Understanding the Role of Message Frames on African-American Willingness to Participate in a Hypothetical Diabetes Prevention Study

Understanding the Role of Message Frames on African-American Willingness to Participate in a Hypothetical Diabetes Prevention Study
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DOI:
10.1080/10810730.2017.1339146
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发表时间:
2017-01-01
影响因子:
4.4
通讯作者:
Fagerlin, Angela
Fagerlin, Angela
中科院分区:
医学3区
文献类型:
--
作者:
Langford, Aisha T.;Larkin, Knoll;Fagerlin, Angela

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这项研究的目的是评估信息框架的影响(例如,强调健康差距与减少差距的进展)对参加假设研究的意愿的影响。非裔美国人(AA,n=1513)和白色(n=362)成年人完成了一项关于糖尿病、健康行为(包括体力活动)和研究态度的在线调查。AA参与者被随机分配查看一般信息(与提供给所有白色参与者的信息相同)或4个替代信息中的1个,这些信息表明人们需要参与种族和/或健康差异方面的研究。在AA中,按消息框架划分的入组研究意愿没有差异。然而,个人特征,包括年轻的年龄,女性性别,对研究的态度,责任感和社区责任感的意愿参加这项研究的显着预测。收到一般信息的AA参与者与白色参与者一样愿意参加研究。在研究招募材料中强调种族和健康差异可能不需要增加AA的兴趣。种族以外的因素似乎是参与的更强动力。与以前的研究不同,种族框架并没有抑制参加我们假设的研究的动机。
The objective of this research was to evaluate the impact of message framing (e.g., highlighting health disparities vs. progress toward reducing disparities) on willingness to enroll in a hypothetical research study. African-American (AA, n=1513) and White (n=362) adults completed an online survey about diabetes, health behaviors including physical activity, and attitudes about research. AA participants were randomized to view a general message (same message as provided to all White participants) or 1 of 4 alternate messages that framed the need for people to participate in research in terms of race and/or health disparities. Among AAs, there were no differences in willingness to enroll in the study by message frame. However, individual characteristics including younger age, female sex, attitudes about research, a sense of obligation, and community responsibility were significant predictors of willingness to enroll in the study. AA participants who received the general message were equally willing as White participants to enroll in the study. Highlighting race and health disparities in study recruitment materials may not be needed to increase interest among AAs. Factors beyond race appear to be stronger motivators for participation. Unlike previous research, racial framing did not suppress motivation to enroll in our hypothetical study.