There is concern that public education about testicular cancer (TC) may cause unnecessary anxiety. Psychological theory suggests that if threat (eg, TC) information is accompanied with threat control strategies (eg, testicular self-examination; TSE) anxiety is less likely. Male students (N=443) were randomized to either a TC or TC +TSE information group or a no information control group, and assessed at three time points. Anxiety levels did not differ between the groups and exposure to TC+TSE resulted in greater perceived message benefit, increased intention to self-examine and lower message denigration. This suggests TC information is not anxiogenic, but inclusion of TSE information may improve acceptance of disease awareness information.
Cancer Research UK (2005) Testicular Cancer: Spot the Symptoms Early. London: Cancer Research UK.
2.
ChampionVLSkinnerCSMenonURawlSGieslerRBMonahanP. (2004) A breast cancer fear scale: psychometric development. Journal of Health Psychology9: 753–762.
3.
ConsedineNSMagaiCKrivoshekovaYSRyzewiczLNeugutAI (2004) Fear, anxiety, worry and breast cancer screening behaviour: A critical review. Cancer Epidemiology Biomarkers and Prevention13(4): 501–510.
4.
CummingsKMLamponeDMettlinCPontesJE (1983)What young men know about testicular cancer. Preventative Medicine12: 326–330.
5.
EvansRECSteptoeAWardleJ (2006) Testicular self-examination: Change in rates of practice in European university students, from 13 countries, over a 10-year period. Journal of Men’s Health and Gender3: 368–372.
6.
EvansRECSimonAEWardleJ (2010) Public perceptions of the harms and benefits of testicular cancer education: A qualitative study. Cancer Epidemiology34: 212–219.
7.
FleschR (1949) The Art of Readable Writing. New York: Harper & Row.
8.
KhadraAOakeshottP (2002) Pilot study of testicular cancer awareness and testicular self-examination in men attending two South London general practices. Family Practice19: 294–296.
9.
LawM (2004) Screening without evidence of efficacy. British Medical Journal328: 301–302.
10.
MarteauTMBekkerH (1992) The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). British Journal of Clinical Psychology31: 301–306.
11.
MeffanPJDelahuntBNaceyJN (1991) The value of early diagnosis in the treatment of patients with testicular cancer. New Zealand Medical Journal104: 393–394.
12.
MilesAWallerWardleJ (2009) Psychological consequences of cancer screening. In: MillerSBowenDCroyleRRowlandJ (eds) Handbook of Cancer Control and Behavioral Science: A Resource for Researchers, Practitioners and Policymakers. Washington DC. American Psychological AssociationChapter 16, p. 279–301.
13.
MormanMT (2000) The influence of fear appeals, message design, and masculinity on men’s motivation to perform the testicular self-exam. Journal of Applied Communication Research28: 91–116.
14.
NabiRLRoskos-EwoldsenDDillman CarpentierF (2008) Subjective knowledge and fear appeal effectiveness: Implications for message design. Health Communication23: 191–201.
15.
PoweBDFinnieR (2003) Cancer fatalism: The state of the science. Cancer Nursing26(6) P. 454–467.
16.
RichardsMA (2009) The National Awareness and Early Diagnosis Initiative in England: assembling the evidence. British Journal of Cancer101: S1–S4.
17.
RobbKAMilesACampbellJEvansPWardleJ (2006) Can cancer risk information raise awareness without increasing anxiety? A randomized trial. Preventive Medicine43: 187–190.
18.
SmithLKPopeCBothaJL (2005) Patients’ help-seeking experiences and delay in cancer presentation: a qualitative synthesis. The Lancet366: 825–831.
19.
SpielbergerCD (1983) Manual for the State-Trait Anxiety Inventory (STAI). PaloAlto, CA: Consulting Psychologists Press.
20.
SteadmanLQuineL (2004) Encouraging young males to perform testicular self-examination: A simple, but effective, implementation intentions intervention. British Journal of Health Psychology9: 479–487.
21.
SteffenVJ (1990) Men’s motivation to perform the testicle self-exam: effects of prior knowledge and an educational brochure. Journal of Applied Social Psychology20: 681–702.
22.
ThornhillJAConroyRMKellyDGWalshAFennellyJJFitzpatrickJM (1986) Public awareness of testicular cancer and the value of self examination. British Medical Journal (Clinical Research Edition)293(6545): 480–481.
23.
TrumboCW (2004) Mass-mediated information effects on testicular self-examination among college students. Journal of American College Health52: 257–261.
24.
VasudevNSJoffeJKCookeCRichardsFJonesWG (2004) Delay in the diagnosis of testicular tumours - changes over the past 18 years. British Journal of General Practice54: 595–597.
25.
WardleJSteptoeABurckhardtRVogeleCVilaJZarczynskiZ (1994) Testicular self-examination: attitudes and practices among young men in Europe. Preventative Medicine23: 206–210.
26.
WardleJTaylorTSuttonSAtkinW (1999) Does publicity about cancer screening raise fear of cancer? Randomised trial of the psychological effect of information about cancer screening. British Medical Journal319: 1037–1038.
27.
WeistMDFinneyJW (1996) Training in early detection and anxiety in adolescent males: a preliminary report. Developmental and Behavioral Pediatrics17: 98–99.
28.
WitteK (1998) Fear as motivator, fear as inhibitor: Using the extended parallel process model to explain fear appeal successes and failures. In: AndersenPAGuerreroLK (eds) Handbook of Communication and Emotion: Research, Theory, Applications, and Contexts. USA: Academic Press, 423–449.
29.
WitteKCameronKAMcKeonJKBerkowitzJM (1996) Predicting risk behaviors: development and validation of a diagnostic scale. Journal of Health Communication1: 317–341.
