Patient's lung cancer diagnosis as a cue for relatives' smoking cessation: evaluating the constructs of the teachable moment.
Patient's lung cancer diagnosis as a cue for relatives' smoking cessation: evaluating the constructs of the teachable moment.
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DOI：
10.1002/pon.4011
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发表时间：
2017-01
期刊：
影响因子：
3.6
通讯作者：
Brandon TH
中科院分区：
文献类型：
--
作者：
McBride CM;Blocklin M;Lipkus IM;Klein WM;Brandon TH
了解患者报告的肺癌经历是否可以为他们的亲属创造可教时刻（TM），这可以通过他们的风险认知，情感反应和自我形象的变化以及戒烟动机来证明。综合癌症中心的患者（n = 152）在肺癌诊断后6个月内完成了一项调查，以评估他们的癌症相关症状和开放性，并列举了吸烟的亲属。相对吸烟者（n = 218），然后完成了一项调查，评估他们的风险认知，情感反应，和自我形象作为一个吸烟者相关的患者的诊断（TM机制），和他们的动机戒烟。进行了横断面中介和适度分析，以探讨患者报告的经验，和亲属的TM机制，和戒烟动机之间的联系。相对报告的影响是一个显着的调解人之间的关联患者报告的症状和相对吸烟者的愿望戒烟。亲属的自我形象是患者报告的症状和相对吸烟者的戒烟愿望之间的关联的重要调节剂，这样，患者报告的症状与亲属的戒烟愿望，只有当相对吸烟者报告一个普遍积极的自我形象作为一个吸烟者。没有证据表明有节制的调解。然而，症状和负面影响之间的联系是由风险的看法缓和。吸烟者是否经历家庭成员的肺癌作为TM是由多个相互关联的认知和情感因素，值得进一步探索的影响。更清楚地了解这些因素可以告知如何重新激活和维持这种动机，以促进戒烟的具体行动。
To understand whether patient-reported experiences with lung cancer may create teachable moments (TM) for their relatives as evidenced by shifts in their risk perceptions, affective response, and self-image and in turn, motivation to quit smoking. Patients at a comprehensive cancer center (n = 152) completed a survey within 6 months of lung cancer diagnosis to assess their cancer-related symptoms and openness and enumerated relatives who were smokers. Relative smokers (n = 218) then completed a survey assessing their risk perceptions, affective response, and self-image as a smoker related to the patient’s diagnosis (TM mechanisms), and their motivation to quit smoking. Cross-sectional mediation and moderation analyses were conducted to explore the links between patient-reported experiences, and relatives’ TM mechanisms, and motivation to quit smoking. Relative-reported affect was a significant mediator of the association between patient-reported symptoms and relative smoker’s desire to quit. Relatives’ self-image was a significant moderator of the association between patient-reported symptoms and relative smoker’s desire to quit, such that patients’ reported symptoms were associated with relatives’ desire to quit only when the relative smoker reported a generally positive self-image as a smoker. No evidence was found for moderated mediation. However, the link between symptoms and negative affect was moderated by perceptions of risk. Whether smokers experience a family member’s lung cancer as a TM is influenced by multiple interrelated cognitive and affective factors that warrant further exploration. Clearer understanding of these factors could inform how to re-invigorate and sustain this motivation to promote concrete actions toward smoking cessation.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
社会认可偏见对自我报告的水果和蔬菜消费的影响：一项随机对照试验。
影响因子：
5.4
作者：
Miller TM;Abdel-Maksoud MF;Crane LA;Marcus AC;Byers TE
通讯作者：
Byers TE
影响因子：
4
作者：
Ouellette, JA;Hessling, R;Gerrard, M
通讯作者：
Gerrard, M
影响因子：
8.8
作者：
O'Neill, Suzanne C.;White, Della Brown;McBride, Colleen M.
通讯作者：
McBride, Colleen M.