期刊
JOURNAL OF BEHAVIORAL MEDICINE
卷 37, 期 5, 页码 931-954出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10865-014-9553-x
关键词
Monitoring; Cancer; Communication; Decision-making; Tailored interventions; Adherence
资金
- NCI NIH HHS [R01 CA076644, P01 CA057586, R01 CA158019, CA14506663, RC1 CA145063, P30 CA006927, P30 CA06927, R01 CA104979] Funding Source: Medline
Building on the Cognitive-Social Health Information-Processing model, this paper provides a theoretically guided review of monitoring (i.e., attend to and amplify) cancer-related threats. Specifically, the goals of the review are to examine whether individuals high on monitoring are characterized by specific cognitive, affective, and behavioral responses to cancer-related health threats than individuals low on monitoring and the implications of these cognitive-affective responses for patient-centered outcomes, including patient-physician communication, decision-making and the development of interventions to promote adherence and adjustment. A total of 74 reports were found, based on 63 studies, 13 of which were intervention studies. The results suggest that although individuals high on monitoring are more knowledgeable about health threats, they are less satisfied with the information provided. Further, they tend to be characterized by greater perceived risk, more negative beliefs, and greater value of health-related information and experience more negative affective outcomes. Finally, individuals high on monitoring tend to be more demanding of the health providers in terms of desire for more information and emotional support, are more assertive during decision-making discussions, and subsequently experience more decisional regret. Psychoeducational interventions improve outcomes when the level and type of information provided is consistent with the individual's monitoring style and the demands of the specific health threat. Implications for patient-centered outcomes, in terms of tailoring of interventions, patient-provider communication, and decision-making, are discussed.
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