What is a health expectation? Developing a pragmatic conceptual model from psychological theory
What is a health expectation? Developing a pragmatic conceptual model from psychological theory
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DOI：
10.1111/j.1369-7625.2006.00363.x
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发表时间：
2006-03-01
影响因子：
3.2
通讯作者：
Drummond, N
中科院分区：
文献类型：
--
作者：
Janzen, JA;Silvius, J;Drummond, N
对有关健康期望的现有文献的检查显示，术语方面存在歧义，而在心理学文献中关于期望的抽象理论如何用于实证研究期望对现实世界中态度和行为的影响方面，相对较少的工作。本文提出了一个健康期望发展的概念模型，具体涉及阿尔茨海默病。文献综述、综合和概念模型的发展，以新诊断的早期阿尔茨海默病患者和她的照顾者为例。我们的模型将健康期望的发展设想为包含几个纵向阶段（突发现象、先前理解、认知加工、期望形成、结果、结果后认知加工）。期望是一种非常重要的现象，但与健康和保健经验有关，人们对这种现象的了解仍然相对较少。我们提出了一个实用的概念模型，旨在澄清期望发展的过程，以便为未来的健康期望测量研究提供信息，并增强我们对期望对健康行为和态度的影响的理解。
Examination of the existing literature in respect of health expectations revealed both ambiguity in relation to terminology, and relatively little work in respect of how abstract theories of expectancy in the psychological literature might be used in empirical research into the influence of expectations on attitudes and behaviours in the real world. This paper presents a conceptual model for the development of health expectations with specific reference to Alzheimer's disease.Literature review, synthesis and conceptual model development, illustrated by the case of a person with newly diagnosed, early-stage Alzheimer's disease, and her caregiver.Our model envisages the development of a health expectation as incorporating several longitudinal phases (precipitating phenomenon, prior understanding, cognitive processing, expectation formulation, outcome, post-outcome cognitive processing).Expectations are a highly important but still relatively poorly understood phenomenon in relation to the experience of health and health care. We suggest a pragmatic conceptual model designed to clarify the process of expectation development, in order to inform future research into the measurement of health expectations and to enhance our understanding of the influence of expectations on health behaviours and attitudes.