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dc.contributor.authorRiedinger, Christiane
dc.contributor.authorCampbell, Jackie
dc.contributor.authorKlein, William MP
dc.contributor.authorFerrer, Rebecca A
dc.contributor.authorUsher-Smith, Juliet
dc.date.accessioned2022-01-28T14:41:59Z
dc.date.available2022-01-28T14:41:59Z
dc.date.issued2022
dc.date.submitted2021-05-14
dc.identifier.issn1932-6203
dc.identifier.otherpone-d-21-15965
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/333040
dc.descriptionFunder: NIHR Academic Clinical Fellowship
dc.description.abstractRisk perception refers to how individuals interpret their susceptibility to threats, and has been hypothesised as an important predictor of intentions and behaviour in many theories of health behaviour change. However, its components, optimal measurement, and effects are not yet fully understood. The TRIRISK model, developed in the US, conceptualises risk perception as deliberative, affective and experiential components. In this study, we aimed to assess the replicability of the TRIRISK model in a UK sample by confirmatory factor analysis (CFA), explore the inherent factor structure of risk perception in the UK sample by exploratory factor analysis (EFA), and assess the associations of EFA-based factors with intentions to change behaviour and subsequent behaviour change. Data were derived from an online randomised controlled trial assessing cancer risk perception using the TRIRISK instrument and intention and lifestyle measures before and after communication of cancer risk. In the CFA analysis, the TRIRISK model of risk perception did not provide a good fit for the UK data. A revised model developed using EFA consisted of two separate "numerical" and "self-reflective" factors of deliberative risk perception, and a third factor combining affective with a subset of experiential items. This model provided a better fit to the data when cross-validated. Using multivariable regression analysis, we found that the self-reflective and affective-experiential factors of the model identified in this study were reliable predictors of intentions to prevent cancer. There were no associations of any of the risk perception factors with behaviour change. This study confirms that risk perception is clearly a multidimensional construct, having identified self-reflective risk perception as a new distinct component with predictive validity for intention. Furthermore, we highlight the practical implications of our findings for the design of interventions incorporating risk perception aimed at behaviour change in the context of cancer prevention.
dc.description.sponsorshipThis study was funded by the Cancer Research UK Prevention Fellowship (C55650/A21464). CR was supported by an NIHR Academic Clinical Fellowship. JC, WMPK and RAF received no specific funding for this project. JAUS was funded by the Cancer Research UK Prevention Fellowship (C55650/A21464).
dc.languageen
dc.publisherPublic Library of Science (PLoS)
dc.subjectResearch Article
dc.subjectMedicine and health sciences
dc.subjectBiology and life sciences
dc.subjectSocial sciences
dc.subjectResearch and analysis methods
dc.subjectPhysical sciences
dc.titleAnalysis of the components of cancer risk perception and links with intention and behaviour: A UK-based study.
dc.typeArticle
dc.date.updated2022-01-28T14:41:58Z
prism.issueIdentifier1
prism.publicationNamePLoS One
prism.volume17
dc.identifier.doi10.17863/CAM.80464
dcterms.dateAccepted2021-11-30
rioxxterms.versionofrecord10.1371/journal.pone.0262197
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/publicdomain/zero/1.0/
datacite.contributor.supervisoreditor: Wagner, Gert G.
dc.contributor.orcidRiedinger, Christiane [0000-0002-9310-9894]
dc.contributor.orcidCampbell, Jackie [0000-0002-1456-7994]
dc.contributor.orcidFerrer, Rebecca A [0000-0003-1069-9989]
dc.contributor.orcidUsher-Smith, Juliet [0000-0002-8501-2531]
dc.identifier.eissn1932-6203
pubs.funder-project-idCancer Research UK (21464)
cam.issuedOnline2022-01-13


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