Qualitative study to explore Prospect Theory and message framing and diet and cancer prevention-related issues among African American adolescents.

Qualitative study to explore Prospect Theory and message framing and diet and cancer prevention-related issues among African American adolescents.
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DOI:
10.1097/ncc.0b013e3181be5e8a
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发表时间:
2010-03
期刊:
影响因子:
2.6
通讯作者:
Watters JL
Watters JL
中科院分区:
医学2区
文献类型:
--
作者:
Satia JA;Barlow J;Armstrong-Brown J;Watters JL

文献摘要

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开发和测试基于前景理论的癌症预防信息,以改善非洲裔美国青少年的饮食摄入量,并探索其他突出因素,可能会告知饮食干预设计和实施在这一人群中。半结构化的定性访谈进行了13个非洲裔美国男性和女性青少年,12-16岁,在北卡罗来纳州。前景理论和信息框架被用来指导与癌症预防相关的四组饮食相关信息的设计:短期收益,长期收益,短期损失和长期损失框架信息。还收集了有关人口统计学、行为和心理因素的数据;通常的健康行为;以及对干预措施的偏好。大多数受访者认为,水果/蔬菜(8人(61.5%))和脂肪消费(7人(53.8%))的短期信息最突出。仅对于脂肪消耗,2(15.4%)发现损失框架,短期信息相关;没有发现损失框架,长期信息与任何饮食变量相关。所有人都表示有兴趣参加饮食干预/教育计划;最喜欢的是互联网作为干预提供的渠道。参与者表达了不同的观点,关于健康饮食的知识,态度和信念。研究人员进行饮食干预和教育的倡议和医疗专业人士咨询非洲裔美国青少年应考虑使用前景理论作为一个理论框架,应侧重于获得框架的短期信息有关癌症预防,并应采用互联网的数据收集和干预和信息传递。
To develop and test cancer prevention messages based on Prospect theory on motivation to improve dietary intake in African American adolescents, and to explore other salient factors that may inform dietary intervention design and implementation in this population. Semi-structured in-person qualitative interviews were conducted with 13 African-American male and female adolescents, 12-16 years, in North Carolina. Prospect theory and message framing were used to guide the design of the four sets of diet-related messages related to cancer prevention: short-term gain-, long-term gain-, short-term loss-, and long-term loss-framed messages. Data were also collected on demographic, behavioral, and psychological factors; usual health behaviors; and preferences for intervention delivery. The majority of respondents found the gain-framed, short-term messages most salient for both fruits/vegetables (8 (61.5%)), and fat consumption (7 (53.8%)). For fat consumption only, 2 (15.4%) found the loss-framed, short-term messages pertinent; none found the loss-framed, long-term messages relevant for either dietary variable. All indicated interest in participating in a dietary intervention/education program; most preferred the Internet as a channel for intervention delivery. Participants expressed diverse views regarding knowledge, attitudes, and beliefs regarding healthy eating. Researchers conducting dietary interventions and education initiatives and medical professionals who counsel African American adolescents should consider using Prospect Theory as a theoretical framework, should focus on gain-framed short-term messages regarding cancer prevention, and should employ the Internet for data collection and intervention and information delivery.