Spivey Christy, Brown Tara L, Courtney Maureen R
Arlington College of Business, University of Texas, Arlington, TX, USA.
College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, TX, USA.
Health Psychol Behav Med. 2020 Oct 27;8(1):501-525. doi: 10.1080/21642850.2020.1823227.
Advance directives (AD) are a crucial method for individuals to communicate their directions regarding medical decisions to their families and health care professionals when they are no longer able to make these decisions for themselves. However, not many individuals have an AD. We present the results of a survey-based experiment on how message framing (positive, negative and social norm) in educational videos affects (a) the individual's decision to acquire more information about an AD and (b) the change in stated likelihood of obtaining an AD. Our message framing is centered on the family burden aspect of end-of-life care. We also survey participants about which type of framing they view as more persuasive in terms of obtaining an AD. We find that participants who watched the negative framed video were more likely to request more information about ADs. However, for those who had not sought information on ADs prior to the study, positive framing has a small positive impact on the approximate change in stated likelihood of obtaining an AD. On average, positive framing is perceived as more convincing to obtain an AD. Ranking the positive framed video as first or second in terms of convincingness is correlated with self-reported creation of an AD, whereas ranking the negative framed video as first or second is correlated with not creating an AD.
预先指示（AD）是一种至关重要的方式，能让个人在无法自行做出医疗决策时，将自己关于医疗决策的指示传达给家人和医疗保健专业人员。然而，拥有预先指示的个人并不多。我们展示了一项基于调查的实验结果，该实验探讨了教育视频中的信息框架（积极、消极和社会规范）如何影响：（a）个人获取更多关于预先指示信息的决定；（b）声明获得预先指示可能性的变化。我们的信息框架以临终护理的家庭负担方面为中心。我们还就哪种框架在获取预先指示方面更具说服力对参与者进行了调查。我们发现，观看消极框架视频的参与者更有可能要求获取更多关于预先指示的信息。然而，对于那些在研究之前未寻求预先指示信息的人来说，积极框架对声明获得预先指示可能性的近似变化有微小的积极影响。平均而言，积极框架被认为在获取预先指示方面更具说服力。将积极框架视频在说服力方面排在第一或第二位与自我报告创建预先指示相关，而将消极框架视频排在第一或第二位与未创建预先指示相关。
