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Miller SM , Buzaglo JS , Simms SL , Green V , Bales C , Mangan CE , Sedlacek TV
Monitoring styles in women at risk for cervical cancer: Implications for the framing of health-relevant messages
Annals of Behavioral Medicine. 1999 Win;21(1) :27-34
PMID: ISI:000085538800005   
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Abstract
We explored the intel action effects of individual attentional style (high versus low monitoring) and the framing of informational messages on the responses of women undergoing diagnostic follow-lip (colposcopy)for precancerons cervical lesions. Prior to the colposcopic procedure, patients (N=76) were randomly assigned to one of three preparatory conditions: (a) Loss-framed message, which emphasized the cost of nonadherence to screening recommendations; (b) cain-framed message, which emphasized the benefit of adherence; and (c) Neurrally-framed message. It was hypothesized that low monitors (who are more positively biased about their health) would show a move adaptive pattern of response to loss-framed information than high monitors (who are more negatively biased about their health). The results of a series of hierarchical multiple regression analyses were consistent with this prediction. Low monitoring was associated with greater knowledge retention (beta = .61, p < .05) and less canceling/ rescheduling of follow-up appointments in the loss condition than in the neutral condition (beta = .82, p < .002). High monitoring, however was associated with greater intrusive ideation when information was presented in the loss-oriented frame as compared to the neutral frame (beta = .99, p < .01). Knowledge retention and screening adherence were not affected by the framing manipulation The differences between high versus low monitors as a function of loss or neutral frame suggest an interaction effect, wherein both the type of framing message and the individual's attentional style lend to distinctive cognitive-affective and behavioral patterns. The findings may have clinical implications for the tailoring of health messages to the individual's signature style.
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Times Cited: 1 English Article 288AC ANN BEHAVIORAL MED