预测评估和接受授权隐藏用于减少nocebo副作用的个人差异因素
Emily K Spotts1, Franklin G Miller2, Andrew L Geers1
1Department of Psychology, University of Toledo, Toledo, OH, USA.
Patient education and counseling
|January 26, 2025
概括
对医生的更大的信任和避免副作用信息的愿望预测了患者接受授权隐,共享决策策略以最大限度地减少nocebo效应.
科学领域:
- 医疗决策的制定能力
- 患者沟通 患者沟通
- 医疗保健对心理的影响
背景情况:
- 授权隐是一种共享决策方法,临床医生询问患者是否愿意收到有关所有治疗副作用的信息.
- 这种技术旨在减轻负面的心理结果,如nocebo效应,这可能是由于对潜在不良事件的过度信息而产生的.
研究的目的:
- 调查影响患者评估和参与授权隐的意愿的个人差异变量.
- 确定对这种共享决策策略的接受度的预测因素.
主要方法:
- 在了解了nocebo效应后,对1012名美国成年人 (18-94岁) 的全国样本进行了调查.
- 参与者评估了四种授权隐方法,并估计了他们同意使用它们的可能性.
- 心理,健康和人口统计学变量被评估为潜在的预测因素.
主要成果:
- 对临床医生的更高信任和更愿意避免对副作用的了解强烈预测了积极的评估和有意使用授权隐.
- 一些人口因素,包括女性性别,年龄较大,自我报告的健康状况更好,以及定期服用药物,与更有利的反应有关,尽管这些因隐藏方法而异.
结论:
- 个体特征,特别是信任和避免信息的偏好,是患者对授权隐的开放性的重要预测因素.
- 了解这些预测因素可以帮助临床医生有效地实施这种共享决策策略.
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