Risk Perception Attitude Framework Research Articles

The Role of Spiritual Health Locus of Control in Breast Cancer Information Processing between African American and Caucasian Women

Spirituality seems to be an important cultural factor for African American women when thinking about their health. It is, however, not clear how spiritual health locus of control (SLOC) impacts health-related outcomes in the context of health message processing models, such as the Extended Parallel Process and the Risk Perception Attitude framework. Using a survey of African American and Caucasian women in the context of breast cancer, the role of SLOC and its interactions with perceived efficacy and risk was examined on four health outcomes–-message acceptance, talking about breast cancer, information seeking, and behavioral intentions. For African American women, SLOC had a positive impact for talking about breast cancer through an interaction with risk and efficacy such that women high in both SLOC and perceived efficacy, but low in perceived risk were more likely to talk about breast cancer than when efficacy was low. However, high SLOC exacerbated the negative effects of efficacy on talking about breast cancer regardless of the risk level for Caucasian women. SLOC also had a positive influence on attending to breast cancer information in the media for African American women. SLOC played no role in attending to breast cancer information for Caucasian women. Interestingly, SLOC played no role for African American women on behavioral intentions, however, it worked to decrease behavioral intentions for Caucasian women when risk was high.

Perceived Risk and Efficacy Beliefs as Motivators of Change: Use of the Risk Perception Attitude (RPA) Framework to Understand Health Behaviors

Perceived Risk and Efficacy Beliefs as Motivators of Change: Use of the Risk Perception Attitude (RPA) Framework to Understand Health Behaviors

Perceived Risk and Efficacy Beliefs as Motivators of Change.

Evidence of a direct correlation between risk perception and self-protective behavior is ambiguous at best. Witte's (1992, 1994) extended parallel process model (EPPM) explains many contradictory findings by pointing out the moderating role played by efficacy beliefs. Working from the EPPM, this article introduces the risk perception attitude (RPA) framework that categorizes individuals into one of four attitudinal groups: responsive (high risk, high efficacy), avoidance (high risk, low efficacy), proactive (low risk, high efficacy), and indifference (low risk, low efficacy). We conducted two studies to test our hypotheses that these groups differ in their self-protective motivation, intention to seek information, behavioral intention, knowledge acquisition, and time spent seeking information. Results, though not entirely consistent, suggest that, when risk and efficacy are made salient (Study 1), people's risk perception guides most of their subsequent actions, but in a natural context (Study 2), risk and efficacy jointly affect subsequent action.