title: Promoting mammography screening among Chinese American women using a message-framing intervention.
abstract: OBJECTIVE
  This study examined the role of women's perceptions about the relative pros versus cons (decisional balance) of mammography in moderating Chinese American women's responses to gain- and loss-framed messages that promote mammography.
  
  
  METHODS
  One hundred and forty-three Chinese American women who were currently nonadherent to guidelines for receiving annual screening mammograms were randomly assigned to read either a gain- or loss-framed culturally appropriate print brochure about mammography screening. Mammography screening was self-reported at a 2-month follow-up.
  
  
  RESULTS
  Although there was not a main effect for message frame, the hypothesized interaction between message frame and decisional balance was significant, indicating that women who received a framed message that matched their decisional balance were significantly more likely to have obtained a mammogram by the follow-up than women who received a mismatched message.
  
  
  CONCLUSIONS
  Results suggest that decisional balance, and more generally, perceptions about mammography, may be an important moderator of framing effects for mammography among Chinese American women.
  
  
  CONCLUSIONS
  The match between message frame and decisional balance should be considered when attempting to encourage Chinese American women to receive mammography screening, as a match between the two may be most persuasive.
authors: School of Nursing, Stony Brook University, Stony Brook, USA.
authors: Yiyuan
authors: Y
authors: Sun
authors: Department of Psychology, Stony Brook University, Stony Brook, USA. Electronic address: elizabeth.sarma@stonybrook.edu.
authors: Elizabeth A
authors: EA
authors: Sarma
authors: Department of Psychology, Stony Brook University, Stony Brook, USA.
authors: Anne
authors: A
authors: Moyer
authors: Department of Preventive Medicine, Stony Brook University, Stony Brook, USA.
authors: Catherine R
authors: CR
authors: Messina
mesh_terms: D000328:Adult; D001213:Asian / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology; D001943:Breast Neoplasms / Q000175:diagnosis / Q000208:ethnology / Q000517:prevention & control / Q000523:psychology; D055088:Early Detection of Cancer; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D054625:Healthcare Disparities; D006801:Humans; D008327:Mammography / Q000523:psychology* / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000523:psychology*; D008875:Middle Aged; D010174:Pamphlets; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000523:psychology / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D010565:Persuasive Communication
keywords: Decisional balance; Health disparities; Mammography; Message framing; Persuasion