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EPPM is based on Leventhal's danger control/ fear control framework and on Roger's [[protection motivation theory]].<ref>https://www.msu.edu/~wittek/fearback.htm</ref> It is commonly used in health communication campaigns when a message is attempting to persuade audience members to adopt a healthy behavior. Fear-framed campaigns must arouse a moderately-high amount of fear but a higher amount of self-efficacy and response efficacy. When there is more fear than efficacy, the message is expected to not be effective.
Reviews have highlighted the many applications of the EPPM model in its 20 years since initial publication
The Extended Parallel Process Model: Illuminating the Gaps in Research| journal=Health Education and Behavior | volume=39|pages=455-473|doi=10.1177/1090198111418108}}</ref> .
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