Kimmerle Joachim, Anikin Aline, Bientzle Martina
Leibniz-Institut fuer Wissensmedien/Knowledge Media Research Center, Tübingen, Germany.
Department of Psychology, University of Tuebingen, Tübingen, Germany.
Front Public Health. 2020 Feb 25;8:35. doi: 10.3389/fpubh.2020.00035. eCollection 2020.
How patients assess the suitability of a certain therapy for treating a disease depends on a variety of influencing factors. Three key factors are people's subjective perceptions of a disease, the type of treatment, and the kind of communication used to convey information. The study presented here was a randomized controlled experiment in which we examined these three factors. We used a mixed design where we manipulated perceived etiology of gastritis (biopsychosocial vs. biomedical) as a between-group factor, and treatment type (behavioral vs. pharmacological) and wording of treatment information (holistic vs. scientific) as within-group factors. We found that gastritis treatments that matched the perceived etiology of the illness were assessed to be more effective. Moreover, treatments that matched the perceived etiology enhanced participants' intention to undergo the treatment themselves and their willingness to recommend it to a person close to them. Finally, participants' intention to undergo the treatment was also enhanced when the wording of the treatment information matched the perceived etiology. We discuss the implications of our findings in terms of health communication and patient education.
患者如何评估某种治疗疾病的疗法是否合适取决于多种影响因素。三个关键因素是人们对疾病的主观认知、治疗类型以及用于传达信息的沟通方式。此处呈现的研究是一项随机对照实验，我们在其中考察了这三个因素。我们采用了混合设计，将胃炎的感知病因（生物心理社会病因与生物医学病因）作为组间因素进行操纵，将治疗类型（行为治疗与药物治疗）和治疗信息的措辞（整体式与科学式）作为组内因素进行操纵。我们发现，与疾病的感知病因相匹配的胃炎治疗方法被认为更有效。此外，与感知病因相匹配的治疗方法增强了参与者自身接受治疗的意愿以及向其亲近之人推荐该治疗方法的意愿。最后，当治疗信息的措辞与感知病因相匹配时，参与者接受治疗的意愿也增强了。我们从健康沟通和患者教育的角度讨论了我们研究结果的意义。
