June A Flora

June A Flora
Stanford University | SU ·  Human-Sciences and Technologies Advanced Research Institute

PhD

About

106
Publications
26,476
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6,791
Citations

Publications

Publications (106)
Article
Full-text available
Understanding how the COVID-19 pandemic has altered electricity consumption can provide insights into society's responses to future shocks and other extreme events. We quantify changes in electricity consumption in 58 different countries/regions around the world from January-October 2020, and examine how those changes relate to government restricti...
Article
As wildfire risk in the western U.S. grows due to climate change, the frequency and duration of public safety power shutoffs (PSPSs) are expected to increase. Surveying California residents (n = 804), we identify four respondent groupings based on PSPS experience and concern about future power outages. We find that those with higher levels of exper...
Article
Efficacious treatments for children with obesity have not been broadly disseminated. The Stanford Pediatric Weight Control Program (SPWCP) is grounded in behavioral theory and prior observations, follows a proven treatment model, and is consistent with the US Preventive Services Task Force (USPSTF) recommendations. It has shown high levels of parti...
Article
en The climate crisis and associated push for distributed, renewable electricity generation necessitate policy changes to decarbonize and modernize the electricity grid. Some of these changes—e.g., smart meter rollouts and tax credits for solar panel adoption—have received attention in the media and from social scientists to understand public perce...
Article
To contain the spread of the novel coronavirus (COVID-19), local and state governments in the U.S. have imposed restrictions on daily life, resulting in dramatic changes to how and where people interact, travel, socialize, and work. Using a social practice perspective, we explore how California's Shelter-in-Place (SIP) order impacted household ener...
Article
The success of time-of-use (TOU) pricing, where consumers are charged higher rates during peak usage windows, depends on consumer flexibility—an assumption that may not be true for all households or activities. We draw on concepts from social practice theory to explore the flexibility of residential electricity consumption, examining both household...
Preprint
Full-text available
Understanding how efforts to limit exposure to COVID-19 have altered electricity demand provides insights not only into how dramatic restrictions shape electricity demand but also about future electricity use in a post-COVID-19 world. We develop a unified modeling framework to quantify and compare electricity usage changes in 58 countries and regio...
Article
A growing body of research examines the role of extreme weather experience—as one of the most personal, visceral (and increasingly frequent and severe) impacts of climate change—in shaping views on climate change. A remaining question is whether the experience of an extreme weather event increases climate change concern via experiential learning or...
Conference Paper
Full-text available
Prior work has demonstrated that energy education programs designed for young children can influence the adoption of energy efficiency measures in the home. Here, we introduce the Know Your Energy Numbers (KYEN) program, an energy education program designed to teach an older audience of pre-teens, or tweens, about: (i) their energy consumption life...
Article
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Advances in event attribution have improved scientific confidence in linking climate change to extreme weather severity and frequency, but this confidence varies by event type. Yet, scholars and activists argue that extreme weather events may provide the best opportunity to raise awareness and prompt action on climate change. We focus on four cases...
Article
After deploying a large number of smart meters, utilities are challenged with managing a massive set of interval energy consumption data and decoding the information into meaningful measures that can help them. These new tasks need a more detailed understanding of customers than was previously sought because customers vary widely in their usage, ne...
Article
Energy education programmes for children are hypothesized to have great potential to save energy. Such interventions are often assumed to impact child and family behaviours. Here, using a cluster-randomized controlled trial with 30 Girl Scout troops in Northern California, we assess the efficacy of two social cognitive theory-based interventions fo...
Conference Paper
Motivating behavior change for energy reduction using technological solutions has led to the development of hundreds of technological products in less than a decade. Technology design in the energy reduction field is often characterized by two perspectives; “build and they will come” and “begin with human need, motivation, and desire.” Using a huma...
Conference Paper
In this paper, we present the Energy Visualization and Insight System for Demand Operations and Management platform (VISDOM), a collection of smart meter data analysis algorithms and visualization tools designed to address the challenge of interpreting patterns in energy data in support of research, utility energy efficiency and demand response pro...
