Targeting and tailoring message-framing: the moderating effect of racial identity on receptivity to colorectal cancer screening among African–Americans
This study demonstrates the potential of racial identity to moderate how gain and loss-framed messaging, as well as culturally-targeted messaging, can affect receptivity to preventive health screening. African–Americans ( N = 132) who were noncompliant with recommended colorectal cancer (CRC) scree...
Gespeichert in:
| Veröffentlicht in: | Journal of behavioral medicine 2018-12, Vol.41 (6), p.747-756 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 756 |
|---|---|
| container_issue | 6 |
| container_start_page | 747 |
| container_title | Journal of behavioral medicine |
| container_volume | 41 |
| creator | Lucas, Todd Manning, Mark Hayman, Lenwood W. Blessman, James |
| description | This study demonstrates the potential of racial identity to moderate how gain and loss-framed messaging, as well as culturally-targeted messaging, can affect receptivity to preventive health screening. African–Americans (
N
= 132) who were noncompliant with recommended colorectal cancer (CRC) screening completed a measure of racial identity centrality—encompassing the extent to which racial identity is a core component of self-concept—and then participated in an online education module about CRC screening, during which either gain or loss-framed messaging was introduced. Half of African–Americans were also exposed to a culturally-targeted self-help message about preventing CRC. Theory of Planned Behavior measures of attitudes, normative beliefs, perceived behavioral control, and intentions to obtain a CRC screen served as outcomes. Results confirmed that effects of messaging on receptivity to CRC screening depended on racial identity. Among low racial identity African Americans, gain-framed messaging most effectively increased normative beliefs about obtaining CRC screening, whereas among high racial identity African Americans loss-framed messaging was most compelling. However, these effects most strongly emerged when culturally-targeted self-help messaging was included. We discuss implications for health disparities theory and research, including a potential to simultaneously deploy culturally-targeted and tailored messaging based on racial identity. |
| doi_str_mv | 10.1007/s10865-018-9933-8 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2052811016</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A560606333</galeid><sourcerecordid>A560606333</sourcerecordid><originalsourceid>FETCH-LOGICAL-c477t-696b613dd8c04979000a211f4d231ab0d45d5dffe9a753c261f5b752361b7a953</originalsourceid><addsrcrecordid>eNp1ks2OFCEQx4nRuOPoA3gxJF689MpH03R7m2z8Sjbxsp4JDcXIphtGYEz2tu_gydfzSaRnVjeakUqAgl8VReWP0HNKzikh8nWmpO9EQ2jfDAPnTf8AraiQvOGC0YdoRWhHGimpOENPcr4mhHRDOzxGZ2zoe0YlW6EfVzptofiwxTpYXLSfYlq8GXLWW2hc0nP13-DyBfAcLSR9oME5MAVHh5M2Xk_YWwjFlxscA05gYFf8t8UtEZtYk1a6UkYHAwlnkwDC4dU51nnjkq9XP2-_b2Y4bPNT9MjpKcOzu3WNPr97e3Xxobn89P7jxeayMa2UpemGbuwot7Y3pB3kUD-pGaWutYxTPRLbCitsLXbQUnDDOurEKAXjHR2lHgRfo1fHvLsUv-4hFzX7bGCadIC4z4oRwXpKay8r-vIf9DruU6jVLRRtCeOM3VNbPYHywcVSW7QkVRvRkWq8jjVqTlBbCLXBUwzgfD3-iz8_wVezMHtzMoAeA0yKOSdwapf8rNONokQt8lFH-agqH7XIR_U15sXdB_fjDPZPxG-9VIAdgbxbVALpvgP_z_oLXQDQnQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2051402322</pqid></control><display><type>article</type><title>Targeting and tailoring message-framing: the moderating effect of racial identity on receptivity to colorectal cancer screening among African–Americans</title><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SpringerLink Journals - AutoHoldings</source><creator>Lucas, Todd ; Manning, Mark ; Hayman, Lenwood W. ; Blessman, James</creator><creatorcontrib>Lucas, Todd ; Manning, Mark ; Hayman, Lenwood W. ; Blessman, James</creatorcontrib><description>This study demonstrates the potential of racial identity to moderate how gain and loss-framed messaging, as well as culturally-targeted messaging, can affect receptivity to preventive health screening. African–Americans (
N
= 132) who were noncompliant with recommended colorectal cancer (CRC) screening completed a measure of racial identity centrality—encompassing the extent to which racial identity is a core component of self-concept—and then participated in an online education module about CRC screening, during which either gain or loss-framed messaging was introduced. Half of African–Americans were also exposed to a culturally-targeted self-help message about preventing CRC. Theory of Planned Behavior measures of attitudes, normative beliefs, perceived behavioral control, and intentions to obtain a CRC screen served as outcomes. Results confirmed that effects of messaging on receptivity to CRC screening depended on racial identity. Among low racial identity African Americans, gain-framed messaging most effectively increased normative beliefs about obtaining CRC screening, whereas among high racial identity African Americans loss-framed messaging was most compelling. However, these effects most strongly emerged when culturally-targeted self-help messaging was included. We discuss implications for health disparities theory and research, including a potential to simultaneously deploy culturally-targeted and tailored messaging based on racial identity.