Explaining the effects of a decision intervention on mammography intentions: The roles of worry, fear and perceived susceptibility to breast cancer.

Explaining the effects of a decision intervention on mammography intentions: The roles of worry, fear and perceived susceptibility to breast cancer.
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DOI:
10.1080/08870446.2017.1387261
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发表时间:
2018-05
影响因子:
3.3
通讯作者:
Cappella JN
Cappella JN
中科院分区:
医学3区
文献类型:
--
作者:
Seitz HH;Schapira MM;Gibson LA;Skubisz C;Mello S;Armstrong K;Cappella JN

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This study examines the effects of a mammography decision intervention on perceived susceptibility to breast cancer (PSBC) and emotion and investigates how these outcomes predict mammography intentions. Randomized between-subjects online experiment. Participants were stratified into two levels of risk. Within each stratum, conditions included a basic information condition and six decision intervention conditions that included personalized risk estimates and varied according to a 2 (amount of information: brief vs. extended) × 3 (format: expository vs. untailored exemplar vs. tailored exemplar) design. Participants included 2,465 U.S. women ages 35–49. Main Outcome Measures. PSBC as a percentage, PSBC as a frequency, worry, fear, and mammography intentions. The intervention resulted in significant reductions in PSBC as a percentage for women in both strata and significant increases in worry and fear for women in the upper risk stratum. Of the possible mediators examined, only PSBC as a percentage was a consistent mediator of the effect of the intervention on mammography intentions. The results provide insight into the mechanism of action of the intervention by showing that PSBC mediated the effects of the intervention on mammography intentions.
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