Background: In Italy, attendance rates for colorectal cancer (CRC) screening are suboptimal. The present work analysed cognitive and emotional predictors of CRC screening intention and tested an intervention on a real invitation letter to improve CRC screening intention, both directly and in interaction with the predictors of our model. Methods: Our model included variables from the theory of planned behaviour and the emotional barriers to bowel screening scale. We applied six changes to an invitation letter used in Italy to avoid the repetition of words like ‘faeces’, ‘blood’, or ‘occult’ and reduce the prompting of disgust. The 228 participants were randomly assigned to a between-participants design (original letter vs. manipulated letter). Results: Disgust hindered CRC screening intention, while embarrassment, fear, and subjective norms (i.e., perception of the social pressures to attend CRC screening) were not associated with intention to screen. More positive attitudes towards CRC screening were associated with a higher intention to screen. The positive association between perceived behavioural control and CRC screening intention was stronger for participants who read the letter with fewer (vs. more) references to bodily waste. Letter manipulation did not affect intention to screen. Conclusions: The disgust associated with faecal matter is a critical factor in determining CRC screening attendance, and it should be acknowledged as such in public policies. Until new screening tests avoiding the activation of this emotional reaction are concretely available, public campaigns should improve CRC screening participation by boosting both positive attitudes towards screening and patients’ perceived behavioural control

Psychosocial Predictors of Colorectal Cancer Screening Intention: An Experiment on the Invitation Letter / Scaglioni, G; Chiereghin, A; Bazzani, C; Mezzetti, F; Cavazza, N. - In: INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE. - ISSN 1070-5503. - 30:6(2023), pp. 867-877. [10.1007/s12529-022-10142-1]

Psychosocial Predictors of Colorectal Cancer Screening Intention: An Experiment on the Invitation Letter

Scaglioni G
;
Cavazza N
2023

Abstract

Background: In Italy, attendance rates for colorectal cancer (CRC) screening are suboptimal. The present work analysed cognitive and emotional predictors of CRC screening intention and tested an intervention on a real invitation letter to improve CRC screening intention, both directly and in interaction with the predictors of our model. Methods: Our model included variables from the theory of planned behaviour and the emotional barriers to bowel screening scale. We applied six changes to an invitation letter used in Italy to avoid the repetition of words like ‘faeces’, ‘blood’, or ‘occult’ and reduce the prompting of disgust. The 228 participants were randomly assigned to a between-participants design (original letter vs. manipulated letter). Results: Disgust hindered CRC screening intention, while embarrassment, fear, and subjective norms (i.e., perception of the social pressures to attend CRC screening) were not associated with intention to screen. More positive attitudes towards CRC screening were associated with a higher intention to screen. The positive association between perceived behavioural control and CRC screening intention was stronger for participants who read the letter with fewer (vs. more) references to bodily waste. Letter manipulation did not affect intention to screen. Conclusions: The disgust associated with faecal matter is a critical factor in determining CRC screening attendance, and it should be acknowledged as such in public policies. Until new screening tests avoiding the activation of this emotional reaction are concretely available, public campaigns should improve CRC screening participation by boosting both positive attitudes towards screening and patients’ perceived behavioural control
2023
2022
30
6
867
877
Psychosocial Predictors of Colorectal Cancer Screening Intention: An Experiment on the Invitation Letter / Scaglioni, G; Chiereghin, A; Bazzani, C; Mezzetti, F; Cavazza, N. - In: INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE. - ISSN 1070-5503. - 30:6(2023), pp. 867-877. [10.1007/s12529-022-10142-1]
Scaglioni, G; Chiereghin, A; Bazzani, C; Mezzetti, F; Cavazza, N
File in questo prodotto:
File Dimensione Formato  
Studio Lettera Scaglioni et al..pdf

Open Access dal 15/12/2023

Tipologia: Versione dell'autore revisionata e accettata per la pubblicazione
Dimensione 272.15 kB
Formato Adobe PDF
272.15 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1298027
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 2
  • ???jsp.display-item.citation.isi??? 3
social impact