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<journal-meta>
<journal-id journal-id-type="publisher-id">IR</journal-id>
<journal-title-group>
<journal-title>Information Research</journal-title>
</journal-title-group>
<issn pub-type="epub">1368-1613</issn>
<publisher>
<publisher-name>University of Bor&#x00E5;s</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">ir31361419</article-id>
<article-id pub-id-type="doi">10.47989/ir31361419</article-id>
<article-categories>
<subj-group xml:lang="en">
<subject>Research article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Everyday trust repair: how immigrants in the Nordic region navigate and correct health misinformation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="no"><name><surname>Ahmadinia</surname><given-names>Hamed</given-names></name><xref ref-type="aff" rid="aff1"/></contrib>
<contrib contrib-type="author" corresp="no"><name><surname>Holmberg</surname><given-names>Kim</given-names></name><xref ref-type="aff" rid="aff2"/></contrib>
<aff id="aff1"><bold>Hamed Ahmadinia</bold> is a Senior Researcher in Economic Sociology at the University of Turku and holds a PhD in information studies. With a multidisciplinary background in finance, knowledge management, and information studies, his research integrates both quantitative and qualitative approaches to explore information behaviour, digital and health literacy, e-health, and migrant integration. Currently (2025&#x2013;2027), he conducts research at the University of Turku on the societal impact of unreliable scientific information, focusing on how media misrepresentation and retracted research influence public perceptions, attitudes, and evidence-informed decision-making. His research has been published in journals such as <italic>Journal of Documentation</italic>, <italic>Library S Information Science Research</italic>, <italic>International Journal of Migration, Health and Social Care</italic>, and the <italic>Finnish Journal of eHealth and eWelfare</italic>. They can be contacted at <email>hamed.ahmadinia@utu.fi</email>.</aff>
<aff id="aff2"><bold>Kim Holmberg</bold> is a senior research fellow at the Department of Social Research at the University of Turku, Finland. His research focuses on contemporary internet phenomena, particularly social media, using predominantly quantitative methods and currently he leads an EU Horizon-funded project developing inoculation techniques to help policymakers identify, resist, and counter disinformation, as well as a project investigating the spread and influence of unreliable scientific information and misinformation. His broader interests include scholarly communication in digital environments, altmetrics, bibliometrics, open science, academic recognition systems, online social networks, information diffusion, and cyber threats, topics of which he has published widely. They can be contacted at <email>kim.j.holmberg@utu.fi</email>.</aff>
</contrib-group>
<pub-date pub-type="epub"><day>29</day><month>10</month><year>2026</year></pub-date>
<pub-date pub-type="collection"><year>2026</year></pub-date>
<volume>31</volume>
<issue>3</issue>
<fpage>344</fpage>
<lpage>368</lpage>
<permissions>
<copyright-year>2026</copyright-year>
<copyright-holder>&#x00A9; 2026 The Author(s).</copyright-holder>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc/4.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc/4.0/">https://creativecommons.org/licenses/by-nc/4.0/</ext-link>), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract xml:lang="en">
<title>Abstract</title>
<p><bold>Introduction</bold>. This study uses the stimulus&#x2013;organism&#x2013;response framework to examine how immigrants in the Nordic region encounter and respond to health misinformation in multilingual and transnational information environments.</p>
<p><bold>Method</bold>. The study draws on seventy-two semi-structured interviews conducted in Finland, Norway, and Sweden between 2021 and 2023. Eighteen interviews were conducted during the COVID-19 pandemic and fifty-four after the acute phase.</p>
<p><bold>Analysis</bold>. Rule-guided qualitative content analysis transformed interview material into six case-level ordinal indicators. These indicators were then examined quantitatively through exploratory partial least squares structural equation modelling.</p>
<p><bold>Results</bold>. Checking with trusted sources was positively associated with perceived media reliability and correction engagement. Perceived misinformation harm was positively associated with information-sharing behaviour, whereas greater exposure was associated with lower perceived media reliability and less checking. Exploratory subgroup analyses indicated possible variation by country, education, age, length of residence, and interview period, but these patterns require caution because the groups were small and unequal.</p>
<p><bold>Conclusion</bold>. The framework clarifies how exposure, internal appraisal, and behavioural response are related in this sample. The findings suggest the value of multilingual communication through trusted institutional and interpersonal channels; however, the analysis remains exploratory because the indicators were interpretively derived from interviews.</p>
</abstract>
</article-meta>
</front>
<body>
<sec id="sec16_1">
<title>Introduction</title>
<p>Misinformation has become a persistent feature of contemporary information environments, shaping how individuals evaluate expertise, authority, and credibility in digital media contexts. People often encounter misleading or conflicting information within ongoing streams of messages, discussions, and media content rather than as clearly false claims (<xref ref-type="bibr" rid="R7">Ecker et al., 2022</xref>; <xref ref-type="bibr" rid="R35">Sundin et al., 2017</xref>). For immigrants, these challenges are intensified by the need to navigate across languages, unfamiliar media systems, and cultural expectations. Everyday decisions about whom or what to trust are often situated within disrupted or reconfigured information environments in which familiar sources, communicative norms, and institutional reference points may no longer align with the realities of settlement and adaptation (<xref ref-type="bibr" rid="R18">Lloyd, 2017</xref>; Ruokolainen &#x0026; Wid&#x00E9;<xref ref-type="bibr" rid="R29">n, 2020</xref>). The Nordic setting is relevant because immigrants may navigate both institutional public-health communication and multilingual, transnational media environments, while language barriers and varying levels of trust in authorities can shape interpretation (<xref ref-type="bibr" rid="R6">Czapka et al., 2023</xref>). These conditions make the region a useful context for examining how people reconcile sources of authority across linguistic and cultural boundaries and negotiate misinformation in everyday life.</p>
<p>Health information circulates through a range of channels, including official institutions, transnational media, and informal social networks, where distinctions between verified guidance and uncertain claims are not always clear. Within these environments, individuals actively interpret, compare, and translate information across contexts, evaluating not only accuracy but also familiarity and relevance. These processes are central to understanding how trust and credibility are formed in diverse societies (<xref ref-type="bibr" rid="R15">Kaihlanen et al., 2022</xref>; <xref ref-type="bibr" rid="R35">Sundin et al., 2017</xref>). Health misinformation frequently takes the form of emotionally engaging and socially salient content that spreads rapidly through digital platforms and interpersonal networks. Research on online diffusion shows that false or misleading content can travel quickly and widely, while emotionally charged language further increases its likelihood of circulation and amplification (<xref ref-type="bibr" rid="R5">Brady et al., 2017</xref>; <xref ref-type="bibr" rid="R37">Vosoughi et al., 2018</xref>). However, exposure alone does not determine belief. Individuals often respond to uncertain or alarming claims by engaging in verification practices, such as consulting institutional sources or cross-checking information across channels. Such practices are associated with greater trust in reliable information and lower susceptibility to misinformation (<xref ref-type="bibr" rid="R1">Agley et al., 2021</xref>; <xref ref-type="bibr" rid="R28">Roozenbeek et al., 2020</xref>).</p>
<p>Through repeated verification, individuals may recalibrate which sources they consider credible. Trust in official institutions can coexist with scepticism toward digital or transnational media, resulting in differentiated evaluations of informational authority. At the same time, encounters with misleading claims can evoke concern, frustration, or anxiety, which shape how information is interpreted and whether corrective action is taken (<xref ref-type="bibr" rid="R7">Ecker et al., 2022</xref>; <xref ref-type="bibr" rid="R31">Siani &#x0026; Green, 2023</xref>). Studies of correction behaviour further suggest that responses to misinformation are often embedded in social relationships, with corrective practices occurring more frequently within trusted networks than in public online spaces (<xref ref-type="bibr" rid="R4">Bode &#x0026; Vraga, 2021</xref>; <xref ref-type="bibr" rid="R36">Vijaykumar et al., 2022</xref>). In this study, correction engagement refers to challenging a misleading claim, providing verified information, or helping others recognise inaccurate information within social networks.</p>
<p>As awareness of misinformation increases, it may translate into everyday corrective practices. Individuals may challenge misleading claims, share verified information, or provide guidance to others within their social networks, reflecting forms of social responsibility and care (<xref ref-type="bibr" rid="R9">Feng, 2024</xref>). In this sense, encounters with uncertain information can prompt processes of reflection and verification that contribute to the stabilisation of trust in selected sources. In this study, these practices are understood as ways individuals build and maintain trust in information within their communities.</p>
<p>From an information research perspective, the issue is not only whether a claim is true or false, but how people encounter, assess, use, share, avoid, and correct information in situated settings. Migrants may move between official health systems, national news, transnational media, messaging applications, family networks, and community contacts. These channels offer different cues of authority and accessibility, and a source may be trusted for one purpose but not another. The study therefore treats trust as differentiated and practice-based, expressed through checking, comparison, selective sharing, and correction rather than as one general attitude. This framing situates misinformation response within everyday information behaviour and its institutional and social context (<xref ref-type="bibr" rid="R18">Lloyd, 2017</xref>; <xref ref-type="bibr" rid="R29">Ruokolainen &#x0026; Wid&#x00E9;n, 2020</xref>; <xref ref-type="bibr" rid="R35">Sundin et al., 2017</xref>).</p>
<p>This practice-oriented view also clarifies why trust is not represented as a single outcome. Checking, reliability appraisal, sharing, and correction are related but analytically distinct ways of engaging with information. Their meaning depends on the situation: checking can involve an institutional website, a health professional, or a knowledgeable relative; sharing can circulate either verified or uncertain material; and correction requires an explicit attempt to challenge or replace a claim. Modelling these indicators separately permits a more precise account of how credibility judgements and perceived harm are associated with different reported actions.</p>
<p>Importantly, misinformation is not always perceived in a uniform way; what is considered false or misleading by some individuals may be viewed as credible or legitimate by others, depending on their prior beliefs, experiences, and trust in information sources (<xref ref-type="bibr" rid="R24">Pennycook &#x0026; Rand, 2019</xref>). Judgements of truth and falsity are often shaped by language, familiarity, and social context. Migrant audiences may encounter conflicting health messages across national and transnational sources and evaluate credibility through lived experience, relational trust, and prior knowledge rather than formal accuracy alone (<xref ref-type="bibr" rid="R18">Lloyd, 2017</xref>; <xref ref-type="bibr" rid="R29">Ruokolainen &#x0026; Wid&#x00E9;n, 2020</xref>). Exposure to uncertain information therefore constitutes an ongoing cognitive and social process involving interpretation, emotion, and memory, rather than a simple encounter with true or false claims (<xref ref-type="bibr" rid="R7">Ecker et al., 2022</xref>). Building on this perspective, the present study treats exposure to misinformation as the starting point of a broader process that unfolds within everyday information practices. Individuals encountering contradictory information may compare sources, assess credibility, evaluate potential harm, and sometimes attempt to correct misleading claims. These processes link exposure, evaluation, and behavioural response.</p>
<p>Drawing on seventy-two semi-structured interviews conducted with immigrants living in Finland, Norway, and Sweden between 2021 and 2023, this study examines statistical relationships among exposure to health misinformation, internal appraisals, and behavioural responses in multilingual and transnational information environments. The stimulus&#x2013;organism&#x2013;response framework provides the organising structure. Although the source material is qualitative, the reported analysis is quantitative: Rule-guided coding transformed each transcript into six case-level ordinal indicators, which were examined through exploratory partial least squares structural equation modelling and multigroup analysis. The interviews therefore provided the basis for indicator construction rather than a separate set of qualitative findings. Three research questions guide the analysis:</p>
<list  list-type="simple">
<list-item><label>1.</label><p>How is exposure to misinformation associated with checking with trusted sources, perceived media reliability, and perceived misinformation harm, and how are these appraisal-related indicators related to one another?</p></list-item>
<list-item><label>2.</label><p>How are exposure and the appraisal-related indicators associated with correction engagement and information-sharing behaviour?</p></list-item>
<list-item><label>3.</label><p>What recurring or context-specific patterns are visible in the modelled relationships across education, country of residence, length of residence, age, and interview period?</p></list-item>
</list>
<p>By addressing these questions, the study examines how verification, credibility judgements, perceived harm, and behavioural responses are statistically related in this sample. The analysis is exploratory and does not infer causal effects from the cross-sectional indicators.</p>
</sec>
<sec id="sec16_2">
<title>Background and literature review</title>
<sec id="sec16_u1">
<title>Misinformation as an everyday condition</title>
<p>Recent research increasingly characterises misinformation not as an isolated disruption but as a routine feature of contemporary information environments, embedded in everyday communication where informational, emotional, and social dynamics intersect (<xref ref-type="bibr" rid="R20">Malik et al., 2023</xref>). Rather than being shaped by single instances of false information, individuals are often exposed to ongoing streams of competing and sometimes contradictory claims that require continuous interpretation. Within this context, misinformation functions less as a discrete category and more as part of a broader communicative process in which uncertainty, ambiguity, and evaluation are central.</p>
<p>Digital information environments amplify these dynamics by facilitating rapid circulation of emotionally engaging content. False or misleading information can spread rapidly and widely through networked platforms, while emotionally charged messages are especially likely to attract attention and be recirculated (<xref ref-type="bibr" rid="R5">Brady et al., 2017</xref>; <xref ref-type="bibr" rid="R37">Vosoughi et al., 2018</xref>). At the same time, encountering information from multiple sources without clear signals of credibility can increase confusion, making it more difficult for individuals to distinguish between reliable and unreliable claims (<xref ref-type="bibr" rid="R20">Malik et al., 2023</xref>).</p>
<p>Uncertainty may also persist even after formal corrections. Studies of scientific retractions demonstrate that disputed or withdrawn findings can continue to circulate through citations, media coverage, and public discourse, contributing to long-term informational ambiguity (<xref ref-type="bibr" rid="R3">Bakker et al., 2024</xref>; <xref ref-type="bibr" rid="R34">Stiller et al., 2023</xref>). For immigrant populations, these challenges are often intensified by the need to interpret information across linguistic and cultural contexts. Research in Nordic settings shows that migrants frequently encounter differing or conflicting health messages across national and transnational sources, requiring them to evaluate credibility within multiple interpretive frameworks (<xref ref-type="bibr" rid="R6">Czapka et al., 2023</xref>).</p>
</sec>
<sec id="sec16_u2">
<title>Trust, credibility, and fact-checking</title>
<p>Navigating uncertain information environments depends on both trust and information literacy. Confidence in scientific institutions and reliable information sources has been shown to reduce susceptibility to misinformation, while low trust increases vulnerability to misleading claims (<xref ref-type="bibr" rid="R1">Agley et al., 2021</xref>; <xref ref-type="bibr" rid="R28">Roozenbeek et al., 2020</xref>). At the same time, cognitive reflection can improve people&#x2019;s ability to distinguish higher- from lower-quality information sources (<xref ref-type="bibr" rid="R24">Pennycook &#x0026; Rand, 2019</xref>). However, trust is not static; it is often constructed and negotiated through everyday practices of verification and comparison. Individuals commonly respond to uncertain or contested claims by consulting multiple sources, cross-checking information, or seeking confirmation from knowledgeable others. These practices reflect efforts to reduce uncertainty and establish credibility across competing information channels (<xref ref-type="bibr" rid="R2">Ahmed &#x0026; Rasul, 2022</xref>).</p>
<p>Through such processes, individuals may develop differentiated understandings of informational authority, recognising some sources as more reliable than others based on experience and perceived consistency. For immigrants, fact-checking practices are shaped by structural and contextual factors, including language proficiency, access to services, and familiarity with institutional systems. Research on digital health services highlights how language barriers and limited access can complicate engagement with official information, affecting both comprehension and trust (<xref ref-type="bibr" rid="R15">Kaihlanen et al., 2022</xref>). At the same time, scientific and digital literacy can shape how individuals evaluate information and trust preventive measures (<xref ref-type="bibr" rid="R31">Siani &#x0026; Green, 2023</xref>).</p>
</sec>
<sec id="sec16_u3">
<title>Perceived harm and emotional interpretation</title>
