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Health Communications Behaviours

Chapter One: Introduction

Health communications beat a significant character in shaping folk's decisions to employ in specific health behaviours. Most

health messages can be framed in terms of either the benefits of engaging in the recommended conduct (gain-framed

content) or the costs of not engaging in the conduct (loss-framed content. Message framing - presenting equal data in terms

of either gains or losses - has proven to be an efficient, theoretically based health communication scheme substantiated by

observational investigation (Rothman, Bartels, Wlaschin, & Salovey, 2006; Rothman, Kelly, Hertel, & Salovey, 2003.

Unanswered questions stay, however, regarding the consumption of content framing for encouraging a progressively

popular kind of prevention conduct: vaccination. In the existing survey, we examined the comparative potency of gain -

versus loss-framed messages in promoting approval of a vaccine to forbid transmission by human papillomavirus (HPV) - a

virus that is accountable for nearly all cases of cervical cancer (Bosch, Lorincz, Muñoz, Meijer, & Shah, 2002. In addition,

past studies have suggested that framed messages are more efficient among some individuals than among others. We thus

sought to describe factors within the content recipient that might do to conservative framing effects.

Chapter Two: Literature Review

Fewer than 20 years ago, scientists identified HPV transmission as the underlying reason of cervical cancer. (Abood

2002)Well over 100 subtypes of HPV have been identified, many of which taint the genital parcel via intimate infection

(Centers for Disease Control and Prevention. (Aiken 1991)Indeed, HPV is the almost popular sexually transmitted

transmission (STI) in the United States: (Apanovitch 2003)

An estimated women will get acquired HPV by age 50. Infection with “low-risk” HPV subtypes (6 and 11) can head to genital

warts, whereas transmission with “risky” types (almost usually 16 and 18) can ensue in cervical cancer. HPV Subtypes 16

and 18 are believed to be accountable for over 701261f all cervical cancers. (American Cancer Society 2006)

Although most HPV infections clear-cut upward on their own, when left undiscovered and raw, relentless HPV infections can

finally advance to cervical cancer. (Baseman 2005)Early sensing of irregular cellular changes with Pap examination has

significantly reduced the incidence of cervical cancer in the United States. (Bosch & Lorincz 2002)

Nevertheless, in 2006 an estimated 9,710 U. S. women will be diagnosed with intrusive cervical cancer and 3,700 women

will perish from the disease. Prophylactic HPV vaccines have been developed and will be accessible to the world within the

next year. (Capolongo 2006)

Clinical trials have establish the vaccines to be secure, well-tolerated, and extremely efficient at preventing HPV

transmission and cervical intraepithelial neoplasia. Given that the HPV vaccines will be accessible in the nearby future, it is

both significant and timely to probe the potency of health communications aimed at promoting their approval. (Carver 1994)
What can past investigation and hypothesis say us about whether a gain- or loss-framed content should head to high

approval of the HPV vaccine? Only two past studies have investigated consumption of content framing in promoting

vaccination conduct. (Chaiken 1980)One survey examined the effects of framed messages on influenza vaccination rates in

grownup Medicare patients. (Detweiler 1999)

The new survey used gain - versus loss-framed messages to promote immunization for a fictional disease among college

students. (Higgins 1997) Neither survey demonstrated a reward of one chassis over the new, although methodological

limitations (e. g., reduced empirical command, consumption of a fictional disease) could partly account for the deficiency of

findings. (Harper 2004)


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There are, however, hypothetical reasons for expecting differential effects of gain- and loss-framed messages aimed at

motivating vaccination conduct. Prospect hypothesis suggests that folk are mostly more ready to go risks when exposed to

the unfavorable consequences that could ensue from a resolution but lean to be much danger averse when exposed to the

constructive consequences.

Drawing on outlook hypothesis, Rothman and Salovey (1997) proposed that matching the chassis of a content to the

character of health conduct being promoted can increase the persuasiveness of the content. This framework rests upon the

assumption that the success of a framed content depends upon the extent to which the recommended conduct is perceived

to affect danger. (Idson 2004)Because folk are comparatively available to taking risks when faced with prospective losses,

loss-framed appeals should be more efficient than gain-framed appeals in promoting disease sensing behaviours (e. g. ,

mammography, HIV examination) - behaviours that can be viewed as dangerous because the examination could disclose a

severe disease. (Kiene 2005)

