Promoting mammography screening among Chinese American women using a message-framing intervention. Issue 7 (July 2015)

• Record Type: Journal Article
• Authors: Sun, Yiyuan; Sarma, Elizabeth A.; Moyer, Anne; Messina, Catherine R.
• Is Part Of: Patient education and counseling. Volume 98:Issue 7(2015)
• Page Start: 878
• Page End: 883
• Publication Date: 2015-07
• Subjects: Mammography -- Health disparities -- Message framing -- Decisional balance -- Persuasion; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2015.03.021
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Chinese American women are underrepresented in mammography screening intervention research. We evaluated a culturally targeted message framing intervention to increase mammography. Framed messages matched to decisional balance significantly improved screening rates. Abstract: Objectives: This study examined the role of women's perceptions about the relative pros versus cons (decisional balance) of mammography in moderating Chinese American women's responses to gain- and loss-framed messages that promote mammography. Methods: One hundred and forty-three Chinese American women who were currently nonadherent to guidelines for receiving annual screening mammograms were randomly assigned to read either a gain- or loss-framed culturally appropriate print brochure about mammography screening. Mammography screening was self-reported at a 2-month follow-up. Results: Although there was not a main effect for message frame, the hypothesized interaction between message frame and decisional balance was significant, indicating that women who received a framed message that matched their decisional balance were significantly more likely to have obtained a mammogram by the follow-up than women who received a mismatched message. Conclusions: Results suggest that decisional balance, and more generally, perceptions about mammography, may be an important moderator of framing effects for mammography among Chinese American women. Practice implications: The match between message frame and decisional balance should be considered when attempting to encourage Chinese American women to receive mammography screening, as a match between the two may be most persuasive.