Article
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Ever-increasing global warming has created a societal imperative to reach and engage youth, whose futures are at risk. In this paper, we evaluate the climate science knowledge, beliefs, attitudes, behavior and communication impact of an entertainment-education high school assembly program in a random sample of 49 schools (from population of 779 tha...
Article
Climate change is likely the most critical societal challenge to the futures of today׳s children. Mitigation will require a concerted effort to change household energy behaviour—electricity use, transportation and food consumption patterns. A first step to changing behaviour is to better understand current behaviour and its intrapersonal (knowledge...
Conference Paper
Behavioral science has long acknowledged that informational and performance feedback is a key to behavior change. The graph features prominently as a feedback modality. Driven by the large scale deployment of energy sensing devices, graphs have become a ubiquitous visualization of household energy consumption. We investigate the influence of three...
Article
Research suggests that vivid and personalized interventions influence proenvironmental attitudes and behaviors. Through the use of immersive virtual environment technology, people can experience vivid environmental scenarios that are personalized to the individual. An experiment was conducted to investigate the impact of vivid and/or personal messa...
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The increasing US deployment of residential advanced metering infrastructure (AMI) has made hourly energy consumption data widely available. Using CA smart meter data, we investigate a household electricity segmentation methodology that uses an encoding system with a pre-processed load shape dictionary. Structured approaches using features derived...
Conference Paper
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We develop statistical techniques for analyzing the energy information in the 15-min and daily household electricity consumption data. The results provide a good understanding of how usage is affected by environmental, structural and customer features. The analytics yield productive results for a small region, and perform well in other areas and in...
Conference Paper
Today's children face a changing climate, and the lessons they learn at home about sustainable, climate-friendly behavior may help reduce the health threats they will face in the future. Family norms to conserve or consume may support or inhibit sustainable behavior; given that multiple individuals must cooperate in conservation, interpersonal comm...
Conference Paper
Most online energy conservation interfaces assume that information provision is sufficient to induce behavior change and energy use reductions. A gap between behavioral theory and field practice partly explains why interfaces have not achieved this goal. In this paper, we describe a research program on human centered interactive interface design th...
Conference Paper
In this paper we present an ongoing research project that seeks to improve home energy behavior by connecting it to gameplay within an online multiplayer game. The project examines how the engagement mechanisms common in popular games may be leveraged to promote desired real-world energy behaviors among players. By inputting real world home energy...
Article
Full-text available
Global climate change is likely to have significant impacts on public health. Effective communication is critical to informing public decision making and behavior to mitigate climate change. An effective method of audience segmentation, the risk perception attitude (RPA) framework has been previously tested with other health behaviors and classifie...
Article
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This paper describes the initial phase of a study of ecolinguistic-based social media analytics aimed at understanding the frequency, semantics, context and potential persuasive in-fluence of social media conversations about energy issues, metaphors, frames and behaviors. Our broad research ques-tion asked, "How does the online conversation about e...
Conference Paper
Background: Mitigating climate change requires adopting sustainable behaviors at multiple levels. This paper seeks to determine how parent- and adolescent-level factors affect household behaviors. The risk perception attitude (RPA) framework, which posits that risk perceptions act as motivators and efficacy beliefs as facilitators of behavior chang...
Conference Paper
Background: Information seeking is an important outcome in health communication research and practice. Increasing adolescents' information seeking may constitute an important step in promoting climate change-reducing behaviors, but research is limited. The risk perception attitude (RPA) framework has been used to predict health information seeking...
Article
Ethical and regulatory guidelines recommend disclosure of medical errors to patients and families. Yet few studies examine how to effectively train healthcare professionals to deliver communications about adverse events to family members of affected pediatric patients. This pilot study uses a preintervention-postintervention study design to investi...
