ABSTRACT

Despite the interest in encouraging patients to participate in their care, knowledge of the relationship between patients’ characteristics and the extent to which they want to participate in their care is limited. Failure to consider preferences may negate the purported benefits of participation. Drawing on Self-Efficacy Theory, our multi-method study addresses this gap in the literature by studying patient preference for a prescribed versus a patient designed wellness program, as a function of individual self-efficacy and health skills, for diabetes and cancer patients. Using an experimental approach, we contribute to Self-Efficacy Theory by finding that disease seriousness impacts the expected interaction between self-efficacy and health skills in wellness program choice. The expected interaction held for diabetes patients but not for cancer patients. Differences between diabetes and cancer patients may reflect the relative psychological distress and the heightened importance of effective treatment that were revealed in patient interviews.

摘要

尽管有兴趣鼓励患者参与他们的护理，但对患者特征与他们希望参与护理的程度之间的关系的了解仍然有限。不考虑偏好可能会抵消所谓的参与好处。我们的多方法研究借鉴自我效能理论，通过研究糖尿病和癌症患者对处方健康计划与患者设计的健康计划的偏好，作为个人自我效能和健康技能的函数，弥补了文献中的这一空白。使用实验方法，我们发现疾病的严重程度会影响健康计划选择中自我效能和健康技能之间的预期相互作用，从而为自我效能理论做出了贡献。预期的相互作用适用于糖尿病患者，但不适用于癌症患者。糖尿病和癌症患者之间的差异可能反映了患者访谈中揭示的相对心理困扰和有效治疗的高度重要性。