How does physician advice influence patient behavior?: Evidence for a priming effect
How does physician advice influence patient behavior?: Evidence for a priming effect
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DOI：
10.1001/archfami.9.5.426
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发表时间：
2000-05-01
期刊：
影响因子：
--
通讯作者：
Bull, FC
中科院分区：
文献类型：
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作者：
Kreuter, MW;Chheda, SG;Bull, FC
目的：为了探讨潜在的“启动效应”的医生的意见对病人的反应，以行为改变干预。设计：随机对照试验与3个月的后续行动。设置：四个社区为基础的小组家庭医学诊所在东南部密苏里州。参与者：成人患者（N = 915）。干预措施：印刷教育材料，旨在鼓励患者戒烟，少吃脂肪，增加体力活动。主要结果指标：教育材料的回忆、评级和使用;吸烟行为、膳食脂肪消耗和体力活动的变化。结果：在接受同一主题的干预材料之前，接受医生建议戒烟、少吃脂肪或多运动的患者更有可能记住这些材料，向他人展示，并将这些材料视为专门适用于他们。他们也更有可能报告试图戒烟（比值比[OR] = 1.54，95%置信区间[CI] = 0.95-2.40），戒烟至少24小时（OR = 1.85，95%CI = 1.02-3.34），并对饮食进行一定的改变（OR = 1.35，95%CI = 1.00-1.84）和体力活动（OR = 1.51，95%CI = 0.95-2.40）。研究结果支持一种综合的疾病预防模式，在这种模式中，医生的建议是改变的催化剂，并得到协调的信息和活动系统的支持，可以提供持续的行为改变所需的细节和个性化的深度。
Objective: To explore a potential "priming effect" of physician advice on patient responses to behavioral change interventions.Design: Randomized controlled trial with a 3-month follow-up.Setting: Four community-based group family medicine clinics in southeastern Missouri.Participants: Adult patients (N = 915).Interventions: Printed educational materials designed to encourage patients to quit smoking, eat less fat, and increase physical activity.Main Outcome Measures: Recall, rating, and use of the educational materials; changes in smoking behavior, dietary fat consumption, and physical activity.Results: Patients who received physician advice to quit smoking, eat less fat, or gee more exercise prior to receiving intervention materials on the same topic were more likely to remember the materials, show them to others, and perceive the materials as applying to them specifically. They were also more likely to report trying to quit smoking (odds ratio [OR] = 1.54, 95% confidence interval [CI] = 0.95-2.40), quitting for at least 24 hours (OR = 1.85, 95% CI = 1.02-3.34), and malting some changes in diet (OR = 1.35, 95% CI = 1.00-1.84) and physical activity (OR = 1.51, 95% CI = 0.95-2.40).Conclusions: Findings support an integrated model of disease prevention in which physician advice is a catalyst for change and is supported by a coordinated system of information and activities that can provide the depth of detail and individualization necessary for sustained behavioral change.