title: A serial mediation model of message framing on intentions to receive the human papillomavirus (HPV) vaccine: revisiting the role of threat and efficacy perceptions.
abstract: Previous research has yielded mixed findings regarding the potential for message framing to influence HPV vaccine-related intentions. Drawing on the Extended Parallel Process Model (EPPM), the current study focuses on the role of threat and efficacy as serial mediators linking message framing and HPV vaccine-related intentions. College-age females and their parents participated in a between-subjects, posttest only experiment to investigate whether behavioral intentions to talk to a doctor about the HPV vaccine differ as a function of framing messages in terms of disease prevention. For young women, framing messages as preventing genital warts (as compared to cancer prevention) significantly increased perceptions of self-efficacy, which enhanced response efficacy perceptions that, in turn, increased intentions to talk to a doctor about the HPV vaccine. There were no effects of message framing among parents. However, response efficacy was a significant mediator of self-efficacy and behavioral intentions for both the college-age females and their parents. The results of this study suggest new approaches for considering the relationship among EPPM constructs.
authors: School of Communication, The Ohio State University, Columbus OH 43221, USA. raup-krieger.1@osu.edu
authors: Janice L
authors: JL
authors: Krieger
authors: Melanie A
authors: MA
authors: Sarge
mesh_terms: D000293:Adolescent; D005239:Fear; D005260:Female; D006293:Health Promotion; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data*; D033182:Intention; D015146:Midwestern United States; D008960:Models, Psychological; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*; D010290:Parents / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010565:Persuasive Communication; D040242:Risk Reduction Behavior; D020377:Self Efficacy; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines