Browse > Article
http://dx.doi.org/10.5392/JKCA.2017.17.12.357

Message Strategy to Promote Colorectal Cancer Screening Behavior  

Lee, Ji Sun (연세대학교 일반대학원)
Oh, Eui Geum (연세대학교 간호대학)
Lee, Hyang Kyu (연세대학교 간호대학)
Kim, Sang Hee (연세대학교 간호대학)
Publication Information
Abstract
The study investigated information about the effects of message framing on colorectal cancer(CRC) screening related health beliefs and compliance with the CRC screening test within the theoretical framework of the prospect theory and the Health belief model (HBM). This study was using a non-randomized controlled quasi-experimental design. One hundred and sixty-four in the industrial workers who were currently nonadherent to guidelines for receiving screening were assigned to one of three experimental conditions: (a) gain-framed message, (b) loss-framed message, and (c) general-framed message. CRC screening-related health beliefs was self-reported after the intervention. And the immunoassay Fecal Occult Blood Test (iFOBT) kit was collected at 1 week. The research finding were analyzed by $x^2$ test and one-way ANOVA using SPSS 21.0. The loss-framed message group had higher perceived susceptibility, severity and benefit than the gain-framed message and general message. The participation rate for the immunoassay Fecal Occult Blood Test(iFOBT) was highest in the loss-framed message group. The loss framed messages more effective to enhance screening behavior. The present results provide a theoretical basis for developing educational guidelines for CRC testing and could be used for performing comprehensive approach by predicting and suggesting the practical effects according to message type in advance.
Keywords
Colorectal Cancer; Message Framing; Health Belief; Screening;
Citations & Related Records
연도 인용수 순위
  • Reference
1 http://www.cancer.go.kr/mbs/cancer/subview.js p?id=cancer_040402000000
2 http://globocan.iarc.fr/Pages/fact_sheets_cancer. aspx
3 한규훈, "여성암 조기검진 촉진 메시지의 설득효과에 미치는 건강신념요인의 영향," 한국광고홍보학보, 제13권, 제2호, pp.377-413, 2011.
4 S. M. Banks, P. Salovey, S. Greener, A. J. Rothman, A. Moyer, H. Brenner, J. Chang-Claude, L. Jansen, P. Knebel, C. Stock, and M. Hoffmeister, "Reduced risk of colorectal cancer up to 10 years after screening, surveillance, or diagnostic colonoscopy," Gastroenterology, Vol.146, No.3, pp.709-717, 2014.   DOI
5 https://www.healthypeople.gov/2020/topics-obje ctives/topic/health-communication-and-health-i nform-ation-technology
6 G. L. Kreps and K. Viswanath, "Communication interventions and cancer control: A review of the National Cancer Institute's health communication intervention research initiative," Family and Community Health, Vol.24, No.3, pp.9-13, 2001.
7 백혜진, 이혜규, 헬스커뮤니케이션의 메시지, 수용자, 미디어 전략, 커뮤니케이션북스, 2013.
8 I. M. Rosenstock, "Historical origins of the health belief models," Health Education Monographs, Vol.2, No.4, pp.328-335, 1974.   DOI
9 A. Tversky and D. Kahneman, "The framing of decisions and the psychology of choice," Science, New Series, Vol.211, No.4481, pp.453-458, 1979.
10 박현정, "질병 예방 행동 촉진을 위한 커뮤니케이션 메시지 전략 연구," 한국언론학회, 제58권, 제3호, pp.344-377, 2014.
11 K. M. Gallagher and J. A. Updegraff, "Health message framing effects on attitudes, intentions, and behavior: a meta-analytic review," Annals of behavioral medicine, Vol.43, pp.101-106, 2012.   DOI
12 T. A. Cronan, T. L.Conway, K. Davis, and E. V. Vasserman-Stokes, "Effects of Ethnicity and Message Framing on Colorectal Cancer Screening Californian," Journal of Health Promotion, Vol.9, No.1, p. 98, 2011.
13 http://www.cancer.go.kr/mbs/cancer/jsp/album /gallery.jsp?addCancerTitle=읽기(검진권고안-대장암) &spage=1&boardId=14354374&boardSeq=143558 98&mcategoryId=&id=cancer_010207000000
14 D. F. Polit, C. T. Beck, and S. V. Owen, "Is the CVI an acceptable indicator of content validity? Appraisal and recommendations," Research in nursing & health, Vol.30, No.4, pp.459-467, 2007.   DOI
15 V. L. Champion, "Instrument refinement for breast cancer screening behaviors," Nursing Research, Vol.42, No.3, pp.139-143, 1993.
16 A. J. Rothman and P. Salovey, "Shaping perceptions to motivate healthy behavior: the role of message framing," Psychological Bullentin, Vol.121, No.1, pp.3-19, 1997.   DOI
17 R. A. Ferrer, W. M. Klein, L. E. Zajac, S. R. Land, and B. S. Ling, "An affective booster moderates the effect of gain- and loss-framed messages on behavioral intentions for colorectal cancer screening," Journal of Behavioral Medicine, Vol.35, No.4, pp.452-461, 2012.   DOI
18 A. J. Rothman, P. Salovey, C. Antone, K. Keoug, and C. D. Martin, "The influence of message framing on intentions to perform health behaviors," Journal of experimental social psychology, Vol.29, No.1, pp.208-433, 1993.
19 file:///C:/Users/a/AppData/Local/Microsoft/ Windows/ INetCache/IE/UTJZ7SKK/audit05_etc33.pdf
20 R. E. Myers, E. A. Ross, T. A. Wolf, and A. Balshem, "Behavioral interventions to increase adherence in colorectal cancer screening," Medical Care, Vol.29, No.10, pp.1039-1050, 1991.   DOI
21 M. A. Brunton, "One message for all? Framing public health messages to recognize diversity," International Journal of Intercultural Relations, Vol.31, No.1, pp.127-132, 2007.   DOI
22 D. A. Abood, D. C. Coster, A. K. Mullis, and D. R. Black, "Evaluation of a "loss-framed" minimal intervention to increase mammography utilization among medically un- and underinsured women," Cancer Detection and Prevention Journal, Vol.26, No.5, pp.394-400, 2002.   DOI
23 M. L. Fishbein and I. Ajzen, Belief, attitude, intension, and behavior: An I ntroduction to theory abd research, Addison-Wesley, 1975.
24 L. J. Finney and R. J. Iannotti, "Message framing and mammography screening: A theory-driven intervention," Behavioral Medicine, Vol.28, No.1, pp.5-14, 2002.   DOI
25 S. E. Rivers, P. Salovey, D. A. Pizarro, J. Pizarro, and T. R. Schneider, "Message framing and pap test utilization among women attending a community health clinic," Journal of Health Psychology, Vol.10, No.1, pp.65-77, 2005.   DOI