1
|
Scaglioni G, Chiereghin A, Squillace L, De Frenza F, Kregel JM, Bazzani C, Mezzetti F, Cavazza N. Didactic and narrative persuasion: An experiment to promote colorectal cancer screening. Appl Psychol Health Well Being 2024; 16:497-514. [PMID: 37840199 DOI: 10.1111/aphw.12501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Accepted: 09/30/2023] [Indexed: 10/17/2023]
Abstract
We tested whether a didactic and a narrative video (i.e. educational content and personal stories versus irrelevant information) could boost colorectal cancer (CRC) screening intention directly and through cognitive predictors of CRC screening behavior. We also tested whether exposure to a story changed participants' affective forecasting, reducing the perception of negative emotions associated with CRC screening (disgust, embarrassment, and fear). The study was conducted online with a between-participants design and recruiting a convenience sample (N = 375). We found that, compared with watching the control video, being exposed to the narrative video about CRC screening was indirectly associated with greater screening intention via vicarious experience and positive attitudes, whereas watching the didactic video was positively associated with CRC screening intention only among participants who had received an invitation letter but did not get screened, and among those yet to receive an invitation to screen. In the latter group, screening intention was boosted through positive attitudes. Our findings do not confirm that stories change affective forecasting, but narration likely fosters messages acceptance through vicarious experience. We also found support for the effectiveness of physicians' recommendations in promoting CRC screening, an intervention that might be effectively administered through a generalized, cost-effective video.
Collapse
Affiliation(s)
- Giulia Scaglioni
- Department of Humanities, Social Sciences, and Cultural Industries, University of Parma, Parma, Italy
| | - Angela Chiereghin
- Governance of Screening Programs Unit, Local Health Authority of Bologna, Bologna, Italy
| | - Lorena Squillace
- Governance of Screening Programs Unit, Local Health Authority of Bologna, Bologna, Italy
| | | | - John Martin Kregel
- Public Health Department, Local Health Authority of Bologna, Bologna, Italy
| | - Carmen Bazzani
- Governance of Screening Programs Unit, Local Health Authority of Bologna, Bologna, Italy
| | - Francesca Mezzetti
- Governance of Screening Programs Unit, Local Health Authority of Bologna, Bologna, Italy
| | - Nicoletta Cavazza
- Department of Communication and Economics, University of Modena and Reggio Emilia, Reggio Emilia, Italy
| |
Collapse
|
2
|
Bakur KH, Al-Aama JY, Alhassnan ZN, Brooks H, Clancy T, Manea W, Takroni SA, Ulph F. Exploring the role of Islam on the lived experience of patients with Long QT Syndrome in Saudi Arabia. J Genet Couns 2022; 31:922-936. [PMID: 35194886 DOI: 10.1002/jgc4.1562] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 01/30/2022] [Accepted: 01/31/2022] [Indexed: 11/10/2022]
Abstract
Genetic services are rapidly growing in the Arab world leading to increasing number of patients being diagnosed with genetic disorders. Islam is the only/major religion of the local population in these countries. Muslim patients integrate religion in virtually every aspect of their lives, and it is vital to understand the role of Islam on their coping and decision-making in the context of genetic counseling. This will help provide patients with the most appropriate services aligned to their religious beliefs and will improve outcomes. Increasing numbers of patients are being diagnosed with Long QT syndrome in Saudi Arabia. Using semi-structured interviews, this study explored the role of Islam on the lived experience of 13 Saudi participants diagnosed with autosomal dominant Long QT syndrome (3/13) or who are carriers of Jervell and Lange-Nielsen syndrome (10/13). The interviews investigated how they made sense of living with the condition in light of their religion/spirituality. The data were analyzed using interpretative phenomenological analysis and produced four superordinate themes: 1) Common belief and idiosyncratic interpretation; 2) Using religion to justify positive reframing of current illnesses; 3) Interplay between belief in medicine and in religion; and 4) Complex impact of diagnosis on religiosity. The results show that the participants' idiosyncratic interpretations of the religious principles, not the principles themselves, had an important influence on their coping, medical decision-making, perceptions regarding the cause of their disease, and compliance with medical advice. A novel insight of the current study is that the personal understanding and interpretation of medical information played the greatest role in the decision-making process, and not the religious beliefs. Thus, it is important for health professionals to give patients' information in a manner that is clear and detailed in order for them to facilitate an informed decision, and to ensure that they fully understand the implications.
