hu, Yifeng. (2016). Health communication research in the digital age: A systematic review. Journal of Communication in Healthcare, 8(4), 260–288. https://doi.org/10.1080/17538068.2015.1107308
Ingolo, Anindo. Hope, Ongonda., & Anashia, Nancy. (2024). Health Communication: A Multimodal Discourse Analysis of Selected Corona Virus Posters in Kenya. African Journal of Empirical Research, 5(4) 2024, 1531–1545. https://doi.org/10.51867/ajernet.5.4.128
Kress, G., & Van, Leeuwen T. (2006). Reading Images: The Grammar of Visual Design. London/ New York: Routledge.
Ope-Davies, Tunde. & Shodipe, Mojisola. (2023). A multimodal discourse study of selected COVID-19 online public health campaign texts in Nigeria. Discourse & Society, 34(1), 96–119. https://doi.org/10.1177/09579265221145098.
Ratna, H. (2019). The importance of effective communication in healthcare practice. Harvard Public Health Review, 23. https://doi.org/10.54111/0001/W4
Royce, D. T. & Bowcher, W. (2006). Intersemiotic Complementarity: A Framework for Multimodal Discourse Analysis. New York: Routledge.
Sastry, Shaunak. & Basu, Ambar. (2020). How to Have (Critical) Method in a Pandemic: Outlining a Culture-Centered Approach to Health Discourse Analysis. Critical Health Methods, 2020(5), 1–8. https://doi.org/10.3389/fcomm.2020.585954
Skorupa, P. & Dubovičiene, T. (2015). Linguistic Characteristics of Commercial and Social Advertising Slogans. CoaCtivity: Philology, Educology, 23(2), 108–118. https://doi.org/10.3846/cpe.2015.275
Substance Abuse and Mental Health Services Administration (SAMSHA). (2019). Communicating in a Crisis. Rockville: SAMHSA Publication.
Vasiloaia, M. & Bacovia, G. (2018). Linguistic Features of the Language of Advertising. Economy Transdisciplinarity Cognition, 1(2009), 294–298.
Warde, F., Papadakos, J., Papadakos, T., Rodin, D., Salhia, M., & Giuliani, M. (2018). Plain language communication as a priority competency for medical professionals in a globalized world. Canadian Medical Education Journal, 9(2), e52–e59.
Wu H. (2025). A Multimodal Discourse Analysis of TED-Ed Medical Popular Science Videos. Open Journal of Social Sciences, 13(7). https://doi.org/10.4236/jss.2025.137020
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