Article
The absence of significant restrictions on tobacco advertising in stores has prompted concern about the proliferation of these messages and their impact on youth. This is among the first studies to investigate the effects of adolescents’ exposure to retail tobacco advertising. Under the guise of testing teen-interest news stories, 8th and 9th grade...
Article
Spending on non-traditional media such as point-of-purchase advertising and promotions continues to increase. Pro-alcohol messages are a concern since, alcohol advertising is positively associated with drinking and related problems. This is one of the first studies that assesses alcohol advertising and promotions at retail outlets. Within a census...
Article
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This study investigates whether, and to what extent, community organizations can serve as viable channels of health information. We use Putnam's (2000)29. Putnam , R. D. 2000. Bowling alone: The collapse and revival of American community, New York: Simon & Schuster. [CrossRef]View all references findings on social capital to argue that organizatio...
Article
The purpose of this study was to investigate the nature and extent of alcohol coverage in California newspapers by examining the frequency, positioning, and framing of alcohol-related articles. A content analysis assessed the frequency and nature of alcohol references in news content drawn from a random sample of nine California newspaper issues fr...
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Violence has long been a major issue for citizens of the United States, who experience homicide and robbery rates that are several times higher than those reported in most other industrialized countries. Between the mid-l980s and mid-1990s this problem became particularly acute for persons under 21, whose homicide arrests doubled and whose violent-...
Article
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Exposure to tobacco-related marketing has been implicated as one of the risk factors for tobacco use among adolescents. However, tobacco-related marketing exposure has been measured in different ways in different studies, including perceived pervasiveness, receptivity, recognition, recall, and affect. It is not known whether these measures represen...
Article
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Because opinion leaders hold positions from which they may influence tobacco control efforts, this study examined their support for tobacco control policies and their involvement in tobacco control activities. A telephone survey was administered to 712 California opinion leaders who were randomly selected from constructed lists representing 8 types...
Article
The mass media have been the primary method for disseminating human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) prevention messages worldwide. In this article, we update previous reviews by systematically examining published articles (n = 41) of empirical evaluations of international HIV/AIDS prevention campaigns. Of the...
Article
Results of two studies provide the first evidence of third-person effect among children. In Study 1 (a survey of 571 seventh-grade students), children believed that cigarette advertisements influenced others more than themselves (third-person perception). Moreover, when children compared themselves with peers, the discrepancy between self and other...
Article
This article reviews school-based violence-prevention interventions published from 1993 through 1997. All of the interventions fitting the inclusion criteria involved classroom-based curricula; about one third included efforts to change the broader school environment or other settings where youth spend their time. Modest intervention effects in kno...
Article
Public health campaign success is conceptualized in terms of improvements in three cardiovascular disease-related behaviors (diet, exercise, and smoking) and their precursors, including knowledge and self-efficacy. Two cross-sectional data waves (baseline and sixth year, N = 4,214) from the Stanford Five-City Project (FCP) are analyzed to test a mo...
Article
A perceptual bias, the third person effect, has been observed where individuals believe themselves to differ from others regarding the perceived influence of media messages. Given the frequency with which youth encounter prosmoking messages and the reported negative effects of these messages, it is of value to study whether youth perceive cigarette...
Article
Full-text available
In this article, we seek to confirm past studies that document increased levels of cardiovascular disease (CVD) risk factors among White men with lower educational attainment. Second, we include a population of Hispanic men (89% Mexican American) to examine the separate and interactive effects of ethnicity and education (our measure of socioeconomi...
Article
Using both cross-sectional and longitudinal data spanning a decade, this article analyzes how dietary behavior of household children and adults (N = 576 households) was affected by the Stanford Five-City Project (FCP). Tests of a three-part, cumulative model of bidirectional influences within the family, which conceptualizes household members as so...
Article
PIP Stanford University's Five-City Multifactor Risk Reduction Project (FCP) was a 14-year trial of community-wide cardiovascular disease (CVD) risk reduction through integrated programs of community organization and mass media health promotion. The project was launched in 1978 in 5 central California cities, including Monterey, Salinas, Modesto, a...
