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风险标签对预防性体检实验模拟中风险感知和寻求帮助意愿的影响。

The influence of risk labeling on risk perception and willingness to seek help in an experimental simulation of preventive medical examinations.

机构信息

Academic Medical Center, University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health research institute, PO Box 22700, Amsterdam, The Netherlands.

出版信息

Patient Educ Couns. 2018 Jul;101(7):1291-1297. doi: 10.1016/j.pec.2018.02.011. Epub 2018 Feb 19.

Abstract

OBJECTIVE

To study the influence of the presentation of results of a preventive medical examination on risk perception and willingness to seek help for work-related fatigue or being overweight.

METHODS

A factorial design experiment was conducted, presenting workers (n = 82) with vignettes including eight scenarios of test results with and without an emphasis on the risk of a current or future health condition or a probe to seek help. Participants rated perceived risk and willingness to seek help (0-100 Visual Analogue Scale) as if these were their own results. Differences were tested with paired-sample t-tests.

RESULTS

In scenarios emphasizing the risk of a current or future disorder, participants perceived higher risk and were more willing to seek help (p-values < .00). Slightly higher willingness to seek help scores was observed in all scenarios that included probes (p < .00).

CONCLUSION

Risk perception and willingness to seek help of workers participating in a preventive medical examination were higher when they were told that the test results indicate a risk of a current or future disorder and after being advised to seek help.

PRACTICE IMPLICATIONS

Healthcare providers should take the potential effects on risk perception and help-seeking into account in preventive settings.

摘要

目的

研究预防医学检查结果呈现方式对风险感知和寻求工作相关疲劳或超重帮助意愿的影响。

方法

采用析因设计实验,向 82 名工人呈现包括 8 种测试结果情景的小插图,其中包括强调当前或未来健康状况风险或寻求帮助探针的情景和不强调的情景。参与者根据自己的结果对感知风险和寻求帮助的意愿(0-100 视觉模拟量表)进行评分。采用配对样本 t 检验检验差异。

结果

在强调当前或未来疾病风险的情景中,参与者感知到更高的风险,并且更愿意寻求帮助(p 值<.00)。在所有包含探针的情景中,寻求帮助的意愿得分略高(p<.00)。

结论

当告知参与者测试结果表明存在当前或未来疾病风险以及建议寻求帮助时,参加预防医学检查的工人的风险感知和寻求帮助的意愿更高。

实践意义

医疗保健提供者在预防环境中应考虑潜在的风险感知和寻求帮助的影响。

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