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Healthcare influencer-follower relationships: The roles of truthful endorsement and endorsement overload

Author

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  • Roy, Monica Priyadarshini
  • Padmavathy, Chandrasekaran

Abstract

Despite extensive academic research on influencer marketing, factors that affect influencer-follower relationships remain uncertain. In the context of healthcare influencer marketing, this research integrates the theory of consumption values and relationship marketing theory to examine the effects of consumption values on relationship quality (fanaticism), maintenance (stickiness), and development (value co-creation). Drawing on a sample of 1410 followers from India, this study findings exhibit mixed results on the effects of consumption values on relationship maintenance and development. The findings indicate that fanaticism mediates the effects of consumption values on relationship maintenance and development. Further, the results show positive moderating effects of truthful endorsement and negative moderating effects of endorsement overload on the influencer-follower relationships. This study provides valuable implications for influencers to maintain and develop long-term relationships with their followers.

Suggested Citation

  • Roy, Monica Priyadarshini & Padmavathy, Chandrasekaran, 2025. "Healthcare influencer-follower relationships: The roles of truthful endorsement and endorsement overload," Journal of Retailing and Consumer Services, Elsevier, vol. 87(C).
  • Handle: RePEc:eee:joreco:v:87:y:2025:i:c:s0969698925001274
    DOI: 10.1016/j.jretconser.2025.104348
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    1. Balakrishnan, Janarthanan & Foroudi, Pantea & Dwivedi, Yogesh K., 2020. "Does online retail coupons and memberships create favourable psychological disposition?," Journal of Business Research, Elsevier, vol. 116(C), pages 229-244.
    2. Zhang, Hong & Zhao, Ling & Gupta, Sumeet, 2018. "The role of online product recommendations on customer decision making and loyalty in social shopping communities," International Journal of Information Management, Elsevier, vol. 38(1), pages 150-166.
    3. Grisaffe, Douglas B. & Nguyen, Hieu P., 2011. "Antecedents of emotional attachment to brands," Journal of Business Research, Elsevier, vol. 64(10), pages 1052-1059, October.
    4. MacKenzie, Scott B. & Podsakoff, Philip M., 2012. "Common Method Bias in Marketing: Causes, Mechanisms, and Procedural Remedies," Journal of Retailing, Elsevier, vol. 88(4), pages 542-555.
    5. Yeh, Ching-Hsuan & Wang, Yi-Shun & Yieh, Kaili, 2016. "Predicting smartphone brand loyalty: Consumer value and consumer-brand identification perspectives," International Journal of Information Management, Elsevier, vol. 36(3), pages 245-257.
    6. Kim, Do Yuon & Kim, Hye-Young, 2021. "Trust me, trust me not: A nuanced view of influencer marketing on social media," Journal of Business Research, Elsevier, vol. 134(C), pages 223-232.
    7. Venciute, Dominyka & Mackeviciene, Ieva & Kuslys, Marius & Correia, Ricardo Fontes, 2023. "The role of influencer–follower congruence in the relationship between influencer marketing and purchase behaviour," Journal of Retailing and Consumer Services, Elsevier, vol. 75(C).
    8. Kumar, Aman & Shankar, Amit & Behl, Abhishek & Wamba, Samuel Fosso, 2025. "Do you believe in the metaverse NFTs? Understanding the value proposition of NFTs in the metaverse," Technological Forecasting and Social Change, Elsevier, vol. 210(C).
    9. Hu, Lixia & Min, Qingfei & Han, Shengnan & Liu, Zhiyong, 2020. "Understanding followers’ stickiness to digital influencers: The effect of psychological responses," International Journal of Information Management, Elsevier, vol. 54(C).
    10. Sokolova, Karina & Perez, Charles, 2021. "You follow fitness influencers on YouTube. But do you actually exercise? How parasocial relationships, and watching fitness influencers, relate to intentions to exercise," Journal of Retailing and Consumer Services, Elsevier, vol. 58(C).
