Aspiras Olivia, Lucas Todd, Thompson Hayley S, Manning Mark A, Blessman James, Dawadi Anurag, Hirko Kelly A, Penner Louis A
Department of Public Health.
Karmanos Cancer Institute.
Health Psychol. 2023 Jan;42(1):1-4. doi: 10.1037/hea0001246. Epub 2022 Nov 21.
The current study investigated whether culturally targeted message frames alter preferences for specific colorectal cancer (CRC) screening modalities among African Americans.
African Americans who were eligible for CRC screening ( = 457) viewed a video about CRC risks, prevention, and recommended screening options. Participants then received a gain or loss-framed message about screening, with half of participants viewing an additional culturally targeted message about overcoming disparities in CRC through screening. Participants reported their desired thoroughness in CRC screening and preferences for being screened using colonoscopy, sigmoidoscopy, or stool-based fecal immunochemical testing.
Relative to gain-framing, loss-framed messaging enhanced desired thoroughness in CRC screening. Targeted loss-framing enhanced preferences for colonoscopy and decreased preferences for stool-based FIT screening.
Findings demonstrate that message framing and culturally targeted messaging can impact CRC screening preferences. Altering preferences may carry implications for reducing CRC screening disparities among African Americans. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
当前研究调查了针对特定文化群体的信息框架是否会改变非裔美国人对特定结直肠癌（CRC）筛查方式的偏好。
符合CRC筛查条件的非裔美国人（n = 457）观看了一段关于CRC风险、预防及推荐筛查选项的视频。参与者随后收到一条关于筛查的获益或损失框架信息，其中一半参与者还观看了一条关于通过筛查克服CRC差异的特定文化群体信息。参与者报告了他们在CRC筛查中期望的彻底程度以及对使用结肠镜检查、乙状结肠镜检查或基于粪便的粪便免疫化学检测进行筛查的偏好。
相对于获益框架，损失框架信息增强了在CRC筛查中期望的彻底程度。针对性的损失框架增强了对结肠镜检查的偏好，并降低了对基于粪便的粪便免疫化学检测筛查的偏好。
研究结果表明，信息框架和针对特定文化群体的信息会影响CRC筛查偏好。改变偏好可能对减少非裔美国人中的CRC筛查差异具有意义。（PsycInfo数据库记录（c）2023美国心理学会，保留所有权利）
