Persuading Physicians to Test Their Patients' Level of Kidney Functioning: The Effects of Message Frame and Point of View

Roberto, Anthony J.; Goodall, Catherine E.; West, Patricia M.; Mahan, John D.

doi:10.1080/10410230903544902

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…In total, 406 pediatricians completed and returned this survey, for an overall response rate of 34.7%. This sample size compares favorably to those obtained in other recent health communication studies using a survey research method with physicians as research participants ( M = 101, range = 46–152) (Roberto, Goodall, West, & Mahan, 2010; Bertakis & Azari, 2007; Kelly, Thompson, & Waters, 2006). This sample size also compares favorably to the nine TRA studies that used physicians as research patricians reviewed by Perkins et al (2007).…”

Section: Method1supporting

confidence: 59%

Predicting Pediatricians' Communication With Parents About the Human Papillomavirus (HPV) Vaccine: An Application of the Theory of Reasoned Action

Roberto

Krieger

Katz

et al. 2011

Health Communication

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This study examines the ability of the theory of reasoned action (TRA) and the theory of planned behavior (TPB) to predict whether or not pediatricians encourage parents to get their adolescent daughters vaccinated against the human papillomavirus (HPV). Four-hundred and six pediatricians completed a mail survey measuring attitudes, subjective norms, perceived behavioral control, intentions, and behavior. Results indicate that pediatricians have positive attitudes, subjective norms, and perceived behavioral control toward encouraging parents to get their daughters vaccinated, that they intend to regularly encourage parents to get their daughters vaccinated against HPV in the next 30 days, and that they had regularly encouraged parents to get their daughters vaccinated against HPV in the past 30 days (behavior). Though the data were consistent with both the TRA and TPB models, results indicate that perceived behavioral control adds only slightly to the overall predictive power of the TRA, suggesting that attitudes and norms may be more important targets for interventions dealing with this topic and audience. No gender differences were observed for any of the individual variables or the overall fit of either model. These findings have important theoretical and practical implications for the development of health communication messages targeting health care providers in general, and for those designed to influence pediatricians’ communication with parents regarding the HPV vaccine in particular.

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Section: Method1supporting

confidence: 59%

Predicting Pediatricians' Communication With Parents About the Human Papillomavirus (HPV) Vaccine: An Application of the Theory of Reasoned Action

Roberto

Krieger

Katz

et al. 2011

Health Communication

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“…As noted by Salovey and Wegener (2003, p. 61), some health‐related behaviors, such as Pap tests and colonoscopies, might plausibly be described as either (or both) a disease‐detection behavior or a disease‐prevention behavior; in the interest of focusing on clear‐cut studies of disease detection behaviors, studies of such “dual‐function” behaviors were excluded (Miles, Brotherstone, Robb, Atkin, & Wardle, 2005; Mullins, 2005; Rivers, Salovey, Pizarro, Pizzaro, & Schneider, 2005; Wilkin, 2004). Following similar reasoning, we excluded studies in which a message advocated both detection behaviors and prevention behaviors (Block & Keller, 1995, Study 1) and studies in which the disease condition to be detected was not the audience's (Nan, 2007a, other target condition; Nan, 2007c; Roberto, Goodall, West, & Mahan, in press).…”

Section: Methodsmentioning

confidence: 99%

The Relative Persuasiveness of Gain-Framed and Loss-Framed Messages for Encouraging Disease Detection Behaviors: A Meta-Analytic Review

O’Keefe

Jensen

2009

Journal of Communication

327

204

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A meta-analytic review of 53 studies (N = 9,145) finds that in messages aimed at encouraging disease detection behaviors, loss-framed appeals (which emphasize the disadvantages of noncompliance with the communicator's recommendation) are only slightly, but statistically significantly, more persuasive than gain-framed appeals (which emphasize the advantages of compliance); the difference corresponds to a correlation of −.04. Loss-framed appeals enjoy a small statistically significant advantage for messages advocating breast cancer detection behaviors, but not for any other kind of detection behavior (detection of skin cancer, other cancers, dental problems, or miscellaneous other diseases) nor for all other kinds of detection behaviors combined. Thus, in advocacy of disease detection behaviors, using loss-framed rather than gain-framed appeals is unlikely to substantially improve persuasiveness.

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“…As with patients who may adhere to preconceived and anticipated outcomes of living kidney donation, clinicians are influenced by personal experiences, patient expectations and culture (Roberto, 2010;Majeske, 1996 The goal for excellence in medical practice is the treatment of the patient and the care they are afforded, whereas the goal within research is the contribution to scientific knowledge. Though transplantation is no longer considered to be experimental as it once was (McRae, 2006), there are newer methods of achieving transplantation that may only be used at the discretion of the clinician or when more traditional methods are less likely to be successful.…”

Section: Primum Non Nocere: First Do No Harmmentioning

confidence: 99%

“…Clinicians often frame messages to patients in terms of gain and loss and levels of risk to the patient (Tversky & Kahneman, 1981;Roberto, 2010) in order to convey consequences of patient behaviours and decisions. For instance, the cost of physical discomfort to the donor or even their death due to a complication must be weighed against the perceived psychological benefit of helping another person achieve better quality of life or contributing to the common good (Kuczewski, 2002).…”

Section: Primum Non Nocere: First Do No Harmmentioning

confidence: 99%

The living donor study: the concepts and frames of living kidney donors

Cunningham¹,

Leach²,

Fawcett³

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This thesis explores the concepts and frames of living kidney donors through the use of recorded and transcribed conversations between living kidney donor patients and their transplant team. It offers insight into the expectations of living kidney donors as they prepare themselves to gift a kidney to someone they know.Living kidney donor frames are represented as particularly resilient and well-defined, shielding them from messages delivered by their transplant team. Those frames incorporate their acceptance as living kidney donors, the risk to themselves and their own personal definitions of autonomy and choice.With the intention of using phenomenological discourse analysis to examine the recorded and transcribed data, ten potential living kidney donors and their recipients were invited to take part in a PhD project entitled the Living Donor Study at the Princess Alexandra Hospital, in Queensland Australia. Transcriptions were analysed using line-by-line and axial coding and living donor transcripts were repeatedly compared with one another in order to reach an appropriate level of saturation and provide evidence of re-emerging concepts and frames.Data for the Living Donor Study were obtained during the living kidney donor's initial transplant assessment clinic visit. The purpose of this project was to examine prospective accounts of the living donation experience using conversations with their transplant team as opposed to using retrospective questionnaires and interviewing methods. By eliminating much of the subjectivity that is common in ex post facto interviews, I was able to identify many of the concepts that assist living kidney donors in framing their experience and how those frames impact upon their expectations of the transplant assessment clinic and their upcoming donation.

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Persuading Physicians to Test Their Patients' Level of Kidney Functioning: The Effects of Message Frame and Point of View

Cited by 7 publications

References 30 publications

Predicting Pediatricians' Communication With Parents About the Human Papillomavirus (HPV) Vaccine: An Application of the Theory of Reasoned Action

Predicting Pediatricians' Communication With Parents About the Human Papillomavirus (HPV) Vaccine: An Application of the Theory of Reasoned Action

The Relative Persuasiveness of Gain-Framed and Loss-Framed Messages for Encouraging Disease Detection Behaviors: A Meta-Analytic Review

The living donor study: the concepts and frames of living kidney donors

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