{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:59:35Z","timestamp":1788314375111,"version":"build-2803163510"},"reference-count":52,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T00:00:00Z","timestamp":1605139200000},"content-version":"unspecified","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["FNS 100019-153131\/1"],"award-info":[{"award-number":["FNS 100019-153131\/1"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,9,29]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To reduce overtreatment caused by overuse of screening, it is advisable to reduce the demand for mammography screening outside the recommended guidelines among women who are not yet eligible for inclusion in systematic screening programmes. According to principles of regulatory fit theory, people make decisions motivated by either orientation to achieving and maximising gains or avoiding losses. A study developed in two phases investigated whether video messages, explaining the risks and benefits of mammography screening for those not yet eligible, are perceived as persuasive<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Phase 1 was an experimental study in which women\u2019s motivation orientation was experimentally induced and then they were exposed to a matching video message about mammography screening. A control group received a neutral stimulus. Phase 2 introduced a longitudinal component to study 1, adding a condition in which the messages did not match with the group\u2019s motivation orientation. Participants\u2019 natural motivation orientation was measured through a validated questionnaire<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>360 women participated in phase 1 and another 292 in phase 2. Participants\u2019 age ranged from 30 to 45 years, and had no history of breast cancer or known BReast CAncer gene (BRCA) 1\/2 mutation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In phase 1, a match between participants\u2019 motivation orientation and message content decreased the intention to seek mammography screening outside the recommended guidelines. Phase 2, however, did not show such an effect. Fear of breast cancer and risk perception were significantly related to intention to seek mammography screening<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Public health researchers should consider reducing the impact of negative emotions (ie, fear of breast cancer) and risk perception when promoting adherence to evidence-based breast cancer screening recommendations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-037748","type":"journal-article","created":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T16:11:25Z","timestamp":1605197485000},"page":"e037748","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Application of the theory of regulatory fit to promote adherence to evidence-based breast cancer screening recommendations: experimental versus longitudinal evidence"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7223-8240","authenticated-orcid":false,"given":"Serena","family":"Petrocchi","sequence":"first","affiliation":[{"name":"Institute of Communication & Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramona","family":"Ludolph","sequence":"additional","affiliation":[{"name":"Institute of Communication & Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanon H M","family":"Labrie","sequence":"additional","affiliation":[{"name":"Athena Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Schulz","sequence":"additional","affiliation":[{"name":"Institute of Communication & Health, Universit\u00e0 della Svizzera italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,11,12]]},"reference":[{"key":"2025121411404398000_10.11.e037748.1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-16-0858"},{"key":"2025121411404398000_10.11.e037748.2","doi-asserted-by":"crossref","first-page":"1785","DOI":"10.3892\/ijo.2014.2632","article-title":"Breast cancer in European Union: an update of screening programmes as of March 2014 (review)","volume":"45","author":"Altobelli","year":"2014","journal-title":"Int J Oncol"},{"key":"2025121411404398000_10.11.e037748.3","doi-asserted-by":"crossref","first-page":"5517","DOI":"10.1007\/s00330-019-06050-w","article-title":"Annual mammography at age 45-49\u00a0years and biennial mammography at age 50-69\u00a0years: comparing performance measures in an organised screening setting","volume":"29","author":"Bucchi","year":"2019","journal-title":"Eur Radiol"},{"key":"2025121411404398000_10.11.e037748.4","first-page":"CD001877","article-title":"Screening for breast cancer with mammography","volume":"156","author":"G\u00f8tzsche","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"2025121411404398000_10.11.e037748.5","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.30794"},{"key":"2025121411404398000_10.11.e037748.6","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-146-7-200704030-00008"},{"key":"2025121411404398000_10.11.e037748.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38398.469479.8F"},{"key":"2025121411404398000_10.11.e037748.8","article-title":"Screening for breast cancer with mammography","volume":"4","author":"G\u00f8tzsche","year":"2006","journal-title":"Cochrane Database System Rev"},{"key":"2025121411404398000_10.11.e037748.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.01.009"},{"key":"2025121411404398000_10.11.e037748.10","doi-asserted-by":"crossref","first-page":"R45","DOI":"10.1016\/j.jacr.2016.09.021","article-title":"ACR appropriateness criteria breast cancer screening","volume":"13","author":"Mainiero","year":"2016","journal-title":"J Am Coll Radiol"},{"key":"2025121411404398000_10.11.e037748.11","unstructured":"European Commission Initiative on Breast Cancer (ECIBC) Guideline . 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