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癌症患者癌症相关信息寻求的心理社会决定因素。

Psychosocial determinants of cancer-related information seeking among cancer patients.

机构信息

Annenberg School for Communication, University of Pennsylvania, Philadelphia, Pennsylvania 19104-6220, USA.

出版信息

J Health Commun. 2011 Feb;16(2):212-25. doi: 10.1080/10810730.2010.522227.

Abstract

This study explores the utility of using the Integrative Model of Behavioral Prediction as a framework for predicting cancer patients' intentions to seek information about their cancer from sources other than a physician, and to examine the relation between patients' baseline intentions to seek information and their actual seeking behavior at follow-up. Within 1 year of their diagnosis with colon, breast, or prostate cancer, 1,641 patients responded to a mailed questionnaire assessing intentions to seek cancer-related information from a source other than their doctor, as well as their attitudes, perceived normative pressure, and perceived behavioral control with respect to this behavior. In addition, the survey assessed their cancer-related information seeking. One year later, 1,049 of these patients responded to a follow-up survey assessing cancer-related information seeking during the previous year. Attitudes, perceived normative pressure, and perceived behavioral control were predictive of information-seeking intentions, although attitudes emerged as the primary predictor. Intentions to seek information, perceived normative pressure regarding information seeking, baseline information-seeking behavior, and being diagnosed with stage 4 cancer were predictive of actual information-seeking behavior at follow-up. Practical implications are discussed.

摘要

本研究探讨了将行为预测综合模型用作框架来预测癌症患者从医生以外的其他来源获取有关自身癌症信息的意愿的效用,并检验患者在基线时获取信息的意愿与其在随访时实际获取信息行为之间的关系。在被诊断患有结肠癌、乳腺癌或前列腺癌后 1 年内,1641 名患者对邮寄的问卷做出了回应,该问卷评估了他们从医生以外的来源获取癌症相关信息的意愿,以及他们对这种行为的态度、感知规范性压力和感知行为控制。此外,该调查评估了他们的癌症相关信息寻求情况。一年后,其中 1049 名患者对一项后续调查做出了回应,该调查评估了他们在前一年中获取癌症相关信息的情况。态度、感知规范性压力和感知行为控制均可以预测信息寻求意愿,尽管态度是主要的预测因素。获取信息的意愿、获取信息方面的感知规范性压力、基线信息寻求行为以及被诊断为 4 期癌症均可预测随访时的实际信息寻求行为。讨论了其实践意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40b9/3069660/bd027f9e5897/nihms279342f1.jpg

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