Impact of diet-related cancer prevention messages written with cognitive and affective arguments on message characteristics, stage of change, and self-efficacy

J Nutr Educ Behav. 2005 Jan-Feb;37(1):12-9. doi: 10.1016/s1499-4046(06)60254-6.

Abstract

Objective: To determine if participants reading messages matched to a preferred style of message argument respond more favorably than participants reading unmatched messages.

Design: Randomized trial using telephone and in-person surveys and cognitive response interviews.

Setting: University campus.

Participants: Of 125 initially interested, a convenience sample of 100 university employees completed the study (female: 88%, white: 94%, mean age: 43.7).

Intervention(s): Participants read 2 print messages written with cognitive (COG) (fact based) or affective (AFF) (story based) arguments.

Main outcome measure(s): 7-point Likert scale ratings of message appeal, understandability, persuasiveness, and relevance according to classification into 1 of 4 message groups: COG-AFF (mismatched to affective), AFF-COG (mismatched to cognitive), COG-COG (matched cognitive), and AFF-AFF (matched affective).

Analysis: 1-way analysis of variance (P < or = .05) and systematic review of qualitative interviews.

Results: The COG-AFF group consistently gave the lowest ratings to the affective messages and the AFF-COG group generally gave high scores compared with other message groups. Participants also expressed a desire for more factual information.

Conclusions and implications: A combination of cognitive and affective arguments may be appealing to subjects with an affective preference but disliked by individuals who prefer only a fact-based approach. Argument format may be an important message design consideration.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Affect
  • Analysis of Variance
  • Cognition
  • Diet* / psychology
  • Female
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice
  • Health Promotion
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / diet therapy
  • Neoplasms / prevention & control*
  • Neoplasms / psychology
  • Nutritional Sciences / education*
  • Self Efficacy*
  • Telephone