Literature DB >> 34152784

Effects of culturally targeted message framing on colorectal cancer screening among African Americans.

Todd Lucas1, Hayley S Thompson2, James Blessman3, Anurag Dawadi1, Caroline E Drolet1, Kelly A Hirko4, Louis A Penner5.   

Abstract

OBJECTIVE: This study examined how standard and culturally targeted versions of gain and loss-framed messaging affect African Americans' colorectal cancer (CRC) screening receptivity and behavior, as well as their anticipation of experiencing racism in undertaking CRC screening.
METHOD: Screening-deficient African Americans (N = 457) viewed an informational video about CRC risks, prevention, and screening and were randomized to receive a gain or loss-framed message about screening. Half of participants viewed an additional culturally targeted message about overcoming racial disparities in CRC by obtaining screening. Using the Theory of Planned Behavior, we measured general receptivity to CRC screening. We also measured arousal of anticipatory racism in response to messaging. Finally, we offered participants a no-cost fecal immunochemical testing kit (FIT Kit) and measured uptake and use.
RESULTS: Message framing interacted with culturally targeted messaging to affect CRC screening receptivity and behavior. Participants were no more receptive to CRC screening when standard loss-framing was used, but were more favorable if loss-framing was culturally targeted. Targeted loss-framing also reduced anticipatory racism, which partially mediated effects on screening receptivity. Finally, although participants least often accepted a FIT Kit with standard loss-framing, effects of messaging on FIT Kit uptake and use were not significant.
CONCLUSION: This study adds to growing recognition of important cultural nuance in effective use of message framing. Current finding also suggest that targeted and framed messaging could synergistically impact the extent to which African Americans engage in CRC screening, although specific impacts on FIT Kit screening are less certain. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

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Mesh:

Year:  2021        PMID: 34152784      PMCID: PMC8330134          DOI: 10.1037/hea0001073

Source DB:  PubMed          Journal:  Health Psychol        ISSN: 0278-6133            Impact factor:   4.267


  41 in total

Review 1.  A perspective on judgment and choice: mapping bounded rationality.

Authors:  Daniel Kahneman
Journal:  Am Psychol       Date:  2003-09

Review 2.  Health message framing effects on attitudes, intentions, and behavior: a meta-analytic review.

Authors:  Kristel M Gallagher; John A Updegraff
Journal:  Ann Behav Med       Date:  2012-02

Review 3.  Health promotion and African-Americans: from personal empowerment to community action.

Authors:  H W Neighbors; R L Braithwaite; E Thompson
Journal:  Am J Health Promot       Date:  1995 Mar-Apr

4.  Cancer and Employment Issues: Perspectives from Cancer Patient Navigators.

Authors:  Robin C Vanderpool; Helen Nichols; Elizabeth F Hoffler; Jennifer E Swanberg
Journal:  J Cancer Educ       Date:  2017-09       Impact factor: 2.037

5.  Racial/Ethnic Disparities in Colorectal Cancer Screening Across Healthcare Systems.

Authors:  Andrea N Burnett-Hartman; Shivan J Mehta; Yingye Zheng; Nirupa R Ghai; Dale F McLerran; Jessica Chubak; Virginia P Quinn; Celette Sugg Skinner; Douglas A Corley; John M Inadomi; Chyke A Doubeni
Journal:  Am J Prev Med       Date:  2016-04-01       Impact factor: 5.043

6.  The Role of the Self in Responses to Health Communications: A Cultural Perspective.

Authors:  David K Sherman; Ayse K Uskul; John A Updegraff
Journal:  Self Identity       Date:  2011-07

7.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations.

Authors:  R M Baron; D A Kenny
Journal:  J Pers Soc Psychol       Date:  1986-12

8.  Does perceived risk influence the effects of message framing? A new investigation of a widely held notion.

Authors:  Jonathan Van 't Riet; Anthony D Cox; Dena Cox; Gregory D Zimet; Gert-Jan De Bruijn; Bas Van den Putte; Hein De Vries; Marieke Q Werrij; Robert A C Ruiter
Journal:  Psychol Health       Date:  2014-03-27

9.  Community-Based Colorectal Cancer Screening in a Rural Population: Who Returns Fecal Immunochemical Test (FIT) Kits?

Authors:  Richard A Crosby; Lindsay Stradtman; Tom Collins; Robin Vanderpool
Journal:  J Rural Health       Date:  2016-09-21       Impact factor: 4.333

10.  Colorectal Cancer Screening Among Patients who Receive Medical and Dental Care at an Urban Community Health Center.

Authors:  Caitlin McDonald; Jill R Johnson; Juan C Castro; Catherine Reitz; Frank M Torrisi; Shivan J Mehta
Journal:  J Community Health       Date:  2020-06
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  2 in total

1.  Results of an African American-targeted norm-based colorectal cancer screening intervention: a pilot study.

Authors:  Mark Manning; Todd Lucas; Hayley Thompson; Louis Penner
Journal:  J Behav Med       Date:  2022-10-07

2.  Healthcare provider cultural competency and receptivity to colorectal cancer screening among African Americans.

Authors:  Anurag Dawadi; Todd Lucas; Caroline E Drolet; Hayley S Thompson; Kent Key; Rhonda Dailey; James Blessman
Journal:  Psychol Health Med       Date:  2021-06-22       Impact factor: 3.898

  2 in total

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