Culturally Targeted Message Framing and Colorectal Cancer Screening Preferences Among African Americans

Olivia Aspiras; Todd Lucas; Hayley S. Thompson; Mark A. Manning; James Blessman; Anurag Dawadi; Kelly A. Hirko; Louis A. Penner

doi:10.1037/hea0001246

Culturally Targeted Message Framing and Colorectal Cancer Screening Preferences Among African Americans

Olivia Aspiras, Todd Lucas, Hayley S. Thompson, Mark A. Manning, James Blessman, Anurag Dawadi, Kelly A. Hirko, Louis A. Penner

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Objective: The current study investigated whether culturally targeted message frames alter preferences for specific colorectal cancer (CRC) screening modalities among African Americans. Method: African Americans who were eligible for CRC screening (N = 457) viewed a video about CRC risks, prevention, and recommended screening options. Participants then received a gain or loss-framed message about screening, with half of participants viewing an additional culturally targeted message about overcoming disparities in CRC through screening. Participants reported their desired thoroughness in CRC screening and preferences for being screened using colonoscopy, sigmoidoscopy, or stool-based fecal immunochemical testing. Results: Relative to gain-framing, loss-framed messaging enhanced desired thoroughness in CRC screening. Targeted loss-framing enhanced preferences for colonoscopy and decreased preferences for stool-based FIT screening. Conclusions: Findings demonstrate that message framing and culturally targeted messaging can impact CRC screening preferences. Altering preferences may carry implications for reducing CRC screening disparities among African Americans.

Original language	English
Article number	1
Journal	Health Psychology
Volume	42
Issue number	1
DOIs	https://doi.org/10.1037/hea0001246
State	Published - 21 Nov 2022
Externally published	Yes

Keywords

Cancer screening
Colorectal cancer
Culturally targeted messaging
Message framing

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10.1037/hea0001246

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title = "Culturally Targeted Message Framing and Colorectal Cancer Screening Preferences Among African Americans",

abstract = "Objective: The current study investigated whether culturally targeted message frames alter preferences for specific colorectal cancer (CRC) screening modalities among African Americans. Method: African Americans who were eligible for CRC screening (N = 457) viewed a video about CRC risks, prevention, and recommended screening options. Participants then received a gain or loss-framed message about screening, with half of participants viewing an additional culturally targeted message about overcoming disparities in CRC through screening. Participants reported their desired thoroughness in CRC screening and preferences for being screened using colonoscopy, sigmoidoscopy, or stool-based fecal immunochemical testing. Results: Relative to gain-framing, loss-framed messaging enhanced desired thoroughness in CRC screening. Targeted loss-framing enhanced preferences for colonoscopy and decreased preferences for stool-based FIT screening. Conclusions: Findings demonstrate that message framing and culturally targeted messaging can impact CRC screening preferences. Altering preferences may carry implications for reducing CRC screening disparities among African Americans.",

keywords = "Cancer screening, Colorectal cancer, Culturally targeted messaging, Message framing",

author = "Olivia Aspiras and Todd Lucas and Thompson, {Hayley S.} and Manning, {Mark A.} and James Blessman and Anurag Dawadi and Hirko, {Kelly A.} and Penner, {Louis A.}",

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month = nov,

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doi = "10.1037/hea0001246",

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AU - Aspiras, Olivia

AU - Lucas, Todd

AU - Thompson, Hayley S.

AU - Manning, Mark A.

AU - Blessman, James

AU - Dawadi, Anurag

AU - Hirko, Kelly A.

AU - Penner, Louis A.

PY - 2022/11/21

Y1 - 2022/11/21

N2 - Objective: The current study investigated whether culturally targeted message frames alter preferences for specific colorectal cancer (CRC) screening modalities among African Americans. Method: African Americans who were eligible for CRC screening (N = 457) viewed a video about CRC risks, prevention, and recommended screening options. Participants then received a gain or loss-framed message about screening, with half of participants viewing an additional culturally targeted message about overcoming disparities in CRC through screening. Participants reported their desired thoroughness in CRC screening and preferences for being screened using colonoscopy, sigmoidoscopy, or stool-based fecal immunochemical testing. Results: Relative to gain-framing, loss-framed messaging enhanced desired thoroughness in CRC screening. Targeted loss-framing enhanced preferences for colonoscopy and decreased preferences for stool-based FIT screening. Conclusions: Findings demonstrate that message framing and culturally targeted messaging can impact CRC screening preferences. Altering preferences may carry implications for reducing CRC screening disparities among African Americans.

AB - Objective: The current study investigated whether culturally targeted message frames alter preferences for specific colorectal cancer (CRC) screening modalities among African Americans. Method: African Americans who were eligible for CRC screening (N = 457) viewed a video about CRC risks, prevention, and recommended screening options. Participants then received a gain or loss-framed message about screening, with half of participants viewing an additional culturally targeted message about overcoming disparities in CRC through screening. Participants reported their desired thoroughness in CRC screening and preferences for being screened using colonoscopy, sigmoidoscopy, or stool-based fecal immunochemical testing. Results: Relative to gain-framing, loss-framed messaging enhanced desired thoroughness in CRC screening. Targeted loss-framing enhanced preferences for colonoscopy and decreased preferences for stool-based FIT screening. Conclusions: Findings demonstrate that message framing and culturally targeted messaging can impact CRC screening preferences. Altering preferences may carry implications for reducing CRC screening disparities among African Americans.

KW - Cancer screening

KW - Colorectal cancer

KW - Culturally targeted messaging

KW - Message framing

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Culturally Targeted Message Framing and Colorectal Cancer Screening Preferences Among African Americans

Abstract

Keywords

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