In contrast, because folk lean to avert risks in the cheek of prospective gains, gain-framed appeals should be more efficient

than loss-framed appeals in promoting preventative health behaviours (e. g. , exercising, using sunscreen)-behaviours

typically viewed as involving negligible danger because their finish is to forbid disease. (Kahneman 1979)

An amount of observational studies back this abstract framework. Thus, because vaccination is a preventative health

conduct that involves negligible danger, predictions derived from outlook hypothesis would indicate that a gain-framed

content should head to greater approval of the HPV vaccine than should a loss-framed content. (Lee 2004)

Yet, there are too reasons for thinking that a loss-framed charm may be more productive than a gain-framed charm in

fostering vaccine approval. (Maheswaran 1990)First, although vaccination is a preventative health conduct, it may be viewed

as dangerous for concern that injecting an international content into the system could present original harms quite than offer

security. (Maner in press) For instance, despite evidence to the different, some parents are unsure to vaccinate their

children against measles - mumps - rubella (MMR) because they think that the MMR vaccine causes autism. (Mann &

Sherman 2004)
Even the very act of receiving an injection could be seen as dangerous in the sense that it mostly involves some degree of

pain and soreness. (McCaul 2002)Furthermore, beliefs that the vaccine might not be efficient in preventing HPV

transmission could evoke upward notions of danger.

For these reasons, a loss-framed content may evoke greater stake in vaccination than a gain-framed content. Researchers

have hypothesized that the comparative effectiveness of gain- as well as loss-framed messages may differ with the level of

effort required to carry out the preventive health behaviour. (Millar 2000)Purposely, it has been recommended that loss-

framed messages might surpass gain-framed messages in inspiring disease prevention behaviours-for instance vaccination-

that do not need concerted effort. (Petty 1984)


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Earlier studies supporting the benefit of gain- over loss-framed messages have alerted approximately solely on preventive

health behaviours that necessitate regular, repeated act to be effective. Whether these results be relevant to vaccination-a

behavior that normally requires fewer effort than a lot of other precautionary health behaviours-is unknown. (Rothman 1999)

Earlier research decides that message framing effects frequently depend on uniqueness of the message recipient. One

characteristic that serves as a significant mediator of message framing effects is individual involvement with the subject

addressed in the message. (Rothman 2006) Steady with evidence that personal participation motivates individuals to

develop a message more deeply; framing effects are time after time originated when a message is supposed to be highly

relevant. (Robberson 1988)

For instance, few researchers found that a gain-framed message arguing sun protection led to superior interest in sunscreen

use rather than a loss-framed message except only amongst participants who were anxious about skin cancer (i.e., women).

On the other hand, under conditions of small relevance, framing be likely to have modest effect. Therefore, in the current

study we will predict that framing effects, should they be observed at all, would be found mainly among those who perceive

the HPV vaccine to be in person applicable. (Schneider 2001)

Theory as well as research also proposes that framing effects may be restrained by individual dissimilarities in approach-

avoidance motivation. (Villa 2005)While a number of people are particularly sensitive to reward cues as well as look for

move toward positive results, others are further responsive to threat cues as well as are motivated to avoid negative

outcomes. (Tversky 1981)

Some proofs propose that individuals may be further receptive to messages which agree with their motivational point of

reference. (Winer 2006) Purposely, gain-framed messages likely to be mainly effective for approach-oriented individuals,

while loss-framed messages likely to be most efficient for avoidance-oriented individuals. (Zimet 2005)

Therefore, we predicted that framing effects would be observed most obviously when the frame of the health message was

reliable with the motivational orientation of the receiver.

Chapter Three: Methodology


Participants

African American feminine undergraduate students (n = 127) recruited from Florida State University participated for class

recognition. the closing sampling will be of 121 women.

Procedures & Material

Participants will be running in groups of 2 to 10 individuals. After a short creation, participants will be required to finish a pre-

manipulation study that will be assessed demographic data, intimate conduct, and STI story. Next they will be given 5 min to

learn a 2-page pamphlet that provided data about HPV transmission (its prevalence, infection, diagnosis, handling, danger

factors, association with cervical cancer) and the upcoming HPV vaccines.

Measures

Participants will be arbitrarily assigned to learn either a gain- or loss-framed content about the HPV vaccine Number of life

intimate partners and frequency of using STI security will be assessed on the pre-manipulation study. All new variables

included in the analyses will be assessed on the post-manipulation study, after participants will be exposed to the health

information.
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