Collapse
Affiliation(s)
- Khadijah H Bakur
- School of Biological Science, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.,Department of Genetic Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.,Princess Al-Jawhara Centre of Excellence in Research of Hereditary Disorders, King AbdulAziz University, Jeddah, Saudi Arabia
| | - Jumana Y Al-Aama
- Princess Al-Jawhara Centre of Excellence in Research of Hereditary Disorders, King AbdulAziz University, Jeddah, Saudi Arabia.,Department of Genetic Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Zuhair N Alhassnan
- Department of Medical Genetics, King Faisal Specialist Hospital & Research Center, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
| | - Helen Brooks
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Tara Clancy
- Manchester Centre for Genomic Medicine, St. Mary's Hospital, Manchester, UK
| | - Waleed Manea
- Heart Center Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Saud A Takroni
- Department of Medical Genetics, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Fiona Ulph
- Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| |
Collapse
|
3
|
Skyring TA, Mansfield KJ, Mullan JR. Factors Affecting Satisfaction with the Decision-Making Process and Decision Regret for Men with a New Diagnosis of Prostate Cancer. Am J Mens Health 2021; 15:15579883211026812. [PMID: 34261353 PMCID: PMC8287369 DOI: 10.1177/15579883211026812] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
For men with newly diagnosed prostate cancer the decisions about
treatment options are complex and difficult. The aim of this study was
to investigate any association between the extent to which men wanted
to be involved in the decision making process, their satisfaction with
that process, and their levels of decision regret after treatment. The
study population consisted of men diagnosed with prostate cancer at a
regional center in Australia. Men (n = 324) were
invited to complete a mail out survey which included demographic
questions, the treatment chosen, and three validated tools: The
Control Preference Scale to measure the degree of control assumed when
making decisions about medical interventions; the Treatment
Decision-Making Satisfaction Scale (TDM- SAT) to assess satisfaction
with the treatment decision making process; and the Decision Regret
Scale to assess the level of regret after treatment. The majority of
the 151 respondents (47% response rate) expressed an active decision
control preference. There was no correlation between age and the
treatment chosen or the degree of control men exerted over the
decision-making process. Men who preferred a passive role were less
satisfied with the decision-making process than were those who took an
active or collaborative approach. A strong inverse correlation was
demonstrated between regret experienced and satisfaction with the
decision-making process. In conclusion, for men newly diagnosed with
prostate cancer, taking an active role in the treatment decision
making process led to greater satisfaction with that process, which in
turn reduced their chances of experiencing regret following
treatment.
Collapse
Affiliation(s)
- Timothy A Skyring
- School of Medicine, University of Wollongong, Wollongong, NSW, Australia.,South Coast Urology, Wollongong, NSW, Australia
| | - Kylie J Mansfield
- School of Medicine, University of Wollongong, Wollongong, NSW, Australia
| | - Judy R Mullan
- School of Medicine, University of Wollongong, Wollongong, NSW, Australia.,CHRISP, University of Wollongong, Wollongong, NSW Australia
| |
Collapse
|
4
|
El-Jawahri A, Forst D, Fenech A, Brenner KO, Jankowski AL, Waldman L, Sereno I, Nipp R, Greer JA, Traeger L, Jackson V, Temel J. Relationship Between Perceptions of Treatment Goals and Psychological Distress in Patients With Advanced Cancer. J Natl Compr Canc Netw 2020; 18:849-855. [PMID: 32634779 DOI: 10.6004/jnccn.2019.7525] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2019] [Accepted: 12/16/2019] [Indexed: 11/17/2022]
Abstract
BACKGROUND Studies have shown gaps in prognostic understanding among patients with cancer. However, few studies have explored patients' perceptions of their treatment goals versus how they perceive their oncologist's goals, and the association of these views with their psychological distress. METHODS We conducted a cross-sectional study of 559 patients with incurable lung, gastrointestinal, breast, and brain cancers. The Prognosis and Treatment Perception Questionnaire was used to assess patients' reports of their treatment goal and their oncologist's treatment goal, and the Hospital Anxiety and Depression Scale was used to assess patients' psychological symptoms. RESULTS We found that 61.7% of patients reported that both their treatment goal and their oncologist's treatment goal were noncurative, whereas 19.3% reported that both their goal and their oncologist's goal were to cure their cancer, 13.9% reported that their goal was to cure their cancer whereas their oncologist's goal was noncurative, and 5% reported that their goal was noncurative whereas their oncologist's goal was curative. Patients who reported both their goal and their oncologist's goal as noncurative had higher levels of depression (B=0.99; P=.021) and anxiety symptoms (B=1.01; P=.015) compared with those who reported that both their goal and their oncologist's goal was curative. Patients with discordant perceptions of their goal and their oncologist's goal reported higher anxiety symptoms (B=1.47; P=.004) compared with those who reported that both their goal and their oncologist's goal were curative. CONCLUSIONS One-fifth of patients with incurable cancer reported that both their treatment goal and their oncologist's goal were to cure their cancer. Patients who acknowledged the noncurative intent of their treatment and those who perceived that their treatment goal was discordant from that of their oncologist reported greater psychological distress.
Collapse
Affiliation(s)
- Areej El-Jawahri
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| | - Deborah Forst
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| | - Alyssa Fenech
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| | - Keri O Brenner
- 2Harvard Medical School, and.,3Department of Medicine, Division of Palliative Care, Massachusetts General Hospital, Boston, Massachusetts; and.,4Department of Medicine, Section of Palliative Care, Stanford University, Stanford, California
| | - Amanda L Jankowski
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| | - Lauren Waldman
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| | - Isabella Sereno
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| | - Ryan Nipp
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| | - Joseph A Greer
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| | - Lara Traeger
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| | - Vicki Jackson
- 2Harvard Medical School, and.,3Department of Medicine, Division of Palliative Care, Massachusetts General Hospital, Boston, Massachusetts; and
| | - Jennifer Temel
- 1Division of Hematology and Oncology, Massachusetts General Hospital Cancer Center.,2Harvard Medical School, and
| |
Collapse
|
5
|
Sjåstad H, Baumeister RF, Ent M. Greener grass or sour grapes? How people value future goals after initial failure. JOURNAL OF EXPERIMENTAL SOCIAL PSYCHOLOGY 2020. [DOI: 10.1016/j.jesp.2020.103965] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|