<p>Misinformation is not only evaluated cognitively but also experienced emotionally and socially. Encounters with misleading or uncertain information can evoke concern, anxiety, or frustration, particularly when the information is perceived as having potential consequences for personal or collective well-being. Research on misinformation has shown that affective responses and intuitive judgements can shape how people assess claims and whether they accept or reject them (<xref ref-type="bibr" rid="R24">Pennycook &#x0026; Rand, 2019</xref>; <xref ref-type="bibr" rid="R33">Song et al., 2023</xref>). These emotional responses influence how individuals interpret information and whether they act.</p>
<p>Research on correction behaviour suggests that responses to misinformation are often embedded in social contexts. Individuals are more likely to engage with or respond to misinformation within familiar networks, where communication is shaped by trust, relationships, and shared understanding (<xref ref-type="bibr" rid="R4">Bode &#x0026; Vraga, 2021</xref>). Emotional reactions, such as concern for others or a desire to prevent harm, can further motivate engagement with contested information. Among immigrants, perceptions of harm may be heightened by broader social conditions. Misinformation related to healthcare, vaccination, or public policy can carry particular significance in contexts where access to services, legal status, or prior experiences influence how information is interpreted. Studies indicate that misinformation may disproportionately affect socially vulnerable groups by increasing uncertainty and undermining trust, reinforcing the importance of considering emotional and contextual factors in understanding responses to misinformation (<xref ref-type="bibr" rid="R16">Kisa &#x0026; Kisa, 2024</xref>).</p>
</sec>
<sec id="sec16_u4">
<title>Correction and information sharing as social practice</title>
<p>Recent research has shifted attention from institutional responses to misinformation toward the role of ordinary users in managing information within their social networks. Correction is increasingly understood as a social practice embedded in relationships rather than a purely informational act. Studies of messaging platforms show that individuals often address misleading claims within small, trusted groups, where corrective actions are shaped by interpersonal dynamics and shared norms (<xref ref-type="bibr" rid="R36">Vijaykumar et al., 2022</xref>). Similarly, sharing behaviour reflects social as well as informational motivations. Individuals may share information to inform others, maintain social connection, express concern, or manage uncertainty (<xref ref-type="bibr" rid="R19">Lu et al., 2022</xref>). Information perceived as useful or protective may also circulate despite uncertainty about its accuracy, highlighting the complex relationship between care, responsibility, and misinformation. Research during the pandemic further indicates that trust in online information and information overload can increase the circulation of unverified content (<xref ref-type="bibr" rid="R17">Laato et al., 2020</xref>). In information behaviour research, sharing, checking, and correction are understood as situated practices that occur within social relationships and information environments rather than as isolated individual choices (<xref ref-type="bibr" rid="R18">Lloyd, 2017</xref>; <xref ref-type="bibr" rid="R35">Sundin et al., 2017</xref>). For migrants, these practices may connect institutional information with interpersonal and transnational sources (<xref ref-type="bibr" rid="R29">Ruokolainen &#x0026; Wid&#x00E9;n, 2020</xref>).</p>
<p>Correction engagement and information-sharing behaviour are analysed separately. Sharing refers to circulating or discussing health information, whether it challenges a false claim. Correction requires an attempt to warn, clarify, challenge, or replace misinformation. A person may share frequently without correcting or may correct selectively while otherwise sharing little. The distinction also avoids assuming that all information circulation is beneficial. In the model, these are parallel responses with different expected antecedents: perceived harm is more relevant to sharing, while checking and perceived reliability are more relevant to correction. This separation reflects the difference between information transmission and accuracy-oriented intervention (<xref ref-type="bibr" rid="R4">Bode &#x0026; Vraga, 2021</xref>; <xref ref-type="bibr" rid="R9">Feng, 2024</xref>; <xref ref-type="bibr" rid="R36">Vijaykumar et al., 2022</xref>).</p>
</sec>
<sec id="sec16_u5">
<title>The stimulus&#x2013;organism&#x2013;response framework</title>
<p>The stimulus&#x2013;organism&#x2013;response (S&#x2013;O&#x2013;R) framework originated in environmental psychology, where environmental stimuli were proposed to affect internal cognitive and affective states and, through those states, behavioural responses (<xref ref-type="bibr" rid="R22">Mehrabian &#x0026; Russell, 1974</xref>). The term organism is retained as the framework&#x2019;s established label for internal appraisal; it is not used here to reduce participants to biological organisms. More recent research has adapted S&#x2013;O&#x2013;R to digital information and misinformation sharing by treating media exposure as a stimulus, cognitive or affective appraisal as the organism component, and sharing, avoidance, or other action as the response (<xref ref-type="bibr" rid="R14">Jiang et al., 2025</xref>; <xref ref-type="bibr" rid="R38">Wu, 2022</xref>). The framework is therefore used here as a concise way to organise relationships between exposure, evaluation, and action.</p>
<p>The framework was selected because the research questions concern an ordered process from misinformation exposure to checking, reliability, and harm appraisals, and behavioural response. It foregrounds a verification practice, checking with trusted sources, and the cognitive and affective appraisals represented by perceived media reliability and perceived misinformation harm, followed by correction engagement and information-sharing behaviour. This theoretical choice does not imply that emotions, relationships, or social structures are unimportant. Language, migration history, interpersonal networks, country of residence, and interview period are treated as contextual conditions that may shape the modelled relationships. Nor does S&#x2013;O&#x2013;R establish temporal or causal order in the present cross-sectional data; it functions as an organising framework for exploratory associations. <xref ref-type="fig" rid="fig16_1">Figure 1</xref> illustrates this structure.</p>
<p>The analytical role of the framework is deliberately bounded. It provides a vocabulary for arranging the six indicators, but it does not replace information-practice explanations of how credibility is negotiated in specific settings. Information practices are shaped by language access, institutional familiarity, relationships, technologies, and the purposes for which information is sought or shared. The same reported act of checking may therefore involve different resources and constraints across participants. In the present model, these contextual conditions are not treated as additional latent constructs. They define the setting within which the modelled associations should be interpreted. This distinction prevents the stimulus&#x2013;organism&#x2013;response sequence from being read as a universal psychological mechanism and keeps the theoretical contribution connected to situated information behaviour.</p>
<p>Operationally, checking, reliability, and harm are not interchangeable. Checking records how routinely participants reported consulting or comparing trusted sources. Perceived media reliability is an evaluative judgement about the credibility of media and institutional channels, whereas perceived misinformation harm concerns possible consequences for health or community well-being. Their placement within the organism component reflects their position between exposure and outward action, but the paths among them are empirical rather than assumed. Correction and sharing are likewise modelled as distinct responses. Demographic variables are not part of the causal chain; they are used only in exploratory group comparisons. This mapping tests a bounded version of the framework without claiming to capture the full complexity of information practice.</p>
<fig id="fig16_1" position="float">
<label>Figure 1.</label>
<caption><p>Stimulus&#x2013;organism&#x2013;response model of health misinformation among immigrants in the Nordic region.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fig_ch16_1.jpg"><alt-text>none</alt-text></graphic>
</fig>
<p>The six analytical indicators correspond to the stimulus&#x2013;organism&#x2013;response framework illustrated in <xref ref-type="fig" rid="fig16_1">Figure 1</xref>. Exposure to misinformation represents the stimulus. Within the organism component, checking with trusted sources is treated as a reported verification practice linked to appraisal, while perceived media reliability and perceived misinformation harm represent internal appraisals. Information-sharing behaviour and correction engagement are classified as behavioural responses. The label behavioural response is used deliberately because emotional and cognitive changes were not modelled as outcomes.</p>
</sec>
</sec>
<sec id="sec16_3">
<title>Methods</title>
<sec id="sec16_u6">
<title>Research design and participants</title>
<p>This study used a qualitative-to-quantitative data transformation design based on a single dataset of semi-structured interviews. The primary material consisted of seventy-two anonymised interviews with adult immigrants residing in Finland, Sweden, and Norway, conducted between 2021 and 2023. Rule-guided qualitative content analysis was used to construct case-level ordinal indicators, after which the research questions were examined quantitatively through exploratory structural modelling. Because the data were collected through one method and the reported results are based on one quantitative modelling strand rather than separate qualitative and quantitative findings, the study is not described as mixed-methods research. The coding stage provided a transparent basis for indicator construction rather than an independently reported qualitative analysis.</p>
<p>Participants were recruited through community organisations, language centres, online networks, and personal contacts. These recruitment pathways sought variation in linguistic background, age, education, employment, and length of residence. All participants were at least eighteen years old and provided informed consent before participation. The corpus included participants with asylum-seeking or refugee-related backgrounds and participants with other settlement histories. Migration pathway and legal status were not recorded in a harmonised form across all interview waves, so exact comparable counts could not be reported, and these variables were not entered into the model. The sample distribution was also uneven across countries, with a higher proportion of participants from Finland, and educational attainment was relatively high. These features reflect access to recruitment networks rather than population characteristics and preclude claims of national representativeness. Appendix 2 presents the harmonised participant characteristics.</p>
<p>The interview guide addressed everyday health information practices, including information seeking, trust in sources, experiences of conflicting or unclear advice, and engagement in sharing or correcting health-related claims. Prompts about conflicting advice were phrased neutrally: The interviewer did not label any source or claim as false and did not imply that available health information was necessarily inaccurate. Misinformation was coded only when participants themselves described information as false or misleading, as a rumour, or as confusing and the surrounding context supported that interpretation.</p>
</sec>
<sec id="sec16_u7">
<title>Data collection</title>
<p>The lead author conducted all interviews, either face to face or online, in English, Persian/Farsi, or Kurdish. When linguistic clarification was needed during an interview, a bilingual assistant trusted by both the researcher and the participant translated or explained the meaning of individual terms. The assistant&#x2019;s role was limited to this in-interview clarification. Interviews lasted forty-five to ninety minutes. They were audio-recorded with consent, transcribed verbatim, and anonymised during transcription. Non-English material was translated into English through a meaning-based approach that prioritised semantic equivalence over literal wording; uncertain expressions were checked against the original-language material. Eighteen interviews were conducted during the COVID-19 pandemic wave, and fifty-four were conducted during a later wave after the acute phase of the pandemic. COVID-19 health information was central to the earlier wave and could also arise as a recent reference point in later interviews, whereas the later guide addressed health information more broadly. Interview period was therefore retained as a contextual binary indicator derived from the data-collection wave. It should not be interpreted as a causal before-and-after design.</p>
</sec>
<sec id="sec16_u8">
<title>Coding framework and analytical process</title>
<p>All seventy-two transcripts were processed through rule-guided qualitative content analysis combining inductive category identification with theoretically informed structuring (<xref ref-type="bibr" rid="R13">Hsieh &#x0026; Shannon, 2005</xref>; <xref ref-type="bibr" rid="R21">Mayring, 2019</xref>). The coded material was then transformed into structured indicators for the quantitative model. Six analytical constructs were defined as:</p>
<list  list-type="bullet">
<list-item><label>&#x2022;</label><p>Exposure to misinformation (EIM)</p></list-item>
<list-item><label>&#x2022;</label><p>Checking with trusted sources (CTS)</p></list-item>
<list-item><label>&#x2022;</label><p>Perceived media reliability (PMR)</p></list-item>
<list-item><label>&#x2022;</label><p>Perceived misinformation harm (PMH)</p></list-item>
<list-item><label>&#x2022;</label><p>Correction engagement (CE)</p></list-item>
<list-item><label>&#x2022;</label><p>Information-sharing behaviour (ISB)</p></list-item>
</list>
<p>These indicators represent analytically ordered but interrelated components of how individuals encounter, evaluate, and respond to uncertain or misleading information. Each construct was operationalised as a seven-point ordinal indicator derived from linguistic expressions of frequency, intensity, and evaluative judgement. Full construct definitions, scale anchors, and illustrative examples are provided in Appendix 1.</p>
<p>Coding relied on contextual interpretation rather than keyword matching, particularly because the dataset was multilingual. Construct definitions and scale anchors are provided in Appendix 1; the full framework, linguistic indicators, and decision rules appear in Appendices 5A&#x2013;5D; and constructed calibration examples are provided in Appendices 6A&#x2013;6G.</p>
</sec>
<sec id="sec16_u9">
<title>Coding roles, consistency, and transparency</title>
<p>The lead author completed the primary coding and final case-level scoring for all seventy-two transcripts. The co-author reviewed the construct definitions, scale anchors, decision rules, selected coded segments, and borderline cases, but the full dataset was not independently double-coded. An intercoder agreement coefficient was therefore neither calculated nor claimed. Consistency was supported through explicit category definitions, repeated application of the same decision rules, analytic memoing, review of selected material, and an audit trail in NVivo 15 (<xref ref-type="bibr" rid="R21">Mayring, 2019</xref>; <xref ref-type="bibr" rid="R23">O&#x2019;Connor and Joffe, 2020</xref>).</p>
<p>The division of roles was intended to combine procedural continuity with critical review. Having one researcher code the complete corpus reduced variation arising from changes in coder, while co-author review tested whether definitions and borderline decisions were intelligible beyond the primary coder. Nevertheless, this arrangement does not establish coder interchangeability. A second researcher might have assigned different case-level scores, especially where frequency and intensity cues conflicted or where translated expressions carried several plausible meanings. The appendices therefore document the coding logic so that readers can assess the transformation process and future studies can test its reproducibility with independent coding teams.</p>
<p>The following procedures supported consistent indicator construction:</p>
<list  list-type="simple">
<list-item><label>1.</label><p>Detailed category definitions and linguistic indicators (Appendix 5A&#x2013;5B)</p></list-item>
<list-item><label>2.</label><p>Explicit decision rules for interpretive standardisation (Appendix 5C)</p></list-item>
<list-item><label>3.</label><p>Iterative refinement through repeated transcript analysis</p></list-item>
<list-item><label>4.</label><p>Review by both authors of selected transcripts, coded segments, analytic memos, and borderline decisions</p></list-item>
</list>
<p>These procedures make the derivation of the indicators traceable, but they do not substitute for independent double-coding. The aim was consistent application of the documented coding logic across transcripts rather than statistical demonstration of coder interchangeability. The coding process followed a structured three-stage procedure that transformed interview material into the six indicators used in the model.</p>
<sec id="sec16_u10">
<title>Three-stage indicator construction procedure</title>
<p>Phase 1 &#x2013; Construct identification: Interview segments describing experiences, perceptions, or practices related to health information were identified and provisionally assigned to one or more analytical constructs.</p>
<p>Phase 2 &#x2013; Linguistic scaling: Coded segments were translated into ordinal values using recurrent expressions of frequency, regularity, intensity, and behavioural strength. Typical linguistic markers for each scale level are summarised in Appendix 5B, with calibration examples provided in Appendices 6A&#x2013;6G.</p>
<p>Phase 3 &#x2013; Interpretive standardisation: Coded expressions were consolidated into final construct scores using explicit decision rules addressing contextual interpretation, dominant patterns across the transcript, weighting of repeated statements, construct prioritisation in cases of overlap, and memo-based interpretation (Appendix 5C).</p>
<p>The lead author conducted coding, scoring, and memo-writing in NVivo 15, which was used to organise transcripts, apply categories, document decisions, and maintain an audit trail. Coding categories, linguistic indicators, and decision rules were refined during repeated analysis, with decisions on selected ambiguous cases discussed between the authors. Supporting materials, including construct definitions, the interview guide, scale anchors, decision rules, and calibration examples, are provided in Appendices 1&#x2013;6. The statements in Appendices 6A&#x2013;6G are constructed calibration examples representing possible linguistic markers; they are not verbatim participant quotations and are not used as qualitative evidence in the results.</p>
</sec>
</sec>
<sec id="sec16_u11">
<title>Quantification and data integration</title>
<p>After coding, each transcript received one ordinal score for each of the six constructs. These scores were exported from NVivo and combined with harmonised demographic variables: age, gender, education, occupation, marital status, country of residence, length of residence, and interview period. Systematically coded qualitative material can be transformed into structured variables for exploratory statistical analysis (<xref ref-type="bibr" rid="R10">Fetters &#x0026; Freshwater, 2015</xref>). In this study, however, the transformation is an indicator-construction step and does not by itself constitute a mixed-methods design. The indicators are case-level interpretive summaries derived from one interview per participant; they are not multi-item psychometric scales and should not be treated as equivalent to validated questionnaire measures. <xref ref-type="fig" rid="fig16_2">Figure 2</xref> summarises the workflow.</p>
