Culturally Targeted Loss Framed Messaging for Colorectal Cancer Screening in Afri

非洲结直肠癌筛查的文化针对性丢失框架消息

• 批准号: 9055660
• 负责人: Todd William Lucas
• 金额: $ 28.29万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-06 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9055660
• 关键词: Adverse effects; Advisory Committees; Advocate; African American; Attitude; Behavior; Behavioral; Cancer Detection; Clinical; Collaborations; Colorectal Cancer; Communication; Communication Research; Communities; Coupled; Coupling; Detection; Ethnic Origin; Goals; Health; Health Communication; Health behavior; Individual; Knowledge; Lead; Link; Medical; Methods; Outcome; Perception; Prevention; Process; Public Health; Research; Risk; Sampling; Scientist; Thinking; Work; adverse outcome; base; cancer health disparity; colorectal cancer screening; ethnic health disparity; ethnic minority population; improved; innovation; minority health; psychologic; racism; response; screening; theories

DESCRIPTION (provided by applicant): Project Summary African-Americans are at a substantially increased risk of both developing and dying from colorectal cancer (CRC). This costly disparity can be largely attributed to African-Americans' diminished use of available CRC screenings. Although early detection of CRC via screening is highly beneficial, efforts to encourage their use among African-Americans have not been successful, suggesting a critical need to develop and evaluate effective health messaging strategies. In turn, health communication research has advocated the use of both loss-framed messaging and also personal prevention messaging to encourage illness detection b behaviors. However, the capacity of these messaging strategies to encourage CRC screening among African-Americans is not well understood. This includes limited knowledge about the potential of such messages to interface with perceptions of racism and medical mistrust that can impede screening behavior, and also whether loss-framed and personal prevention messages can be simultaneously employed to better promote CRC screening among African-Americans. The long-term goal of the proposed research is to develop health communications that reduce significant and costly ethnic health disparities, and to reveal psychological processes that underlie effective health messaging for ethnic minorities. The immediate objective of this application is to identify how gain and loss-framed messaging, as well as personal prevention messaging, may be used to reduce CRC screening disparities among African-Americans. The central hypothesis is that African-Americans will be best compelled to obtain screening for CRC when messages simultaneously emphasize personal prevention and are loss-framed. The specific aims are to 1) identify and compare effects of stand-alone gain versus loss- framed health messaging on African-Americans' CRC screening attitudes, intentions, and behavior; 2) identify and compare effects of gain versus loss-framed health messaging on African-Americans' perceived racism and medical mistrust; 3) determine the effect of coupling gain and loss-framed messages with a culturally-targeted personal prevention message on African-Americans' CRC screening attitudes, intentions, and behavior. The proposed research will develop and administer for unique versions of a CRC informational and screening video communication. These videos will be used to experimentally evaluate the effects of stand-alone and coupled loss-framed and personal prevention health messages on CRC screening attitudes, intentions, and behavior in a local sample of African-Americans. The proposed research will also identify the effects of health messages on perceived racism and medical mistrust. The public health implications of this project are significant. Namely, the proposed research will provide knowledge that is critical for developing and evaluating useful approaches to ethnic minority health messaging, and for better understanding how best to encourage cancer detection behaviors among African-Americans.

描述（由申请人提供）： 项目摘要非洲裔美国人大大增加了结直肠癌（CRC）的发展和死亡的风险。这种代价高昂的差异很大程度上归因于非裔美国人使用可用的CRC筛查的使用减少。尽管通过筛查对CRC的早期发现是非常有益的，但鼓励他们在非裔美国人中使用的努力并没有成功，这表明迫切需要制定和评估有效的健康消息传递策略。反过来，健康沟通研究提倡使用损失框架消息传递和个人预防消息来鼓励疾病检测B行为。但是，这些消息传递策略的能力鼓励非裔美国人进行CRC筛查的能力尚不清楚。这包括有关此类信息与可能阻碍筛查行为的种族主义和医学不信任感的潜力的潜力有限的知识，以及是否可以同时使用损失框架和个人预防信息来更好地促进非裔美国人的CRC筛查。拟议的研究的长期目标是开发降低重大且昂贵的种族健康差异的健康沟通，并揭示为少数民族的有效健康消息带来的心理过程。该应用程序的直接目的是确定如何使用收益和损失的消息传递以及个人预防消息来减少非裔美国人之间的CRC筛查差异。中心假设是，当消息同时强调个人预防并遭受损失时，非裔美国人将被迫进行CRC筛查。具体目的是1）识别和比较独立增长与损失的影响 - 框架健康消息对非裔美国人的CRC筛查态度，意图和行为的影响； 2）确定和比较损失与损失的健康消息对非裔美国人感知的种族主义和医学不信任的影响； 3）通过对非裔美国人的CRC筛查态度，意图和行为来确定耦合增益和损失框架信息的影响。拟议的研究将开发和管理CRC信息和筛选视频通信的独特版本。这些视频将用于实验评估独立和耦合损失框架和个人预防健康信息对非裔美国人当地样本中CRC筛查态度，意图和行为的影响。拟议的研究还将确定健康信息对感知的种族主义和医学不信任的影响。该项目的公共卫生影响很大。即，拟议的研究将提供知识，这些知识对于开发和评估少数民族健康消息的有用方法至关重要，并更好地理解如何最好地鼓励非洲裔美国人的癌症检测行为。