Article
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To assess the effect of the tobacco industry's marketing practices on adolescents by examining the relationship between their receptivity to these practices and their susceptibility to start smoking. Paper-and-pencil surveys measuring association with other smokers, exposure to tobacco industry marketing strategies, experience with smoking, and res...
Article
PURPOSE: Lessons from three decades of community prevention trials are discussed to provide directions for the future of community health promotion efforts. METHODS: The rationale for and characteristics of community prevention trials for cardiovascular disease (CVD) risk reduction are presented. Published articles regarding the main effects and co...
Article
Purpose: This paper presents a Media Channel Framework to help intervention planners make media choices. The key elements of this framework are two dimensions on which media differ: the reach/specificity and arousing/involving dimensions. Whereas a medium's reach or specificity determines the size of the population affected by an intervention, a me...
Article
To test the hypothesis that a strategy including cholesterol screening and dietary education is more effective than dietary education alone in changing dietary behavior and serum cholesterol levels. Individuals at four worksites were enrolled in a randomized trial with a 'full intervention' condition in which subjects were told their serum choleste...
Article
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This study examined among youth the extent of their perceived exposure to cigarette marketing and the relationship of their perceptions to their smoking behavior. Surveys measuring exposure to cigarette advertisements and promotions were completed by 571 seventh graders in San Jose, Calif. Eighty-eight percent of these 13-year-olds reported exposur...
Article
The authors investigated the effects of a media advocacy program to build support for cardiovascular disease (CVD)-related policy changes and to encourage adoption of heart-healthy behaviors in the Stanford Five-City Project, a long-term trial of community-wide CVD risk reduction. The authors content analyzed 4,824 health articles in two treatment...
Article
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We propose a model of symbolic social communication to explain the process whereby sociocultural identity mediates relationships among receivers, sources and messages to shape message effects. This exploratory study examines how two at-risk groups of African American men responded to various HIV prevention messages delivered by celebrity and profes...
Article
In this review, we focus our discussion on studies examining effects on children and young adults. We believe that the current epidemic of youth violence in the United States justifies a focus on this vulnerable segment of society. We consider media effects on individual children's behaviors, such as imitating aggressive acts. In addition, we exami...
Article
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In the past two decades several community intervention studies designed to lower the risk of cardiovascular disease in populations have been completed. These trials shared the rationale that the community approach was the best way to address the large population attributable risk of mild elevations of multiple risk factors, the interrelation of sev...
Article
This study demonstrates how techniques of audience segmentation can be combined with principles of social marketing to enhance planning for worksite health promotion (WHP). Using data from a mail survey of university employees, ‘future participation’ was regressed on three blocks of (1) demographic, (2) behavioral and (3) psychosocial variables. Ea...
Article
What is the relation between an individual's actual and perceived knowledge about AIDS and channels used for AIDS information? Data to address this question are derived from the AIDS knowledge and attitude surveys conducted by the Centers for Disease Control's National Center for Health Statistics (N = 17,696). The theoretical model used blends the...
Article
Using the social marketing principle of audience segmentation, a Hispanic audience was disaggregated to examine heterogeneous behaviors and lifestyles that could guide planning for public information campaigns designed to reduce cardiovascular disease (CVD) risk. Signal detection analysis resulted in six mutually exclusive subgroups, based on self-...
Article
Increasingly, agencies supporting community health promotion interventions require participating communities and evaluators to specify how the intervention will be maintained once agency funding ends. The Stanford Five-City Project (FCP) implemented two different strategies to maintain its heart disease education program, with the second strategy d...
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This paper presents a prospective examination of sociodemographic, psychosocial, and physiologic characteristics associated with positive change in cardiovascular disease risk factors during a 6-year multiple risk factor intervention study. Data are presented on 221 women and 190 men (aged 25 through 74 years) who participated in four cohort survey...
