Department of Communication Studies, University of Georgia.
School of Communication, University of Miami.
Health Commun. 2021 Jun;36(7):877-890. doi: 10.1080/10410236.2020.1723047. Epub 2020 Feb 9.
Despite the disproportionate burden of cervical cancer among Caribbean women, evaluations of targeted communication interventions to increase screening behaviors are sparsely represented in extant literature. Informed by data on the cognitive, affective and sociocultural factors associated with low cervical screening in the English-speaking island of Jamaica, the current study aimed to explore how theory-based message design, coupled with innovative solutions, might increase screening. In this formative research study, we first described the process used to develop culturally-targeted fear appeal messages embedded within an HPV self-sampling kit developed by the researchers. Then, we shared the results of an evaluation of the kit, which was reviewed by 36 Jamaican women in 8 focus groups, to understand the potential impact of the messages and the utility of HPV self-sampling to increase screening behaviors in this population. The results provide data on effective messages for cervical cancer prevention among Jamaican women, which may be further applicable to underscreened women in the English-speaking Caribbean. Additionally, results from this research suggest support for HPV self-sampling to address salient cultural and structural barriers to screening, which provides an impetus for experimental research in message design to inform policy and practice.
尽管加勒比海地区的女性承担了不成比例的宫颈癌负担，但针对提高筛查行为的目标沟通干预措施的评估在现有文献中很少有体现。本研究以牙买加英语岛屿与宫颈癌低筛查率相关的认知、情感和社会文化因素的数据为依据，旨在探讨基于理论的信息设计如何与创新解决方案相结合以提高筛查率。在这项形成性研究中，我们首先描述了用于开发 HPV 自我采样试剂盒中包含的文化针对性恐惧诉求信息的过程，该试剂盒由研究人员开发。然后，我们分享了对试剂盒的评估结果，该评估结果在 8 个焦点小组中由 36 名牙买加妇女进行了审查，以了解信息的潜在影响以及 HPV 自我采样对提高该人群筛查行为的实用性。研究结果为牙买加妇女宫颈癌预防提供了有效信息，这些信息可能进一步适用于讲英语的加勒比地区的未充分筛查妇女。此外，这项研究的结果表明，HPV 自我采样可以解决筛查的突出文化和结构性障碍，这为信息设计的实验研究提供了动力，以指导政策和实践。
