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医疗保健服务中预防行为的促进:西班牙老年人的一项定量研究。

The Promotion of Preventive Behaviours in Healthcare Services: A Quantitative Study Among Older Adults in Spain.

作者信息

García Rosaura Puga, Vázquez Ana Suárez, Del Río Lanza Ana Belén

机构信息

Business Administration, University of Oviedo, Oviedo, Spain.

出版信息

J Eval Clin Pract. 2025 Jun;31(4):e70108. doi: 10.1111/jep.70108.

Abstract

RATIONALE

Preventive health is an emerging area of growing interest that not only influences the well-being and health of the population but also has effects on the economy.

AIMS AND OBJECTIVES

This work analyzes the 'buttons' that can be pushed to influence preventive health behaviours. The aim is to study how the perception of severity and risk of a disease influence preventive behaviours. In addition, the possible limitations associated with this type of action, in the form of rejection of imposed preventive health behaviours, are assessed.

METHODS

The data come from a quantitative cross-sectional study in which information was gathered from a sample of adults over the age of 65 with a chronic disease.

RESULTS

When actions that restrict the freedom of older adults are imposed, their adoption of preventive health behaviours is not impaired by the lack of freedom per se, nor by the anger elicited by this situation. However, the negative thoughts provoked by the lack of freedom decrease preventive behaviour compliance. In addition, preventive health behaviours can be incentivized by convincing older adults of the negative consequences of the health threat which is to be avoided. On the contrary, the susceptibility, or possibility of experiencing the health threat, does not influence their motivation to engage in preventive health behaviour.

CONCLUSION

According to the results, information on preventive health behaviours should be aimed at improving the perception of autonomy, reducing negative cognitions, and communication campaigns should prioritize risks associated with the severity of the threat over those associated with vulnerability.

摘要

理论依据

预防保健是一个新兴且日益受关注的领域,它不仅影响人群的幸福和健康,还对经济产生影响。

目的与目标

本研究分析了能够推动预防保健行为的“关键因素”。目的是研究对疾病严重程度和风险的认知如何影响预防行为。此外,还评估了这类行动可能存在的局限性,即对强制推行的预防保健行为的抵触形式。

方法

数据来自一项定量横断面研究,研究对象是从65岁以上患有慢性病的成年人样本中收集信息。

结果

当实施限制老年人自由的行动时,他们采取预防保健行为既不会因缺乏自由本身而受到损害,也不会因这种情况引发的愤怒而受到损害。然而,因缺乏自由引发的负面想法会降低预防行为的依从性。此外,通过让老年人相信有待避免的健康威胁的负面后果,可以激励他们采取预防保健行为。相反,易感性或经历健康威胁的可能性并不会影响他们参与预防保健行为的积极性。

结论

根据研究结果,预防保健行为的信息应旨在提高自主性认知、减少负面认知,并且宣传活动应优先关注与威胁严重程度相关的风险,而非与易感性相关的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ab1/12105568/582a86748e56/JEP-31-0-g001.jpg

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