Floyd Andrea, Steffens Rachel F, Pavlik Edward, Andrykowski Michael A
Department of Psychology, East Tennessee State University, Johnson City, TN, USA,
J Clin Psychol Med Settings. 2011 Mar;18(1):70-7. doi: 10.1007/s10880-011-9226-7.
The term "teachable moment" (TM) has been used to describe a life transition or event which motivates an individual to change a behavior or presents an opportunity to intervene to prompt behavior change. We examined whether receipt of a false positive ovarian cancer (OC) screening result may represent a TM. 403 women participating in an OC screening program completed questionnaires assessing demographic, clinical, behavioral, and psychosocial information. The TM was operationalized as expressed interest in receiving health-related information. We hypothesized that among women receiving a false positive screening test result, those women who had experienced greater personal perceived risk for OC as well as distress would be more interested in receiving health-related information than women receiving a normal result. Analyses revealed that women receiving a false positive screening result were less interested in receiving health-related information than women receiving a normal screening result. For women receiving a false positive result, expressed interest in receipt of health-related information was only modestly related to distress and related even less to perceptions of OC risk. Our data do not support viewing a false positive OC screening result as a TM. Potential explanations for the current findings as well as recommendations for future research investigating the TM are discussed.
“可教时刻”（TM）一词已被用于描述一种生活转变或事件，它促使个体改变行为，或提供一个干预机会以促使行为改变。我们研究了收到卵巢癌（OC）筛查假阳性结果是否可能代表一个可教时刻。403名参与OC筛查项目的女性完成了问卷调查，评估人口统计学、临床、行为和心理社会信息。可教时刻被定义为对接收健康相关信息表现出兴趣。我们假设，在收到筛查假阳性结果的女性中，那些个人认为患OC风险更高且感到苦恼的女性，会比收到正常结果的女性对接收健康相关信息更感兴趣。分析显示，收到筛查假阳性结果的女性比收到正常筛查结果的女性对接收健康相关信息的兴趣更低。对于收到假阳性结果的女性，对接收健康相关信息表现出的兴趣仅与苦恼有适度关联，与对OC风险的认知关联更小。我们的数据不支持将OC筛查假阳性结果视为一个可教时刻。讨论了当前研究结果的潜在解释以及未来研究可教时刻的建议。
