scholarly journals Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory

Author(s):  
Miao Zhang ◽  
Wenshuang Wei ◽  
Qinmei Li ◽  
Xinguang Chen ◽  
Min Zhang ◽  
...  

Despite the significance of early detection of breast cancer through screening, the screening uptake in China remains relatively low. Protection motivation theory (PMT) suggested by Rogers is one of the theories concerning threat appeal. This study aimed to apply the protection motivation theory (PMT) in predicting breast cancer screening intention. In this cross-sectional study, a sample of Chinese urban women was recruited using the convenient sampling method from five communities in Wuhan. Data were collected using a self-report questionnaire that included demographic variables, knowledge about breast cancer, six PMT subconstructs, and screening intention. We used the structural equation modeling (SEM) to identify the predictor factors associated with screening intention. Of the total sample (n = 412), 86.65% had intention to participate in screening. Our data fit the hypothesized SEM model well (Goodness of fit index (GFI) = 0.91, adjusted GFI (AGFI) = 0.89, comparative fit index (CFI) = 0.91, root mean square error of approximation (RMSEA) = 0.05, standardized root mean residual (SRMR) = 0.06, and Chi-square/df = 2.01). Three PMT subconstructs (perceived severity, response cost, and self-efficacy) were significantly associated with screening intention. Knowledge, social status, and medical history had significantly indirect associations with screening intention through the mediating effect of PMT subconstructs. Considering the utility of PMT, intervention programs might be more effective based on the subconstructs of PMT, especially to improve self-efficacy, perceived severity, and knowledge, reduce response cost, as well as targeting specific demographic groups.

2020 ◽  
Vol 13 (5) ◽  
Author(s):  
Fazlollah Ghofranipour ◽  
Fatemeh Pourhaji ◽  
Mohammad Hossein Delshad ◽  
Fahime Pourhaji

2021 ◽  
Vol 6 ◽  
Author(s):  
Francesca De Nard ◽  
Silvia Deandrea ◽  
Anan Judina Bastiampillai ◽  
Laura Cavazzana ◽  
Davide Carnevali ◽  
...  

Organized breast cancer screening (BCS) programs rely on written communication materials for achieving participation and informing women about screening-related benefits and limits. In order to achieve informed decisions and to maximize reader acceptance, the Agency for Health Protection of the metropolitan area of Milan aimed at improving the communication materials of the local BCS program through a multiphase, mixed-method process. Multidisciplinary working groups drafted three sets of materials: postal letters, an informative leaflet, and a question-and-answer online set. Readability was assessed using the Italian language-tailored Gulpease index. Suitability and Comprehensibility were assessed using the SAM + CAM instrument. User perception was investigated through “think aloud” interviews in two consecutive purposive samples. Participants’ intention to participate in the program was also assessed. After each phase was completed, materials were readapted, and previous phases were repeated, to maintain the pre-defined Gulpease and SAM + CAM targets. During the quality improvement process, the overall mean Gulpease and SAM + CAM scores increased from 65.5 (s. d. 10.4) to 67.7 (s. d. 8.2) and from 78 (s. d. 5.6) to 83 (s. d. 4.1), respectively. In light of the results of the first round of interviews, materials underwent rewriting and layout revision, which was generally appreciated during the second round, with a non-significant increase in the intention to participate in the program. However, negative emotions and miscomprehension concerning overdiagnosis were frequently reported, although less frequent in the second round, after rewording of the text. The mixed-method multistep process involving all the relevant key players allowed a balance among the multifaceted aspects of communication.


BMC Cancer ◽  
2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Teresa S Lee ◽  
Sharon L Kilbreath ◽  
Gerard Sullivan ◽  
Kathryn M Refshauge ◽  
Jane M Beith

Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 528
Author(s):  
Yen-Ju Lin ◽  
Cheng-Fang Yen ◽  
Yu-Ping Chang ◽  
Peng-Wei Wang

