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1. In COVID-19 health messaging, loss framing increases anxiety with Little-to-No concomitant benefits: Experimental evidence from 84 countries

Author

Dorison, C.A., Lerner, J.S., Heller, B.H., Rothman, A.J., Kawachi, I.I., Wang, K., Rees, V.W., Gill, B.P., Gibbs, N., Ebersole, C.R., Vally, Z., Tajchman, Z., Zsido, A.N., Zrimsek, M., Chen, Z., Ziano, I., Gialitaki, Z., Ceary, C.D., Lin, Y., Kunisato, Y., Yamada, Y., Xiao, Q., Jiang, X., Du, X., Yao, E., Wilson, J.P., Cyrus-Lai, W., Jimenez-Leal, W., Law, W., Collins, W.M., Richard, K.L., Vranka, M., Ankushev, V., Schei, V., Križanić, V., Kadreva, V.H., Adoric, V.C., Tran, U.S., Yeung, S.K., Hassan, W., Houston, R., Lima, T.J.S., Ostermann, T., Frizzo, T., Sverdrup, T.E., House, T., Gill, T., Fedotov, M., Paltrow, T., Jernsäther, T., Koptjevskaja-Tamm, M., Hostler, T.J., Ishii, T., Szaszi, B., Adamus, S., Suter, L., Habib, S., Studzinska, A., Stojanovska, D., Janssen, S.M.J., Stieger, S., Schulenberg, S.E., Tatachari, S., Azouaghe, S., Sorokowski, P., Sorokowska, A., Song, X., Lewis, S.C., Sinkolova, S., Grigoryev, D., Drexler, S.M., Daches, S., Geniole, S.N., Vračar, S., Massoni, S., Zorjan, S., Sarıoğuz, E., Izquierdo, S.M., Alves, S.G., Pöntinen, S., Solas, S.Á., Ordoñez-Riaño, S., Očovaj, S.B., Onie, S., Lins, S., Çoksan, S., Sacakli, A., Ruiz-Fernández, S., Geiger, S.J., FatahModares, S., Walczak, R.B., Betlehem, R., Vilar, R., Cárcamo, R., Ross, R.M., McCarthy, R., Ballantyne, T., Westgate, E.C., Afhami, R., Ren, D., Monteiro, R.P., Reips, U-D, Reggev, N., Calin-Jageman, R.J., Pourafshari, R., Oliveira, R., Nedelcheva-Datsova, M., Rahal, R-M, Ribeiro, R.R., Radtke, T., Searston, R., Habte, R., Zdybek, P., Chen, S-C, Maturan, P.L.G., Perillo, J.T., Isager, P.M., Kačmár, P., Macapagal, P.M., Szwed, P., Hanel, P.H.P., Forbes, P.A.G., Arriaga, P., Paris, B., Papachristopoulos, K., Correa, P.S., Kácha, O., Bernardo, M., Campos, O., Bravo, O.N., Galindo-Caballero, O.J., Ogbonnaya, C.E., Bialobrzeska, O., Kiselnikova, N., Simonovic, N., Cohen, N., Nock, N.L., Johannes, N., Albayrak-Aydemir, N., Say, N., Torunsky, N., Van Doren, N., Sunami, N., Rachev, N.R., Majeed, N.M., Schmidt, N-D, Nadif, K., Corral-Frías, N.S., Ouherrou, N., Pantazi, M., Lucas, M.Y., Vasilev, M.R., Ortiz, M.V., Butt, M.M., Kabir, M., Muda, R., Tejada Rivera, M.del.C.MC., Sirota, M., Seehuus, M., Parzuchowski, M., Toro, M., Hricova, M., Maldonado, M.A., Marszalek, M., Karekla, M., Mioni, G., Bosma, M.J., Westerlund, M., Vdovic, M., Bialek, M., Silan, M.A., Anne, M., Misiak, M., Grinberg, M., Capizzi, M., Espinoza Barría, M.F., Kurfali, M.A., Mensink, M.C., Harutyunyan, M., Khosla, M., Korbmacher, M., Adamkovič, M., Ribeiro, M.F.F., Terskova, M., Hruška, M., Martončik, M., Voracek, M., Čadek, M., Frias-Armenta, M., Kowal, M., Topor, M., Roczniewska, M., Oosterlinck, M., Kohlová, M.B., Paruzel-Czachura, M., Romanova, M., Papadatou-Pastou, M., Lund, M.L., Antoniadi, M., Jones, M.V., Ortiz, M.S., Manavalan, M., Muminov, A., Kossowska, M., Friedemann, M., Wielgus, M., Varella, M.A.C., Colloff, M.F., Bradford, M., Vaughn, L.A., Eudave, L., Vieira, L., Pineda, L.M.S., Pérez, L.C., Lazarevic, L.B., Jaremka, L.M., Kushnir, E., Anton-Boicuk, L., de Holanda Coelho, G.L., Ahlgren, L., Levitan, C.A., Micheli, L., Volz, L., Stojanovska, M., Boucher, L., Samojlenko, L., Delgado, L.G.J., Kaliska, L., Warmelink, L., Rojas-Berscia, L.M., Yu, K., Wachowicz, J., Desai, K., Barzykowski, K., Kozma, L., Evans, K., Kirgizova, K., Agesin, B.E., Koehn, M.A., Wolfe, K., Korobova, T., Klevjer, K., van Schie, K., Vezirian, K., Damnjanović, K., Thommesen, K.K., Schmidt, K., Filip, K., Grzech, K., Hoyer, K., Moon, K., Rana, K., Janjić, K., Suchow, J.W., Kielińska, J., Cruz Vásquez, J.E., Beitner, J., Vargas-Nieto, J.C., Roxas, J.C.T., Taber, J., Urriago-Rayo, J., Pavlacic, J.M., Bavolar, J., Soto, J.A., Olofsson, J.K., Vilsmeier, J.K., Messerschmidt, J., Czamanski-Cohen, J., Boudesseul, J., Lee, J.M., Kamburidis, J., Zickfeld, J., Miranda, J.F., Verharen, J.P.H., Hristova, E., Beshears, J.E., Đorđević, J.M., Bosch, J., Valentova, J.V., Antfolk, J., Berkessel, J.B., Schrötter, J., Urban, J., Röer, J.P., Norton, J.O., Silva, J.R., Pickering, J.S., Vintr, J., Uttley, J., Kunst, J.R., Ndukaihe, I.L.G., Iyer, A., Vilares, I., Ivanov, A., Ropovik, I., Sula, I., Sarieva, I., Metin-Orta, I., Prusova, I., Pinto, I., Bozdoc, A.I., Almeida, I.A.T., Pit, I.L., Dalgar, I., Zakharov, I., Arinze, A.I., Ihaya, K., Stephen, I.D., Gjoneska, B., Brohmer, H., Flowe, H., Godbersen, H., Kocalar, H.E., Hedgebeth, M.V., Chuan-Peng, H., Sharifian, M., Manley, H., Akkas, H., Hajdu, N., Azab, H., Kaminski, Gw., Nilsonne, G., Anjum, G., Travaglino, G.A., Feldman, G., Pfuhl, G., Czarnek, G., Marcu, G.M., Hofer, G., Banik, G., Adetula, G.A., Bijlstra, G., Verbruggen, F., Kung, F.Y.H., Foroni, F., Singer, G., Muchembled, F., Azevedo, F., Mosannenzadeh, F., Marinov, E., Štrukelj, E., Etebari, Z., Baskin, E., Garcia, E.O.L., Musser, E., van