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Int. J. Environ. Res. Public Health 2017, 14(7), 769; https://doi.org/10.3390/ijerph14070769

Effects of Promotional Materials on Attitudes and Fear towards Colorectal Cancer Screening among Chinese Older Adults: An Experimental Study

1
The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China
2
School of Health Sciences, Caritas Institute of Higher Education, Hong Kong, China
3
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China
*
Author to whom correspondence should be addressed.
Received: 26 April 2017 / Revised: 4 July 2017 / Accepted: 9 July 2017 / Published: 13 July 2017
(This article belongs to the Section Global Health)
View Full-Text   |   Download PDF [311 KB, uploaded 13 July 2017]

Abstract

Colorectal cancer (CRC) screening is a cost-effective prevention and control strategy. However, the promotion of CRC screening for older adults may be difficult because reading CRC prevention information may evoke embarrassment, fear, and anxiety towards the screening procedure and cancer diagnosis. This study aims to (1) examine the effects of three promotional materials for CRC screening on the attitudes toward CRC screening tests (screening interest, screening effectiveness, and trust in the screening results) and cancer fear, and (2) to explore the interaction effect of cancer fear with screening effectiveness and trust in the screening results on screening interest of the three screening tests (fecal occult blood test (FOBT), flexible sigmoidoscopy, and colonoscopy) among Chinese older adults. A total of 114 community-dwelling older adults were asked to look at the corresponding promotional materials (pamphlet, cartoon, and video) of one of the three study groups. The pamphlet and video represent convention strategies and the cartoon represents an innovative strategy. No significant difference was observed in the screening interest and cancer fear across groups. FOBT was the most preferred screening modality. The video group has a large proportion agreed screening effectiveness of flexible sigmoidoscopy than pamphlet and cartoon groups and trusted in the screening results for FOBT and flexible sigmoidoscopy than the pamphlet group. Logistic regression results showed that the effect of trust in the screening results on screening interest for colonoscopy was greater among participants with higher cancer fear than those with lower cancer fear level. In conclusion, the three promotional groups had produced similar results in their attitudes toward CRC screening and cancer fear. The use of cartoons may be a comparable approach with conventional methods in the promotion of CRC screening. Additional components that can arouse fear and boost response efficacy simultaneously might also be useful for the effective promotion of colonoscopy among Chinese older adults. View Full-Text
Keywords: colorectal cancer; screening; screening interest; cancer fear colorectal cancer; screening; screening interest; cancer fear
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Leung, D.Y.P.; Chen, J.M.T.; Lou, V.W.Q.; Wong, E.M.L.; Chan, A.W.K.; So, W.K.W.; Chan, C.W.H. Effects of Promotional Materials on Attitudes and Fear towards Colorectal Cancer Screening among Chinese Older Adults: An Experimental Study. Int. J. Environ. Res. Public Health 2017, 14, 769.

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