</description><identifier>ISSN: 0160-7715</identifier><identifier>EISSN: 1573-3521</identifier><identifier>DOI: 10.1007/s10865-018-9933-8</identifier><identifier>PMID: 29882172</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>African Americans ; Cancer ; Cancer screening ; Colorectal cancer ; Colorectal carcinoma ; Diagnosis ; Distance learning ; Family Medicine ; Frame analysis ; General Practice ; Health aspects ; Health disparities ; Health Psychology ; Health research ; Locus of control ; Medical screening ; Medicine ; Medicine & Public Health ; Message framing ; Methods ; Perceived control ; Preventive medicine ; Psychological aspects ; Racial differences ; Racial identity ; Receptivity ; Self concept ; Self help ; Social aspects ; Tests ; Theory of planned behavior</subject><ispartof>Journal of behavioral medicine, 2018-12, Vol.41 (6), p.747-756</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>Journal of Behavioral Medicine is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-696b613dd8c04979000a211f4d231ab0d45d5dffe9a753c261f5b752361b7a953</citedby><cites>FETCH-LOGICAL-c477t-696b613dd8c04979000a211f4d231ab0d45d5dffe9a753c261f5b752361b7a953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10865-018-9933-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10865-018-9933-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,12845,27343,27923,27924,30998,33773,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29882172$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lucas, Todd</creatorcontrib><creatorcontrib>Manning, Mark</creatorcontrib><creatorcontrib>Hayman, Lenwood W.</creatorcontrib><creatorcontrib>Blessman, James</creatorcontrib><title>Targeting and tailoring message-framing: the moderating effect of racial identity on receptivity to colorectal cancer screening among African–Americans</title><title>Journal of behavioral medicine</title><addtitle>J Behav Med</addtitle><addtitle>J Behav Med</addtitle><description>This study demonstrates the potential of racial identity to moderate how gain and loss-framed messaging, as well as culturally-targeted messaging, can affect receptivity to preventive health screening. African–Americans (
N
= 132) who were noncompliant with recommended colorectal cancer (CRC) screening completed a measure of racial identity centrality—encompassing the extent to which racial identity is a core component of self-concept—and then participated in an online education module about CRC screening, during which either gain or loss-framed messaging was introduced. Half of African–Americans were also exposed to a culturally-targeted self-help message about preventing CRC. Theory of Planned Behavior measures of attitudes, normative beliefs, perceived behavioral control, and intentions to obtain a CRC screen served as outcomes. Results confirmed that effects of messaging on receptivity to CRC screening depended on racial identity. Among low racial identity African Americans, gain-framed messaging most effectively increased normative beliefs about obtaining CRC screening, whereas among high racial identity African Americans loss-framed messaging was most compelling. However, these effects most strongly emerged when culturally-targeted self-help messaging was included. We discuss implications for health disparities theory and research, including a potential to simultaneously deploy culturally-targeted and tailored messaging based on racial identity.</description><subject>African Americans</subject><subject>Cancer</subject><subject>Cancer screening</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Diagnosis</subject><subject>Distance learning</subject><subject>Family Medicine</subject><subject>Frame analysis</subject><subject>General Practice</subject><subject>Health aspects</subject><subject>Health disparities</subject><subject>Health Psychology</subject><subject>Health research</subject><subject>Locus of control</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Message framing</subject><subject>Methods</subject><subject>Perceived control</subject><subject>Preventive medicine</subject><subject>Psychological aspects</subject><subject>Racial differences</subject><subject>Racial identity</subject><subject>Receptivity</subject><subject>Self concept</subject><subject>Self help</subject><subject>Social aspects</subject><subject>Tests</subject><subject>Theory of planned behavior</subject><issn>0160-7715</issn><issn>1573-3521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1ks2OFCEQx4nRuOPoA3gxJF689MpH03R7m2z8Sjbxsp4JDcXIphtGYEz2tu_gydfzSaRnVjeakUqAgl8VReWP0HNKzikh8nWmpO9EQ2jfDAPnTf8AraiQvOGC0YdoRWhHGimpOENPcr4mhHRDOzxGZ2zoe0YlW6EfVzptofiwxTpYXLSfYlq8GXLWW2hc0nP13-DyBfAcLSR9oME5MAVHh5M2Xk_YWwjFlxscA05gYFf8t8UtEZtYk1a6UkYHAwlnkwDC4dU51nnjkq9XP2-_b2Y4bPNT9MjpKcOzu3WNPr97e3Xxobn89P7jxeayMa2UpemGbuwot7Y3pB3kUD-pGaWutYxTPRLbCitsLXbQUnDDOurEKAXjHR2lHgRfo1fHvLsUv-4hFzX7bGCadIC4z4oRwXpKay8r-vIf9DruU6jVLRRtCeOM3VNbPYHywcVSW7QkVRvRkWq8jjVqTlBbCLXBUwzgfD3-iz8_wVezMHtzMoAeA0yKOSdwapf8rNONokQt8lFH-agqH7XIR_U15sXdB_fjDPZPxG-9VIAdgbxbVALpvgP_z_oLXQDQnQ</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Lucas, Todd</creator><creator>Manning, Mark</creator><creator>Hayman, Lenwood W.