Steenkiste, I.M.M., Ahn, E.R., Pronizius, E., Jackson, E.A., Manunta, E., Agadullina, E., Šakan, D., Dursun, P., Dujols, O., Dubrov, D., Willis, M., Tümer, M., Beaudry, J.L., Popović, D., Dunleavy, D., Djamai, I., Krupić, D., Vega, D., Du, H., Mola, D., Davis, W.E., Holford, D.L., Lewis, D.M.G., Vaidis, D.C., Ozery, D.H., Ricaurte, D.Z., Storage, D., Sousa, D., Alvarez, D.S., Rosa, A.D., Marko, D., Moreau, D., Reeck, C., Correia, R.C., Whitt, C.M., Lamm, C., Solorzano, C.S., von Bastian, C.C., Sutherland, C.A.M., Overkott, C., Aberson, C.L., Wang, C., Karashiali, C., Noone, C., Chiu, F., Picciocchi, C., Karaarslan, C., Cellini, N., Esteban-Serna, C., Reyna, C., Batres, C., Li, R., Grano, C., Carpentier, J., Tamnes, C.K., Fu, C.H.Y., Ishkhanyan, B., Bylinina, L., Jaeger, B., Bundt, C., Allred, T.B., Bokkour, A., Bogatyreva, N., Chopik, W.J., Antazo, B., Behzadnia, B., Becker, M., Cocco, B., Chou, W-L, Hubena, B., Žuro, B., Aczel, B., Baklanova, E., Bai, H., Balci, B.B., Babinčák, P., Dixson, B.J.W., Mokady, A., Kappes, H.B., Atari, M., Szala, A., Szabelska, A., Aruta, J.J.B., Domurat, A., Arinze, N.C., Modena, A., Adiguzel, A., Monajem, A., ARABI, K.A.E., Özdoğru, A.A., Olaya Torres, A.J., Theodoropoulou, A., Jurković, A.P., Kassianos, A.P., Findor, A., Hartanto, A., Thibault Landry, A., Ferreira, A., Santos, A.C., De la Rosa-Gomez, A., Gourdon-Kanhukamwe, A., Todsen, A.L., Karababa, A., Janak, A., Bran, A., Tullett, A.M., Kuzminska, A.O., Krafnick, A.J., Urooj, A., Khaoudi, A., Ahmed, A., Groyecka-Bernard, A., Askelund, A.D., Adetula, A., Belaus, A., Charyate, A.C., Wichman, A.L., Stoyanova, A., Greenburgh, A., Thomas, A.G., Arvanitis, A., Forscher, P.S., Mallik, P.R., Primbs, M.A., Miller, J.K., Moshontz, H., Urry, H.L., IJzerman, H., Basnight-Brown, D.M., Chartier, C.R., Buchanan, E.M., Coles, N.A., Dorison, C.A., Lerner, J.S., Heller, B.H., Rothman, A.J., Kawachi, I.I., Wang, K., Rees, V.W., Gill, B.P., Gibbs, N., Ebersole, C.R., Vally, Z., Tajchman, Z., Zsido, A.N., Zrimsek, M., Chen, Z., Ziano, I., Gialitaki, Z., Ceary, C.D., Lin, Y., Kunisato, Y., Yamada, Y., Xiao, Q., Jiang, X., Du, X., Yao, E., Wilson, J.P., Cyrus-Lai, W., Jimenez-Leal, W., Law, W., Collins, W.M., Richard, K.L., Vranka, M., Ankushev, V., Schei, V., Križanić, V., Kadreva, V.H., Adoric, V.C., Tran, U.S., Yeung, S.K., Hassan, W., Houston, R., Lima, T.J.S., Ostermann, T., Frizzo, T., Sverdrup, T.E., House, T., Gill, T., Fedotov, M., Paltrow, T., Jernsäther, T., Koptjevskaja-Tamm, M., Hostler, T.J., Ishii, T., Szaszi, B., Adamus, S., Suter, L., Habib, S., Studzinska, A., Stojanovska, D., Janssen, S.M.J., Stieger, S., Schulenberg, S.E., Tatachari, S., Azouaghe, S., Sorokowski, P., Sorokowska, A., Song, X., Lewis, S.C., Sinkolova, S., Grigoryev, D., Drexler, S.M., Daches, S., Geniole, S.N., Vračar, S., Massoni, S., Zorjan, S., Sarıoğuz, E., Izquierdo, S.M., Alves, S.G., Pöntinen, S., Solas, S.Á., Ordoñez-Riaño, S., Očovaj, S.B., Onie, S., Lins, S., Çoksan, S., Sacakli, A., Ruiz-Fernández, S., Geiger, S.J., FatahModares, S., Walczak, R.B., Betlehem, R., Vilar, R., Cárcamo, R., Ross, R.M., McCarthy, R., Ballantyne, T., Westgate, E.C., Afhami, R., Ren, D., Monteiro, R.P., Reips, U-D, Reggev, N., Calin-Jageman, R.J., Pourafshari, R., Oliveira, R., Nedelcheva-Datsova, M., Rahal, R-M, Ribeiro, R.R., Radtke, T., Searston, R., Habte, R., Zdybek, P., Chen, S-C, Maturan, P.L.G., Perillo, J.T., Isager, P.M., Kačmár, P., Macapagal, P.M., Szwed, P., Hanel, P.H.P., Forbes, P.A.G., Arriaga, P., Paris, B., Papachristopoulos, K., Correa, P.S., Kácha, O., Bernardo, M., Campos, O., Bravo, O.N., Galindo-Caballero, O.J., Ogbonnaya, C.E., Bialobrzeska, O., Kiselnikova, N., Simonovic, N., Cohen, N., Nock, N.L., Johannes, N., Albayrak-Aydemir, N., Say, N., Torunsky, N., Van Doren, N., Sunami, N., Rachev, N.R., Majeed, N.M., Schmidt, N-D, Nadif, K., Corral-Frías, N.S., Ouherrou, N., Pantazi, M., Lucas, M.Y., Vasilev, M.R., Ortiz, M.V., Butt, M.M., Kabir, M., Muda, R., Tejada