This study aimed to compare the differences in motivation to receive a COVID-19 vaccination between frontline physicians and nurses and the Taiwanese public. The associations of threat and coping appraisals, as described in Protection Motivation Theory (PMT), with motivation to receive COVID-19 vaccination were compared between these groups, too. We recruited 279 frontline physicians and nurses and 768 members of the public by a Facebook advertisement. Participants’ motivation to receive COVID-19 vaccination, perceived severity of and vulnerability to COVID-19, self-efficacy and response efficacy of COVID-19 vaccination, response cost of COVID-19 vaccination, and knowledge about the mechanism of COVID-19 vaccination in light of PMT were determined. The results demonstrated that frontline health workers had higher motivation to receive COVID-19 vaccination than the public. Response efficacy and knowledge of COVID-19 vaccination were positively associated with motivation to receive COVID-19 vaccination in both frontline health workers and the public, whereas perceived vulnerability, perceived severity, and response cost of COVID-19 vaccination were positively associated with motivation in the public but not in frontline physicians and nurses. The factors related to motivation to receive COVID-19 vaccination should be considered when designing programs to increase motivation to receive COVID-19 vaccination among frontline health workers and the public.


2021 ◽  
Vol 10 (4) ◽  
pp. 843
Author(s):  
Muhammad Prima Cakra Randana ◽  
Rizma Adlia Syakurah

During COVID-19 pandemic, social media has become a basis for information deployment, it has the potential to change people opinion and solve many issues in this situation. Based on Protection Motivation Theory (PMT), threat and coping appraisal were predictors to behavioral responses in pandemics. This study aimed to analyze the impact of social media intervention in adult population during COVID-19 pandemic based on PMT. This review was created using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and data collection from electronic databases such as Pubmed, Mendeley app, Europe PMC, Cochrane Databases, Science Direct, and Wiley Online Library. Inclusion criteria consists of English studies, studies related to the topic and match with required variables. There are five cross-sectional studies involving a total of 2.448 participants that were published in 2020. Among all categories based on included studied, it was shown that cyberchondria, perceived severity and perceived vulnerability are predictors in social media, related to behavioral responses during COVID-19 pandemic. Reducing information overload, related to cyberchondria, via the clear structuring and communication of reliable health information is needed. Hence, educating people on responsible and healthy social media use could help alleviate the observed negative consequences from perceived severity and vulnerability.


2021 ◽  
pp. 009385482110103
Author(s):  
George W. Burruss ◽  
Chae M. Jaynes ◽  
Richard K. Moule ◽  
Rachel E. Fairchild

The governmental responses to the COVID-19 pandemic include concerns for both public health and formal social control. Government leaders asked the public to help mitigate the spread of the virus by adopting various protective behaviors. Our purpose was to evaluate and explain defiance of COVID-19 mitigation strategies, drawing from the expanded model of deterrence and protection motivation theory. A national sample of 600 American adults were surveyed about perceptions of, and behaviors during, the early part of the COVID-19 pandemic, including defiance of COVID-19 mitigation strategies. Perceived severity of the disease, certainty about dying from it, and how much control one has over getting it each predicted fear of COVID-19. Defiance of COVID-19 mitigation guidelines appear to be a combination of rational choice considerations and emotions. Government and health officials should consider how the public evaluates messages about taking protective actions to maximize compliance.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alireza Ansari-Moghaddam ◽  
Maryam Seraji ◽  
Zahra Sharafi ◽  
Mahdi Mohammadi ◽  
Hassan Okati-Aliabad

Abstract Background Many efforts are being made around the world to discover the vaccine against COVID-19. After discovering the vaccine, its acceptance by individuals is a fundamental issue for disease control. This study aimed to examine COVID-19 vaccination intention determinants based on the protection motivation theory (PMT). Methods We conducted a cross-sectional study in the Iranian adult population and surveyed 256 study participants from the first to the 30th of June 2020 with a web-based self-administered questionnaire. We used Structural Equation Modeling (SEM) to investigate the interrelationship between COVID-19 vaccination intention and perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy. Results SEM showed that perceived severity to COVID-19 (β = .17, p < .001), perceived self-efficacy about receiving the COVID-19 vaccine (β = .26, p < .001), and the perceived response efficacy of the COVID-19 vaccine (β = .70, p < .001) were significant predictors of vaccination intention. PMT accounted for 61.5% of the variance in intention to COVID-19 vaccination, and perceived response efficacy was the strongest predictor of COVID-19 vaccination intention. Conclusions This study found the PMT constructs are useful in predicting COVID-19 vaccination intention. Programs designed to increase the vaccination rate after discovering the COVID-19 vaccine can include interventions on the severity of the COVID-19, the self-efficacy of individuals receiving the vaccine, and the effectiveness of the vaccine in preventing infection.


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