Patients' choices and perceptions after an invitation to participate in treatment decisions

doi:10.1016/0277-9536(92)90314-G

Social Science & Medicine

Volume 34, Issue 11, June 1992, Pages 1217-1225

https://doi.org/10.1016/0277-9536(92)90314-G Get rights and content

Abstract

Previous search indicates that treatment outcomes may be improved if patients perceive greater control over their treatment, but the practical implications of encouraging patients to take more control have not been investigated. The present study investigated responses of 143 patients in a cardiovascular risk management clinic to an invitation to make a decision about their treatment. Subjects' choices of the target behaviour for their behaviour-change treatment were highly predictable from their state of health, reasons for coming to the clinic, what behaviours they were told they were at risk from, and contacts with health workers. The degree of control that subjects reported they had over the decision varied considerably, being negatively related to blood pressure and positively related to the degree of control that subjects believed they had over their health in general. Issues such as time-demands, the practitioner's job satisfaction, and ethical implications of patient participation are discussed.

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Patients' choices and perceptions after an invitation to participate in treatment decisions

Abstract

J. expl soc. Psychol.

J. expl soc. Psychol.

Soc. Sci. Med.

J. Chron. Dis.

Atherosclerosis

J. chron. Dis.

Soc. Sci. Med.

Is there a relation between locus of control orientation and depression?

J. Abnormal Psychol.

Mental health and locus of control: SCL-90-R and Levenson's IPC scales

J. Clin. Psychol.

Personal control as a moderator variable of life stress: preliminary inquiry

Psychol. Rep.

Stressful life events, personality, and health: an inquiry into hardiness

J. Person. Soc. Psychol.

Role of health locus of control beliefs and expectations of treatment efficacy in adjustment to cancer

J. Person. Soc. Psychol.

Coronary-prone behaviour, locus of control, and anxiety

Psychol. Rep.

A locus of control scale for noncollege as well as college adults

J. Person. Assess

Assessing the impact of life changes

Health behaviour and personal autonomy: a longitudinal study of the sense of control in illness

J. Hlth Soc. Behav.

Coping, locus of control, social support, and combat-related posttraumatic stress disorder: a prospective study

J. Person. Soc. Psychol.

Internal-external expectancies and health-related behaviours

J. Consul. clin. Psychol.

Internal-external expectancies and cardiovascular functioning

Locus of control and health: a review of the literature

Hlth Educat. Monographs

Review: locus of control as a predictor of outcome of psychotherapy

Br. J. med. Psychol.

Reduction of stress in humans through nonveridical perceived control of aversive stimulation

J. Person. soc. Psychol.

Effects of actual and potential stressor control on physiological and self-reported stress responses

J. Soc. clin. Psychol.

Lack of control as a determinant of perceived physical symptoms

J. Person. soc. Psychol.

Effects of coping responses on stress

J. Comp. physiol. Psychol.

Perceived control of aversive stimulation and the reduction of stress responses

J. Person.

Information, choice, and reactions to stress: a field experiment in a blood bank with laboratory analogue

J. Person. soc. Psychol.