Rivera, M.del.C.MC., Sirota, M., Seehuus, M., Parzuchowski, M., Toro, M., Hricova, M., Maldonado, M.A., Marszalek, M., Karekla, M., Mioni, G., Bosma, M.J., Westerlund, M., Vdovic, M., Bialek, M., Silan, M.A., Anne, M., Misiak, M., Grinberg, M., Capizzi, M., Espinoza Barría, M.F., Kurfali, M.A., Mensink, M.C., Harutyunyan, M., Khosla, M., Korbmacher, M., Adamkovič, M., Ribeiro, M.F.F., Terskova, M., Hruška, M., Martončik, M., Voracek, M., Čadek, M., Frias-Armenta, M., Kowal, M., Topor, M., Roczniewska, M., Oosterlinck, M., Kohlová, M.B., Paruzel-Czachura, M., Romanova, M., Papadatou-Pastou, M., Lund, M.L., Antoniadi, M., Jones, M.V., Ortiz, M.S., Manavalan, M., Muminov, A., Kossowska, M., Friedemann, M., Wielgus, M., Varella, M.A.C., Colloff, M.F., Bradford, M., Vaughn, L.A., Eudave, L., Vieira, L., Pineda, L.M.S., Pérez, L.C., Lazarevic, L.B., Jaremka, L.M., Kushnir, E., Anton-Boicuk, L., de Holanda Coelho, G.L., Ahlgren, L., Levitan, C.A., Micheli, L., Volz, L., Stojanovska, M., Boucher, L., Samojlenko, L., Delgado, L.G.J., Kaliska, L., Warmelink, L., Rojas-Berscia, L.M., Yu, K., Wachowicz, J., Desai, K., Barzykowski, K., Kozma, L., Evans, K., Kirgizova, K., Agesin, B.E., Koehn, M.A., Wolfe, K., Korobova, T., Klevjer, K., van Schie, K., Vezirian, K., Damnjanović, K., Thommesen, K.K., Schmidt, K., Filip, K., Grzech, K., Hoyer, K., Moon, K., Rana, K., Janjić, K., Suchow, J.W., Kielińska, J., Cruz Vásquez, J.E., Beitner, J., Vargas-Nieto, J.C., Roxas, J.C.T., Taber, J., Urriago-Rayo, J., Pavlacic, J.M., Bavolar, J., Soto, J.A., Olofsson, J.K., Vilsmeier, J.K., Messerschmidt, J., Czamanski-Cohen, J., Boudesseul, J., Lee, J.M., Kamburidis, J., Zickfeld, J., Miranda, J.F., Verharen, J.P.H., Hristova, E., Beshears, J.E., Đorđević, J.M., Bosch, J., Valentova, J.V., Antfolk, J., Berkessel, J.B., Schrötter, J., Urban, J., Röer, J.P., Norton, J.O., Silva, J.R., Pickering, J.S., Vintr, J., Uttley, J., Kunst, J.R., Ndukaihe, I.L.G., Iyer, A., Vilares, I., Ivanov, A., Ropovik, I., Sula, I., Sarieva, I., Metin-Orta, I., Prusova, I., Pinto, I., Bozdoc, A.I., Almeida, I.A.T., Pit, I.L., Dalgar, I., Zakharov, I., Arinze, A.I., Ihaya, K., Stephen, I.D., Gjoneska, B., Brohmer, H., Flowe, H., Godbersen, H., Kocalar, H.E., Hedgebeth, M.V., Chuan-Peng, H., Sharifian, M., Manley, H., Akkas, H., Hajdu, N., Azab, H., Kaminski, Gw., Nilsonne, G., Anjum, G., Travaglino, G.A., Feldman, G., Pfuhl, G., Czarnek, G., Marcu, G.M., Hofer, G., Banik, G., Adetula, G.A., Bijlstra, G., Verbruggen, F., Kung, F.Y.H., Foroni, F., Singer, G., Muchembled, F., Azevedo, F., Mosannenzadeh, F., Marinov, E., Štrukelj, E., Etebari, Z., Baskin, E., Garcia, E.O.L., Musser, E., van Steenkiste, I.M.M., Ahn, E.R., Pronizius, E., Jackson, E.A., Manunta, E., Agadullina, E., Šakan, D., Dursun, P., Dujols, O., Dubrov, D., Willis, M., Tümer, M., Beaudry, J.L., Popović, D., Dunleavy, D., Djamai, I., Krupić, D., Vega, D., Du, H., Mola, D., Davis, W.E., Holford, D.L., Lewis, D.M.G., Vaidis, D.C., Ozery, D.H., Ricaurte, D.Z., Storage, D., Sousa, D., Alvarez, D.S., Rosa, A.D., Marko, D., Moreau, D., Reeck, C., Correia, R.C., Whitt, C.M., Lamm, C., Solorzano, C.S., von Bastian, C.C., Sutherland, C.A.M., Overkott, C., Aberson, C.L., Wang, C., Karashiali, C., Noone, C., Chiu, F., Picciocchi, C., Karaarslan, C., Cellini, N., Esteban-Serna, C., Reyna, C., Batres, C., Li, R., Grano, C., Carpentier, J., Tamnes, C.K., Fu, C.H.Y., Ishkhanyan, B., Bylinina, L., Jaeger, B., Bundt, C., Allred, T.B., Bokkour, A., Bogatyreva, N., Chopik, W.J., Antazo, B., Behzadnia, B., Becker, M., Cocco, B., Chou, W-L, Hubena, B., Žuro, B., Aczel, B., Baklanova, E., Bai, H., Balci, B.B., Babinčák, P., Dixson, B.J.W., Mokady, A., Kappes, H.B., Atari, M., Szala, A., Szabelska, A., Aruta, J.J.B., Domurat, A., Arinze, N.C., Modena, A., Adiguzel, A., Monajem, A., ARABI, K.A.E., Özdoğru, A.A., Olaya Torres, A.J., Theodoropoulou, A., Jurković, A.P., Kassianos, A.P., Findor, A., Hartanto, A., Thibault Landry, A., Ferreira, A., Santos, A.C., De la Rosa-Gomez, A., Gourdon-Kanhukamwe, A., Todsen, A.L., Karababa, A., Janak, A., Bran, A., Tullett, A.M., Kuzminska, A.O., Krafnick, A.J., Urooj, A., Khaoudi, A., Ahmed, A., Groyecka-Bernard, A., Askelund, A.D., Adetula, A., Belaus, A., Charyate, A.C., Wichman, A.L., Stoyanova, A., Greenburgh, A., Thomas, A.G., Arvanitis, A., Forscher, P.S., Mallik, P.R., Primbs, M.A., Miller, J.K., Moshontz, H., Urry, H.L., IJzerman, H., Basnight-Brown, D.M., Chartier, C.R., Buchanan, E.M., and Coles, N.A.

