How does patient-centered communication work? Trend analysis of mediation through cancer worry and health self-efficacy, 2011-2020.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2024-09-01 Epub Date: 2024-02-02 DOI:10.1177/13591053241228437

Jizhou Francis Ye, Shenting Zheng, Song Harris Ao, Changhao Dylan Yan, Yuyuan Lai, Ze Lai, Xinshu Zhao

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Abstract

This study proposed and tested the cross-sectional effects of patient-centered communication (PCC) on cancer screening behaviors via an affective-cognitive sequential chain of mediation through cancer worry and health self-efficacy. Cross-sectional data were analyzed from four iterations of the Health Information National Trends Survey (2011, 2014, 2017, and 2020). The results found that lowered cancer worry following PCC does not show a cross-sectional positive effect in promoting cancer screening behaviors, while enhanced health self-efficacy as a subsequent state is a facilitator of screening behaviors. The findings further demonstrated increased PCC, a rise in cancer worry, and a sustained level of health self-efficacy. Also, our research has identified an upward trend in cancer screening behaviors from 2011 to 2017, followed by a notable decrease in 2020. These insights underscore the nuanced ways PCC can foster cancer screening behaviors, emphasizing the importance of emotional and cognitive aspects in clinical settings.

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以患者为中心的沟通如何发挥作用？2011-2020年通过癌症担忧和健康自我效能进行调解的趋势分析。

本研究提出并检验了以患者为中心的沟通（PCC）通过癌症担忧和健康自我效能的情感-认知序列中介链对癌症筛查行为的横断面影响。研究分析了四次全国健康信息趋势调查（2011 年、2014 年、2017 年和 2020 年）的横断面数据。结果发现，PCC 降低后的癌症担忧在促进癌症筛查行为方面并没有显示出横断面上的积极作用，而作为后续状态的健康自我效能感的增强则是筛查行为的促进因素。研究结果进一步表明，PCC 的增加、癌症担忧的上升和健康自我效能的持续水平。此外，我们的研究还发现，从 2011 年到 2017 年，癌症筛查行为呈上升趋势，随后在 2020 年出现明显下降。这些见解强调了 PCC 促进癌症筛查行为的细微方式，强调了临床环境中情感和认知方面的重要性。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.