Assessing perceptions of cancer risk: does mode of assessment or numeracy matter?
BACKGROUND
Many existing models of health behavior advance perceived risk for disease as a key motivator of risk-reduction behavior. Thus evaluating contextual factors that may influence assessment of perceived risk is important. We examined (1) how mode of assessment (mail, telephone, web-based) and numeracy affect reported estimates of perceived risk of colon cancer, and (2) how the amount of missing perceived risk data differs as a function of mode of assessment and numeracy.


METHODS
Women (N=457; mean age=61.3 years) with and without Internet access participated. Women without Internet access (n=233) were randomized into telephone or mail modes of assessment, and women with Internet access (n=224) were randomized into telephone, mail, or web-based modes of assessment. Numeracy and four different estimates of perceived lifetime risk for colon cancer (personal percentage, population percentage, comparative, binary) were assessed.


RESULTS
No significant differences were found in obtained risk estimates for any of the four risk perception items across the different modes of assessment. Greater numeracy was associated with lower percentage estimates of perceived risk. In general, the telephone mode of assessment yielded less missing data than the mail mode of assessment.


CONCLUSIONS
Mode of assessment largely does not matter when it comes to assessing perceived colon cancer risk. However, numeracy does matter and specifically impacts percentage estimates of perceived risk. While web-based, mail, and telephone modes may be used interchangeably when assessing perceived cancer risk; less missing data may result with telephone data collection.
Human Cancer Genetics, The Ohio State University Comprehensive Cancer Center, 646 Medical Research Facility, 420 W. 12th Avenue,Columbus, OH, United States. kimberly.kelly@osumc.edu
Kimberly M
KM
Kelly
Kristi D
KD
Graves
Felicity W K
FW
Harper
John E
JE
Schmidt
Stephanie L
SL
Dickinson
Michael A
MA
Andrykowski
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003110:Colonic Neoplasms / Q000453:epidemiology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D018570:Risk Assessment / Q000379:methods