Practice and Persuasive Frame: Effects on Beliefs, Intention, and Performance of a Cancer Self‐Examination1

Many behaviors are performed less frequently than intended because they require knowledge and skill to overcome behavioral barriers. This experiment tested effects of two factors, direct experience and message frame, that were hypothesized to affect men's intention to perform the testicle self-exam for cancer (TSE) and their actual exam performance, in part by affecting their knowledge and beliefs about overcoming TSE performance barriers. Men's experience performing the TSE on a life-like model and the frame (negative, positive, or neutral) of the recommendation promoting the exam were manipulated factorially. Consistent with prediction, men who practiced (vs. did not practice) the self-exam: (a) endorsed stronger beliefs about behavior-specific knowledge (e.g., ability to imagine a lump), (b) held more positive intention, and (c) translated that intention more consistently into self-reported action, in part because their behavior-specific knowledge increased their tendency to act on their intention. Consistent with action phase theory (Gollwitzer, 1990), intention related more strongly to behavior-specific beliefs than to general, long-term beliefs, and more strongly than attitude related to behavior-specific beliefs. These findings have practical and theoretical implications for promoting healthful and other intended behaviors.

[1]  V. Champion.  Use of the health belief model in determining frequency of breast self-examination. , 1985, Research in nursing & health.

[2]  Joan Meyers-Levy,et al.  The Influence of Message Framing and Issue Involvement , 1990 .

[3]  Icek Ajzen,et al.  From Intentions to Actions: A Theory of Planned Behavior , 1985 .

[4]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[5]  S. Yantis,et al.  Amount of information about the attitude object and attitude-behavior consistency. , 1985, Journal of personality and social psychology.

[6]  J. Langlie.  Interrelationships among preventive health behaviors: a test of competing hypotheses. , 1979, Public health reports.

[7]  J. Cacioppo,et al.  Issue involvement can increase or decrease persuasion by enhancing message-relevant cognitive responses. , 1979 .

[8]  Robert G. Brubaker,et al.  Encouraging the practice of testicular self-examination: a field application of the theory of reasoned action. , 1990 .

[9]  Neil D. Weinstein,et al.  The precaution adoption process. , 1988 .

[10]  C. Mettlin,et al.  Effectiveness of a community program to promote early breast cancer detection , 1981, Journal of surgical oncology.

[11]  A. Liska.  A critical examination of the causal structure of the Fishbein/Ajzen attitude–behavior model. , 1984 .

[12]  A. Tversky,et al.  Prospect Theory : An Analysis of Decision under Risk Author ( s ) : , 2007 .

[13]  I. Ajzen,et al.  Intention, perceived control, and weight loss: an application of the theory of planned behavior. , 1985, Journal of personality and social psychology.

[14]  P M Sandman,et al.  A model of the precaution adoption process: evidence from home radon testing. , 1992, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[15]  I. Ajzen,et al.  A Comparison of the Theory of Planned Behavior and the Theory of Reasoned Action , 1992 .

[16]  Wendy Wood,et al.  Access to Attitude-Relevant Information in Memory as a Determinant of Attitude-Behavior Consistency , 1986 .

[17]  I. Ajzen,et al.  Prediction of goal directed behaviour: Attitudes, intentions and perceived behavioural control , 1986 .

[18]  Carlin Pj.  Testicular self-examination: a public awareness program. , 1986 .

[19]  M. Zanna,et al.  Direct Experience And Attitude-Behavior Consistency , 1981 .

[20]  V. J. Steffen,et al.  Men's Motivation to Perform the Testicle Self‐Exam: Effects of Prior Knowledge and an Educational Brochure , 1990 .

[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]  E. Turnbull.  Effect of Basic Preventive Health Practices and Mass Media on the Practice of Breast Self‐Examination , 1978, Kango kenkyu. The Japanese journal of nursing research.

[23]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[24]  Sandella Ja.  Programmed instruction: cancer care. Cancer prevention and detection: testicular cancer. , 1983 .

[25]  A. Tversky,et al.  Prospect theory: analysis of decision under risk , 1979 .

[26]  A. Tversky,et al.  The Psychology of Preferences , 1982 .

[27]  D. Reddy,et al.  Predictors of proficient technique and successful lesion detection in breast self-examination. , 1984, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[28]  Shelly Chaiken,et al.  The effect of message framing on breast self-examination attitudes, intentions, and behavior. , 1987, Journal of Personality and Social Psychology.

[29]  W. Wood.  Retrieval of attitude-relevant information from memory: Effects on susceptibility to persuasion and on intrinsic motivation. , 1982 .

[30]  V. Gruber,et al.  Direct experience with a cancer self-exam: effects on cognitions and behavior. , 1991, The Journal of social psychology.

[31]  The Contemplation Ladder: validation of a measure of readiness to consider smoking cessation. , 1991 .

[32]  A. Tversky,et al.  The framing of decisions and the psychology of choice. , 1981, Science.

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

[34]  P. Friman,et al.  Testicular self-examination: validation of a training strategy for early cancer detection. , 1986, Journal of applied behavior analysis.