Background: Population-based cervical cancer screening (CCS) programs are effective in decreasing mortality. Nevertheless, the participation rates are still unsatisfactory in many populations, including Italian. We draw from relevant psychosocial literature to test a widely integrated Theory of Planned Behaviour (TPB) model applied to CCS attendance. Within the hypothesised model we took into account some additional proximal (anticipated regret and self-identity) and distal (via attitude) predictors (trust in institutions and both affective and cognitive perceived risk) of intention. Besides, we considered the role of two additional selfregulation mediators - action and coping planning - to bridge the intention-behaviour gap. Methods: A total number of 324 women (age: 25-62; M = 34.7; SD = 6.85) residing in Campania (Italy) filled out an online questionnaire assessing psychosocial variables of interest. Findings: Full Structural Equation Model (SEM) results showed that both action and coping planning were predicted by intention and, in turn, significantly predicted attendance. Also, attitude, subjective norms, perceived behavioural control, anticipated regret and self-identity significantly impacted intention. Attitude was predicted significantly by trust in institutions and affective perceived risk. Discussion: The proposed comprehensive model explaining CCS attendance can orienteer future interventions aimed at increasing CCS attendance, as well as inform actions towards the improvement of healthcare access.
An extended Theory of Planned Behaviour model to understand cervical cancer screening attendance / Bianchi, Marcella; Capasso, Miriam; Donizzetti, ANNA ROSA; Caso, Daniela. - (2023), pp. 67-67. (Intervento presentato al convegno 37th Annual Conference of the European Health Psychology Society tenutosi a Bremen, Germany nel 4-8 September 2023).
An extended Theory of Planned Behaviour model to understand cervical cancer screening attendance
Marcella Bianchi;Miriam Capasso;Anna Rosa Donizzetti;Daniela Caso
2023
Abstract
Background: Population-based cervical cancer screening (CCS) programs are effective in decreasing mortality. Nevertheless, the participation rates are still unsatisfactory in many populations, including Italian. We draw from relevant psychosocial literature to test a widely integrated Theory of Planned Behaviour (TPB) model applied to CCS attendance. Within the hypothesised model we took into account some additional proximal (anticipated regret and self-identity) and distal (via attitude) predictors (trust in institutions and both affective and cognitive perceived risk) of intention. Besides, we considered the role of two additional selfregulation mediators - action and coping planning - to bridge the intention-behaviour gap. Methods: A total number of 324 women (age: 25-62; M = 34.7; SD = 6.85) residing in Campania (Italy) filled out an online questionnaire assessing psychosocial variables of interest. Findings: Full Structural Equation Model (SEM) results showed that both action and coping planning were predicted by intention and, in turn, significantly predicted attendance. Also, attitude, subjective norms, perceived behavioural control, anticipated regret and self-identity significantly impacted intention. Attitude was predicted significantly by trust in institutions and affective perceived risk. Discussion: The proposed comprehensive model explaining CCS attendance can orienteer future interventions aimed at increasing CCS attendance, as well as inform actions towards the improvement of healthcare access.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
