caa a22 4500 605544840 CHVBK 20210128100933.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10897-014-9808-2 doi (NATIONALLICENCE)springer-10.1007/s10897-014-9808-2 Framing recommendations to promote prevention behaviors among people at high risk: A simulation study of responses to melanoma genetic test reporting [Elektronische Daten] [Jennifer Taber, Lisa Aspinwall] A CDKN2A/p16 mutation confers 76% lifetime risk of developing melanoma to US residents, and high-risk individuals are counseled to use sunscreen. Generally, for patients at population risk, gain framing more effectively promotes prevention behaviors; however, it is unknown whether loss frames might more effectively promote behavioral intentions and perceived control over disease risk among high-risk patients. Undergraduates (N = 146) underwent a simulated genetic counseling and test reporting session for hereditary melanoma. Participants watched a video of a genetic counselor providing information in which genetic risk of melanoma (Low: 15%; High: 76%) and framed recommendations to use sunscreen (Loss: Risk may increase by 15% if don't use sunscreen; Gain: Risk may decrease by 15% if use sunscreen) were manipulated. Controlling for baseline sunscreen use, high-risk participants given loss frames reported greater beliefs that sunscreen would reduce risk than high-risk participants given gain frames. Further, high-risk participants with fair skin tended to report greater intentions to use sunscreen when given loss frames versus gain frames. Perceived control over risk mediated the effect of message frame and disease risk on intentions to use sunscreen. When counseling patients with elevated cancer risk, genetic counselors may consider framing prevention behavioral recommendations in terms of potential losses. National Society of Genetic Counselors, Inc., 2015 Reflection effect nationallicence Message framing nationallicence Disease risk nationallicence Perceived control nationallicence Melanoma nationallicence Genetic testing nationallicence Prevention behavior nationallicence Sunscreen nationallicence Intentions nationallicence Response efficacy nationallicence Taber Jennifer Department of Psychology, University of Utah, 380 S. 1530 E., Room 502, 84112, Salt Lake City, UT, US aut Aspinwall Lisa Department of Psychology, University of Utah, 380 S. 1530 E., Room 502, 84112, Salt Lake City, UT, US aut Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/5(2015-10-01), 771-782 1059-7700 24:5<771 2015 24 10897 https://doi.org/10.1007/s10897-014-9808-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10897-014-9808-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Taber Jennifer Department of Psychology, University of Utah, 380 S. 1530 E., Room 502, 84112, Salt Lake City, UT, US aut NATIONALLICENCE 700 1- Aspinwall Lisa Department of Psychology, University of Utah, 380 S. 1530 E., Room 502, 84112, Salt Lake City, UT, US aut NATIONALLICENCE 773 0- Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/5(2015-10-01), 771-782 1059-7700 24:5<771 2015 24 10897