School of Communication, the Ohio State University, United States.
J Health Commun. 2021 Mar 4;26(3):137-146. doi: 10.1080/10810730.2021.1890861. Epub 2021 Mar 22.
Using the mediated wisdom of experience (MWOE) theoretical framework, this study examines how eudaimonic testimonials versus comparable didactic presentations, and the presence or absence of modeling target behavior, influence death acceptance and intentions to converse about end-of-life care preferences. Effects for testimonials on attitudes and behaviors proved contingent on modeling. When testimonials incorporated modeled behavior, individuals were more likely to intend to carry out conversations about end-of-life conversations. However, when the testimonials did not provide modeled examples of conversations about death, individuals were more likely to experience anxiety and less likely to intend to engage in such conversations. Mediation analyses found that testimonials indirectly increased attitudes and intentions to have end-of-life conversations through emotional range and death acceptance. Mediation analyses also indicated modeling such conversations increased attitudes and intentions toward having end-of-life conversations via identification and self-efficacy.
本研究运用经验中介智慧(MWOE)理论框架,考察了幸福论证言与可比说教式陈述以及有无榜样行为示范,如何影响死亡接受度和进行临终关怀偏好对话的意愿。证言对态度和行为的影响取决于榜样的作用。当证言包含榜样行为示范时,个体更有可能打算进行临终关怀对话。然而,当证言没有提供关于死亡对话的榜样示例时,个体更有可能感到焦虑,而不太可能打算进行此类对话。中介分析发现,证言通过情感范围和死亡接受度间接增加了进行临终关怀对话的态度和意愿。中介分析还表明,通过认同和自我效能感,对这类对话进行示范可以增加对进行临终关怀对话的态度和意愿。