Abstract

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., “If you do not practice these steps, you can endanger yourself and others”) or potential gains (e.g., “If you practice these steps, you can protect yourself and others”)? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions.

Published
2022

2. In COVID-19 Health Messaging, Loss Framing Increases Anxiety with Little-to-No Concomitant Benefits: Experimental Evidence from 84 Countries

Author

Dorison, C. A., Lerner, J. S., Heller, B. H., Rothman, A. J., Kawachi, I. I., Wang, K., Rees, V. W., Gill, B. P., Gibbs, N., Ebersole, C. R., Vally, Z., Tajchman, Z., Zsido, A. N., Zrimsek, M., Chen, Z., Ziano, I., Gialitaki, Z., Ceary, C. D., Jang, Y., Lin, Y., Kunisato, Y., Yamada, Y., Xiao, Q., Jiang, X., Du, X., Yao, E., Ryan, W., Wilson, J. P., Cyrus-Lai, W., Jimenez-Leal, W., Law, W., Unanue, W., Collins, W. M., Richard, K. L., Vranka, M., Ankushev, V., Schei, V., DePaola, C., Lerche, V., Kovic, V., Križanić, V., Kadreva, V. H., Adoric, V. C., Tran, U. S., Yeung, S. K., Hassan, W., Houston, R., Machin, M. A., Lima, T. J. S., Ostermann, T., Frizzo, T., Sverdrup, T. E., House, T., Gill, T., Fedotov, M., Paltrow, T., Jernsäther, T., Rahman, T., Machin, T., Koptjevskaja-Tamm, M., Hostler, T. J., Ishii, T., Szaszi, B., Adamus, S., Suter, L., von Bormann, S. M., Habib, S., Studzinska, A., Stojanovska, D., Janssen, S. M. J., Stieger, S., Schulenberg, S. E., Tatachari, S., Azouaghe, S., Sorokowski, P., Sorokowska, A., Song, X., Morbée, S., Lewis, S. C., Sinkolova, S., Grigoryev, D., Drexler, S. M., Daches, S., Levine, S. L., Geniole, S. N., Akter, S., Vračar, S., Massoni, S., Costa, S., Zorjan, S., Sarıoğuz, E., Morales Izquierdo, S., Tshonda, S. S., Alves, S. G., Pöntinen, S., Álvarez Solas, S., Ordoñez-Riaño, S., Batić Očovaj, S., Onie, S., Lins, S., Biberauer, T., Çoksan, S., Khumkom, S., Sacakli, A., Ruiz-Fernández, S., Geiger, S. J., FatahModares, S., Walczak, R. B., Betlehem, R., Vilar, R., Doekemeijer, R., Cárcamo, R., Ross, R. M., McCarthy, R., Ballantyne, T., Westgate, E. C., Gargurevich, R., Afhami, R., Ren, D., Monteiro, R. P., Reips, U-D., Reggev, N., Calin-Jageman, R. J., Pourafshari, R., London, R., Oliveira, R., Nedelcheva-Datsova, M., Rahal, R-M., Ribeiro, R. R., Radtke, T., Searston, R., Jai-ai, R., Habte, R., Zdybek, P., Chen, S-C., Wajanatinapart, P., Maturan, P. L. G., Perillo, J. T., Isager, P. M., Kačmár, P., Macapagal, P. M., Maniaci, M. R., Szwed, P., Hanel, P. H. P., Forbes, P. A. G., Arriaga, P., Paris, B., Parashar, N., Papachristopoulos, K., Sebastián-Correa, P., Kácha, O., Bernardo, M., Campos, O., Niño Bravo, O., Galindo-Caballero, O. J., Ogbonnaya, C. E., Bialobrzeska, O., Kiselnikova, N., Simonovic, N., Cohen, N., Nock, N. L., Hernandez, A., Thogersen-Ntoumani, C., Ntoumanis, N., Johannes, N., Albayrak-Aydemir, N., Say, N., Neubauer, A. B., Martin, N. I., Torunsky, N., van Antwerpen, N., Van Doren, N., Sunami, N., Rachev, N. R., Majeed, N. M., Schmidt, N-D., Nadif, K., Corral-Frías, N. S., Ouherrou, N., Abbas, N., Pantazi, M., Lucas, M. Y., Vasilev, Martin R., Ortiz, M. V., Butt, M. M., Kurfali, M., Kabir, M., Muda, R., Tejada Rivera, M. C., Sirota, M., Seehuus, M., Parzuchowski, M., Toro, M., Hricova, M., Alarcón Maldonado, M., Rentzelas, P., Vansteenkiste, M., Metz, M. A., Marszalek, M., Karekla, M., Mioni, G., Bosma, M. J., Westerlund, M., Vdovic, M., Bialek, M., Silan, M. A., Anne, M., Misiak, M., Gugliandolo, M. C., Grinberg, M., Capizzi, M., Espinoza Barría, M. F., Kurfali, M. A., Mensink, M. C., Harutyunyan, M., Khosla, M., Dunn, M. R., Korbmacher, M., Adamkovič, M., Ribeiro, M. F. F., Terskova, M., Hruška, M., Martončik, M., Jansen, M., Voracek, M., Čadek, M., Frias-Armenta, M., Kowal, M., Topor, M., Roczniewska, M., Oosterlinck, M., Braun Kohlová, M., Paruzel-Czachura, M., Sabristov, M., Romanova, M., Papadatou-Pastou, M., Lund, M. L., Antoniadi, M., Magrin, M. E., Jones, M. V., Ortiz, M. S., Manavalan, M., Muminov, A., Kossowska, M., Friedemann, M., Wielgus, M., van Hooff, M. L. M., Varella, M. A. C., Standage, M., Nicolotti, M., Colloff, M. F., Bradford, M., Vaughn, L. A., Eudave, L., Vieira, L., Sanabria Pineda, L. M., Matos, L., Calderón Pérez, L., Lazarevic, L. B., Jaremka, L. M., Smit, E. S., Kushnir, E., Ferguson, L. J., Anton-Boicuk, L., Lins de Holanda Coelho, G., Ahlgren, L., Liga, F., Levitan, C. A., Micheli, L., Gunton, L-A., Volz, L., Stojanovska, M., Boucher, L., Samojlenko, L., Javela