Results of an African American-targeted norm-based colorectal cancer screening intervention: a pilot study.
Results of an African American-targeted norm-based colorectal cancer screening intervention: a pilot study.
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以非裔美国人为目标的基于常模的结直肠癌筛查干预措施的结果：一项试点研究。
DOI：
10.1007/s10865-022-00367-6
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发表时间：
2023
影响因子：
3.1
通讯作者：
Penner,Louis
中科院分区：
文献类型：
--
作者：
Manning,Mark;Lucas,Todd;Thompson,Hayley;Penner,Louis
非裔美国人较低的结直肠癌筛查率导致较高的结直肠癌发病率和死亡率。我们测试了以种族为目标的消息干预的效果，该干预使用有利的行为规范信息来增加家庭粪便免疫化学测试(FIT)试剂盒的摄入量。我们预计，在具有更强种族认同感的非裔美国人中，干预效果会更强。符合条件的非裔美国人被随机分为四种干预条件之一：强制规范信息，描述性规范信息，两种信息，都不信息。这些基于标准的信息是通过动画视频健康信息传递的。评估了背景变量、计划行为理论定义的结构、种族认同、筛查方式偏好以及FIT试剂盒的摄取和回归。在205名参与者中，111人(54%)要求试衣。与假设相反，多组路径分析表明，在种族认同感较弱的非裔美国人中，有针对性的信息具有更强的影响。研究结果强调了种族内异质性在接受针对种族的健康信息方面的重要性。
Lower colorectal cancer screening rates among African Americans contribute to higher colorectal cancer incidence and mortality. We tested the effects of a racially-targeted messaging intervention that used favorable behavioral norm information to increase uptake of at-home Fecal Immunochemical Test (FIT) Kits. We expected stronger intervention effects among African Americans with stronger racial identity. Eligible African Americans were randomized to one of four intervention conditions: injunctive norm message, descriptive norm message, both messages, neither message. The norm-based messages were delivered via an animated video health message. Background variables, constructs defined by the theory of planned behavior, racial identity, screening modality preferences, and uptake and return of FIT Kits were assessed. Of 205 participants, 111(54%) requested FIT Kits. Contrary to hypotheses, multigroup path analyses indicated stronger effects of targeted messages among African Americans with weaker racial identity. Findings highlight the importance of within-race heterogeneity in the receptivity to racially-targeted health messages.