</creator><creator>Blessman, James</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7U4</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWI</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20181201</creationdate><title>Targeting and tailoring message-framing: the moderating effect of racial identity on receptivity to colorectal cancer screening among African–Americans</title><author>Lucas, Todd ; Manning, Mark ; Hayman, Lenwood W. ; Blessman, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-696b613dd8c04979000a211f4d231ab0d45d5dffe9a753c261f5b752361b7a953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>African Americans</topic><topic>Cancer</topic><topic>Cancer screening</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Diagnosis</topic><topic>Distance learning</topic><topic>Family Medicine</topic><topic>Frame analysis</topic><topic>General Practice</topic><topic>Health aspects</topic><topic>Health disparities</topic><topic>Health Psychology</topic><topic>Health research</topic><topic>Locus of control</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Message framing</topic><topic>Methods</topic><topic>Perceived control</topic><topic>Preventive medicine</topic><topic>Psychological aspects</topic><topic>Racial differences</topic><topic>Racial identity</topic><topic>Receptivity</topic><topic>Self concept</topic><topic>Self help</topic><topic>Social aspects</topic><topic>Tests</topic><topic>Theory of planned behavior</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lucas, Todd</creatorcontrib><creatorcontrib>Manning, Mark</creatorcontrib><creatorcontrib>Hayman, Lenwood W.</creatorcontrib><creatorcontrib>Blessman, James</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>Sociological Abstracts</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lucas, Todd</au><au>Manning, Mark</au><au>Hayman, Lenwood W.</au><au>Blessman, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Targeting and tailoring message-framing: the moderating effect of racial identity on receptivity to colorectal cancer screening among African–Americans</atitle><jtitle>Journal of behavioral medicine</jtitle><stitle>J Behav Med</stitle><addtitle>J Behav Med</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>41</volume><issue>6</issue><spage>747</spage><epage>756</epage><pages>747-756</pages><issn>0160-7715</issn><eissn>1573-3521</eissn><abstract>This study demonstrates the potential of racial identity to moderate how gain and loss-framed messaging, as well as culturally-targeted messaging, can affect receptivity to preventive health screening. African–Americans (
N
= 132) who were noncompliant with recommended colorectal cancer (CRC) screening completed a measure of racial identity centrality—encompassing the extent to which racial identity is a core component of self-concept—and then participated in an online education module about CRC screening, during which either gain or loss-framed messaging was introduced. Half of African–Americans were also exposed to a culturally-targeted self-help message about preventing CRC. Theory of Planned Behavior measures of attitudes, normative beliefs, perceived behavioral control, and intentions to obtain a CRC screen served as outcomes. Results confirmed that effects of messaging on receptivity to CRC screening depended on racial identity. Among low racial identity African Americans, gain-framed messaging most effectively increased normative beliefs about obtaining CRC screening, whereas among high racial identity African Americans loss-framed messaging was most compelling. However, these effects most strongly emerged when culturally-targeted self-help messaging was included. We discuss implications for health disparities theory and research, including a potential to simultaneously deploy culturally-targeted and tailored messaging based on racial identity.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29882172</pmid><doi>10.1007/s10865-018-9933-8</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0160-7715 |
| ispartof | Journal of behavioral medicine, 2018-12, Vol.41 (6), p.747-756 |
| issn | 0160-7715 1573-3521 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2052811016 |
| source | Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); SpringerLink Journals - AutoHoldings |
| subjects | African Americans Cancer Cancer screening Colorectal cancer Colorectal carcinoma Diagnosis Distance learning Family Medicine Frame analysis General Practice Health aspects Health disparities Health Psychology Health research Locus of control Medical screening Medicine Medicine & Public Health Message framing Methods Perceived control Preventive medicine Psychological aspects Racial differences Racial identity Receptivity Self concept Self help Social aspects Tests Theory of planned behavior |
| title | Targeting and tailoring message-framing: the moderating effect of racial identity on receptivity to colorectal cancer screening among African–Americans |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T04%3A40%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Targeting%20and%20tailoring%20message-framing:%20the%20moderating%20effect%20of%20racial%20identity%20on%20receptivity%20to%20colorectal%20cancer%20screening%20among%20African%E2%80%93Americans&rft.jtitle=Journal%20of%20behavioral%20medicine&rft.au=Lucas,%20Todd&rft.date=2018-12-01&rft.volume=41&rft.issue=6&rft.spage=747&rft.epage=756&rft.pages=747-756&rft.issn=0160-7715&rft.eissn=1573-3521&rft_id=info:doi/10.1007/s10865-018-9933-8&rft_dat=%3Cgale_proqu%3EA560606333%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2051402322&rft_id=info:pmid/29882172&rft_galeid=A560606333&rfr_iscdi=true |