<p>Data transformation involved a loss of granularity that must be distinguished from measurement error in a questionnaire. A seven-point score summarised the dominant pattern in an interview, even when a participant described different practices across platforms, topics, or relationships. The score represented an analytically standardised case summary rather than a direct observation at a single moment. It also did not assume equal psychological distance between adjacent categories. Numerical coding enabled comparison and exploratory path estimation, but the ordinal origin of the indicators limits strong metric interpretation of the results. Coefficients are consequently used to describe modelled associations within this dataset, not to claim precise population effects or psychometric properties.</p>
<p>Case-level scoring followed the dominant-pattern rule in Appendix 5C. When an interview contained statements corresponding to more than one scale point, repeated and contextually consistent descriptions received greater weight than isolated remarks. Scores were assigned after considering the full transcript and overlap between constructs was resolved by identifying the segment&#x2019;s primary meaning. For example, asking a bilingual friend was scored as checking when the purpose was verification, but retained as context when it concerned translation alone. This reduced mechanical keyword counting but made scoring dependent on interpretation. The audit trail recorded coded passages, memos, provisional scores, and reasons for resolving ambiguous cases.</p>
<fig id="fig16_2" position="float">
<label>Figure 2.</label>
<caption><p>Analytical workflow from qualitative interviews to exploratory structural modelling.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fig_ch16_2.jpg"><alt-text>none</alt-text></graphic>
</fig>
</sec>
<sec id="sec16_u12">
<title>Quantitative modelling</title>
<p>The coded dataset was analysed in SmartPLS 4.1.1.5 (<xref ref-type="bibr" rid="R27">Ringle et al., 2024</xref>) using partial least squares structural equation modelling (PLS-SEM). The model consisted of six single-indicator variables derived from the coded interview data. PLS-SEM was selected because of its suitability for exploratory modelling with moderate sample sizes, non-normally distributed data, and analytically derived indicators (<xref ref-type="bibr" rid="R12">Hair et al., 2019</xref>; <xref ref-type="bibr" rid="R30">Sarstedt et al., 2021</xref>). Bootstrapping with 5,000 resamples was used to estimate path coefficients, standard errors, and confidence intervals. Predictive relevance was assessed using the Stone&#x2013;Geisser Q<sup>2</sup> statistic and the PLSpredict procedure.</p>
<p>Because the model relied on single-indicator variables derived from qualitative coding rather than multi-item scales, traditional internal consistency measures such as Cronbach&#x2019;s alpha and composite reliability were not applicable. An a priori power analysis in G*Power 3.1.9.7 used an F test for fixed-model multiple regression, R<sup>2</sup> deviation from zero, with f<sup>2</sup> = 0.15, <italic>&#x03B1;</italic> = 0.05, power = 0.80, and three predictors (<xref ref-type="bibr" rid="R8">Faul et al., 2009</xref>). The resulting minimum sample size was seventy-seven observations. The available sample (n = 72) was therefore five cases below the a priori target. Nevertheless, PLS-SEM is widely applied in exploratory research settings with moderate sample sizes and non-normal data distributions. Methodological discussions further emphasise that sample adequacy should be evaluated in relation to model complexity, research objectives, and robustness checks rather than relying solely on heuristic rules (<xref ref-type="bibr" rid="R12">Hair et al., 2019</xref>; <xref ref-type="bibr" rid="R30">Sarstedt et al., 2021</xref>).</p>
<p>The analysis is therefore exploratory rather than confirmatory. With analytically derived single indicators, the model is best understood as path modelling among coded case summaries rather than as a test of latent constructs. The reported results concern statistical associations among these derived indicators; no separate qualitative findings are claimed. Exploratory multigroup analysis was used to identify possible recurring and context-specific patterns across demographic and contextual groupings, not to support population-level comparisons between immigrant groups.</p>
</sec>
<sec id="sec16_u13">
<title>Ethical considerations and data handling</title>
<p>This paper draws on interview data from a broader research project that received ethical approval from the Board for Research Ethics at &#x00C5;bo Akademi University before data collection. The study followed the ethical principles of the Finnish National Board on Research Integrity (<xref ref-type="bibr" rid="R11">TENK, 2019</xref>) and Regulation (EU) 2016/679 (General Data Protection Regulation). Participants received multilingual information about the study&#x2019;s purpose, voluntary nature, data handling, and right to withdraw, and provided informed consent before being interviewed. Names, workplaces, and precise geographic markers were removed or replaced with neutral descriptors during transcription. Audio files were deleted after transcription verification, and anonymised materials were stored on encrypted, access-restricted institutional servers.</p>
</sec>
</sec>
<sec id="sec16_4">
<title>Results</title>
<sec id="sec16_u14">
<title>Participant characteristics</title>
<p>Seventy-two immigrants participated, representing varied ages, educational backgrounds, lengths of residence, and migration experiences (Appendix 2). Women (50%) and men (49%) were nearly equally represented, with one participant identifying as non-binary. Approximately three-quarters were over forty years old, and 40% were aged fifty-one years or older. Educational attainment was high: 78% held an associate or bachelor&#x2019;s degree or higher, including 28% with a doctorate. Participants resided in Finland (n = 43), Sweden (n = 17), and Norway (n = 12); twenty-eight had lived in the country for one to five years, twenty-four for six to ten, and twenty for more than ten years. The corpus included asylum-seeking or refugee-related and other settlement histories, but migration pathway was not harmonised across waves and was not analysed. Eighteen interviews were conducted during the pandemic wave and fifty-four after the acute phase. This period variable captured data-collection context rather than a causal temporal contrast.</p>
</sec>
<sec id="sec16_u15">
<title>Exploratory model diagnostics and global fit</title>
<p>Because each construct was represented by one coded indicator, internal consistency and conventional measurement-model validity statistics were not applicable. The model was assessed using approximate global fit and collinearity diagnostics. The estimated model had a standardised root mean square residual of 0.024, a normed fit index of 0.971, dULS of 0.012, and dG of 0.024 (<xref ref-type="table" rid="table16_1">Table 1</xref>). These values are reported descriptively and should not be read as validation of psychometric measurement.</p>
<table-wrap id="table16_1" position="float">
<label>Table 1.</label>
<caption><p>Global model fit with bootstrapped reference intervals.</p></caption>
<table>
<thead>
<tr>
<th align="center" valign="top">Index</th>
<th align="center" valign="top">Saturated model</th>
<th align="center" valign="top">Estimated model</th>
<th align="center" valign="top">Bootstrap Mean</th>
<th align="center" valign="top">95% CI</th>
<th align="center" valign="top">99% CI</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="top">SRMR</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">0.024</td>
<td align="center" valign="top">0.015</td>
<td align="center" valign="top">0.028</td>
<td align="center" valign="top">0.035</td>
</tr>
<tr>
<td align="center" valign="top">dULS</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">0.012</td>
<td align="center" valign="top">0.006</td>
<td align="center" valign="top">0.017</td>
<td align="center" valign="top">0.026</td>
</tr>
<tr>
<td align="center" valign="top">dG</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">0.024</td>
<td align="center" valign="top">0.011</td>
<td align="center" valign="top">0.032</td>
<td align="center" valign="top">0.048</td>
</tr>
<tr>
<td align="center" valign="top">Chi-square</td>
<td align="center" valign="top">0.000</td>
<td align="center" valign="top">8.211</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="center" valign="top">NFI</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.971</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>SmartPLS also produced heterotrait&#x2013;monotrait values for the single-indicator constructs. These values are retained in <xref ref-type="table" rid="table16_2">Table 2</xref> as pairwise association diagnostics, not as evidence of discriminant validity. The largest value was 0.846 for perceived misinformation harm and information-sharing behaviour, with a 95% confidence interval extending to 0.961. Variance inflation factors ranged from 1.00 to 1.95, indicating no problematic predictor collinearity in the estimated paths.</p>
<table-wrap id="table16_2" position="float">
<label>Table 2.</label>
<caption><p>Pairwise association and variance inflation factor diagnostics.</p></caption>
<table>
<thead>
<tr>
<th align="left" valign="top">Pair/path (predictor &#x2192; target)</th>
<th align="center" valign="top">HTMT</th>
<th align="center" valign="top">95% CI</th>
<th align="center" valign="top">VIF</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">EIM &#x2194; CTS (EIM &#x2192; CTS)</td>
<td align="center" valign="top">0.318</td>
<td align="center" valign="top">[0.035, 0.584]</td>
<td align="center" valign="top">1</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2194; PMR (EIM &#x2192; PMR)</td>
<td align="center" valign="top">0.587</td>
<td align="center" valign="top">[0.452, 0.702]</td>
<td align="center" valign="top">1.112</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2194; PMH (EIM &#x2192; PMH)</td>
<td align="center" valign="top">0.431</td>
<td align="center" valign="top">[0.159, 0.639]</td>
<td align="center" valign="top">1.525</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2194; PMR (CTS &#x2192; PMR)</td>
<td align="center" valign="top">0.544</td>
<td align="center" valign="top">[0.338, 0.713]</td>
<td align="center" valign="top">1.112</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2194; CE (CTS &#x2192; CE)</td>
<td align="center" valign="top">0.827</td>
<td align="center" valign="top">[0.707, 0.904]</td>
<td align="center" valign="top">1.458</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2194; CE (PMR &#x2192; CE)</td>
<td align="center" valign="top">0.685</td>
<td align="center" valign="top">[0.525, 0.804]</td>
<td align="center" valign="top">1.567</td>
</tr>
<tr>
<td align="left" valign="top">PMH &#x2194; ISB (PMH &#x2192; ISB)</td>
<td align="center" valign="top">0.846</td>
<td align="center" valign="top">[0.668, 0.961]</td>
<td align="center" valign="top">1.266</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2194; ISB (PMR &#x2192; ISB)</td>
<td align="center" valign="top">0.448</td>
<td align="center" valign="top">[0.221, 0.636]</td>
<td align="center" valign="top">1.567</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2194; PMH (PMR &#x2192; PMH)</td>
<td align="center" valign="top">0.435</td>
<td align="center" valign="top">[0.194, 0.640]</td>
<td align="center" valign="top">1.948</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec16_u16">
<title>Structural model results</title>
<p>Within this sample, explained variance was highest for correction engagement (R<sup>2</sup> = 0.775) and information-sharing behaviour (R<sup>2</sup> = 0.741), followed by perceived media reliability (R<sup>2</sup> = 0.487), perceived misinformation harm (R<sup>2</sup> = 0.257), and checking with trusted sources (R<sup>2</sup> = 0.101). Four paths had p &#x003C; .001: perceived misinformation harm was positively associated with information-sharing behaviour (<italic>&#x03B2;</italic> = 0.827); checking with trusted sources was positively associated with correction engagement (<italic>&#x03B2;</italic> = 0.667) and perceived media reliability (<italic>&#x03B2;</italic> = 0.398); and perceived media reliability was positively associated with correction engagement (<italic>&#x03B2;</italic> = 0.378).</p>
<p>Exposure to misinformation was negatively associated with perceived media reliability (<italic>&#x03B2;</italic> = &#x2212;0.460, p &#x003C; .001) and checking with trusted sources (<italic>&#x03B2;</italic> = &#x2212;0.318, p = .037). Two paths met only the study&#x2019;s exploratory p &#x003C; .10 criterion: exposure to misinformation was positively associated with perceived misinformation harm (<italic>&#x03B2;</italic> = 0.268, p = .068), while perceived media reliability was negatively associated with information-sharing behaviour (<italic>&#x03B2;</italic> = &#x2212;0.173, p = .077). <xref ref-type="table" rid="table16_3">Table 3</xref> reports the statistically significant and p &#x003C; .10 paths and their effect sizes; Appendix 3 reports the full set of modelled paths.</p>
<table-wrap id="table16_3" position="float">
<label>Table 3.</label>
<caption><p>Structural paths and explained variance (R<sup>2</sup>). &#x2020; p &#x003C; .10, * p &#x003C; .05, ** p &#x2264; .01, *** p &#x2264; .001.</p></caption>
<table>
<thead>
<tr>
<th align="left" valign="top">Result type</th>
<th align="left" valign="top">Path/construct</th>
<th align="center" valign="top"><italic>&#x03B2;</italic></th>
<th align="center" valign="top">SE</th>
<th align="center" valign="top"><italic>t</italic></th>
<th align="center" valign="top"><italic>p</italic></th>
<th align="center" valign="top">Sig</th>
<th align="center" valign="top"><italic>f</italic><sup><italic>2</italic></sup></th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle" rowspan="8">Structural paths</td>
<td align="left" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">0.827</td>
<td align="center" valign="top">0.085</td>
<td align="center" valign="top">9.680</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">2.083</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">0.667</td>
<td align="center" valign="top">0.074</td>
<td align="center" valign="top">9.023</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">1.357</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">0.398</td>
<td align="center" valign="top">0.088</td>
<td align="center" valign="top">4.532</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">0.277</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.378</td>
<td align="center" valign="top">0.096</td>
<td align="center" valign="top">3.927</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">0.406</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">0.268</td>
<td align="center" valign="top">0.147</td>
<td align="center" valign="top">1.824</td>
<td align="center" valign="top">.068</td>
<td align="center" valign="top">&#x2020;</td>
<td align="center" valign="top">0.064</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.173</td>
<td align="center" valign="top">0.098</td>
<td align="center" valign="top">1.771</td>
<td align="center" valign="top">.077</td>
<td align="center" valign="top">&#x2020;</td>
<td align="center" valign="top">0.074</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">&#x2212;0.318</td>
<td align="center" valign="top">0.153</td>
<td align="center" valign="top">2.083</td>
<td align="center" valign="top">.037</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">0.112</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.460</td>
<td align="center" valign="top">0.086</td>
<td align="center" valign="top">5.340</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">0.371</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="5">Model explanation (R<sup>2</sup>)</td>
<td align="left" valign="top">CE</td>
<td align="center" valign="top">0.775</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top">CTS</td>
<td align="center" valign="top">0.101</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top">ISB</td>
<td align="center" valign="top">0.741</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top">PMH</td>
<td align="center" valign="top">0.257</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top">PMR</td>
<td align="center" valign="top">0.487</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
</tbody>
</table>
</table-wrap>
<p><xref ref-type="fig" rid="fig16_3">Figure 3</xref> visualises the structural paths meeting the p &#x003C; .05 threshold, showing standardised path coefficients (&#x03B2;) and explained variance (R<sup>2</sup>).</p>
<fig id="fig16_3" position="float">
<label>Figure 3.</label>
<caption><p>Stimulus&#x2013;organism&#x2013;response paths meeting p &#x003C; .05 and explained variance (R<sup>2</sup>). Standardised coefficients are shown; * p &#x003C; .05, ** p &#x003C; .01, and *** p &#x003C; .001.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fig_ch16_3.jpg"><alt-text>none</alt-text></graphic>
</fig>
</sec>
<sec id="sec16_u17">
<title>Indirect-effects analysis</title>
<p>Bias-corrected and accelerated bootstrap tests examined indirect associations between exposure, checking, intermediate appraisals, and behavioural outcomes. Total indirect effects linked exposure to information-sharing behaviour (<italic>&#x03B2;</italic> = 0.408, p &#x003C; .001) and correction engagement (<italic>&#x03B2;</italic> = &#x2212;0.379, p = .001). Checking with trusted sources had a positive total indirect association with correction engagement (<italic>&#x03B2;</italic> = 0.119, p = .007) and a negative total indirect association with information-sharing behaviour (<italic>&#x03B2;</italic> = &#x2212;0.272, p = .032).</p>
<p>Specific indirect effects clarified these patterns. Checking with trusted sources was positively associated with correction engagement through perceived media reliability (<italic>&#x03B2;</italic> = 0.150, p = .001). Exposure was negatively associated with correction engagement through perceived media reliability (<italic>&#x03B2;</italic> = &#x2212;0.174, p = .006) and through checking with trusted sources (<italic>&#x03B2;</italic> = &#x2212;0.212, p = .045). Two paths to information-sharing behaviour met only the exploratory p &#x003C; .10 criterion: the pathway through perceived misinformation harm (<italic>&#x03B2;</italic> = 0.222, p = .084) and the pathway through perceived media reliability (<italic>&#x03B2;</italic> = 0.080, p = .073). <xref ref-type="table" rid="table16_4">Table 4</xref> reports the indirect and total effects.</p>
<table-wrap id="table16_4" position="float">
<label>Table 4.</label>
<caption><p>Bootstrapped indirect and total effects using bias-corrected and accelerated confidence intervals (BCa, two-tailed &#x03B1; = .05). &#x2020; p &#x003C; .10, * p &#x003C; .05, ** p &#x2264; .01, *** p &#x2264; .001.</p></caption>
<table>
<thead>
<tr>
<th align="left" valign="top">Effect type</th>
<th align="left" valign="top">Indirect path</th>
<th align="center" valign="top"><italic>&#x03B2;</italic></th>
<th align="center" valign="top">SE</th>
<th align="center" valign="top"><italic>t</italic></th>
<th align="center" valign="top"><italic>p</italic></th>
<th align="center" valign="top">Sig.</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle" rowspan="6">Total indirect effects</td>
