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An Analysis of the Ecological Theory of Research
Participation Applied to a Sample of Young
Adult Males

By: Lisa M. Soler, RN and Adriana Ramirez | Mentor: Dr. Michael J. Rovito


We conducted a study to showcase the effectiveness of text messaging promoting TSE among men. Using Steadman and Quine's (2004) implementation intention research on the effectiveness of reminder systems and TSE adherence, as well as Rovito et al.'s (2011) assertion that men prefer private communication (i.e., texting to mobile phone) on TSE promotion rather than public, private messages were used as the reminder system and were designed based on Witte's (1992) Extended Parallel Process Model. Using Witte's (1992) model, the text messages were designed to rouse a perception of threat for the receiver while also providing high efficacy in the form of a recommended action to induce danger control as opposed to fear. Further, we hypothesized that the use of text messaging would increase TSE adherence among men. This private, recurring reminder system would encourage men to conduct the procedure according to the recommendation of once-a-month performance, at minimum.

This study was negatively influenced by an attrition rate of 71%. Most participants refused to respond to communication pertaining to the study after initial enrollment and contact verification. We hypothesize that contacts were disregarded. It was also noted that 30 of the original 35 participants in the 18-19 age group dropped out of the study, resulting in an attrition rate of 85% for that age group and 57% of the overall observed attrition. Vanable et al. (2002) found that older participants in a study's groups generally completed the study, which could explain why our youngest age group experienced the most attrition

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