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Hiroko Okada

Biographic Data

ID7893461
NAMEHiroko Okada
GIVEN NAMESHiroko
FAMILY NAMEOkada
SIGNATUREOKADA H
AFFILIATIONSUniversity of Tokyo Health Sciences
ORCID0000-0001-7877-9753
VERIFIEDYes
TOTAL WORKS10
TOTAL CITATIONS0
WORKS AS AUTHOR10
WORKS AS EDITOR0
FIRST PUBLICATION YEAR2022
LATEST PUBLICATION YEAR2026
H-INDEX0
  • Health literacy reductionism

    Open Access•Tsuyoshi Okuhara, Hiroko Okada et al.•ARTICLE•Health Promotion International•2026

    Health literacy is one of the most influential concepts in contemporary health promotion. However, its success has created an explanatory shadow. Specifically, complex problems of communication, participation, and engagement are often reduced to deficits in individual health literacy, while relational, organizational, and structural explanations are backgrounded. This paper conceptualized this repetitive explanatory pattern as “health literacy re…

  • Responsibility frame for depression in Japanese newspapers

    Open Access•Fumikazu Asai, Tsuyoshi Okuhara et al.•ARTICLE•Frontiers in Communication•2026

    Using quantitative content analysis, we explored how Japanese newspapers framed causal and solution responsibility for depression and whether they attributed more responsibility to individuals or society. The longitudinal changes in framing were also examined. Articles referring to depression were selected from the Yomiuri Shimbun, the Asahi Shimbun, and the Mainichi Shimbun, which are nationwide daily newspapers published in Japan between 1993 a…

  • The curse of knowledge in medical communication

    Open Access•Tsuyoshi Okuhara, Hiroko Okada et al.•ARTICLE•Frontiers in Communication•2026

    The curse of knowledge—the difficulty of imagining what it is like not to know something once one knows it—is a well-documented cognitive bias, yet it has rarely been applied to clinical communication. This paper proposes it as an upstream mechanism linking three domains often treated as separate: health literacy, epistemic injustice, and medical invalidation. Using a narrative synthesis across multiple scholarly traditions, we argue that clinici…

  • Evaluating the understandability and actionability of Japanese human papillomavirus vaccination educational materials on cervical cancer

    Open Access•Yuko Yamada, Tsuyoshi Okuhara et al.•ARTICLE•Health Promotion International•2025

    Educational materials about human papillomavirus (HPV) vaccination must be easy to understand and must support recommended behaviors regardless of readers’ health literacy levels. The purpose of this study was to evaluate the understandability, actionability, and comprehensiveness of HPV vaccination educational materials in Japan. From August to September 2023, we obtained HPV vaccination educational materials from the central government, local g…

  • Redefining health communication through narrative intersection

    Open Access•Tsuyoshi Okuhara, Hiroko Okada et al.•ARTICLE•Frontiers in Communication•2025

    We aimed to propose a new conceptualization of health communication that mitigates the limitations of traditional one-way models by introducing a relational, narrative-based approach that emphasizes mutual understanding. This paper critiques existing definitions and proposes an alternative framework by reviewing interdisciplinary literature on Narrative Medicine, narrative identity theory, and health communication research. The paper introduces “…

  • Associations between lifestyle habits and family members’ health literacy in middle-aged adults with metabolic syndrome

    Open Access•Eiko Goto, Hiroko Okada et al.•ARTICLE•Frontiers in Public Health•2025

    Background Health literacy has gained importance as a factor related to health behaviors and the risk of developing metabolic syndrome (MetS). Although the health literacy of family members may affect lifestyle habits among individuals with MetS, few studies have examined these relationships. We examined the associations between lifestyle habits (dietary habits, exercise, drinking, and smoking) among individuals with MetS and their family members…

  • Development and psychometric evaluation of the Infertility Public Stigma Scale for Japanese women

    Open Access•Rie Yokota, Tsuyoshi Okuhara et al.•ARTICLE•Frontiers in Public Health•2025

    Introduction: Women undergoing infertility treatment are often tagged with negative labels, subjected to negative reactions and behaviors by laypeople (public stigma), and they internalize these negative values (self-stigma). As self-stigma is associated with poor mental health, a measure is needed to determine the current state of public stigma in Japan and to evaluate the effectiveness of efforts to reduce it. However, existing instruments to m…

  • The direct effects of media exposure on behaviors aimed at preventing Covid-19 and its indirect effects as mediated by interpersonal communication

    Open Access•Hiroko Okada, Tsuyoshi Okuhara et al.•ARTICLE•Frontiers in Public Health•2024

    Objective: We aimed to examine the direct effects of exposure to media information about infection-preventing behavior and its indirect effects via interpersonal communication at two time points during the pandemic. Methods: In August 2020 and August 2021, a web-based survey of Japanese people under a declared state of emergency was conducted. We collected sociodemographic data and data on seven types of exposure to media information, three types…

  • Public perception of the resumption of HPV vaccine recommendation in Japan

    Open Access•Marina Terada, Tsuyoshi Okuhara et al.•ARTICLE•Health Promotion International•2023

    On 12 November 2021, after a stagnation of 8.5 years, Japan decided to resume proactive recommendations for HPV vaccines. However, it is not known how the public reacted to the resumption of proactive recommendations for HPV vaccines, which are key elements in health communication that promote HPV vaccination. This study aimed to capture discussions on HPV vaccination on Twitter and to identify user characteristics, sentiments, discussed themes a…

  • Translation, Cross-Cultural Adaptation, and Validation of the Japanese Version of the Patient Education Materials Assessment Tool (Pemat)

    Open Access•Emi Furukawa, Tsuyoshi Okuhara et al.•ARTICLE•International Journal of…•2022

    Our study showed that materials rated highly on Japanese version of PEMAT were also easy for laypeople to understand and action

No prominent works on this page.