<td align="left" valign="top">EIM &#x2192; ISB, through all modelled indirect routes</td>
<td align="center" valign="top">0.408</td>
<td align="center" valign="top">0.112</td>
<td align="center" valign="top">3.660</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; CE, through all modelled indirect routes</td>
<td align="center" valign="top">&#x2212;0.379</td>
<td align="center" valign="top">0.119</td>
<td align="center" valign="top">3.188</td>
<td align="center" valign="top">.001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2192; CE, through PMR and/or PMH</td>
<td align="center" valign="top">0.119</td>
<td align="center" valign="top">0.044</td>
<td align="center" valign="top">2.686</td>
<td align="center" valign="top">.007</td>
<td align="center" valign="top">**</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2192; ISB, through PMR and/or PMH</td>
<td align="center" valign="top">&#x2212;0.272</td>
<td align="center" valign="top">0.127</td>
<td align="center" valign="top">2.144</td>
<td align="center" valign="top">.032</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMH, through CTS and/or PMR</td>
<td align="center" valign="top">0.162</td>
<td align="center" valign="top">0.094</td>
<td align="center" valign="top">1.721</td>
<td align="center" valign="top">.085</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMR, through CTS</td>
<td align="center" valign="top">&#x2212;0.126</td>
<td align="center" valign="top">0.072</td>
<td align="center" valign="top">1.758</td>
<td align="center" valign="top">.079</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="6">Specific indirect effects</td>
<td align="left" valign="top">CTS &#x2192; PMR &#x2192; CE</td>
<td align="center" valign="top">0.150</td>
<td align="center" valign="top">0.045</td>
<td align="center" valign="top">3.321</td>
<td align="center" valign="top">.001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMR &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.174</td>
<td align="center" valign="top">0.063</td>
<td align="center" valign="top">2.774</td>
<td align="center" valign="top">.006</td>
<td align="center" valign="top">**</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; CTS &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.212</td>
<td align="center" valign="top">0.106</td>
<td align="center" valign="top">2.004</td>
<td align="center" valign="top">.045</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMH &#x2192; ISB</td>
<td align="center" valign="top">0.222</td>
<td align="center" valign="top">0.128</td>
<td align="center" valign="top">1.729</td>
<td align="center" valign="top">.084</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMR &#x2192; ISB</td>
<td align="center" valign="top">0.080</td>
<td align="center" valign="top">0.044</td>
<td align="center" valign="top">1.795</td>
<td align="center" valign="top">.073</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; CTS &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.126</td>
<td align="center" valign="top">0.072</td>
<td align="center" valign="top">1.758</td>
<td align="center" valign="top">.079</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="7">Total effects (for reference)</td>
<td align="left" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">0.786</td>
<td align="center" valign="top">0.061</td>
<td align="center" valign="top">12.808</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="left" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">0.827</td>
<td align="center" valign="top">0.085</td>
<td align="center" valign="top">9.680</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.587</td>
<td align="center" valign="top">0.064</td>
<td align="center" valign="top">9.118</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.355</td>
<td align="center" valign="top">0.097</td>
<td align="center" valign="top">3.657</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.325</td>
<td align="center" valign="top">0.168</td>
<td align="center" valign="top">1.929</td>
<td align="center" valign="top">.054</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">0.431</td>
<td align="center" valign="top">0.121</td>
<td align="center" valign="top">3.551</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.246</td>
<td align="center" valign="top">0.138</td>
<td align="center" valign="top">1.776</td>
<td align="center" valign="top">.076</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The total indirect effect of exposure to misinformation on perceived misinformation harm combines three pathways: Through checking with trusted sources, through perceived media reliability, and sequentially through checking with trusted sources and perceived media reliability. The total indirect effect of exposure to misinformation on perceived media reliability operates through checking with trusted sources. Total effects equal the corresponding direct effect plus all indirect effects linking the predictor and outcome.</p>
</sec>
<sec id="sec16_u18">
<title>Predictive performance</title>
<p>Out-of-sample prediction was assessed with PLSpredict and the cross-validated predictive ability test (CVPAT). All Q<sup>2</sup>predict values were positive. Values were highest for perceived media reliability (0.332) and information-sharing behaviour (0.221). The PLSpredict RMSE values were virtually identical to the linear-model benchmark. In the CVPAT comparison, the PLS model had lower cross-validated loss for information-sharing behaviour (p = .033), perceived media reliability (p = .001), and the overall average-loss comparison (p = .031). <xref ref-type="table" rid="table16_5">Table 5</xref> presents the complete comparison. Given the small sample and single indicators, these results are treated as exploratory predictive evidence rather than external validation.</p>
<table-wrap id="table16_5" position="float">
<label>Table 5.</label>
<caption><p>Predictive performance and model comparison (PLSpredict and CVPAT). &#x0394;RMSE was calculated as PLS RMSE minus linear-model RMSE; negative values favour PLS-SEM, positive values favour the linear-model benchmark, and zero denotes equivalent rounded RMSE.</p></caption>
<table>
<thead>
<tr>
<th align="center" valign="top">Metric</th>
<th align="center" valign="top">CE</th>
<th align="center" valign="top">CTS</th>
<th align="center" valign="top">ISB</th>
<th align="center" valign="top">PMH</th>
<th align="center" valign="top">PMR</th>
<th align="center" valign="top">Overall</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top"><italic>Q<sup>2</sup>predict</italic></td>
<td align="center" valign="top">0.159</td>
<td align="center" valign="top">0.053</td>
<td align="center" valign="top">0.221</td>
<td align="center" valign="top">0.161</td>
<td align="center" valign="top">0.332</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top">PLS RMSE</td>
<td align="center" valign="top">1.14</td>
<td align="center" valign="top">1.442</td>
<td align="center" valign="top">1.05</td>
<td align="center" valign="top">1.076</td>
<td align="center" valign="top">0.729</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top">LM RMSE</td>
<td align="center" valign="top">1.143</td>
<td align="center" valign="top">1.442</td>
<td align="center" valign="top">1.047</td>
<td align="center" valign="top">1.076</td>
<td align="center" valign="top">0.729</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top">&#x0394; RMSE (PLS&#x2013;LM)</td>
<td align="center" valign="top">&#x2212;0.003</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">0.003</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top">PLS loss</td>
<td align="center" valign="top">1.299</td>
<td align="center" valign="top">2.078</td>
<td align="center" valign="top">1.103</td>
<td align="center" valign="top">1.158</td>
<td align="center" valign="top">0.531</td>
<td align="center" valign="top">1.234</td>
</tr>
<tr>
<td align="left" valign="top">IA loss</td>
<td align="center" valign="top">1.541</td>
<td align="center" valign="top">2.191</td>
<td align="center" valign="top">1.41</td>
<td align="center" valign="top">1.377</td>
<td align="center" valign="top">0.792</td>
<td align="center" valign="top">1.462</td>
</tr>
<tr>
<td align="left" valign="top">Average loss difference</td>
<td align="center" valign="top">&#x2212;0.242</td>
<td align="center" valign="top">&#x2212;0.113</td>
<td align="center" valign="top">&#x2212;0.307</td>
<td align="center" valign="top">&#x2212;0.219</td>
<td align="center" valign="top">&#x2212;0.261</td>
<td align="center" valign="top">&#x2212;0.228</td>
</tr>
<tr>
<td align="left" valign="top">t value</td>
<td align="center" valign="top">1.31</td>
<td align="center" valign="top">0.466</td>
<td align="center" valign="top">2.178</td>
<td align="center" valign="top">1.453</td>
<td align="center" valign="top">3.41</td>
<td align="center" valign="top">2.196</td>
</tr>
<tr>
<td align="left" valign="top">p value</td>
<td align="center" valign="top">0.194</td>
<td align="center" valign="top">0.643</td>
<td align="center" valign="top">0.033</td>
<td align="center" valign="top">0.151</td>
<td align="center" valign="top">0.001</td>
<td align="center" valign="top">0.031</td>
</tr>
<tr>
<td align="left" valign="top">Favoured (CVPAT)</td>
<td align="center" valign="top">ns</td>
<td align="center" valign="top">ns</td>
<td align="center" valign="top">p &#x003C; .05</td>
<td align="center" valign="top">ns</td>
<td align="center" valign="top">p &#x003C; .01</td>
<td align="center" valign="top">p &#x003C; .05</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec16_u19">
<title>Demographic and contextual patterns</title>
<p>Exploratory multigroup analyses were used to identify possible recurring or context-specific patterns across demographic and contextual groupings rather than to make population-level comparisons between immigrant groups. Because seventy-two cases were repeatedly divided into small and unequal groups, the results are reported as provisional patterns rather than confirmatory subgroup evidence. Nominal p &#x003C; .05 differences appeared for education, country of residence, length of residence, interview period, and age; no such differences appeared for gender, occupation, or marital status. The education grouping indicated nominal differences for CTS &#x2192; CE (&#x0394;&#x03B2; = 0.357, p = .037), PMH &#x2192; ISB (&#x0394;&#x03B2; = &#x2212;0.420, p = .003), and PMR &#x2192; ISB (&#x0394;&#x03B2; = &#x2212;0.455, p = .001).</p>
<p>For the country grouping, nominal differences appeared for the association between exposure to misinformation and checking with trusted sources (&#x0394;&#x03B2; = 0.590, p = .028), exposure to misinformation and perceived misinformation harm (&#x0394;&#x03B2; = 0.671, p = .010), exposure to misinformation and perceived media reliability (&#x0394;&#x03B2; = &#x2212;0.462, p = .012), perceived misinformation harm and correction engagement (&#x0394;&#x03B2; = 0.368, p = .010), perceived media reliability and correction engagement (&#x0394;&#x03B2; = 0.308, p = .021), and perceived media reliability and perceived misinformation harm (&#x0394;&#x03B2; = 0.537, p = .035). For length of residence, one nominal difference appeared for the association between perceived misinformation harm and correction engagement (&#x0394;&#x03B2; = 0.395, p = .036), and one p &#x003C; .10 difference appeared for the association between exposure to misinformation and checking with trusted sources (&#x0394;&#x03B2; = 0.626, p = .060). These estimates may reflect contextual variation, but the small subgroup sizes do not support population-level claims about country or length of residence.</p>
<p>The interview-period grouping contrasted 18 pandemic-wave interviews with fifty-four later-wave interviews. Nominal differences appeared for the association between checking with trusted sources and correction engagement (&#x0394;&#x03B2; = 0.356, p = .030) and the association between perceived misinformation harm and correction engagement (&#x0394;&#x03B2; = &#x2212;0.850, p &#x003C; .001). The age grouping showed a difference for the association between perceived misinformation harm and correction engagement (&#x0394;&#x03B2; = 0.461, p = .017). <xref ref-type="table" rid="table16_6">Table 6</xref> summarises nominal and p &#x003C; .10 patterns; Appendix 4 provides all multigroup results. Interpretation should focus on possible heterogeneity rather than the direction or magnitude of any single subgroup estimate.</p>
<table-wrap id="table16_6" position="float">
<label>Table 6.</label>
<caption><p>Exploratory subgroup patterns in structural paths. &#x2020; p &#x003C; .10, * p &#x003C; .05, ** p &#x2264; .01, and *** p &#x2264; .001; small and unequal groups require caution. The analysis was used to identify possible recurring or context-specific patterns, not to support population-level group comparisons.</p></caption>
<table>
<thead>
<tr>
<th align="center" valign="top">Variable</th>
<th align="center" valign="top">Grouping</th>
<th align="center" valign="top">Path</th>
<th align="center" valign="top">&#x0394;<italic>&#x03B2;</italic></th>
<th align="center" valign="top"><italic>p</italic></th>
<th align="center" valign="top">Sig.</th>
<th align="center" valign="top">Larger estimated coefficient</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle" rowspan="3">Education</td>
<td align="center" valign="middle" rowspan="3">Lower vs higher</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">0.357</td>
<td align="center" valign="top">.037</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">Lower education</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.420</td>
<td align="center" valign="top">.003</td>
<td align="center" valign="top">**</td>
<td align="center" valign="top">Higher education</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.455</td>
<td align="center" valign="top">.001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">Higher education</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="7">Country</td>
<td align="center" valign="middle" rowspan="7">Finland vs Sweden and Norway</td>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">0.590</td>
<td align="center" valign="top">.028</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">Finland</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">0.671</td>
<td align="center" valign="top">.010</td>
<td align="center" valign="top">**</td>
<td align="center" valign="top">Finland</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.462</td>
<td align="center" valign="top">.012</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">Sweden and Norway</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.368</td>
<td align="center" valign="top">.010</td>
<td align="center" valign="top">**</td>
<td align="center" valign="top">Finland</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.308</td>
<td align="center" valign="top">.021</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">Finland</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">0.537</td>
<td align="center" valign="top">.035</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">Finland</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.310</td>
<td align="center" valign="top">.082</td>
<td align="center" valign="top">&#x2020;</td>
<td align="center" valign="top">Sweden and Norway</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="2">Length of residence</td>
<td align="center" valign="middle" rowspan="2">&#x2264; 5 years vs &#x003E; 5 years</td>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.395</td>
<td align="center" valign="top">.036</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">&#x2264; 5 years</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">0.626</td>
<td align="center" valign="top">.060</td>
<td align="center" valign="top">&#x2020;</td>
<td align="center" valign="top">&#x2264; 5 years</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="4">Period</td>
<td align="center" valign="middle" rowspan="4">After acute phase vs during COVID-19</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">0.356</td>
<td align="center" valign="top">.030</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">After acute phase</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">0.504</td>
<td align="center" valign="top">.092</td>
<td align="center" valign="top">&#x2020;</td>
<td align="center" valign="top">After acute phase</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.850</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">During pandemic wave</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.501</td>
<td align="center" valign="top">.079</td>
<td align="center" valign="top">&#x2020;</td>
<td align="center" valign="top">During pandemic wave</td>
</tr>
<tr>
<td align="center" valign="top">Occupation</td>
<td align="center" valign="top">Working vs not working</td>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">0.338</td>
<td align="center" valign="top">.070</td>
<td align="center" valign="top">&#x2020;</td>
<td align="center" valign="top">Working</td>
</tr>
<tr>
<td align="center" valign="top">Age</td>
<td align="center" valign="top">Younger vs older</td>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.461</td>
<td align="center" valign="top">.017</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">Younger</td>
</tr>
<tr>
<td align="center" valign="top">Gender</td>
<td align="center" valign="top">Female vs male</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="center" valign="top">Marital status</td>
<td align="center" valign="top">Single vs married/partnered</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="sec16_5">
<title>Discussion</title>
<p>This study examined statistical associations among coded indicators of exposure to health misinformation, checking, reliability, perceived harm, sharing, and correction in a sample of immigrants in Finland, Norway, and Sweden. The stimulus&#x2013;organism&#x2013;response framework helped organise these associations as links between exposure, internal appraisal, and behavioural response. The results do not describe a separate qualitative analysis and do not establish causal sequences.</p>
<p>The methodological contribution lies in making the transformation from interview material to case-level indicators explicit. Rule-guided coding preserved a documented connection to the source material, while structural modelling identified patterns across the seventy-two cases. At the same time, the transformation condensed contextual meanings into one score for each construct for each participant. The model can therefore identify associations among summaries, but it cannot provide the in-depth narrative interpretation expected from a conventional qualitative interview study.</p>
<p>The contribution to information behaviour research is therefore methodological as well as substantive. Substantively, the model links information encounter, source checking, credibility appraisal, perceived harm, sharing, and correction within one bounded account. Methodologically, it shows how interview material can be standardised for exploratory comparison while retaining an explicit audit trail from construct definition to case score. This approach may be useful when existing qualitative datasets contain recurring, comparable descriptions but were not designed as surveys. Its use nevertheless requires restraint: the transformation should be justified by the research question, categories should be documented before modelling, and numerical results should not be presented as if they originated from validated scales. The present study follows these boundaries by reporting the coding rules, distinguishing calibration examples from participant quotations, and limiting inference to associations among the derived indicators. In this sense, the analysis complements rather than replaces qualitative information-practice research, and it identifies relationships that warrant examination through independently designed measures and prospective data collection.</p>
