Sun Yiyuan, Sarma Elizabeth A, Moyer Anne, Messina Catherine R
School of Nursing, Stony Brook University, Stony Brook, USA.
Department of Psychology, Stony Brook University, Stony Brook, USA.
Patient Educ Couns. 2015 Jul;98(7):878-83. doi: 10.1016/j.pec.2015.03.021. Epub 2015 Mar 30.
This study examined the role of women's perceptions about the relative pros versus cons (decisional balance) of mammography in moderating Chinese American women's responses to gain- and loss-framed messages that promote mammography.
One hundred and forty-three Chinese American women who were currently nonadherent to guidelines for receiving annual screening mammograms were randomly assigned to read either a gain- or loss-framed culturally appropriate print brochure about mammography screening. Mammography screening was self-reported at a 2-month follow-up.
Although there was not a main effect for message frame, the hypothesized interaction between message frame and decisional balance was significant, indicating that women who received a framed message that matched their decisional balance were significantly more likely to have obtained a mammogram by the follow-up than women who received a mismatched message.
Results suggest that decisional balance, and more generally, perceptions about mammography, may be an important moderator of framing effects for mammography among Chinese American women.
The match between message frame and decisional balance should be considered when attempting to encourage Chinese American women to receive mammography screening, as a match between the two may be most persuasive.
本研究探讨了华裔美国女性对乳腺钼靶检查相对利弊（决策平衡）的认知在调节她们对促进乳腺钼靶检查的获益框架信息和损失框架信息的反应中所起的作用。
143名目前未遵循每年接受乳腺钼靶筛查指南的华裔美国女性被随机分配阅读一份关于乳腺钼靶筛查的、符合文化背景的获益框架或损失框架印刷宣传册。在2个月的随访中自我报告乳腺钼靶筛查情况。
尽管信息框架没有主效应，但信息框架与决策平衡之间的假设交互作用显著，这表明收到与自己决策平衡相匹配的框架信息的女性在随访时进行乳腺钼靶检查的可能性显著高于收到不匹配信息的女性。
结果表明，决策平衡，更普遍地说，对乳腺钼靶检查的认知，可能是华裔美国女性中乳腺钼靶检查框架效应的重要调节因素。
在试图鼓励华裔美国女性接受乳腺钼靶筛查时，应考虑信息框架与决策平衡之间的匹配，因为两者之间的匹配可能最具说服力。