Delgado, L. G., Kaliska, L., Labadi, B., Warmelink, L., Rojas-Berscia, L. M., Yu, K., Wylie, K., Wachowicz, J., Desai, K., Barzykowski, K., Kozma, L., Evans, K., Kirgizova, K., Agesin, B. E., Koehn, M. A., Wolfe, K., Korobova, T., Morris, K., Klevjer, K., van Schie, K., Vezirian, K., Damnjanović, K., Krabbe Thommesen, K., Schmidt, K., Filip, K., Staniaszek, K., Grzech, K., Hoyer, K., Moon, K., Khaobunmasiri, S., Rana, K., Janjić, K., Suchow, J. W., Kielińska, J., Cruz Vásquez, J. E., Chanal, J., Beitner, J., Vargas-Nieto, J. C., Roxas, J. C. T., Taber, J., Urriago-Rayo, J., Pavlacic, J. M., Benka, J., Bavolar, J., Soto, J. A., Olofsson, J. K., Vilsmeier, J. K., Messerschmidt, J., Czamanski-Cohen, J., Waterschoot, J., Moss, J. D., Boudesseul, J., Lee, J. M., Kamburidis, J., Joy-Gaba, J. A., Zickfeld, J., Miranda, J. F., Verharen, J. P. H., Hristova, E., Beshears, J. E., Đorđević, J. M., Bosch, J., Valentova, J. V., Antfolk, J., Berkessel, J. B., Schrötter, J., Urban, J., Röer, J. P., Norton, J. O., Silva, J. R., Pickering, J. S., Vintr, J., Uttley, J., Kunst, J. R., Ndukaihe, I. L. G., Iyer, A., Vilares, I., Ivanov, A., Ropovik, I., Sula, I., Sarieva, I., Metin-Orta, I., Prusova, I., Pinto, I., Bozdoc, A. I., Almeida, I. A. T., Pit, I. L., Dalgar, I., Zakharov, I., Arinze, A. I., Ihaya, K., Stephen, I. D., Gjoneska, B., Brohmer, H., Flowe, H., Godbersen, H., Kocalar, H. E., Hedgebeth, M. V., Chuan-Peng, H., Sharifian, M. H., Manley, H., Akkas, H., Hajdu, N., Azab, H., Kaminski, G., Nilsonne, G., Anjum, G., Travaglino, G. A., Feldman, G., Pfuhl, G., Czarnek, G., Marcu, G. M., Hofer, G., Banik, G., Adetula, G. A., Bijlstra, G., Verbruggen, F., Kung, F. Y. H., Martela, F., Foroni, F., Forest, J., Singer, G., Muchembled, F., Azevedo, F., Mosannenzadeh, F., Marinova, E., Štrukelj, E., Etebari, Z., Baskin, E., Garcia, E. O. L., Musser, E., van Steenkiste, I. M. M., Bradshaw, E. L., Ahn, E. R., Quested, E., Pronizius, E., Jackson, E. A., Manunta, E., Agadullina, E., Šakan, D., Dursun, P., Dujols, O., Dubrov, D., Willis, M., Tümer, M., Beaudry, J. L., Popović, D., Dunleavy, D., Djamai, I., Krupić, D., Herrera, D., Vega, D., Du, H., Mola, D., Chakarova, D., Davis, W. E., Holford, D. L., Lewis, D. M. G., Vaidis, D. C., Hausman Ozery, D., Zambrano Ricaurte, D., Storage, D., Sousa, D., Serrato Alvarez, D., Boller, D., Dalla Rosa, A., Dimova, D., Marko, D., Moreau, D., Reeck, C., Correia, R. C., Whitt, C. M., Lamm, C., Singh Solorzano, C., von Bastian, C.C., Sutherland, C. A. M., Overkott, C., Aberson, C. L., Wang, C., Niemiec, C. P., Reimer, C., Karashiali, C., Noone, C., Chiu, F., Picciocchi, C., Eben, C., Brownlow, C., Karaarslan, C., Cellini, N., Esteban-Serna, C., Reyna, C., Ferreyra, C., Batres, C., Li, R., Grano, C., Carpentier, J., Tamnes, C. K., Fu, C. H. Y., Ishkhanyan, B., Bylinina, L., Jaeger, B., Bundt, C., Bulut Allred, T., Vermote, B. J., Bokkour, A., Bogatyreva, N., Shi, J., Chopik, W. J., Antazo, B., Becker, M., Bayyat, M. M., Cocco, B., Chou, W-L., Barkoukis, V., Aczel, B., Baklanova, E., Bai, H., Balci, B. B., Babinčák, P., Soenens, B., Dixson, B. J. W., Mokady, A., Kappes, H. B., Atari, M., Szala, A., Szabelska, A., Aruta, J. J. B., Domurat, A., Arinze, N. C., Modena, A., Adiguzel, A., Monajem, A., El Arabi, K. A., Özdoğru, A. A., Rothbaum, A. O., Torres, A. J. O., Theodoropoulou, A., Skowronek, A., Jurković, A. P., Singh, A., Kassianos, A. P., Findor, A., Hartanto, A., Thibault Landry, A., Ferreira, A., Caetano Santos, A., De la Rosa-Gomez, A., Gourdon-Kanhukamwe, A., Luxon, A. M., Todsen, A. L., Karababa, A., Janak, A., Pilato, A., Bran, A., Tullett, A. M., Kuzminska, A. O., Krafnick, A. J., Urooj, A., Khaoudi, A., Ahmed, A., Groyecka-Bernard, A., Askelund, A. D., Adetula, A., Belaus, A., Charyate, A. C., Wichman, A. L., Stoyanova, A., Greenburgh, A., Thomas, A. G., Arvanitis, A., Forscher, P. S., Mallik, P. R., Primbs, M. A., Miller, J. K., Moshontz, H., Urry, H. L., IJzerman, H., Basnight-Brown, D. M., Chartier, C. R., Buchanan, E. M., Coles, N. A., MÜ, Eğitim Fakültesi, Eğitim Bilimleri Bölümü, Kocalar, Halil Emre, Faculdade de Psicologia e de Ciências da Educação, Organizational Psychology, Jernsäther, Teodor [0000-0002-7030-3299], Tatachari, Srinivasan [0000-0003-1838-2361], Geiger, Sandra J [0000-0002-3262-5609], Butt, Muhammad Mussaffa [0000-0001-5271-111X], Varella, Marco A C [0000-0002-7274-7360], Stephen, Ian D [0000-0001-9714-8295], Kaminski, Gwenael [0000-0001-5300-5655], Bai, Hui [0000-0003-2671-5955], Coles, Nicholas A [0000-0001-8583-5610], Apollo - University of Cambridge Repository, Center Ph. D. Students, Department of Social Psychology, Tilburg University, and Medical and Clinical Psychology