<p>This distinction is important for interpreting the discussion. The following sections address only the quantitative path, indirect-effect, predictive, and multigroup results. Qualitative content analysis is discussed as the procedure used to construct the indicators, not as an additional strand of findings. The approach is most useful for generating testable propositions that can later be examined with larger samples and validated multi-item measures.</p>
<p>In this paper, <italic>everyday trust repair</italic> is an interpretive label for the observed pattern linking checking, reliability appraisal, and correction; it is not a directly measured change in trust over time. The negative paths from exposure to reliability and checking indicate that greater exposure may coincide with erosion rather than repair. The pattern labelled <italic>trust repair</italic> is most evident where checking is maintained and sources are judged reliable enough to support correction. Individuals may actively evaluate information while becoming sceptical under repeated exposure. For information research, the contribution is to connect source evaluation and sharing with corrective action in one model rather than treating trust, exposure, and response as separate topics.</p>
<sec id="sec16_u20">
<title>Fact-checking behaviour as everyday trust work</title>
<p>In this study, checking with trusted sources was the operational indicator closest to fact-checking. It was positively associated with perceived media reliability (<italic>&#x03B2;</italic> = 0.398) and correction engagement (<italic>&#x03B2;</italic> = 0.667), and it also had a positive indirect association with correction through perceived reliability. These results place checking at the centre of the modelled route to correction. They are consistent with research showing that attention to source quality and accuracy can improve misinformation judgement (<xref ref-type="bibr" rid="R1">Agley et al., 2021</xref>; <xref ref-type="bibr" rid="R24">Pennycook &#x0026; Rand, 2019</xref>). The model does not identify which interpersonal or institutional source was decisive in each case, but the coding framework included health professionals, public health authorities, established news sources, and knowledgeable contacts. Accordingly, the finding concerns routine verification across trusted sources rather than reliance on one universal authority.</p>
</sec>
<sec id="sec16_u21">
<title>Reliability and harm as complementary mechanisms</title>
<p>Perceived media reliability and perceived misinformation harm were associated with different behavioural outcomes. Reliability was positively associated with correction engagement (&#x03B2; = 0.378), whereas perceived harm was strongly associated with information-sharing behaviour (&#x03B2; = 0.827). The model therefore distinguishes a credibility-related route to correction from a harm-related route to sharing. This interpretation is consistent with evidence that perceived risk, emotional salience, and moral concern can increase information engagement and diffusion (<xref ref-type="bibr" rid="R5">Brady et al., 2017</xref>; <xref ref-type="bibr" rid="R17">Laato et al., 2020</xref>). However, the information-sharing indicator did not distinguish verified from unverified content in every sharing episode. The positive association between perceived misinformation harm and information-sharing behaviour should therefore be interpreted as greater reported circulation of health information when harm was perceived, not as proof that all shared information was accurate or corrective.</p>
</sec>
<sec id="sec16_u22">
<title>Exposure, lower reliability, and reduced checking</title>
<p>Greater exposure to misinformation was associated with lower perceived media reliability and less checking with trusted sources. Repeated encounters with contradictory claims may therefore coincide with lower confidence in information sources or reduced checking. Information fatigue is one possible interpretation, but it was not measured in this study. Research on misinformation shows that familiarity and repeated exposure can affect perceived accuracy, while overloaded information environments can make evaluation more difficult (<xref ref-type="bibr" rid="R7">Ecker et al., 2022</xref>; <xref ref-type="bibr" rid="R20">Malik et al., 2023</xref>). Exposure also had a weaker p &#x003C; .10 association with perceived harm. The results indicate two patterns associated with greater exposure: heightened concern about harm and reduced confidence or checking. The cross-sectional model cannot determine which pattern occurs first or whether an unmeasured factor produces both.</p>
</sec>
<sec id="sec16_u23">
<title>Demographic and contextual variation</title>
<p>The multigroup results indicate possible heterogeneity, but they do not justify firm claims about country, education, age, or length-of-residence differences. Several nominal path differences appeared; yet each analysis divided the sample into small and unequal subgroups and involved many paths. The safest interpretation is that the associations among exposure, appraisal, and behavioural response may differ across contexts. The period analysis is especially sensitive to composition because only eighteen interviews belonged to the pandemic wave. Larger studies should pre-specify subgroup hypotheses, recruit balanced groups, and directly measure migration pathway, language proficiency, and information-source use before drawing comparative conclusions.</p>
<p>The subgroup analysis was not adjusted for the number of comparisons and was not powered to detect stable interaction effects. A nominally significant difference may therefore reflect sampling variation, particularly when one subgroup contains few cases. The selected rows in <xref ref-type="table" rid="table16_6">Table 6</xref> are a navigation aid rather than a separate evidential tier: Appendix 4 contains the complete output, including non-significant comparisons. Directional labels describe only which first-listed or second-listed group had the larger estimated coefficient under the stated subtraction rule. They should not be interpreted as rankings of groups or as evidence that demographic characteristics determine information behaviour.</p>
</sec>
<sec id="sec16_u24">
<title>Correction engagement and wider trust formation</title>
<p>The positive associations between checking with trusted sources and correction engagement and between perceived media reliability and correction engagement suggest that correction engagement was most closely related to routine checking and perceived reliability. The indirect association from checking with trusted sources to correction engagement through perceived media reliability further indicates that checking may relate to correction partly through stronger confidence in reliable media or institutional information. Within the framework, this pattern is compatible with everyday trust maintenance: people who report more checking and higher reliability also report more correction. The data do not show how individual corrections unfolded in conversation, whether recipients accepted them, or whether correction improved trust over time.</p>
<p>Correction should therefore be interpreted as a reported behavioural tendency rather than a demonstrated reduction in misinformation. Existing research shows that peer correction can occur within trusted messaging networks and that accuracy prompts can improve sharing decisions (<xref ref-type="bibr" rid="R4">Bode &#x0026; Vraga, 2021</xref>; <xref ref-type="bibr" rid="R25">Pennycook et al., 2020</xref>; <xref ref-type="bibr" rid="R36">Vijaykumar et al., 2022</xref>). The present results extend this literature by identifying checking and perceived reliability as correlates of correction engagement in a multilingual immigrant sample, while leaving the effectiveness of corrective acts for future study.</p>
<p>Practically, the results suggest the value of communication strategies that make verification easier rather than placing responsibility solely on individuals. Health authorities and service providers can publish consistent multilingual information, identify update dates and evidence sources, and work with trusted community intermediaries. Community-based correction initiatives should provide links that can be checked and should acknowledge uncertainty when evidence changes. Prebunking, debunking, and accuracy-oriented prompts may complement these measures (<xref ref-type="bibr" rid="R25">Pennycook et al., 2020</xref>; <xref ref-type="bibr" rid="R32">Siebert &#x0026; Siebert, 2023</xref>). These recommendations follow from the modelled associations and related literature; they were not tested as interventions in this study.</p>
<p>The practical implication is not that every community member should become a fact-checker. Verification requires time, language access, digital skills, and confidence that an authoritative source will answer the question. Communication systems can lower this burden by presenting a clear claim, its evidence status, the date of the latest update, and a direct route to further explanation. Corrections should be designed for circulation within the same channels in which doubtful claims are encountered. A multilingual correction that can be forwarded, discussed, and checked is more usable than a technically accurate statement that remains difficult to locate or interpret. Because this study did not test interventions, these proposals should be evaluated with community partners before implementation.</p>
</sec>
<sec id="sec16_u25">
<title>Limitations and future research</title>
<p>This study has several limitations. First, the model used seventy-two cases and was five cases below the a priori target of seventy-seven. This limits precision, generalisability, and statistical power. The multigroup analyses divided the sample into still smaller and unequal cells and examined numerous paths; their nominal p values should be treated as hypothesis-generating. Replication requires larger, balanced samples and pre-specified subgroup tests.</p>
<p>Second, the indicators were derived from retrospective self-reports. They represent what participants recalled and expressed during interviews, not directly observed checking, sharing, or correction. Social desirability and recall may have affected the scores. Digital-trace, diary, or observational designs could examine actual information episodes and their sequence.</p>
<p>Third, qualitative statements were transformed into one seven-point score for each construct for each participant. This procedure inevitably reduced context and depended on interpretive judgement. Primary coding and scoring were completed by one researcher, with co-author review of the framework and selected cases rather than independent double-coding of the full dataset. The resulting single indicators cannot be compared directly with validated multi-item questionnaire scales, and internal consistency or measurement-model validity cannot be established. Future research should test the proposed relationships with independently developed and validated measures.</p>
<p>Fourth, the sample was educationally selective and combined different migration histories. Migration pathway and legal status were not harmonised across interview waves and could not be included in the model, even though forced migration and institutional experiences may shape trust. The period indicator contrasted eighteen pandemic-wave interviews with fifty-four later interviews and combined temporal context, interview emphasis, and potentially different sample composition. It therefore cannot separate the influence of COVID-19 salience from changes in participants, recruitment channels, or wider information conditions. Country of residence is likewise a broad contextual marker and does not directly measure language proficiency, service access, media use, or institutional trust. These omitted dimensions may account for some observed subgroup patterns and should be measured explicitly in future pre-specified models.</p>
<p>Finally, the stimulus&#x2013;organism&#x2013;response framework foregrounds exposure, appraisal, and behavioural response but does not fully represent relational, institutional, emotional, or historical dimensions of information practice. The cross-sectional design cannot establish causal or temporal order. Future studies should combine larger longitudinal surveys with focused qualitative analysis, balanced country samples, and direct measures of migration pathway, language, source use, and correction outcomes. Within these limits, the study offers an exploratory account of how checking, reliability, perceived harm, sharing, and correction are related in a multilingual Nordic immigrant sample.</p>
</sec>
</sec>
<sec id="sec16_6">
<title>Conclusion</title>
<p>This study used a qualitative-to-quantitative transformation to examine how six coded information-behaviour indicators were related in a sample of seventy-two immigrants in three Nordic countries. The strongest associations linked harm with sharing and linked checking and reliability with correction. Exposure was negatively associated with reliability and checking. These results indicate that misinformation response is associated not only with exposure but also with source evaluation and harm appraisal, which were related to reported sharing and correction in this sample. The framework is useful but partial. The evidence remains exploratory because the sample was modest, the indicators were interpretively derived, and subgroup sizes were uneven. Larger longitudinal studies with validated measures are needed to test the proposed pathways and the effectiveness of multilingual, community-linked correction strategies.</p>
<p>The results also show why checking and correction should not be treated as interchangeable practices. Checking was associated with perceived reliability and correction engagement, whereas perceived harm was most strongly associated with information-sharing behaviour. Communication support should therefore help people identify credible sources, compare claims, and pass on clear corrections in forms that are accessible across languages. This interpretation remains limited to the coded associations observed in this sample and requires testing with independently developed measures and larger, more balanced samples. Such support should also be evaluated with migrant communities to determine whether translated guidance is understandable, credible, and usable across institutional websites, messaging applications, and interpersonal networks.</p>
</sec>
<sec id="sec16_7">
<title>Acknowledgements</title>
<p>This research was supported by the European Media and Information Fund (project number 316177) and the Research Council of Finland (funding decision number 363335).</p>
</sec>
</body>
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<app-group>
<app id="sec16_9">
<title>Appendix 1: Interview coding framework for core analytical constructs</title>
<table-wrap position="anchor" id="tabu0007">
<table>
<thead>
<tr>
<th align="center" valign="middle">Construct (abbrev.)</th>
<th align="left" valign="top">Coding logic and source</th>
<th align="left" valign="top">Categories</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle">Exposure to misinformation (EIM)</td>
<td align="left" valign="top">Captured how frequently participants described encountering false or misleading health information in their everyday media environments&#x2014;online platforms, messaging apps, television, or community discussions. Mentions of rumours about vaccines, herbal remedies, or conspiracy narratives were coded as higher exposure.</td>
<td align="left" valign="top">1 = Never encountered<break/>2 = Rarely<break/>3 = Occasionally<break/>4 = Sometimes<break/>5 = Often<break/>6 = Very often<break/>7 = Constantly exposed across multiple platforms</td>
</tr>
<tr>
<td align="center" valign="middle">Checking with trusted sources (CTS)</td>
<td align="left" valign="top">Reflected verification habits and reliance on credible authorities. Participants frequently mentioned cross-checking information with health professionals, the Finnish Institute for Health and Welfare (THL), WHO portals, or knowledgeable relatives before accepting new claims.</td>
<td align="left" valign="top">1 = Never verify<break/>2 = Rarely<break/>3 = Occasionally<break/>4 = Sometimes<break/>5 = Usually<break/>6 = Almost always<break/>7 = Always check multiple trusted sources</td>
</tr>
<tr>
<td align="center" valign="middle">Correction engagement (CE)</td>
<td align="left" valign="top">Denoted instances where participants actively intervened to correct misinformation&#x2014;by informing friends or relatives, posting clarifications in WhatsApp or Telegram groups, or encouraging others to follow verified advice. These moments were interpreted as proactive repair work.</td>
<td align="left" valign="top">1 = Never correct<break/>2 = Rarely<break/>3 = Occasionally<break/>4 = Sometimes<break/>5 = Often<break/>6 = Very often<break/>7 = Always correct or warn others immediately</td>
</tr>
<tr>
<td align="center" valign="middle">Perceived media reliability (PMR)</td>
<td align="left" valign="top">Reflected evaluations of mainstream and digital media credibility. Participants compared official broadcasters (e.g., Yle, BBC) with social-media channels, discussing differences in trust, accuracy, and bias.</td>
<td align="left" valign="top">1 = Completely unreliable<break/>2 = Mostly unreliable<break/>3 = Somewhat unreliable<break/>4 = Neutral<break/>5 = Somewhat reliable<break/>6 = Mostly reliable<break/>7 = Fully reliable and consistent across channels</td>
</tr>
<tr>
<td align="center" valign="middle">Perceived misinformation harm (PMH)</td>
<td align="left" valign="top">Described perceived consequences of misinformation for oneself and others&#x2014;fear, confusion, stigma, or disruption of treatment. Higher codes were assigned when participants connected misinformation to serious or community-level harm.</td>
<td align="left" valign="top">1 = Not harmful<break/>2 = Slightly harmful<break/>3 = Somewhat harmful<break/>4 = Moderately harmful<break/>5 = Quite harmful<break/>6 = Very harmful<break/>7 = Extremely harmful or life-threatening</td>
</tr>
<tr>
<td align="center" valign="middle">Information-sharing behaviour (ISB)</td>
<td align="left" valign="top">Represented outward, everyday sharing of health information within families, friendship circles, or online communities&#x2014;forwarding posts, discussing news, or reposting materials. Corrective actions (warning others of false claims) were coded separately under CE.</td>
<td align="left" valign="top">1 = Never share<break/>2 = Rarely<break/>3 = Occasionally<break/>4 = Sometimes<break/>5 = Often<break/>6 = Very often<break/>7 = Frequently initiate health information sharing or discussion</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><bold>Note</bold>. Each indicator was derived through rule-guided qualitative content analysis and case-level semi-quantification. Interview material was coded into ordinal categories (1&#x2013;7) by evaluating frequency, intensity, and salience. The six indicators were organised within the stimulus&#x2013;organism&#x2013;response framework and informed by misinformation, trust, and information-behaviour literature. They are case-level interpretive summaries, not validated psychometric scales.</attrib>
</table-wrap-foot>
</table-wrap>
</app>
<app id="sec16_10">
<title>Appendix 2: Participant characteristics (n = 72)</title>
<table-wrap position="anchor" id="tabu0008">
<table>
<thead>
<tr>
<th align="center" valign="top">Variable</th>
<th align="center" valign="top">Category</th>
<th align="center" valign="top"><italic>n</italic></th>
<th align="center" valign="top">%</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle" rowspan="4">Age</td>
<td align="center" valign="top">18&#x2013;30 years</td>