    11. Kaur, Puneet & Dhir, Amandeep & Bodhi, Rahul & Singh, Tripti & Almotairi, Mohammad, 2020. "Why do people use and recommend m-wallets?," Journal of Retailing and Consumer Services, Elsevier, vol. 56(C).
    12. O'Cass, Aron & Siahtiri, Vida, 2013. "In search of status through brands from Western and Asian origins: Examining the changing face of fashion clothing consumption in Chinese young adults," Journal of Retailing and Consumer Services, Elsevier, vol. 20(6), pages 505-515.
    13. Raffael Heiss & Leonie Rudolph, 2023. "Patients as health influencers: motivations and consequences of following cancer patients on Instagram," Behaviour and Information Technology, Taylor & Francis Journals, vol. 42(6), pages 806-815, April.
    14. Nabi, Nazia & O’Cass, Aron & Siahtiri, Vida, 2019. "Status consumption in newly emerging countries: The influence of personality traits and the mediating role of motivation to consume conspicuously," Journal of Retailing and Consumer Services, Elsevier, vol. 46(C), pages 173-178.
    15. Gonçalves, Helena Martins & Lourenço, Tiago Ferreira & Silva, Graça Miranda, 2016. "Green buying behavior and the theory of consumption values: A fuzzy-set approach," Journal of Business Research, Elsevier, vol. 69(4), pages 1484-1491.
    16. Sheth, Jagdish N. & Newman, Bruce I. & Gross, Barbara L., 1991. "Why we buy what we buy: A theory of consumption values," Journal of Business Research, Elsevier, vol. 22(2), pages 159-170, March.
    17. Talwar, Shalini & Dhir, Amandeep & Scuotto, Veronica & Kaur, Puneet, 2021. "Barriers and paradoxical recommendation behaviour in online to offline (O2O) services. A convergent mixed-method study," Journal of Business Research, Elsevier, vol. 131(C), pages 25-39.
    18. Wang, Xiao-Wu & Cao, Yu-Mei & Zhang, Ning, 2021. "The influences of incentive policy perceptions and consumer social attributes on battery electric vehicle purchase intentions," Energy Policy, Elsevier, vol. 151(C).
    19. Deng, Zhaohua & Lu, Yaobin & Wei, Kwok Kee & Zhang, Jinlong, 2010. "Understanding customer satisfaction and loyalty: An empirical study of mobile instant messages in China," International Journal of Information Management, Elsevier, vol. 30(4), pages 289-300.
    20. Cheah, Chee Wei & Koay, Kian Yeik & Lim, Weng Marc, 2024. "Social media influencer over-endorsement: Implications from a moderated-mediation analysis," Journal of Retailing and Consumer Services, Elsevier, vol. 79(C).
    21. Ki, Chung-Wha (Chloe) & Cuevas, Leslie M. & Chong, Sze Man & Lim, Heejin, 2020. "Influencer marketing: Social media influencers as human brands attaching to followers and yielding positive marketing results by fulfilling needs," Journal of Retailing and Consumer Services, Elsevier, vol. 55(C).
    22. Baek, Eunsoo & Oh, Ga-Eun (Grace), 2021. "Diverse values of fashion rental service and contamination concern of consumers," Journal of Business Research, Elsevier, vol. 123(C), pages 165-175.
    23. Sonja Fourie & Michael Goldman & Michael McCall, 2023. "Designing for loyalty programme effectiveness in the financial services industry," Journal of Financial Services Marketing, Palgrave Macmillan, vol. 28(3), pages 502-525, September.
    24. Tandon, Anushree & Kaur, Puneet & Bhatt, Yogesh & Mäntymäki, Matti & Dhir, Amandeep, 2021. "Why do people purchase from food delivery apps? A consumer value perspective," Journal of Retailing and Consumer Services, Elsevier, vol. 63(C).
    25. Cassandra France & Debra Grace & Joseph Lo Iacono & Joan Carlini, 2020. "Exploring the interplay between customer perceived brand value and customer brand co-creation behaviour dimensions," Journal of Brand Management, Palgrave Macmillan, vol. 27(4), pages 466-480, July.
    26. Fine F. Leung & Flora F. Gu & Robert W. Palmatier, 2022. "Online influencer marketing," Journal of the Academy of Marketing Science, Springer, vol. 50(2), pages 226-251, March.
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