  • Translation, Cross-Cultural Adaptation, and Validation of the Japanese Version of the Patient Education Materials Assessment Tool (Pemat)

    Open Access•Emi Furukawa, Tsuyoshi Okuhara et al.•ARTICLE•International Journal of…•2022

    Our study showed that materials rated highly on Japanese version of PEMAT were also easy for laypeople to understand and action

  • Public perception of the resumption of HPV vaccine recommendation in Japan

    Open Access•Marina Terada, Tsuyoshi Okuhara et al.•ARTICLE•Health Promotion International•2023

    On 12 November 2021, after a stagnation of 8.5 years, Japan decided to resume proactive recommendations for HPV vaccines. However, it is not known how the public reacted to the resumption of proactive recommendations for HPV vaccines, which are key elements in health communication that promote HPV vaccination. This study aimed to capture discussions on HPV vaccination on Twitter and to identify user characteristics, sentiments, discussed themes a…

  • The direct effects of media exposure on behaviors aimed at preventing Covid-19 and its indirect effects as mediated by interpersonal communication

    Open Access•Hiroko Okada, Tsuyoshi Okuhara et al.•ARTICLE•Frontiers in Public Health•2024

    Objective: We aimed to examine the direct effects of exposure to media information about infection-preventing behavior and its indirect effects via interpersonal communication at two time points during the pandemic. Methods: In August 2020 and August 2021, a web-based survey of Japanese people under a declared state of emergency was conducted. We collected sociodemographic data and data on seven types of exposure to media information, three types…

  • Evaluating the understandability and actionability of Japanese human papillomavirus vaccination educational materials on cervical cancer

    Open Access•Yuko Yamada, Tsuyoshi Okuhara et al.•ARTICLE•Health Promotion International•2025

    Educational materials about human papillomavirus (HPV) vaccination must be easy to understand and must support recommended behaviors regardless of readers’ health literacy levels. The purpose of this study was to evaluate the understandability, actionability, and comprehensiveness of HPV vaccination educational materials in Japan. From August to September 2023, we obtained HPV vaccination educational materials from the central government, local g…

  • Redefining health communication through narrative intersection

    Open Access•Tsuyoshi Okuhara, Hiroko Okada et al.•ARTICLE•Frontiers in Communication•2025

    We aimed to propose a new conceptualization of health communication that mitigates the limitations of traditional one-way models by introducing a relational, narrative-based approach that emphasizes mutual understanding. This paper critiques existing definitions and proposes an alternative framework by reviewing interdisciplinary literature on Narrative Medicine, narrative identity theory, and health communication research. The paper introduces “…

  • Associations between lifestyle habits and family members’ health literacy in middle-aged adults with metabolic syndrome

    Open Access•Eiko Goto, Hiroko Okada et al.•ARTICLE•Frontiers in Public Health•2025

    Background Health literacy has gained importance as a factor related to health behaviors and the risk of developing metabolic syndrome (MetS). Although the health literacy of family members may affect lifestyle habits among individuals with MetS, few studies have examined these relationships. We examined the associations between lifestyle habits (dietary habits, exercise, drinking, and smoking) among individuals with MetS and their family members…

  • Development and psychometric evaluation of the Infertility Public Stigma Scale for Japanese women

    Open Access•Rie Yokota, Tsuyoshi Okuhara et al.•ARTICLE•Frontiers in Public Health•2025

    Introduction: Women undergoing infertility treatment are often tagged with negative labels, subjected to negative reactions and behaviors by laypeople (public stigma), and they internalize these negative values (self-stigma). As self-stigma is associated with poor mental health, a measure is needed to determine the current state of public stigma in Japan and to evaluate the effectiveness of efforts to reduce it. However, existing instruments to m…

  • Health literacy reductionism

    Open Access•Tsuyoshi Okuhara, Hiroko Okada et al.•ARTICLE•Health Promotion International•2026

    Health literacy is one of the most influential concepts in contemporary health promotion. However, its success has created an explanatory shadow. Specifically, complex problems of communication, participation, and engagement are often reduced to deficits in individual health literacy, while relational, organizational, and structural explanations are backgrounded. This paper conceptualized this repetitive explanatory pattern as “health literacy re…

  • Responsibility frame for depression in Japanese newspapers

    Open Access•Fumikazu Asai, Tsuyoshi Okuhara et al.•ARTICLE•Frontiers in Communication•2026

    Using quantitative content analysis, we explored how Japanese newspapers framed causal and solution responsibility for depression and whether they attributed more responsibility to individuals or society. The longitudinal changes in framing were also examined. Articles referring to depression were selected from the Yomiuri Shimbun, the Asahi Shimbun, and the Mainichi Shimbun, which are nationwide daily newspapers published in Japan between 1993 a…

  • The curse of knowledge in medical communication

    Open Access•Tsuyoshi Okuhara, Hiroko Okada et al.•ARTICLE•Frontiers in Communication•2026

    The curse of knowledge—the difficulty of imagining what it is like not to know something once one knows it—is a well-documented cognitive bias, yet it has rarely been applied to clinical communication. This paper proposes it as an upstream mechanism linking three domains often treated as separate: health literacy, epistemic injustice, and medical invalidation. Using a narrative synthesis across multiple scholarly traditions, we argue that clinici…

Health Literacy and Information Accessibility (5 works) · Psychology (5 works) · Medicine (4 works) · Family medicine (3 works) · Health literacy (3 works) · Patient-Provider Communication in Healthcare (3 works) · Biology (2 works) · Cancer (2 works) · Cervical cancer (2 works) · Cervical Cancer and HPV Research (2 works)

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