Bernat Jennifer K, Hullmann Stephanie E, Sparks Glenn G
a School of Nursing , Indiana University Purdue University Indianapolis , Indianapolis , IN , USA.
b Brian Lamb School of Communication , Purdue University , West Lafayette , IN , USA.
J Psychosoc Oncol. 2017 May-Jun;35(3):249-259. doi: 10.1080/07347332.2016.1277821. Epub 2017 Jan 6.
To examine the effectiveness of a health promotion flyer to increase awareness of breast cancer risk and physical activity as a risk reduction strategy in young adult women.
Young adult women (N = 123) viewed one of five health promotion flyers online and then completed measures of perceived breast cancer risk (PR) and perceived informativeness (PI) and a qualitative thought-listing activity.
Differences were observed in PI such that the control and low risk/low information messages were significantly less informative than the others. Qualitative analyses revealed two general themes: message content and flyer design. Additional analyses of the flyer design comments revealed four sub-themes: negative thoughts about the image, positive thoughts about the image, misunderstanding breast cancer risk information, and social comparison. Exploratory analyses controlling for message type indicated that image appraisal predicted PI such that those who commented on the image found the flyer to be less informative.
Results suggest that the flyer was informative but did not impact young women's breast cancer risk perceptions. Additionally, the image may have distracted young women from the intended message. Evaluating the acceptability of images used in health promotion materials is recommended before testing the effectiveness of the intervention.
研究一份健康促进传单在提高年轻成年女性对乳腺癌风险的认识以及将体育活动作为降低风险策略方面的有效性。
123名年轻成年女性在网上查看了五份健康促进传单中的一份，然后完成了感知乳腺癌风险（PR）、感知信息性（PI）的测量以及一项定性的思维列举活动。
在PI方面观察到差异，即对照传单以及低风险/低信息的传单在信息性上显著低于其他传单。定性分析揭示了两个总体主题：信息内容和传单设计。对传单设计评论的进一步分析揭示了四个子主题：对图像的负面想法、对图像的正面想法、对乳腺癌风险信息的误解以及社会比较。控制信息类型的探索性分析表明，图像评价预测了PI，即那些对图像发表评论的人认为传单信息性较低。
结果表明传单具有信息性，但并未影响年轻女性对乳腺癌风险的认知。此外，图像可能分散了年轻女性对预期信息的注意力。建议在测试干预措施的有效性之前，评估健康促进材料中使用的图像的可接受性。
