Breast Self-Examination Pamphlets: A Content Analysis Grounded in Fear Appeal Research

In this study, we used the topic of breast self-examination (BSE) to illustrate how content analysis of promotional texts (already in existence, in the process of being created, or both) can provide supplementary data to that derived from audience analysis. Specifically, we used content analysis to isolate messages in BSE pamphlets that are consistent with the variables of severity, susceptibility, response efficacy, and self-efficacy, identified by existing fear appeal research and supported by other persuasion research as critical to the construction of effective health promotion messages. We then used statistical analyses to describe the relation among these 4 message variables. Our findings suggested that BSE pamphlets contain an unbalanced proportion of threat to efficacy arguments. Additionally, the efficacy messages were substantively weak. We contrasted these messages against the relatively strong mammography arguments contained in these pamphlets. We then provided recommendations for formulating stronger persuasive arguments in BSE promotional materials.

[1]  Jacob Cohen.  A Coefficient of Agreement for Nominal Scales , 1960 .

[2]  K. Witte,et al.  The Role of Threat and Efficacy in AIDS Prevention , 1991, International quarterly of community health education.

[3]  K. Witte.  Fear control and danger control: A test of the extended parallel process model (EPPM) , 1994 .

[4]  Linda A. Moore,et al.  Relationship of self‐concept, health locus of control, and perceived cancer treatment options to the practice of breast self‐examination , 1990, Cancer nursing.

[5]  O. Holsti.  Content Analysis for the Social Sciences and Humanities , 1969 .

[6]  P. Trotta.  Breast self-examination: factors influencing compliance. , 1980, Oncology nursing forum.

[7]  James Price Dillard,et al.  Rethinkin the Study of Fear Appeals: An Emotional Perspective , 1994 .

[8]  Colin Seymour-Ure,et al.  Content Analysis in Communication Research. , 1972 .

[9]  K. Witte.  Putting the fear back into fear appeals: The extended parallel process model , 1992 .

[10]  James E. Grunig.  Research Methods in Mass Communication, Guido H. Stempel, Bruce H. Westley (Eds.). Prentice-Hall, Englewood Cliffs, N.J. (1981) , 1982 .

[11]  B. Hailey,et al.  The Effects of Message Framing and Feelings of Susceptibility to Breast Cancer on Reported Frequency of Breast Self-Examination , 1989, International quarterly of community health education.

[12]  M. Becker,et al.  The Health Belief Model: Origins and Correlates in Psychological Theory* , 1974 .

[13]  I. Rosenstock.  Historical Origins of the Health Belief Model , 1974 .

[14]  R. Rogers.  Cognitive and physiological processes in fear appeals and attitude change: a revised theory of prote , 1983 .

[15]  M. Becker,et al.  The Health Belief Model: A Decade Later , 1984, Health education quarterly.

[16]  K Witte,et al.  Preventing the Spread of Genital Warts: Using Fear Appeals to Promote Self-Protective Behaviors , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[17]  R. Weber.  Basic content analysis, 2nd ed. , 1990 .

[18]  Klaus Krippendorff,et al.  Content Analysis: An Introduction to Its Methodology , 1980 .

[19]  K. Grady.  The efficacy of breast self-examination. , 1992, Journal of Gerontology.

[20]  T. K. Miller,et al.  Variables Related to Breast Self-Examination: Model Generation , 1992 .

[21]  R. W. Rogers,et al.  Effects of components of protection-motivation theory on adaptive and maladaptive coping with a health threat. , 1987, Journal of personality and social psychology.

[22]  H. Leventhal,et al.  Findings and Theory in the Study of Fear Communications , 1970 .

[23]  T. Peterson,et al.  Preventing Tractor-Related Injuries and Deaths in Rural Populations: Using a Persuasive Health Message Framework in Formative Evaluation Research , 1992, International quarterly of community health education.

[24]  K N Kline.  Reading and reforming breast self-examination discourse: claiming missed opportunities for empowerment. , 1999, Journal of health communication.

[25]  R. Gold,et al.  An assessment of three alternative formats for promoting breast self‐examination , 1983, Cancer nursing.

[26]  R. Mcdermott,et al.  Evaluation of two pedagogical techniques for enhancing knowledge, attitudes, and frequency of practice related to breast self-examination. , 1983, Health education.

[27]  M. Mattson,et al.  Toward a reconceptualization of communication cues to action in the Health Belief Model: HIV test counseling. , 1999, Communication monographs.

[28]  Anna M. Miller,et al.  Adherence to Mammography and Breast Self-Examination Regimens , 1997 .

[29]  R. W. Rogers,et al.  A Protection Motivation Theory of Fear Appeals and Attitude Change1. , 1975, The Journal of psychology.

[30]  S. Chaiken,et al.  The effect of message framing on breast self-examination attitudes, intentions, and behavior. , 1987, Journal of personality and social psychology.