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Effects of a risk-based online mammography intervention on accuracy of perceived risk and mammography intentions.
Seitz, Holli H; Gibson, Laura; Skubisz, Christine; Forquer, Heather; Mello, Susan; Schapira, Marilyn M; Armstrong, Katrina; Cappella, Joseph N.
Afiliación
  • Seitz HH; Annenberg School for Communication, University of Pennsylvania, 3620 Walnut Street, Philadelphia, PA, 19104, USA. Electronic address: hollihseitz@gmail.com.
  • Gibson L; Annenberg School for Communication, University of Pennsylvania, 3620 Walnut Street, Philadelphia, PA, 19104, USA. Electronic address: lgibson@asc.upenn.edu.
  • Skubisz C; Annenberg School for Communication, University of Pennsylvania, 3620 Walnut Street, Philadelphia, PA, 19104, USA. Electronic address: christine_skubisz@emerson.edu.
  • Forquer H; Annenberg School for Communication, University of Pennsylvania, 3620 Walnut Street, Philadelphia, PA, 19104, USA. Electronic address: heather.forquer@gmail.com.
  • Mello S; Annenberg School for Communication, University of Pennsylvania, 3620 Walnut Street, Philadelphia, PA, 19104, USA. Electronic address: s.mello@northeastern.edu.
  • Schapira MM; Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA; Center for Health Equity Research and Promotion, Crescenz VA Medical Center, Philadelphia, PA 19104, USA. Electronic address: mschap@mail.med.upenn.edu.
  • Armstrong K; Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA. Electronic address: karmstrong6@mgh.harvard.edu.
  • Cappella JN; Annenberg School for Communication, University of Pennsylvania, 3620 Walnut Street, Philadelphia, PA, 19104, USA. Electronic address: jcappella@asc.upenn.edu.
Patient Educ Couns ; 99(10): 1647-56, 2016 10.
Article en En | MEDLINE | ID: mdl-27178707
OBJECTIVE: This experiment tested the effects of an individualized risk-based online mammography decision intervention. The intervention employs exemplification theory and the Elaboration Likelihood Model of persuasion to improve the match between breast cancer risk and mammography intentions. METHODS: 2918 women ages 35-49 were stratified into two levels of 10-year breast cancer risk (<1.5%; ≥1.5%) then randomly assigned to one of eight conditions: two comparison conditions and six risk-based intervention conditions that varied according to a 2 (amount of content: brief vs. extended) x 3 (format: expository vs. untailored exemplar [example case] vs. tailored exemplar) design. Outcomes included mammography intentions and accuracy of perceived breast cancer risk. RESULTS: Risk-based intervention conditions improved the match between objective risk estimates and perceived risk, especially for high-numeracy women with a 10-year breast cancer risk ≤1.5%. For women with a risk≤1.5%, exemplars improved accuracy of perceived risk and all risk-based interventions increased intentions to wait until age 50 to screen. CONCLUSION: A risk-based mammography intervention improved accuracy of perceived risk and the match between objective risk estimates and mammography intentions. PRACTICE IMPLICATIONS: Interventions could be applied in online or clinical settings to help women understand risk and make mammography decisions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mujeres / Neoplasias de la Mama / Mamografía / Aceptación de la Atención de Salud / Educación en Salud / Técnicas de Apoyo para la Decisión / Intención Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Patient Educ Couns Año: 2016 Tipo del documento: Article Pais de publicación: Irlanda

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mujeres / Neoplasias de la Mama / Mamografía / Aceptación de la Atención de Salud / Educación en Salud / Técnicas de Apoyo para la Decisión / Intención Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Patient Educ Couns Año: 2016 Tipo del documento: Article Pais de publicación: Irlanda