<td align="center" valign="top">10</td>
<td align="center" valign="top">14</td>
</tr>
<tr>
<td align="center" valign="middle">31&#x2013;40 years</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">11</td>
</tr>
<tr>
<td align="center" valign="middle">41&#x2013;50 years</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">35</td>
</tr>
<tr>
<td align="center" valign="middle">51+ years</td>
<td align="center" valign="top">29</td>
<td align="center" valign="top">40</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="3">Gender</td>
<td align="center" valign="top">Female</td>
<td align="center" valign="top">36</td>
<td align="center" valign="top">50</td>
</tr>
<tr>
<td align="center" valign="middle">Male</td>
<td align="center" valign="top">35</td>
<td align="center" valign="top">49</td>
</tr>
<tr>
<td align="center" valign="middle">Non-binary</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="3">Marital status</td>
<td align="center" valign="top">Married/partnered</td>
<td align="center" valign="top">41</td>
<td align="center" valign="top">57</td>
</tr>
<tr>
<td align="center" valign="middle">Divorced/widowed</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">19</td>
</tr>
<tr>
<td align="center" valign="middle">Single</td>
<td align="center" valign="top">17</td>
<td align="center" valign="top">24</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="5">Education</td>
<td align="center" valign="top">No/elementary education</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">7</td>
</tr>
<tr>
<td align="center" valign="middle">Secondary/vocational school</td>
<td align="center" valign="top">11</td>
<td align="center" valign="top">15</td>
</tr>
<tr>
<td align="center" valign="middle">Associate/bachelor&#x2019;s degree</td>
<td align="center" valign="top">19</td>
<td align="center" valign="top">26</td>
</tr>
<tr>
<td align="center" valign="middle">Master&#x2019;s degree</td>
<td align="center" valign="top">17</td>
<td align="center" valign="top">24</td>
</tr>
<tr>
<td align="center" valign="middle">Doctorate/PhD</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top">28</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="5">Occupation</td>
<td align="center" valign="top">Working</td>
<td align="center" valign="top">44</td>
<td align="center" valign="top">61</td>
</tr>
<tr>
<td align="center" valign="middle">Studying</td>
<td align="center" valign="top">17</td>
<td align="center" valign="top">24</td>
</tr>
<tr>
<td align="center" valign="middle">Job seeker</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">11</td>
</tr>
<tr>
<td align="center" valign="middle">Retired</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1</td>
</tr>
<tr>
<td align="center" valign="middle">Disability/long-term illness</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">3</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="3">Country of residence</td>
<td align="center" valign="top">Finland</td>
<td align="center" valign="top">43</td>
<td align="center" valign="top">60</td>
</tr>
<tr>
<td align="center" valign="middle">Sweden</td>
<td align="center" valign="top">17</td>
<td align="center" valign="top">24</td>
</tr>
<tr>
<td align="center" valign="middle">Norway</td>
<td align="center" valign="top">12</td>
<td align="center" valign="top">17</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="3">Length of residence</td>
<td align="center" valign="top">1&#x2013;5 years</td>
<td align="center" valign="top">28</td>
<td align="center" valign="top">39</td>
</tr>
<tr>
<td align="center" valign="middle">6&#x2013;10 years</td>
<td align="center" valign="top">24</td>
<td align="center" valign="top">33</td>
</tr>
<tr>
<td align="center" valign="middle">Over 10 years</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top">28</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="2">Interview period</td>
<td align="center" valign="top">During COVID-19</td>
<td align="center" valign="top">18</td>
<td align="center" valign="top">25</td>
</tr>
<tr>
<td align="center" valign="middle">After the acute COVID-19 phase</td>
<td align="center" valign="top">54</td>
<td align="center" valign="top">75</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><bold>Note</bold>. The broader corpus included participants with asylum-seeking or refugee-related and other settlement histories. Migration pathway and legal status were not recorded in a harmonised form across all interview waves and were therefore not included in the model. Interview period distinguished the pandemic wave (n = 18) from the later wave after the acute phase (n = 54). Percentages may not total 100 because of rounding.</attrib>
</table-wrap-foot>
</table-wrap>
</app>
<app id="sec16_11">
<title>Appendix 3: Full structural model results (PLS-SEM, n = 72, 5,000 bootstraps)</title>
<table-wrap position="anchor" id="tabu0009">
<table>
<thead>
<tr>
<th align="center" valign="top">Path</th>
<th align="center" valign="top"><italic>&#x03B2;</italic></th>
<th align="center" valign="top">SE</th>
<th align="center" valign="top"><italic>t</italic></th>
<th align="center" valign="top"><italic>p</italic></th>
<th align="center" valign="top">Sig.</th>
<th align="center" valign="top"><italic>f<sup>2</sup></italic></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">0.827</td>
<td align="center" valign="top">0.085</td>
<td align="center" valign="top">9.680</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">2.083</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">0.667</td>
<td align="center" valign="top">0.074</td>
<td align="center" valign="top">9.023</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">1.357</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">0.398</td>
<td align="center" valign="top">0.088</td>
<td align="center" valign="top">4.532</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">0.277</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.378</td>
<td align="center" valign="top">0.096</td>
<td align="center" valign="top">3.927</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">0.406</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">0.268</td>
<td align="center" valign="top">0.147</td>
<td align="center" valign="top">1.824</td>
<td align="center" valign="top">.068</td>
<td align="center" valign="top">&#x2020;</td>
<td align="center" valign="top">0.064</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2192; ISB</td>
<td align="center" valign="top">0.156</td>
<td align="center" valign="top">0.102</td>
<td align="center" valign="top">1.540</td>
<td align="center" valign="top">.124</td>
<td align="center" valign="top">n.s.</td>
<td align="center" valign="top">0.065</td>
</tr>
<tr>
<td align="left" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.127</td>
<td align="center" valign="top">0.081</td>
<td align="center" valign="top">1.580</td>
<td align="center" valign="top">.114</td>
<td align="center" valign="top">n.s.</td>
<td align="center" valign="top">0.057</td>
</tr>
<tr>
<td align="left" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.173</td>
<td align="center" valign="top">0.166</td>
<td align="center" valign="top">1.041</td>
<td align="center" valign="top">.298</td>
<td align="center" valign="top">n.s.</td>
<td align="center" valign="top">0.028</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.173</td>
<td align="center" valign="top">0.098</td>
<td align="center" valign="top">1.771</td>
<td align="center" valign="top">.077</td>
<td align="center" valign="top">&#x2020;</td>
<td align="center" valign="top">0.074</td>
</tr>
<tr>
<td align="left" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.183</td>
<td align="center" valign="top">0.166</td>
<td align="center" valign="top">1.102</td>
<td align="center" valign="top">.270</td>
<td align="center" valign="top">n.s.</td>
<td align="center" valign="top">0.023</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">&#x2212;0.318</td>
<td align="center" valign="top">0.153</td>
<td align="center" valign="top">2.083</td>
<td align="center" valign="top">.037</td>
<td align="center" valign="top">*</td>
<td align="center" valign="top">0.112</td>
</tr>
<tr>
<td align="left" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.460</td>
<td align="center" valign="top">0.086</td>
<td align="center" valign="top">5.340</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
<td align="center" valign="top">0.371</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><bold>Note</bold>. &#x2020;<italic>p</italic> &#x003C; 0.10, *<italic>p</italic> &#x003C; 0.05, **<italic>p</italic> &#x2264; 0.01, ***<italic>p</italic> &#x2264; 0.001; n.s. = not significant.</attrib>
</table-wrap-foot>
</table-wrap>
</app>
<app id="sec16_12">
<title>Appendix 4: Full multigroup analysis results</title>
<table-wrap position="anchor" id="tabu0010">
<table>
<thead>
<tr>
<th align="center" valign="top">Variable</th>
<th align="center" valign="top">Grouping</th>
<th align="center" valign="top">Path</th>
<th align="center" valign="top"><italic>&#x0394;</italic><bold><italic>&#x03B2;</italic></bold></th>
<th align="center" valign="top"><italic>p (two-tailed)</italic></th>
<th align="center" valign="top">Sig.</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle" rowspan="12">Gender</td>
<td align="center" valign="middle" rowspan="12">Female vs male</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.096</td>
<td align="center" valign="top">.548</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; ISB</td>
<td align="center" valign="top">0.196</td>
<td align="center" valign="top">.389</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.199</td>
<td align="center" valign="top">.557</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.063</td>
<td align="center" valign="top">.706</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">0.026</td>
<td align="center" valign="top">.949</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.098</td>
<td align="center" valign="top">.769</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.244</td>
<td align="center" valign="top">.135</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.031</td>
<td align="center" valign="top">.863</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">0.005</td>
<td align="center" valign="top">.928</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.191</td>
<td align="center" valign="top">.365</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">0.042</td>
<td align="center" valign="top">.789</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">0.294</td>
<td align="center" valign="top">.354</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="12">Education</td>
<td align="center" valign="middle" rowspan="12">Higher vs lower</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.357</td>
<td align="center" valign="top">.037</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.217</td>
<td align="center" valign="top">.194</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.148</td>
<td align="center" valign="top">.635</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">0.117</td>
<td align="center" valign="top">.564</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">0.449</td>
<td align="center" valign="top">.139</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">0.348</td>
<td align="center" valign="top">.247</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.166</td>
<td align="center" valign="top">.356</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.037</td>
<td align="center" valign="top">.811</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">0.420</td>
<td align="center" valign="top">.003</td>
<td align="center" valign="top">**</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.327</td>
<td align="center" valign="top">.125</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">0.455</td>
<td align="center" valign="top">.001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">0.367</td>
<td align="center" valign="top">.293</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="12">Country</td>
<td align="center" valign="middle" rowspan="12">Finland vs Sweden and Norway</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.209</td>
<td align="center" valign="top">.153</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.253</td>
<td align="center" valign="top">.255</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">0.347</td>
<td align="center" valign="top">.319</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.310</td>
<td align="center" valign="top">.082</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">0.590</td>
<td align="center" valign="top">.028</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">0.671</td>
<td align="center" valign="top">.010</td>
<td align="center" valign="top">**</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.462</td>
<td align="center" valign="top">.012</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.368</td>
<td align="center" valign="top">.010</td>
<td align="center" valign="top">**</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">0.200</td>
<td align="center" valign="top">.242</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.308</td>
<td align="center" valign="top">.021</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">0.220</td>
<td align="center" valign="top">.270</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">0.537</td>
<td align="center" valign="top">.035</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="12">Length of residence</td>
<td align="center" valign="middle" rowspan="12">&#x2264; 5 years vs &#x003E; 5 years</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.224</td>
<td align="center" valign="top">.238</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.179</td>
<td align="center" valign="top">.302</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">0.082</td>
<td align="center" valign="top">.783</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">0.046</td>
<td align="center" valign="top">.812</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">0.626</td>
<td align="center" valign="top">.060</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">0.414</td>
<td align="center" valign="top">.186</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.186</td>
<td align="center" valign="top">.337</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.395</td>
<td align="center" valign="top">.036</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">0.016</td>
<td align="center" valign="top">.942</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.128</td>
<td align="center" valign="top">.501</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">0.057</td>
<td align="center" valign="top">.771</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">0.333</td>
<td align="center" valign="top">.368</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="12">Period</td>
<td align="center" valign="middle" rowspan="12">During COVID-19 vs after the acute phase</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.356</td>
<td align="center" valign="top">.030</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.200</td>
<td align="center" valign="top">.335</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">0.402</td>
<td align="center" valign="top">.448</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.504</td>
<td align="center" valign="top">.092</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">1.201</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">0.534</td>
<td align="center" valign="top">.347</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.452</td>
<td align="center" valign="top">.137</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.850</td>
<td align="center" valign="top">&#x003C; .001</td>
<td align="center" valign="top">***</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">0.006</td>
<td align="center" valign="top">.945</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.009</td>
<td align="center" valign="top">.962</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">0.034</td>
<td align="center" valign="top">.908</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">0.501</td>
<td align="center" valign="top">.079</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="12">Occupation</td>
<td align="center" valign="middle" rowspan="12">Working vs not working</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.005</td>
<td align="center" valign="top">.939</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.157</td>
<td align="center" valign="top">.415</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">0.280</td>
<td align="center" valign="top">.364</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">0.175</td>
<td align="center" valign="top">.359</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">&#x2212;0.385</td>
<td align="center" valign="top">.904</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.225</td>
<td align="center" valign="top">.439</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">0.338</td>
<td align="center" valign="top">.070</td>
<td align="center" valign="top">&#x2020;</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.327</td>
<td align="center" valign="top">.963</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">0.227</td>
<td align="center" valign="top">.150</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.086</td>
<td align="center" valign="top">.712</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">0.211</td>
<td align="center" valign="top">.105</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.394</td>
<td align="center" valign="top">.223</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="12">Age</td>
<td align="center" valign="middle" rowspan="12">Younger vs older</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.224</td>
<td align="center" valign="top">.211</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.203</td>
<td align="center" valign="top">.350</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">0.127</td>
<td align="center" valign="top">.835</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.280</td>
<td align="center" valign="top">.208</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">0.461</td>
<td align="center" valign="top">.244</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.179</td>
<td align="center" valign="top">.811</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">&#x2212;0.124</td>
<td align="center" valign="top">.605</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">0.461</td>
<td align="center" valign="top">.017</td>
<td align="center" valign="top">*</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.008</td>
<td align="center" valign="top">.989</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.232</td>
<td align="center" valign="top">.184</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.022</td>
<td align="center" valign="top">.957</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">0.372</td>
<td align="center" valign="top">.350</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="12">Marital status</td>
<td align="center" valign="middle" rowspan="12">Married/partnered vs single</td>
<td align="center" valign="top">CTS &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.197</td>
<td align="center" valign="top">.173</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; ISB</td>
<td align="center" valign="top">0.037</td>
<td align="center" valign="top">.923</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.262</td>
<td align="center" valign="top">.405</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">CTS &#x2192; PMR</td>
<td align="center" valign="top">0.148</td>
<td align="center" valign="top">.421</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; CTS</td>
<td align="center" valign="top">0.322</td>
<td align="center" valign="top">.278</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.375</td>
