The Augmented Cognitive Mediation Model: Examining Antecedents of Factual and Structural Breast Cancer Knowledge Among Singaporean Women

Abstract

As knowledge acquisition is an important component of health communication research, this study examines factors associated with Singaporean women's breast cancer knowledge using an augmented cognitive mediation model. We conducted a nationally representative study that surveyed 802 women between the ages of 30 and 70 using random-digit dialing. The results supported the augmented cognitive mediation model, which proposes the inclusion of risk perception as a motivator of health information seeking and structural knowledge as an additional knowledge dimension. There was adequate support for the hypothesized paths in the model. Risk perception was positively associated with attention to newspaper, television, Internet, and interpersonal communication. Attention to the three media channels was associated with interpersonal communication, but only newspaper and television attention were associated with elaboration. Interpersonal communication was positively associated with structural knowledge, whereas elaboration was associated with both factual and structural knowledge. Differential indirect effects between media attention and knowledge dimensions via interpersonal communication and elaboration were found. Theoretical and practical implications are discussed.

Designing Effective eHealth Interventions for Underserved Groups: Five Lessons From a Decade of eHealth Intervention Design and Deployment

“…This pattern was consistent with racial differences as well, with minority groups being at higher odds of not using these eHealth interventions [26]. Beyond individual factors, external factors, such as individuals' social networks, the type of hospitals in the community, and community-based organizations (CBOs) play a crucial role in boosting health literacy [27][28][29][30][31][32]. Thus, it will be strategic to gain insights into CBOs and social networks of the underserved groups, as they would have the experience in identifying the type of interventions that would best suit the needs of the underserved populations and those that would simply not work [33,34].…”

Learning from the news about the consequences of climate change: an amendment of the cognitive mediation model

“…These theoretical assumptions have been confirmed in various fields of communication research such as political communication [Eveland, 2001], health communication [Ho, Peh and Soh, 2013;Lee et al, 2016], and science communication [Ho, Yang et al, 2017;Yang, Chuah et al, 2017]. However, the model received various amendments of the initial learning motivation, the mediating processes as well as the considered outcomes [Ho, Yang et al, 2017;Lee et al, 2016;Wei and Lo, 2008;Yang, Chuah et al, 2017;Zhao et al, 2011]. The most profound suggestions for modifications address the mediating processes.…”

“…The most profound suggestions for modifications address the mediating processes. While elaborative processing is broadly confirmed as relevant mediator of the acquisition of knowledge [Eveland, 2001;Fleming and Thorson, 2008;Lee et al, 2016;, news attention is discussed critically, because it is not consistently confirmed as a mediator [Jensen, 2011;Wei and Lo, 2008;Yang, Chuah et al, 2017;Zhao et al, 2011]. For example, Zhao and co-authors [2011] argue that news attention has to be measured more precisely, as attention to political news causes different effects than attention to environmental news.…”

Factors associated with insufficient awareness of breast cancer among women in Northern and Eastern China: a case–control study

“…It has also been published that different approaches for obtaining cancer-related knowledge influenced the level of awareness of BC. 17 We investigated the resources by which women obtained knowledge of BC, and we found that the majority of women obtained BC information through traditional media such as TV broadcasts (30.6%) and their friends or relatives with BC (29.6%). The internet has developed rapidly and become widespread, but in the present study, women failed to benefit from it in terms of BC awareness (8.6%).…”