This study examined the use of different narratives expressing positive or negative emotions, and varying the narrator's perspective on the arousal of discrete emotions, dominant cognitions, perceived evidence quality, and perceived message effectiveness related to osteoporosis behavioral intentions. Formative research led to the creation of narratives and selection of positive and negative emotions expressed. A 4 × 3 between-subjects posttest design revealed positive relationships between judgments of evidence quality and perceptions of message effectiveness for predicting behavioral intentions toward osteoporosis prevention. In addition, arousing the emotions of fear and/or hope cued processing of osteoporosis narratives. The theoretical implications of these findings for the use of narratives as evidence and the application of findings for osteoporosis health messages are discussed.