Identification of gain- and loss-framed cancer screening messages that appeared in municipal newsletters in Japan.
Identification of gain- and loss-framed cancer screening messages that appeared in municipal newsletters in Japan.
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DOI：
10.1186/1756-0500-7-896
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发表时间：
2014-12-11
影响因子：
1.8
通讯作者：
Kiuchi T
中科院分区：
文献类型：
--
作者：
Okuhara T;Ishikawa H;Okada H;Kiuchi T
研究表明，癌症筛查信息在以不获得筛查的成本(即，损失框定)为框架时，比以获得筛查的好处(即，收益框定)来框定时更有说服力。然而，这些发现在多大程度上融入了公共卫生实践尚不清楚。为了分析癌症筛查信息的信息框架，本研究调查了日本东京市中心23个区发表的市政时事通讯中癌症筛查公告文章的消息框架。两个独立的评分员对文章进行了编码。对每篇文章中的损益框架句进行了识别，并根据句子所传达的信息将文章分为损益框架句、损失框架句、混合框架句和非框架句。评分员间信度可接受(组内相关系数 = 为0.88)。在评估的129篇文章中，获得框架句子的总数为87个，而损失框架句子的总数为6个。获得框架文章总数为32篇(24.8%)，丢失框架文章为0篇(0%)。混合框架文章5篇(3.9%)。92篇(71.3%)文章为非框架类文章。在日本的23个东京病房，市政时事通讯中的癌症筛查公告文章大多是非框框的或增框的。没有丢失框的文章和只有少量的丢失框消息表明错过了说服读者进行癌症筛查的机会。需要增加丢失框的消息和文章，以增强市政通讯中癌症筛查信息的说服力。
Research suggests that cancer screening messages are more persuasive when framed in terms of the costs of not obtaining screening (i.e., loss-framed) than when framed in terms of the benefits of obtaining screening (i.e., gain-framed). However, to what extent these findings have been integrated into public health practice is unknown. To analyze message framing of cancer screening information, the present study examined message framing of cancer screening announcement articles that appeared in municipal newsletters published from 23 wards in central Tokyo, Japan. Two independent raters coded the articles. Gain- and loss-framed sentences in each article were identified, and based on what the sentences conveyed, articles were classified into gain-framed, loss-framed, mixed-framed, and non-framed. Inter-rater reliability was acceptable (intraclass correlation coefficient = 0.88). Of the 129 articles evaluated, the total number of gain-framed sentences was 87, while that of loss-framed sentences was six. The total number of gain-framed articles was 32 (24.8%) while that of loss-framed articles was zero (0%). Five (3.9%) articles were mixed-framed. Ninety-two (71.3%) articles were non-framed. Cancer screening announcement articles of municipal newsletters were mostly non-framed or gain-framed in 23 Tokyo wards in Japan. The absence of loss-framed articles and only a small number of loss-framed messages indicate a missed opportunity to persuade readers to obtain cancer screenings. Loss-framed messages and articles need to be increased to enhance the persuasiveness of cancer screening information in municipal newsletters.