Choosing across cultures: The effect of choice complexity on treatment outcomes.
Choosing across cultures: The effect of choice complexity on treatment outcomes.
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跨文化选择：选择复杂性对治疗结果的影响。
DOI：
10.1002/bdm.1868
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发表时间：
2015
影响因子：
2
通讯作者：
A. L.
中科院分区：
文献类型：
--
作者：
Brown,J. A.;Oikawa;M.;Rose;J. P.;Haught;H.M.;Oikawa;H.;& Geers;A. L.
先前的研究表明，对治疗方案进行选择可以提高它们的疗效。然而，目前尚不清楚治疗选择的好处是否适用于复杂的决定和不同的文化。不同数量的治疗方案在两种文化背景下的效果进行了探讨：美国和日本。参与者被暴露在一种不舒服的刺激下，并提供了多达15种他们认为可以减少不适感的安慰剂治疗方案。与更多的治疗选择(10和15)相比，来自日本的参与者从较少的治疗选择(2和5)中受益最大。然而，来自美国的参与者要么表现出不舒服的变化，要么随着选择数量的增加而减少。此外，来自日本的参与者报告说，当他们有更多的治疗选择时，他们对决策过程的满意度较低，而美国参与者对更多的治疗选择的满意度类似，如果不是略高一些的话。此外，第二项研究表明，对决策过程的积极体验在日本参与者的选择复杂性和治疗效果之间的关系中起到了中介作用。这些数据表明，在医学背景下讨论治疗选择和结果时，文化和选择复杂性的重要性。版权所有©2015 John Wiley&Sons，Ltd.
Prior research has revealed that having choice over treatments can improve their efficacy. However, it is currently unknown if the benefits of treatment choice hold for complex decisions and different cultures. The effects of differing numbers of treatment options were explored across two cultural contexts: United States and Japan. Participants were exposed to an uncomfortable stimulus and provided with up to 15 placebo treatment options they believed would reduce discomfort. There was a significant interaction such that participants from Japan benefited most from fewer treatment options (2 and 5) compared with more treatment options (10 and 15). Participants from the United States, however, showed either no change in discomfort or less discomfort as the number of choices increased. Additionally, participants from Japan reported less satisfaction with the decision process when they had more treatment options to choose from whereas U.S. participants reported similar, if not slightly higher, satisfaction with more treatment options. Further, a second study indicated that a positive experience with the decision process mediated the relationship between choice complexity and treatment efficacy for Japanese participants. These data demonstrate the importance of culture and choice complexity when discussing treatment choice and resulting outcomes in the medical context. Copyright © 2015 John Wiley & Sons, Ltd.