Article
Community-based programs are being widely adopted in the struggle to prevent chronic disease. Program evaluation of community-based programs involves a particular set of problems stemming from the variety of activities being undertaken simultaneously, the multiple intermediate goals of the programs and the rapidity with which the programs evolve. A...
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This study examines the process of media supplementation in the Stanford Five-City Multifactor Risk Reduction Project, a long-term trial of communitywide cardiovascular disease risk reduction conducted by Farquhar and associates. The data indicate that accessible awareness media disseminated early in the education campaign promoted use of informati...
Article
The research described in this article tested the social cognitive hypotheses that self-efficacy can be enhanced more effectively by symbolically modeling risk reduction information and by encouraging its cognitive rehearsal than by the presentation of risk reduction information alone. Young unmarried women (N = 138) viewed one of three videos: AID...
Article
This paper examines the effects of community-wide health education on diet-related knowledge and behavior and on plasma cholesterol levels during an experimental field study in medium-sized cities in northern California. Samples of the population aged 12-74 years were drawn at baseline and every 2 years thereafter to obtain four cross-sectional sur...
Article
Understanding the process of behavior change interventions is critical to achieving campaign effectiveness and successful program replication. The present article presents a community education monitoring system (CEMS) using data from the Stanford Five-City Project (FCP), the Minnesota Heart Health Program (MHHP) and the Pawtucket Heart Health Prog...
Article
To determine the effects of 5 years of community-wide cardiovascular health education on smoking prevalence and cessation, the authors analyzed data from the Stanford Five-City Project, an experimental field study with two treatment cities and two control cities. Representative samples of the population aged 12-74 years were drawn at baseline and e...
Article
The purpose of this study is to determine if worksite cholesterol screening reaches only those who are already aware of their cholesterol and interested in lifestyle modification. A voluntary worksite cholesterol screening was conducted followed by a survey of a random sample of nonparticipants. A large university worksite was the setting for this...
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The active involvement of primary care physicians is necessary in the diagnosis and treatment of elevated blood cholesterol. Empirical evidence suggests that primary care physicians generally initiate dietary and pharmacological treatment at threshold values higher than is currently recommended. To determine current treatment thresholds and establi...
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Being overweight is a risk factor for cardiovascular heart disease and other medical problems. The purpose of this study was to examine the effect of a community-wide cardiovascular risk reduction trial (the Stanford Five-City Project) on body mass index. In the Stanford Five-City Project, two treatment cities (n = 122,800) received a 6-year mass m...
Article
Public cholesterol screenings have become common. To evaluate the public health impact of such events, we conducted a public cholesterol screening and, three months later, invited participants between the ages of 18 and 72 to return for follow-up. More than 77% (N = 143) returned. We collected information on diet and general well-being at baseline...
Article
To investigate the extent to which individuals use health education resources for cardiovascular risk reduction, we conducted a cross-sectional survey of 2,234 adults 18-74 years of age in four northern California cities. The purposes of the study were to (1) assess the use of 10 cardiovascular disease (CVD) intervention materials and programs, (2)...
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This article is concerned with the application of market segmentation techniques in order to improve the planning and implementation of public health education programs. Seven distinctive patterns of health attitudes, social influences, and behaviors are identified using cluster analytic techniques in a sample drawn from four central California cit...
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This study suggests that both baseline levels and changes in perceived self-efficacy mediate the adoption of health behaviors in the context of a year-long community health campaign. With a pre- to postevaluation design, using path models to establish the relationships among perceived self-efficacy, campaign exposure, and four separate health behav...
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In a within-subjects design (n = 30), a sampling of rational and emotional public service announcements related to acquired immune deficiency syndrome (AIDS) was tested for memorability. Subjects' cognitive involvement with the issue of AIDS was measured with a four-item scale (alpha = .86). Analysis of variance indicated a significant main effect...
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The Stanford Five-City Project was initiated in 1978 to evaluate the effects of a community-wide health education program on cardiovascular risk factors, including blood pressure. Two treatment cities received an education program, which used the mass media, various community-based programs, and health professionals, designed to encourage individua...