Patient participation: the impact of diagnosis and individual characteristics

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

对于患者的特点以及他们想要参与的治疗程度之间关系的认知还非常有限。我们的多手段研究基于自我效能理论，对比研究糖尿病和癌症患者对于院方制定的治疗方案以及自我设计的治疗方案的偏好，作为自我效能和健康技能的一个作用体现。我们发现在治疗方案选择上，病情的严重性影响着自我效能和健康技能之间预期的互动关系，这一发现对自我效能理论的完善做出了贡献。不同可能体现在各自的心里压力以及在患者访谈中呈现的不断增强的有效治疗的重要性上。

KEYWORDS:

• Health care services
• patient-centered care
• patient participation
• self-efficacy

关键词:

• 医疗护理服务
• 以患者为主的护理
• 患者参与
• 自我效能

Disclosure statement

No potential conflict of interest was reported by the author(s).

Notes

1 Based on Study 1, self-efficacy scores range from 17 to 68; scores 43 and below were considered to indicate high self-efficacy and above 43 low self-efficacy patients.

Additional information

Funding

This research was funded in part by a grant from the Quinnipiac University School of Business.