以沟通为基础的策略,以遏制低价值癌症筛查的过度使用

IF 0.8 Q3 COMMUNICATION
Soela Kim, J. Monahan, Y. Do
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引用次数: 0

摘要

根据理性行为理论、保护动机理论和后悔理论,本研究提出并检验了三种沟通策略来抑制低价值癌症筛查的过度使用:(a)强调筛查的负面情感后果;(b)提供关于诊断不确定性的信息,以及(c)使用非癌症疾病标签。采用2(情感信息:缺席vs.在场)× 2(诊断不确定性信息:缺席vs.在场)× 2(疾病标签:甲状腺癌vs.边缘性甲状腺肿瘤)全因子受试者间设计和对照条件进行了基于在线调查的实验。共有612名韩国女性参加。正如预测的那样,情感信息和诊断不确定性信息分别显著降低了接受筛查的积极态度和不接受筛查的预期后悔,从而降低了筛查意愿。非癌症标签还通过依次降低感知严重性和积极态度来降低筛查意愿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Communication-based strategies to curb the overuse of low-value cancer screening
Drawing upon the theory of reasoned action, the protection motivation theory, and theories of regret, this study proposes and examines three communication strategies to curb the overuse of low-value cancer screening: (a) highlighting negative affective consequences of screening; (b) providing information about diagnostic uncertainty, and (c) using a noncancer disease label. An online survey-based experiment using a 2 (affective message: absent vs. present) × 2 (diagnostic uncertainty information: absent vs. present) × 2 (disease label: thyroid cancer vs. a borderline thyroid neoplasm) full-factorial between-subject design with a control condition was conducted. A total of 612 South Korean women participated. As predicted, the affective message and diagnostic uncertainty information significantly reduced positive attitudes toward screening uptake and anticipated regret regarding screening nonuptake, respectively, thereby reducing screening intention. The noncancer label also reduced screening intention by lowering perceived severity and positive attitude in sequence.
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CiteScore
1.00
自引率
25.00%
发文量
14
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