Subjects
Nudges, Behaviour Change and Well-being, ddc:150, 230 Affective Neuroscience, SDG 3 - Good Health and Well-being, message framing, anxiety, nudges, COVID-19, Message framing, General Medicine, Anxiety
Abstract

Contains fulltext : 284232.pdf (Publisher’s version ) (Closed access) The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., "If you do not practice these steps, you can endanger yourself and others") or potential gains (e.g., "If you practice these steps, you can protect yourself and others")? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions. 26 p.

Published
2022

3. Society of Surgical Oncology Breast Disease Site Working Group Statement on Bilateral Risk-Reducing Mastectomy: Indications, Outcomes, and Risks.

Author

Singh P, Agnese DM, Amin M, Barrio AV, van den Bruele AB, Burke EE, Danforth DN Jr, Dirbas FM, Eladoumikdachi F, Fayanju OM, Kantor O, Kumar S, Lee MC, Matsen C, Nguyen TT, Ozmen T, Park KU, Plichta JK, Reyna C, Showalter SL, Styblo T, Tranakas N, Weiss A, Woodfin A, Laronga C, and Boughey JC

Abstract

Bilateral risk-reducing mastectomy (BRRM) is the surgical removal of both breasts to reduce the risk of cancer. In this Society of Surgical Oncology position statement, we review the literature addressing the indications, outcomes, and risks of BRRM to update the society's 2017 statement. We held a virtual meeting to outline key topics and conducted a literature search using PubMed to identify relevant articles. After literature review, recommendations were made according to group consensus. Individuals with a high lifetime risk of breast cancer due to pathogenic variants in high penetrance breast cancer-predisposition genes, early chest or breast radiation exposure, or a compelling family history should be counseled on the option of BRRM. However, BRRM is not recommended for most patients with high-risk lesions and may be contraindicated in patients who have other competing cancers and/or a high risk of surgical complications. BRRM effectively reduces the risk of breast cancer development, although the survival benefit is unclear. For patients with low-to-moderate breast cancer risk, alternative management strategies should be encouraged, including lifestyle modifications, high-risk screening, and risk-reducing medications. Discussions of BRRM should cover: (1) breast-cancer risk estimates; (2) the procedure's degree of risk reduction and impact on survival; (3) surgical techniques, potential surgical complications and long-term sequelae; and (4) alternatives to surgery. Surgeons should encourage shared and informed decision making with patients who have an elevated lifetime risk of developing breast cancer., Competing Interests: Disclosure Oluwadamilola M. Fayanju has received research support from Gilead Sciences, Inc. that is outside the scope of this work. Chantal Reyna has received an honoraria from Elucent Medical that is outside the scope of this work and the relationship has been terminated. Anna Weiss reports the following disclosures: advisory board/consulting fees from Merck and Myriad Laboratories, Inc.; honoraria from the Society of Breast Imaging, MJH Lifesciences, and Breast Cancer Foundation New Zealand; food and beverage from Endomag. Judy C. Boughey receives funding, paid to her institution, from Eli Lilly and SymBioSis, and sits on the Data Safety Monitoring Committee of Cairns Surgical. She has received honoraria from PER, PeerView, OncLive, EndoMag, and Up-To-Date. Andrea V. Barrio has received a speaking honorarium from Novartis. Jennifer K. Plichta serves on a committee for the National Comprehensive Cancer Network. She has received grant funding from Earlier.org that is outside the scope of this work, and has received honoraria from the National Consortium of Breast Centers. Marie Catherine Lee is a paid consultant for Elucent Medical and Provepharm. Puneet Singh, Doreen M. Agnese, Miral Amin, Astrid Botty van den Bruele, Erin E. Burke, David N. Danforth Jr, Frederick M. Dirbas, Firas Eladoumikdachi, Olga Kantor, Shicha Kumar, Cindy Matsen, Toan T. Nguyen, Tolga Ozmen, Ko Un Park, Shayna L. Showalter, Toncred Styblo, Nicholas Tranakas, Ashley Woodfin, and Christine Laronga have no conflicts of interest to declare that may be relevant to the contents of this work., (© 2024. Society of Surgical Oncology.)

Published
2024
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4. Internal Mammary Lymphadenopathy Does Not Impact Oncologic Outcomes in Patients Treated with Neoadjuvant Chemotherapy: Results from the I-SPY2 Clinical Trial.

Author

Piltin MA, Norwood P, Ladores V, Mukhtar RA, Sauder CA, Golshan M, Tchou J, Rao R, Lee MC, Son J, Reyna C, Hewitt K, Kuerer H, Ahrendt G, Greenwalt I, Tseng J, Postlewait L, Howard-McNatt M, Jaskowiak N, Esserman LJ, and Boughey JC

Subjects
Humans, Female, Middle Aged, Prognosis, Survival Rate, Follow-Up Studies, Adult, Aged, Magnetic Resonance Imaging, Chemotherapy, Adjuvant, Neoadjuvant Therapy mortality, Breast Neoplasms pathology, Breast Neoplasms drug therapy, Breast Neoplasms therapy, Breast Neoplasms mortality, Neoplasm Recurrence, Local pathology, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Lymphadenopathy pathology, Lymphadenopathy diagnostic imaging, Positron Emission Tomography Computed Tomography methods
Abstract

