INTRODUCTION Vignettes are commonly used to assess health care decision making when it is impractical or unethical to use experimental methods. We sought to determine whether decisions made in response to hypothetical vignettes requiring medical decisions for self or parents related to reported future likelihoods of engaging in similar behaviors. METHOD Respondents (n = 1,862) were adults recruited in person in general community settings. Individuals were assigned randomly to read 1 of a variety of vignettes that presented various medical problems being experienced either by oneself or a parent in a hypothetical context. Individuals reported their likelihoods of hiring a health care advocate to perform a variety of tasks in the context of the vignette and their likelihoods of hiring a health care advocate for themselves or their own parents in the future. Multigroup analysis was performed to estimate a latent variable path model for the vignette hiring questions and real-world future intention to hire by condition. RESULTS The configural model was retained. Tests of invariance for the correlation between future intentions to hire and the latent variable from the vignette decision making indicated a significant difference between self and parent conditions. However, moderate relationships existed between vignette responses and future intentions in both conditions, with approximately 25% of the variance in personal, future intentions being accounted for by vignette responses. DISCUSSION Our findings support the continued study of vignettes as a possible tool to measure behavioral intentions in the context of positive and negative health care decisions impacting self and others. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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小插图的响应和健康决策中的未来意图：它们之间的相关程度如何？

简介当使用实验方法不切实际或不道德时，通常使用小插图来评估医疗保健决策。我们试图确定是否做出了对假设的小插曲做出的决策，这些小插曲需要为自己或父母做出医疗决定，并且与所报道的未来从事类似行为的可能性有关。方法受访者（n = 1,862）是在一般社区环境中亲自招募的成年人。随机分配个体阅读假想中表现出自身或父母经历的各种医学问题的各种小插图之一。个人报告了他们可能会雇用一名医疗保健倡导者在小插图的背景下执行各种任务，以及他们将来可能为自己或自己的父母雇用一名医疗保健倡导者的可能性。进行了多组分析，以估计小插图雇用问题和按条件雇用的现实世界未来意图的潜在变量路径模型。结果保留了配置模型。未来雇用意向与小插图决策中的潜在变量之间相关性的不变性检验表明，自我和父母条件之间存在显着差异。但是，在两种情况下，小插图响应和未来意图之间都存在适度的关系，其中约25％的个人差异 小插图响应说明了未来的意图。讨论我们的发现支持继续对小插曲进行研究，将其作为在正面和负面的保健决策影响自己和他人的情况下衡量行为意图的一种可能工具。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。