Toward a theory of patient and consumer activation

Toward a theory of patient and consumer activation
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DOI:
10.1016/j.pec.2009.12.015
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发表时间:
2010-03-01
影响因子:
3.5
通讯作者:
Mahoney, Eldon
Mahoney, Eldon
中科院分区:
医学2区
文献类型:
--
作者:
Hibbard, Judith H.;Mahoney, Eldon

文献摘要

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目标:本研究的目的是开始发展激活理论的过程,为教育工作和干预措施的设计提供信息。因为在日常生活中的积极情绪的经验,往往扩大个人的行为反应的阵列,并增加他们对新信息的开放性,我们研究情绪如何涉及到激活levels.Methods:在2008年进行了一项网络调查的受访者的年龄在25-75之间的国家样本。结果:激活与日常生活中的积极情绪和消极情绪体验有关。那些低激活是由负面影响和消极self-perception.Conclusions:带来的变化激活,可能意味着打破这种循环的负面自我认知和emotions.Practice implications:体验成功可以启动一个积极的向上循环,就像失败产生相反的。通过鼓励改善健康的小步骤,那些现实的,考虑到个人的激活水平,有可能开始这种积极的循环。有效的教育工作应侧重于提高自我效能和个人作为自我管理者的自我概念。(C)2010爱思唯尔爱尔兰有限公司版权所有,
Objective: The purpose of this study is to begin the process of developing a theory of activation, to inform educational efforts and the design of interventions. Because the experience of positive emotions in daily life, tends to widen the individual's array of behavioral responses and increase their openness to new information, we examine how emotions relate to activation levels.Methods: A web survey was carried out in 2008 with a National sample of respondents between the ages of 25-75. The study achieved a 63% response rate with a final sample size of 843.Results: The findings indicate that activation is linked with the experience of positive and negative emotion in daily life. Those low in activation are weighted down by negative affect and negative self-perception.Conclusions: Bringing about change in activation, likely means breaking this cycle of negative self-perception and emotions.Practice implications: Experiencing success can start a positive upward cycle, just like failure produces the opposite. By encouraging small steps toward improving health, ones that are realistic, given the individuals level of activation, it is possible to start that positive cycle. Effective educational efforts should focus on improving self-efficacy and the individual's self-concept as a self-manager. (C) 2010 Elsevier Ireland Ltd. All rights reserved,