Effect of message framing on colorectal cancer screening in Japan:

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  • OGASAWARA Yuri
    Graduate School of Public Health, Teikyo University
  • AMANO Hoichi
    Graduate School of Public Health, Teikyo University Department of Social and Behavioral Science, Harvard. T.H. Chan School of Public Health
  • OGAWA Runa
    Graduate School of Public Health, Teikyo University
  • FUKUDA Yoshiharu
    Graduate School of Public Health, Teikyo University

Bibliographic Information

Other Title
  • 大腸がん検診受診率向上のための適切な健康メッセージの検証
  • 大腸がん検診受診率向上のための適切な健康メッセージの検証 : クラスター無作為割付試験
  • ダイチョウ ガン ケンシン ジュシンリツ コウジョウ ノ タメ ノ テキセツ ナ ケンコウ メッセージ ノ ケンショウ : クラスター ムサクイ ワリツケ シケン
  • a cluster randomized controlled trial
  • ―クラスター無作為割付試験

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Abstract

<p>Objective: This study aimed to examine the effect of message framing on colorectal cancer screening in Japan.</p><p>Methods: The study enrolled 788 participants aged 40 to 74 years who were members of the National Health Insurance Society. The participants belonged to 26 branches/clusters, which were divided into two groups that were then provided with two kinds of leaflets with different messages. One (group A) emphasized the ease and low cost of examination, whereas the other (group B) emphasized the risk of colorectal cancer and health impact. The primary outcome was the collection rate of fecal occult blood test kits. Logistic regression analysis was used to calculate the odds ratio of the collection rate by two different messages after adjusting for age, sex, and other potential confounders.</p><p>Results: No significant differences were seen in the age, sex and history of health checkup attendance between the two groups. The significant difference in the collection rate was not recognized (group A: 22.6%, group B: 26.0%, P=0.278). Similar results were obtained in the multivariate analysis.</p><p>Conclusion: Differences in message framing showed no distinct effects on colorectal cancer screening. However, the entire collection rate of fecal occult blood test kits in both groups increased after the distribution of leaflets. Further studies are needed to assess the effect of message framing on colorectal cancer screening.</p>

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