<td align="center" valign="top">.226</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">EIM &#x2192; PMR</td>
<td align="center" valign="top">0.232</td>
<td align="center" valign="top">.239</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; CE</td>
<td align="center" valign="top">&#x2212;0.093</td>
<td align="center" valign="top">.566</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMH &#x2192; ISB</td>
<td align="center" valign="top">&#x2212;0.147</td>
<td align="center" valign="top">.801</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; CE</td>
<td align="center" valign="top">0.206</td>
<td align="center" valign="top">.289</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; ISB</td>
<td align="center" valign="top">0.040</td>
<td align="center" valign="top">.788</td>
<td align="center" valign="top">n.s.</td>
</tr>
<tr>
<td align="center" valign="top">PMR &#x2192; PMH</td>
<td align="center" valign="top">&#x2212;0.070</td>
<td align="center" valign="top">.845</td>
<td align="center" valign="top">n.s.</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_13">
<title>Appendix 5A: Phase 1 &#x2013; construct identification</title>
<table-wrap position="anchor" id="tabu0011">
<table>
<thead>
<tr>
<th align="center" valign="top">Code</th>
<th align="center" valign="top">Analytical definition</th>
<th align="center" valign="top">Recurrent terms, expressions, and semantic indicators</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="top">EIM</td>
<td align="left" valign="top">Encountering misleading or false health information</td>
<td align="left" valign="top">misinformation, false information, wrong information, misleading information, fake news, rumours, conspiracy claims, incorrect advice, confusing claims, contradictory advice, unverified messages, herbal cure claims, vaccine rumours, WhatsApp rumours, Telegram messages, misleading videos, misleading posts, forwarded messages, viral posts, circulating messages, repeated messages, many stories, conflicting information, mixed messages</td>
</tr>
<tr>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">Verifying information through credible sources</td>
<td align="left" valign="top">check, verify, confirm, compare, cross-check, double-check, look it up, search online, Google it, check the source, check the date, ask a doctor, ask a nurse, consult health professionals, consult official sources, check government information, consult health authority websites, consult WHO, consult THL, read official websites, confirm through trusted news sources, verify information before sharing</td>
</tr>
<tr>
<td align="center" valign="top">CE</td>
<td align="left" valign="top">Correcting misinformation shared by others</td>
<td align="left" valign="top">correct, warn, explain, clarify, challenge, respond, intervene, tell others it is wrong, send the correct link, share official advice, debunk rumours, counter misinformation, guide others, encourage others to check, answer in groups, reply in WhatsApp groups, explain why it is false</td>
</tr>
<tr>
<td align="center" valign="top">PMR</td>
<td align="left" valign="top">Evaluation of media credibility</td>
<td align="left" valign="top">reliable, trustworthy, credible, dependable, accurate, professional, official information, authoritative source, serious journalism, balanced reporting, trustworthy broadcaster, reliable news outlet, official government information, not reliable, unreliable, misleading media, biased reporting, exaggerated news, confusing information, propaganda, social media unreliable, mainstream media reliable</td>
</tr>
<tr>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">Perceived consequences of misinformation</td>
<td align="left" valign="top">harmful, dangerous, risky, damaging, confusing, frightening, stressful, panic-inducing, misleading people, harmful to health, harmful to families, community harm, creates fear, creates confusion, causes panic, delay treatment, people take wrong medicine, distrust doctors, treatment disruption, stigma, serious consequences, life-threatening, could cost lives</td>
</tr>
<tr>
<td align="center" valign="top">ISB</td>
<td align="left" valign="top">Sharing health information with others</td>
<td align="left" valign="top">share, send, forward, repost, circulate, discuss, tell others, mention, talk about, bring it up, exchange information, pass information, post information, share in groups, send links, forward messages, discuss news, inform relatives, communicate updates, start discussions</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_14">
<title>Appendix 5B: Phase 2 &#x2013; linguistic scaling of the six analytical constructs</title>
<table-wrap position="anchor" id="tabu0012">
<table>
<thead>
<tr>
<th align="center" valign="top">Code</th>
<th align="center" valign="top">Score</th>
<th align="center" valign="top">Level</th>
<th align="center" valign="top">Typical linguistic markers</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle" rowspan="7">EIM</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">Never encountered</td>
<td align="left" valign="top">never saw such messages, never received misinformation, never heard rumours, did not encounter false claims, never came across misleading posts</td>
</tr>
<tr>
<td align="center" valign="top">2</td>
<td align="center" valign="top">Rarely</td>
<td align="left" valign="top">hardly ever saw it, very rarely encountered it, almost never received it, once or twice only, rarely noticed rumours</td>
</tr>
<tr>
<td align="center" valign="top">3</td>
<td align="center" valign="top">Occasionally</td>
<td align="left" valign="top">sometimes saw misleading posts, from time to time encountered rumours, occasionally noticed false information, now and then received such messages, sometimes saw incorrect advice</td>
</tr>
<tr>
<td align="center" valign="top">4</td>
<td align="center" valign="top">Intermittent exposure</td>
<td align="left" valign="top">every now and then saw it, on some occasions encountered rumours, sometimes appeared in discussions, occasionally received group messages, not unusual to see misleading posts</td>
</tr>
<tr>
<td align="center" valign="top">5</td>
<td align="center" valign="top">Often</td>
<td align="left" valign="top">often saw misinformation, regularly encountered such messages, many times received misleading posts, frequently saw rumours circulating, common in discussions</td>
</tr>
<tr>
<td align="center" valign="top">6</td>
<td align="center" valign="top">Very often</td>
<td align="left" valign="top">very often received such messages, repeatedly saw the same rumours, again and again encountered misinformation, frequently circulated in groups, many repeated posts</td>
</tr>
<tr>
<td align="center" valign="top">7</td>
<td align="center" valign="top">Constant exposure</td>
<td align="left" valign="top">everywhere across platforms, constantly encountering misinformation, all the time in discussions, across social media and messaging apps, impossible to avoid these claims</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="7">CTS</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">Never verify</td>
<td align="left" valign="top">do not check information, just read the message, accept it directly, do not verify the source, rarely question it</td>
</tr>
<tr>
<td align="center" valign="top">2</td>
<td align="center" valign="top">Rarely verify</td>
<td align="left" valign="top">seldom check information, rarely verify messages, usually do not confirm sources, occasionally ignore verification, rarely search for confirmation</td>
</tr>
<tr>
<td align="center" valign="top">3</td>
<td align="center" valign="top">Occasionally verify</td>
<td align="left" valign="top">sometimes check the source, sometimes ask someone, occasionally look it up online, sometimes confirm information, now and then verify</td>
</tr>
<tr>
<td align="center" valign="top">4</td>
<td align="center" valign="top">Intermittent verification</td>
<td align="left" valign="top">sometimes compare sources, sometimes ask friends or relatives, occasionally double-check online, sometimes consult another website, sometimes seek confirmation</td>
</tr>
<tr>
<td align="center" valign="top">5</td>
<td align="center" valign="top">Frequent verification</td>
<td align="left" valign="top">usually check official information, often verify the message, frequently compare sources, often search for confirmation, check before believing</td>
</tr>
<tr>
<td align="center" valign="top">6</td>
<td align="center" valign="top">Very frequent verification</td>
<td align="left" valign="top">almost always check official websites, regularly confirm information, often consult trusted sources, usually compare multiple sources, consistently verify claims</td>
</tr>
<tr>
<td align="center" valign="top">7</td>
<td align="center" valign="top">Routine multi-source verification</td>
<td align="left" valign="top">always check before believing, confirm with several trusted sources, verify through official websites, check government or health authority pages, never believe information without checking</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="5">CE</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">Never correct</td>
<td align="left" valign="top">stay silent, ignore the message, do not respond, avoid discussion, let others say what they want</td>
</tr>
<tr>
<td align="center" valign="top">2</td>
<td align="center" valign="top">Rarely correct</td>
<td align="left" valign="top">occasionally respond, rarely intervene in discussions, seldom say anything, hardly ever challenge misinformation, usually stay quiet</td>
</tr>
<tr>
<td align="center" valign="top">3</td>
<td align="center" valign="top">Occasionally correct</td>
<td align="left" valign="top">sometimes tell people it may be wrong, sometimes comment on the message, occasionally respond in discussions, sometimes question the claim, sometimes point out mistakes</td>
</tr>
<tr>
<td align="center" valign="top">4</td>
<td align="center" valign="top">Intermittent correction</td>
<td align="left" valign="top">sometimes explain the correct information, sometimes send the correct source, sometimes respond in group discussions, sometimes clarify misleading claims, occasionally challenge misinformation</td>
</tr>
<tr>
<td align="center" valign="top">5</td>
<td align="center" valign="top">Frequent correction</td>
<td align="left" valign="top">usually correct people, often explain the correct information, warn others about misinformation, frequently respond in discussions, often clarify wrong claims</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="2"/>
<td align="center" valign="top">6</td>
<td align="center" valign="top">Very frequent correction</td>
<td align="left" valign="top">very often intervene in discussions, actively clarify misinformation, repeatedly respond to misleading posts, regularly challenge false information, often send correct sources</td>
</tr>
<tr>
<td align="center" valign="top">7</td>
<td align="center" valign="top">Immediate and consistent correction</td>
<td align="left" valign="top">always respond immediately, immediately correct misinformation, consistently send correct links, always explain the accurate information, always warn others about false claims</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="7">PMR</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">Completely unreliable</td>
<td align="left" valign="top">cannot trust media, totally unreliable sources, completely misleading news, cannot depend on these channels, not credible at all</td>
</tr>
<tr>
<td align="center" valign="top">2</td>
<td align="center" valign="top">Mostly unreliable</td>
<td align="left" valign="top">mostly unreliable news, usually misleading reports, generally untrustworthy media, often inaccurate information, frequently biased coverage</td>
</tr>
<tr>
<td align="center" valign="top">3</td>
<td align="center" valign="top">Somewhat unreliable</td>
<td align="left" valign="top">partly unreliable sources, not very trustworthy media, sometimes misleading reports, occasionally inaccurate information, questionable credibility</td>
</tr>
<tr>
<td align="center" valign="top">4</td>
<td align="center" valign="top">Neutral</td>
<td align="left" valign="top">depends on the source, mixed reliability across media, sometimes reliable sometimes not, uncertain credibility, reliability varies</td>
</tr>
<tr>
<td align="center" valign="top">5</td>
<td align="center" valign="top">Somewhat reliable</td>
<td align="left" valign="top">fairly reliable sources, somewhat trustworthy news, generally acceptable reporting, often credible coverage, mostly accurate information</td>
</tr>
<tr>
<td align="center" valign="top">6</td>
<td align="center" valign="top">Mostly reliable</td>
<td align="left" valign="top">mostly reliable media, generally trustworthy reporting, often accurate information, dependable news sources, credible journalism</td>
</tr>
<tr>
<td align="center" valign="top">7</td>
<td align="center" valign="top">Fully reliable</td>
<td align="left" valign="top">very trustworthy sources, fully reliable information, highly credible media, consistently accurate reporting, authoritative news channels</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="7">PMH</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">Not harmful</td>
<td align="left" valign="top">harmless information, not a serious issue, no real harm, nothing dangerous, not a major problem</td>
</tr>
<tr>
<td align="center" valign="top">2</td>
<td align="center" valign="top">Slightly harmful</td>
<td align="left" valign="top">small problem, minor issue, not very harmful, slight concern, limited negative impact</td>
</tr>
<tr>
<td align="center" valign="top">3</td>
<td align="center" valign="top">Somewhat harmful</td>
<td align="left" valign="top">somewhat harmful claims, may mislead people, problematic information, may create confusion, can influence decisions</td>
</tr>
<tr>
<td align="center" valign="top">4</td>
<td align="center" valign="top">Moderately harmful</td>
<td align="left" valign="top">harmful in some cases, confusing for people, may cause misunderstanding, may affect decisions, may create uncertainty</td>
</tr>
<tr>
<td align="center" valign="top">5</td>
<td align="center" valign="top">Quite harmful</td>
<td align="left" valign="top">serious concern, harmful consequences, worrying misinformation, public health risk, damaging effects</td>
</tr>
<tr>
<td align="center" valign="top">6</td>
<td align="center" valign="top">Very harmful</td>
<td align="left" valign="top">dangerous misinformation, strongly harmful claims, damaging to health, serious consequences, major risks</td>
</tr>
<tr>
<td align="center" valign="top">7</td>
<td align="center" valign="top">Extremely harmful</td>
<td align="left" valign="top">life-threatening misinformation, could cost lives, extremely dangerous claims, severe public health risk, highly damaging consequences</td>
</tr>
<tr>
<td align="center" valign="middle" rowspan="7">ISB</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">Never share</td>
<td align="left" valign="top">never share health information, keep messages private, do not forward content, do not send health information updates, avoid sharing health news</td>
</tr>
<tr>
<td align="center" valign="top">2</td>
<td align="center" valign="top">Rarely share</td>
<td align="left" valign="top">seldom share information, rarely forward messages, almost never share news, rarely send updates, usually keep information private</td>
</tr>
<tr>
<td align="center" valign="top">3</td>
<td align="center" valign="top">Occasionally share</td>
<td align="left" valign="top">sometimes share health information, occasionally send messages, sometimes forward posts, occasionally discuss information, sometimes mention it</td>
</tr>
<tr>
<td align="center" valign="top">4</td>
<td align="center" valign="top">Sometimes sharing</td>
<td align="left" valign="top">sometimes discuss health topics, occasionally forward information, sometimes send links, occasionally share updates, sometimes talk about it</td>
</tr>
<tr>
<td align="center" valign="top">5</td>
<td align="center" valign="top">Often sharing</td>
<td align="left" valign="top">often share health information, usually send updates, frequently forward useful messages, regularly discuss health news, often pass information to friends</td>
</tr>
<tr>
<td align="center" valign="top">6</td>
<td align="center" valign="top">Very often sharing</td>
<td align="left" valign="top">share information very often, regularly circulate updates, frequently send messages in groups, often post useful news, repeatedly share updates</td>
</tr>
<tr>
<td align="center" valign="top">7</td>
<td align="center" valign="top">Highly active sharing</td>
<td align="left" valign="top">initiate health discussions, circulate information widely, often post first, start conversations about health news, encourage others to read shared information</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_15">
<title>Appendix 5C-1: General coding rules applied during interpretive standardisation</title>
<table-wrap position="anchor" id="tabu0013">
<table>
<thead>
<tr>
<th align="center" valign="top">Rule</th>
<th align="center" valign="top">Operational description</th>
<th align="center" valign="top">Coding implication</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="top">Context rule</td>
<td align="left" valign="top">Expressions were interpreted in relation to the surrounding statement and behavioural context</td>
<td align="left" valign="top">Meaning was determined from the full statement rather than isolated words</td>
</tr>
<tr>
<td align="center" valign="top">Dominant-pattern rule</td>
<td align="left" valign="top">When multiple scale levels appeared in one interview, the most recurrent behavioural pattern was used</td>
<td align="left" valign="top">Final score reflected the dominant tendency across the transcript</td>
</tr>
<tr>
<td align="center" valign="top">Weighting rule</td>
<td align="left" valign="top">Repeated behavioural descriptions were treated as stronger evidence than isolated remarks</td>
<td align="left" valign="top">Frequent statements increased coding confidence</td>
</tr>
<tr>
<td align="center" valign="top">Construct-priority rule</td>
<td align="left" valign="top">When statements could relate to multiple constructs, the most directly expressed construct was prioritised</td>
<td align="left" valign="top">Each coded segment contributed to one primary indicator</td>
</tr>
<tr>
<td align="center" valign="top">Overlap rule</td>
<td align="left" valign="top">Statements could be qualitatively linked to multiple constructs during analysis</td>
<td align="left" valign="top">Final scoring required a single construct assignment</td>
</tr>
<tr>
<td align="center" valign="top">Memo rule</td>
<td align="left" valign="top">Contextual statements not directly related to the six indicators were recorded in analytic memos</td>
<td align="left" valign="top">These statements informed interpretation but were not scored</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_16">
<title>Appendix 5C-2: Construct-level standardisation rules</title>
<table-wrap position="anchor" id="tabu0014">
<table>
<tbody>
<tr>
<th align="center" valign="top">Code</th>
<th align="center" valign="top">Standardisation rule</th>
<th align="center" valign="top">Decision logic used in final coding</th>
</tr>
<tr>
<td align="center" valign="top">EIM</td>
<td align="left" valign="top">References to rumours, misleading claims, contradictory health messages, or repeated misinformation were coded as exposure</td>
<td align="left" valign="top">Higher scores reflected repeated or cross-platform exposure rather than isolated encounters</td>
</tr>
<tr>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">Mentions of checking official sources, consulting experts, or comparing information channels were coded as verification behaviour</td>
