Reactions to online colorectal cancer risk estimates among a nationally representative sample of adults who have never been screened.

Data on the public’s reactions to online tailored colorectal cancer (CRC) risk estimates are sparse. We assessed among 560 men and women aged 50-75 with no CRC screening history reactions to online tailored CRC estimated comparative risk (i.e., self vs. other their age and sex). Assessed were reacti...

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Published in:Journal of Behavioral Medicine Vol. 41; no. 3; pp. 289 - 299
Main Authors: Lipkus, Isaac M., Johnson, Constance M., Amarasekara, Sathya, Pan, Wei, Updegraff, John A.
Format: research tables/charts Journal Article
Published: Springer Nature Jun2018
Online Access:View this record in EBSCOhost
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      dt: Jun2018
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10865-017-9902-7
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        atl: Reactions to online colorectal cancer risk estimates among a nationally representative sample of adults who have never been screened.
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          Lipkus, Isaac M.
          Johnson, Constance M.
          Amarasekara, Sathya
          Pan, Wei
          Updegraff, John A.
        affil: Duke University School of Nursing, 307 Trent Dr., 27710, Durham, NC, USA
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        subj:
          Colorectal Neoplasms Risk Factors
          Colorectal Neoplasms Diagnosis
          Risk Assessment
          Attitude to Risk
          Cancer Screening
          Online Services
          Human
          Male
          Female
          Middle Age
          Aged
          Sex Factors
          Intention
          Validity
          Emotions
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Data on the public’s reactions to online tailored colorectal cancer (CRC) risk estimates are sparse. We assessed among 560 men and women aged 50-75 with no CRC screening history reactions to online tailored CRC estimated comparative risk (i.e., self vs. other their age and sex). Assessed were reactions to estimate (i.e., repeating back estimate, match between perceived comparative risk and estimate, accuracy and usefulness of estimate, emotional reactions), risk appraisals and screening intentions. 73% of the sample accurately repeated back their estimate; the match between perceived comparative risk and the estimate was lowest among those informed of being at higher risk. Higher estimates were viewed as less useful and evoked more negative emotions. Viewing the estimate as more useful and experiencing more negative emotions were related with higher risk appraisals and, in turn, screening intentions. These data indicate that adults at higher comparative risk resist accepting a higher risk status.
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    language: English
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