Background: Internal mammary lymphadenopathy (IML) plays a role in breast cancer stage and prognosis. We aimed to evaluate method of IML detection, how IML impacts response to neoadjuvant chemotherapy (NAC), and oncologic outcomes., Methods: We evaluated patients enrolled in the I-SPY-2 clinical trial from 2010 to 2022. We captured the radiographic method of IML detection (magnetic resonance imaging [MRI], positron emission tomography/computed tomography [PET/CT], or both) and compared patients with IML with those without. Rates of locoregional recurrence (LRR), distant recurrence (DR) and event-free survival (EFS) were compared by bivariate analysis., Results: Of 2095 patients, 198 (9.5%) had IML reported on pretreatment imaging. The method of IML detection was 154 (77.8%) MRI only, 11 (5.6%) PET/CT only, and 33 (16.7%) both. Factors associated with IML were younger age (p = 0.001), larger tumors (p < 0.001), and higher tumor grade (p = 0.027). Pathologic complete response (pCR) was slightly higher in the IML group (41.4% vs. 34.0%; p = 0.03). There was no difference in breast or axillary surgery (p = 0.41 and p = 0.16), however IML patients were more likely to undergo radiation (68.2% vs. 54.1%; p < 0.001). With a median follow up of 3.72 years (range 0.4-10.2), there was no difference between IM+ versus IM- in LRR (5.6% vs. 3.8%; p = 0.25), DR (9.1% vs. 7.9%; p = 0.58), or EFS (61.6% vs. 57.2%; p = 0.48). This was true for patients with and without pCR., Conclusions: In this large cohort of patients treated with NAC, outcomes were not negatively impacted by IML. We demonstrated that IML influences treatment selection but is not a poor prognostic indicator when treated with modern NAC and multidisciplinary disease management., (© 2024. Society of Surgical Oncology.)

Published
2024
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5. Assessing Surgeon Familiarity with the Commission on Cancer Operative Standards for Cancer Surgery.

Author

Zaveri S, Teshome M, Reyna C, Francescatti AB, Yi M, Katz MHG, Hunt KK, and Vreeland T

Subjects
Humans, Surveys and Questionnaires, Clinical Competence standards, Practice Guidelines as Topic standards, Surgical Oncology standards, Female, Male, Follow-Up Studies, Neoplasms surgery, Surgeons standards, Surgeons statistics & numerical data, Accreditation standards
Abstract

Background: In response to growing evidence that proper performance of operative techniques during cancer surgery is associated with improved patient outcomes, the American College of Surgeons (ACS) implemented six operative standards as part of Commission on Cancer (CoC) accreditation. This study aimed to assess surgeon familiarity with these standards when first introduced and 2 years after their adoption., Methods: The ACS Cancer Surgery Standards Program distributed an anonymous 36-question survey to CoC-accredited cancer programs in 2021 and 2023. Questions specific to operative techniques determined the Surgery Score, and those specific to the accreditation standards determined the Standards Score. Mean scores were compared using one-way analysis of variance (ANOVA) and t tests., Results: The survey was completed by 376 surgeons in 2021 and 380 surgeons in 2023. The Surgery Scores were higher than the Standards Scores in 2021 and 2023. The surgeons who practiced at institutions with CoC accreditation had significantly higher Standards Scores than the surgeons at non-accredited institutions in 2021 (p = 0.005) and 2023 (p = 0.004), but not significantly different Surgery Scores., Conclusions: The baseline survey in 2021 demonstrated significant knowledge of technical aspects of cancer surgery among a broad surgeon base, but a need for greater understanding of the accreditation standards. The repeat survey distribution 2 years after rollout of the operative standards and associated educational programing showed increased awareness surrounding the operative standards in 2023 and a trend toward improvement in knowledge of the accreditation standards across all specialties. Further evaluation will be directed toward compliance with the accreditation standards., (© 2024. Society of Surgical Oncology.)

Published
2024
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6. Society of Surgical Oncology Breast Disease Site Working Group Statement on Contralateral Mastectomy: Indications, Outcomes, and Risks.

Author

Singh P, Agnese D, Amin M, Barrio AV, Botty Van den Bruele A, Burke E, Danforth DN Jr, Dirbas FM, Eladoumikdachi F, Kantor O, Kumar S, Lee MC, Matsen C, Nguyen TT, Ozmen T, Park KU, Plichta JK, Reyna C, Showalter SL, Styblo T, Tranakas N, Weiss A, Laronga C, and Boughey J

Subjects
Humans, Female, Mastectomy methods, Medical Oncology, Breast Neoplasms pathology, Surgical Oncology, Unilateral Breast Neoplasms surgery
Abstract

Rates of contralateral mastectomy (CM) among patients with unilateral breast cancer have been increasing in the United States. In this Society of Surgical Oncology position statement, we review the literature addressing the indications, risks, and benefits of CM since the society's 2017 statement. We held a virtual meeting to outline key topics and then conducted a literature search using PubMed to identify relevant articles. We reviewed the articles and made recommendations based on group consensus. Patients consider CM for many reasons, including concerns regarding the risk of contralateral breast cancer (CBC), desire for improved cosmesis and symmetry, and preferences to avoid ongoing screening, whereas surgeons primarily consider CBC risk when making a recommendation for CM. For patients with a high risk of CBC, CM reduces the risk of new breast cancer, however it is not known to convey an overall survival benefit. Studies evaluating patient satisfaction with CM and reconstruction have yielded mixed results. Imaging with mammography within 12 months before CM is recommended, but routine preoperative breast magnetic resonance imaging is not; there is also no evidence to support routine postmastectomy imaging surveillance. Because the likelihood of identifying an occult malignancy during CM is low, routine sentinel lymph node surgery is not recommended. Data on the rates of postoperative complications are conflicting, and such complications may not be directly related to CM. Adjuvant therapy delays due to complications have not been reported. Surgeons can reduce CM rates by encouraging shared decision making and informed discussions incorporating patient preferences., (© 2024. Society of Surgical Oncology.)

Published
2024
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7. In COVID-19 Health Messaging, Loss Framing Increases Anxiety with Little-to-No Concomitant Benefits: Experimental Evidence from 84 Countries.

