Improving attitudes toward prostate examinations by loss-framed appeals

One of the main causes of late diagnoses in prostate cancer is the aversive attitude toward prostate examinations. In this study, we analyze the efficacy of an informative pamphlet in changing that attitude. A randomized sample of north Italian men was given different versions of an informative pamphlet, obtained by systematically manipulating the message framing and emotional vividness. After reading the pamphlet, each participant completed an attitude questionnaire. Levels of anxiety and self-reported health status were measured using the STAI-X2 and the SF-36 questionnaires. Results show that loss-framed messages (i.e., messages highlighting the negative consequences of not doing the examinations) had a significant positive effect on attitudes toward the prostate screening, but the effect was rather small.