<td align="left" valign="top">Higher scores reflected routine or multi-source verification practices</td>
</tr>
<tr>
<td align="center" valign="top">CE</td>
<td align="left" valign="top">Mentions of correcting misinformation, warning others, or providing accurate information were coded as correction engagement</td>
<td align="left" valign="top">Higher scores reflected active or repeated corrective actions</td>
</tr>
<tr>
<td align="center" valign="top">PMR</td>
<td align="left" valign="top">Evaluations of the trustworthiness or credibility of media and information channels were coded as reliability perceptions</td>
<td align="left" valign="top">Higher scores reflected stronger trust in institutional or professional sources</td>
</tr>
<tr>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">References to confusion, fear, health risks, or social consequences were coded as perceived misinformation harm</td>
<td align="left" valign="top">Higher scores reflected clearer or stronger perceptions of harm</td>
</tr>
<tr>
<td align="center" valign="top">ISB</td>
<td align="left" valign="top">Mentions of sharing, forwarding, reposting, or discussing health information were coded as sharing behaviour</td>
<td align="left" valign="top">Higher scores reflected more active or frequent information circulation</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_17">
<title>Appendix 5D: Cross-construct synonyms and recurring linguistic families</title>
<table-wrap position="anchor" id="tabu0015">
<table>
<thead>
<tr>
<th align="center" valign="top">Linguistic family</th>
<th align="center" valign="top">Included expressions</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Verification family</td>
<td align="left" valign="top">check, verify, confirm, compare, cross-check, make sure, look up, search again</td>
</tr>
<tr>
<td align="left" valign="top">Misinformation family</td>
<td align="left" valign="top">fake news, rumours, misleading information, false claims, wrong information</td>
</tr>
<tr>
<td align="left" valign="top">Trust family</td>
<td align="left" valign="top">trust, believe, rely on, confidence in, credible, reliable</td>
</tr>
<tr>
<td align="left" valign="top">Distrust family</td>
<td align="left" valign="top">doubt, suspicious, unreliable, misleading, biased</td>
</tr>
<tr>
<td align="left" valign="top">Correction family</td>
<td align="left" valign="top">correct, warn, clarify, explain, challenge, intervene</td>
</tr>
<tr>
<td align="left" valign="top">Sharing family</td>
<td align="left" valign="top">share, send, forward, repost, discuss, circulate</td>
</tr>
<tr>
<td align="left" valign="top">Harm family</td>
<td align="left" valign="top">harmful, dangerous, risky, damaging, frightening</td>
</tr>
<tr>
<td align="left" valign="top">Exposure family</td>
<td align="left" valign="top">see, hear, receive, encounter, come across, get messages</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_18">
<title>Appendix 6A: Calibration examples for exposure to misinformation</title>
<table-wrap position="anchor" id="tabu0016">
<table>
<thead>
<tr>
<th align="center" valign="top">Example statement</th>
<th align="center" valign="top">Phase 1 construct</th>
<th align="center" valign="top">Phase 2 marker</th>
<th align="center" valign="top">Assigned score</th>
<th align="center" valign="top">Final interpretation</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">&#x2018;I never came across that kind of false health information.&#x2019;</td>
<td align="center" valign="top">EIM</td>
<td align="left" valign="top">never came across</td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">no reported misinformation exposure</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I rarely saw such messages, maybe once or twice.&#x2019;</td>
<td align="center" valign="top">EIM</td>
<td align="left" valign="top">rarely saw</td>
<td align="center" valign="top">2</td>
<td align="left" valign="top">rare exposure</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Sometimes I noticed misleading posts.&#x2019;</td>
<td align="center" valign="top">EIM</td>
<td align="left" valign="top">sometimes noticed</td>
<td align="center" valign="top">3</td>
<td align="left" valign="top">occasional exposure</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Every now and then I received contradictory messages.&#x2019;</td>
<td align="center" valign="top">EIM</td>
<td align="left" valign="top">every now and then</td>
<td align="center" valign="top">4</td>
<td align="left" valign="top">intermittent exposure</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;There were many misleading messages in WhatsApp groups.&#x2019;</td>
<td align="center" valign="top">EIM</td>
<td align="left" valign="top">many misleading messages</td>
<td align="center" valign="top">5</td>
<td align="left" valign="top">frequent exposure</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;It kept happening again and again in different groups.&#x2019;</td>
<td align="center" valign="top">EIM</td>
<td align="left" valign="top">again and again</td>
<td align="center" valign="top">6</td>
<td align="left" valign="top">very frequent exposure</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;It was everywhere &#x2014; social media, relatives, and groups.&#x2019;</td>
<td align="center" valign="top">EIM</td>
<td align="left" valign="top">everywhere</td>
<td align="center" valign="top">7</td>
<td align="left" valign="top">constant multi-platform exposure</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><bold>Note</bold>. The statements in Appendices 6A&#x2013;6G are constructed calibration examples representing possible linguistic markers. They are not verbatim participant quotations and were not analysed as qualitative findings.</attrib>
</table-wrap-foot>
</table-wrap>
</app>
<app id="sec16_19">
<title>Appendix 6B: Calibration examples for checking with trusted sources</title>
<table-wrap position="anchor" id="tabu0017">
<table>
<thead>
<tr>
<th align="center" valign="top">Example statement</th>
<th align="center" valign="top">Phase 1 construct</th>
<th align="center" valign="top">Phase 2 marker</th>
<th align="center" valign="top">Assigned score</th>
<th align="center" valign="top">Final interpretation</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">&#x2018;I do not usually check; I just read the message.&#x2019;</td>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">do not check</td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">no verification behaviour</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I rarely verify unless the message seems very strange.&#x2019;</td>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">rarely verify</td>
<td align="center" valign="top">2</td>
<td align="left" valign="top">low verification</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Sometimes I ask someone whether it is true.&#x2019;</td>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">sometimes ask</td>
<td align="center" valign="top">3</td>
<td align="left" valign="top">occasional checking</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I sometimes compare it with another source.&#x2019;</td>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">sometimes compare</td>
<td align="center" valign="top">4</td>
<td align="left" valign="top">intermittent verification</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I usually check official information before I believe it.&#x2019;</td>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">usually check official information</td>
<td align="center" valign="top">5</td>
<td align="left" valign="top">frequent checking</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I almost always look at the health authority page.&#x2019;</td>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">almost always</td>
<td align="center" valign="top">6</td>
<td align="left" valign="top">very frequent verification</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I always check the WHO or THL website before I believe those WhatsApp messages.&#x2019;</td>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">always check; WHO/THL</td>
<td align="center" valign="top">7</td>
<td align="left" valign="top">routine multi-source verification through trusted official channels</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_20">
<title>Appendix 6C: Calibration examples for correction engagement</title>
<table-wrap position="anchor" id="tabu0018">
<table>
<thead>
<tr>
<th align="center" valign="top">Example statement</th>
<th align="center" valign="top">Phase 1 construct</th>
<th align="center" valign="top">Phase 2 marker</th>
<th align="center" valign="top">Assigned score</th>
<th align="center" valign="top">Final interpretation</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">&#x2018;I do not say anything when others share false information.&#x2019;</td>
<td align="center" valign="top">CE</td>
<td align="left" valign="top">do not say anything</td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">no correction engagement</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Only rarely do I respond to such messages.&#x2019;</td>
<td align="center" valign="top">CE</td>
<td align="left" valign="top">rarely respond</td>
<td align="center" valign="top">2</td>
<td align="left" valign="top">low correction</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Sometimes I tell people it may not be correct.&#x2019;</td>
<td align="center" valign="top">CE</td>
<td align="left" valign="top">sometimes tell people</td>
<td align="center" valign="top">3</td>
<td align="left" valign="top">occasional correction</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I sometimes explain and send the correct source.&#x2019;</td>
<td align="center" valign="top">CE</td>
<td align="left" valign="top">sometimes explain</td>
<td align="center" valign="top">4</td>
<td align="left" valign="top">intermittent corrective action</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I usually answer in the group and send the official link.&#x2019;</td>
<td align="center" valign="top">CE</td>
<td align="left" valign="top">usually answer; official link</td>
<td align="center" valign="top">5</td>
<td align="left" valign="top">frequent correction</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I very often intervene when people share false information.&#x2019;</td>
<td align="center" valign="top">CE</td>
<td align="left" valign="top">very often intervene</td>
<td align="center" valign="top">6</td>
<td align="left" valign="top">very frequent correction</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I always tell people immediately when something is false.&#x2019;</td>
<td align="center" valign="top">CE</td>
<td align="left" valign="top">always tell immediately</td>
<td align="center" valign="top">7</td>
<td align="left" valign="top">immediate and consistent correction</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_21">
<title>Appendix 6D: Calibration examples for perceived media reliability</title>
<table-wrap position="anchor" id="tabu0019">
<table>
<thead>
<tr>
<th align="center" valign="top">Example statement</th>
<th align="center" valign="top">Phase 1 construct</th>
<th align="center" valign="top">Phase 2 marker</th>
<th align="center" valign="top">Assigned score</th>
<th align="center" valign="top">Final interpretation</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">&#x2018;I cannot trust any of these media sources.&#x2019;</td>
<td align="center" valign="top">PMR</td>
<td align="left" valign="top">cannot trust</td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">complete distrust</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Most of the media I see are not trustworthy.&#x2019;</td>
<td align="center" valign="top">PMR</td>
<td align="left" valign="top">not trustworthy</td>
<td align="center" valign="top">2</td>
<td align="left" valign="top">low reliability</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Some of it may be useful, but much of it is still unreliable.&#x2019;</td>
<td align="center" valign="top">PMR</td>
<td align="left" valign="top">partly unreliable</td>
<td align="center" valign="top">3</td>
<td align="left" valign="top">somewhat unreliable</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;It depends on the source; I am not sure overall.&#x2019;</td>
<td align="center" valign="top">PMR</td>
<td align="left" valign="top">depends; not sure</td>
<td align="center" valign="top">4</td>
<td align="left" valign="top">mixed or neutral reliability</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Some official news sources seem fairly reliable.&#x2019;</td>
<td align="center" valign="top">PMR</td>
<td align="left" valign="top">fairly reliable</td>
<td align="center" valign="top">5</td>
<td align="left" valign="top">somewhat reliable</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Social media is not very trustworthy, but Yle and BBC are reliable.&#x2019;</td>
<td align="center" valign="top">PMR</td>
<td align="left" valign="top">reliable / not trustworthy</td>
<td align="center" valign="top">6</td>
<td align="left" valign="top">mostly reliable official or mainstream media</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;The official channels were fully reliable and consistent.&#x2019;</td>
<td align="center" valign="top">PMR</td>
<td align="left" valign="top">fully reliable</td>
<td align="center" valign="top">7</td>
<td align="left" valign="top">very high perceived reliability</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_22">
<title>Appendix 6E: Calibration examples for perceived misinformation harm</title>
<table-wrap position="anchor" id="tabu0020">
<table>
<thead>
<tr>
<th align="center" valign="top">Example statement</th>
<th align="center" valign="top">Phase 1 construct</th>
<th align="center" valign="top">Phase 2 marker</th>
<th align="center" valign="top">Assigned score</th>
<th align="center" valign="top">Final interpretation</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">&#x2018;It is not really harmful; people just talk.&#x2019;</td>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">not really harmful</td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">no perceived harm</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;It may cause a small problem, but not much.&#x2019;</td>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">small problem</td>
<td align="center" valign="top">2</td>
<td align="left" valign="top">slight harm</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;It can be problematic for some people.&#x2019;</td>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">problematic</td>
<td align="center" valign="top">3</td>
<td align="left" valign="top">some perceived harm</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;It can affect people and confuse them.&#x2019;</td>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">affect people; confuse</td>
<td align="center" valign="top">4</td>
<td align="left" valign="top">moderate harm</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;It is serious enough to worry me.&#x2019;</td>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">serious enough</td>
<td align="center" valign="top">5</td>
<td align="left" valign="top">quite harmful</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;These rumours are dangerous because people may stop treatment.&#x2019;</td>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">dangerous; stop treatment</td>
<td align="center" valign="top">6</td>
<td align="left" valign="top">strong perceived harm</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Wrong information can cost lives.&#x2019;</td>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">cost lives</td>
<td align="center" valign="top">7</td>
<td align="left" valign="top">extreme harm perception</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_23">
<title>Appendix 6F: Calibration examples for information-sharing behaviour</title>
<table-wrap position="anchor" id="tabu0021">
<table>
<thead>
<tr>
<th align="center" valign="top">Example statement</th>
<th align="center" valign="top">Phase 1 construct</th>
<th align="center" valign="top">Phase 2 marker</th>
<th align="center" valign="top">Assigned score</th>
<th align="center" valign="top">Final interpretation</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">&#x2018;I never share health information.&#x2019;</td>
<td align="center" valign="top">ISB</td>
<td align="left" valign="top">never share</td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">no sharing behaviour</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I rarely share unless somebody asks me.&#x2019;</td>
<td align="center" valign="top">ISB</td>
<td align="left" valign="top">rarely share</td>
<td align="center" valign="top">2</td>
<td align="left" valign="top">low sharing</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;Sometimes I send something to relatives.&#x2019;</td>
<td align="center" valign="top">ISB</td>
<td align="left" valign="top">sometimes send</td>
<td align="center" valign="top">3</td>
<td align="left" valign="top">occasional sharing</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I sometimes discuss health news in family groups.&#x2019;</td>
<td align="center" valign="top">ISB</td>
<td align="left" valign="top">sometimes discuss</td>
<td align="center" valign="top">4</td>
<td align="left" valign="top">intermittent sharing</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I often share health updates with family.&#x2019;</td>
<td align="center" valign="top">ISB</td>
<td align="left" valign="top">often share</td>
<td align="center" valign="top">5</td>
<td align="left" valign="top">frequent sharing</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I share such information very often in our groups.&#x2019;</td>
<td align="center" valign="top">ISB</td>
<td align="left" valign="top">very often share</td>
<td align="center" valign="top">6</td>
<td align="left" valign="top">very frequent sharing</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I usually start the discussion and send the information first.&#x2019;</td>
<td align="center" valign="top">ISB</td>
<td align="left" valign="top">start the discussion first</td>
<td align="center" valign="top">7</td>
<td align="left" valign="top">highly active sharing and discussion initiation</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
<app id="sec16_24">
<title>Appendix 6G: Example of cross-construct memo handling</title>
<table-wrap position="anchor" id="tabu0022">
<table>
<thead>
<tr>
<th align="center" valign="top">Example statement</th>
<th align="center" valign="top">Primary construct</th>
<th align="center" valign="top">Secondary memo notes</th>
<th align="center" valign="top">Final coding use</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">&#x2018;The official information was difficult because it was not translated into my language.&#x2019;</td>
<td align="center" valign="top">PMR or CTS context</td>
<td align="left" valign="top">linguistic barrier memo</td>
<td align="left" valign="top">not scored directly unless clearly linked to trust or checking behaviour</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I became anxious because there were too many contradictory messages.&#x2019;</td>
<td align="center" valign="top">PMH</td>
<td align="left" valign="top">EIM overlap memo</td>
<td align="left" valign="top">scored primarily under PMH if emphasis was on harm; under EIM if emphasis was on exposure</td>
</tr>
<tr>
<td align="left" valign="top">&#x2018;I asked bilingual friends to explain the official advice.&#x2019;</td>
<td align="center" valign="top">CTS</td>
<td align="left" valign="top">language mediation memo</td>
<td align="left" valign="top">scored under CTS if used for verification; otherwise retained as contextual support</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
</app-group>
</back>
</article>