Effects of exposure to media messages about limiting breast cancer screening: A qualitative experimental study.

Autor: Abdi HI; Division of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware St SE, Minneapolis, MN 55455, USA. Electronic address: abdi0152@umn.edu., Nagler RH; Hubbard School of Journalism and Mass Communication, University of Minnesota College of Liberal Arts, 206 Church St SE, Minneapolis, MN 55455, USA., Fowler EF; Department of Government, Wesleyan University, 318 High Street, Middletown, CT 06459, USA., Gollust SE; Division of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware St SE, Minneapolis, MN 55455, USA.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2023 Dec; Vol. 117, pp. 107988. Date of Electronic Publication: 2023 Sep 22.
DOI: 10.1016/j.pec.2023.107988
Abstrakt: Objective: Examine how women aged 35-50 respond to messages about limiting cancer screening.
Methods: A national sample of women aged 35-50 (n = 983) were randomly assigned to read one of four media vignettes: three provided information about potential harms of mammograms using evidence, norms, or an anecdote strategy, and one provided no such information. Participants listed thoughts they had about the message, and after coding these themes, we tested for associations between the themes evoked, message exposure, and mammogram history.
Results: Thematic categories included emotions (8 %); behavioral intentions (14 %); and cognitions, attitudes, and beliefs (67 %). Pro-screening attitudes, questioning, and cues to get screened were most prevalent. The anecdote message often elicited pro-screening attitudes, while the evidence message often elicited negative emotions and anger, as well as questioning or skeptical responses. Those with a history of mammograms expressed more pro-screening attitudes and disagreed with the message more often.
Conclusions: Media messaging about guideline-supported care, especially when it involves reducing a clinical service that is routine and valued by patients, may evoke counterarguing, skepticism, and other negative responses.
Practice Implications: Clinicians should recognize the role of the media in potentially shaping women's attitudes, beliefs, and intentions when it comes to breast cancer screening.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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