Relative importance of "why" and "how" messages on medication behavior: Insights from construal level theory.

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2025-03-01 Epub Date: 2024-12-04 DOI:10.1016/j.pec.2024.108603

Yeonhwa Mo, Hyun Soon Park, Jieun Jang, Eui-Kyung Lee

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引用次数: 0

Abstract

Objective: This study assesses the impact of initial messaging strategies on medication behavior in newly diagnosed hypertension patients in a hypothetical context. Applying Construal Level Theory, this study evaluated which message type-low construal (focused on how, feasibility, and concrete) or high construal (focused on why, desirability, and abstract)-is more effective.

Methods: An online quasi-experiment was performed with 1200 participants without hypertension aged 30-60. The participants were divided into two message groups, each receiving a hypothetical hypertension diagnosis during a health check-up and different medication messages tailored to construal levels.

Results: Compared to "how" messages, "why" messages significantly improved message satisfaction (F_1,1192 = 10.36, p = 0.001, ηp² = 0.009, M (SE) = 5.25 (0.04) vs. 5.04 (0.04)) and adherence intentions (F_1,1192 = 7.54, p = 0.006, ηp² = 0.006, M (SE) = 4.83 (0.06) vs. 4.59 (0.06)).

Conclusion: In the hypothetical scenario, patients newly diagnosed with hypertension were found to be more responsive to "why" messages and perceived a distant psychological distance to medication.

Practice implications: To enhance adherence intentions and message satisfaction, healthcare professionals should emphasize the reasons and benefits of medication use for newly prescribed hypertension patients. Moreover, early-stage patient materials should prioritize "why" messages to improve adherence.

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为什么 "和 "如何 "的信息对用药行为的相对重要性：构想水平理论的启示。

目的：本研究在一个假设的背景下评估初始信息策略对新诊断高血压患者用药行为的影响。运用解释水平理论，本研究评估了哪种信息类型——低解释（关注如何、可行性和具体）或高解释（关注为什么、可取性和抽象）——更有效。方法：对1200名30 ~ 60岁无高血压患者进行在线准实验。参与者被分为两个信息组，每个组在健康检查中接受假设的高血压诊断，并根据解释水平接受不同的药物信息。结果：与“如何”信息相比，“为什么”信息显著提高了信息满意度(F1,1192 = 10.36, p = 0.001, ηp2 = 0.009, M (SE) = 5.25 （0.04) vs. 5.04(0.04)）和依从性意向(F1,1192 = 7.54, p = 0.006, ηp2 = 0.006, M (SE) = 4.83 （0.06) vs. 4.59(0.06)）。结论：在假设情景中，发现新诊断为高血压的患者对“为什么”信息的反应更敏感，并且对药物的心理距离更遥远。实践意义：为了提高依从性意图和信息满意度，医疗保健专业人员应该强调新开处方的高血压患者用药的原因和益处。此外，早期患者材料应该优先考虑“为什么”的信息，以提高依从性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.