Author

Dorison CA, Lerner JS, Heller BH, Rothman AJ, Kawachi II, Wang K, Rees VW, Gill BP, Gibbs N, Ebersole CR, Vally Z, Tajchman Z, Zsido AN, Zrimsek M, Chen Z, Ziano I, Gialitaki Z, Ceary CD, Lin Y, Kunisato Y, Yamada Y, Xiao Q, Jiang X, Du X, Yao E, Wilson JP, Cyrus-Lai W, Jimenez-Leal W, Law W, Collins WM, Richard KL, Vranka M, Ankushev V, Schei V, Križanić V, Kadreva VH, Adoric VC, Tran US, Yeung SK, Hassan W, Houston R, Lima TJS, Ostermann T, Frizzo T, Sverdrup TE, House T, Gill T, Fedotov M, Paltrow T, Jernsäther T, Koptjevskaja-Tamm M, Hostler TJ, Ishii T, Szaszi B, Adamus S, Suter L, Habib S, Studzinska A, Stojanovska D, Janssen SMJ, Stieger S, Schulenberg SE, Tatachari S, Azouaghe S, Sorokowski P, Sorokowska A, Song X, Lewis SC, Sinkolova S, Grigoryev D, Drexler SM, Daches S, Geniole SN, Vračar S, Massoni S, Zorjan S, Sarıoğuz E, Izquierdo SM, Alves SG, Pöntinen S, Solas SÁ, Ordoñez-Riaño S, Očovaj SB, Onie S, Lins S, Çoksan S, Sacakli A, Ruiz-Fernández S, Geiger SJ, FatahModares S, Walczak RB, Betlehem R, Vilar R, Cárcamo R, Ross RM, McCarthy R, Ballantyne T, Westgate EC, Afhami R, Ren D, Monteiro RP, Reips UD, Reggev N, Calin-Jageman RJ, Pourafshari R, Oliveira R, Nedelcheva-Datsova M, Rahal RM, Ribeiro RR, Radtke T, Searston R, Habte R, Zdybek P, Chen SC, Maturan PLG, Perillo JT, Isager PM, Kačmár P, Macapagal PM, Szwed P, Hanel PHP, Forbes PAG, Arriaga P, Paris B, Papachristopoulos K, Correa PS, Kácha O, Bernardo M, Campos O, Bravo ON, Galindo-Caballero OJ, Ogbonnaya CE, Bialobrzeska O, Kiselnikova N, Simonovic N, Cohen N, Nock NL, Johannes N, Albayrak-Aydemir N, Say N, Torunsky N, Van Doren N, Sunami N, Rachev NR, Majeed NM, Schmidt ND, Nadif K, Corral-Frías NS, Ouherrou N, Pantazi M, Lucas MY, Vasilev MR, Ortiz MV, Butt MM, Kabir M, Muda R, Tejada Rivera MDCM, Sirota M, Seehuus M, Parzuchowski M, Toro M, Hricova M, Maldonado MA, Marszalek M, Karekla M, Mioni G, Bosma MJ, Westerlund M, Vdovic M, Bialek M, Silan MA, Anne M, Misiak M, Grinberg M, Capizzi M, Espinoza Barría MF, Kurfali MA, Mensink MC, Harutyunyan M, Khosla M, Korbmacher M, Adamkovič M, Ribeiro MFF, Terskova M, Hruška M, Martončik M, Voracek M, Čadek M, Frías-Armenta M, Kowal M, Topor M, Roczniewska M, Oosterlinck M, Kohlová MB, Paruzel-Czachura M, Romanova M, Papadatou-Pastou M, Lund ML, Antoniadi M, Jones MV, Ortiz MS, Manavalan M, Muminov A, Kossowska M, Friedemann M, Wielgus M, Varella MAC, Colloff MF, Bradford M, Vaughn LA, Eudave L, Vieira L, Pineda LMS, Pérez LC, Lazarevic LB, Jaremka LM, Kushnir E, Anton-Boicuk L, de Holanda Coelho GL, Ahlgren L, Levitan CA, Micheli L, Volz L, Stojanovska M, Boucher L, Samojlenko L, Delgado LGJ, Kaliska L, Warmelink L, Rojas-Berscia LM, Yu K, Wachowicz J, Desai K, Barzykowski K, Kozma L, Evans K, Kirgizova K, Agesin BE, Koehn MA, Wolfe K, Korobova T, Klevjer K, van Schie K, Vezirian K, Damnjanović K, Thommesen KK, Schmidt K, Filip K, Grzech K, Hoyer K, Moon K, Rana K, Janjić K, Suchow JW, Kielińska J, Cruz Vásquez JE, Beitner J, 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Abstract

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., "If you do not practice these steps, you can endanger yourself and others") or potential gains (e.g., "If you practice these steps, you can protect yourself and others")? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions., Competing Interests: Conflict of InterestThe authors declare no conflict of interest., (© The Society for Affective Science 2022.)

Published
2022
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8. Maintenance of Certification and Continuing Medical Education: Are They Still Required?

Author

Howard-McNatt M, Sabel M, Agnese D, Amersi F, Ammori J, Arciero C, Berman R, Dominici L, Fleming RY, Han D, LaFemina J, Meyers M, Philips P, Rafferty J, Reyna C, Rubin JT, Scheri R, Sharma R, and Guiliano A

Subjects
Humans, Certification standards, Clinical Competence, Education, Medical, Continuing standards, Neoplasms surgery, Surgical Oncology education
Published
2019
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9. Outcomes of Sentinel Lymph Node-Positive Breast Cancer Patients Treated with Mastectomy Without Axillary Therapy.

Author

FitzSullivan E, Bassett RL, Kuerer HM, Mittendorf EA, Yi M, Hunt KK, Babiera GV, Caudle AS, Black DM, Bedrosian I, Reyna C, Teshome M, Meric-Bernstam F, and Hwang R

Subjects
Adult, Aged, Aged, 80 and over, Axilla, Breast Neoplasms radiotherapy, Disease-Free Survival, Female, Humans, Lymphatic Metastasis, Middle Aged, Neoplasm Staging, Nomograms, Radiotherapy, Adjuvant, Sentinel Lymph Node pathology, Sentinel Lymph Node surgery, Sentinel Lymph Node Biopsy, Survival Rate, Tumor Burden, Breast Neoplasms pathology, Breast Neoplasms surgery, Lymph Node Excision, Mastectomy, Simple, Neoplasm Recurrence, Local pathology
Abstract

Purpose: Early-stage breast cancer patients with minimal axillary disease identified by sentinel lymph node dissection (SLND) have low regional recurrence rates when treated with breast-conserving surgery and radiation therapy (XRT) and many avoid a completion axillary lymph node dissection (CLND). As the incidence of total mastectomy (TM) has increased, it has become important to characterize which TM patients with a positive SLN may not benefit from further axillary treatment., Methods: An institutional database was utilized to identify patients treated with a TM for invasive breast cancer and who had a positive SLN from 1994 to 2010. Clinicopathologic factors were analyzed. Regional recurrence rate, recurrence-free survival (RFS), and overall survival (OS) were determined., Results: A total of 525 patients with invasive breast cancer and a positive SLN were treated with TM, including 58 patients who did not have CLND or XRT and 12 patients who did not have CLND but did receive XRT. Median follow-up was 66 months. The incidence of regional recurrence was not significantly different for patients who received no further axillary treatment compared to those who underwent CLND without XRT or those treated with XRT without CLND (10 years rate: 3.8 vs. 1.6 and 0 % respectively). RFS and OS were not significantly different among patients who received no further axillary treatment compared to those who underwent CLND, XRT, or both., Conclusions: In select patients with early-stage breast cancer treated with mastectomy with a positive SLN, CLND may be avoided without adversely affecting recurrence or survival.

Published
2017
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