Behavioral involvement and preference for information among male and females with cardiac disease

Abstract

The aim of this pilot study was to explore and compare preferences for involvement and preferences for information among men and women who had suffered from cardiac disease. A convenience sample of 79 respondents (47 men and 32 women) was recruited from The National Association of Heart and Lung Patients in Sweden at ten local meeting places in different areas. Krantz Health Opinion Survey, KHOS, a 16-item self-rating questionnaire, was used to measure patients’ desire for involvement in healthcare. The results indicate that patients’ information preferences and behavioural preferences are not very high though the total score in KHOS was 5.47. A difference between the genders was also found, seen as higher scores in females than males; 5.93 vs 4.44, p = 0.032, indicating that women prefer a more active role in decision making than men do. The main practical conclusion drawn from this empirical study is that patients are still not as active in seeking information or in behavioural involvement as is desirable.

Share and Cite:

Nilsson, U. , Ivarsson, B. , Alm-Roijer, C. and Svedberg, P. (2012) Behavioral involvement and preference for information among male and females with cardiac disease. Open Journal of Nursing, 2, 138-142. doi: 10.4236/ojn.2012.22021.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Johansson, P., Oleni, M. and Fridlund, B. (2002) Patient satisfaction with nursing care in the context of health care: A literature study. Scandinavian Journal of Caring Science, 16, 337-344. doi:10.1046/j.1471-6712.2002.00094.x
[2] Sheard, C. and Garrud, P. (2006) Evaluation of generic patient information: Effects on health outcomes, knowledge and satisfaction. Patient Education and Counseling, 61, 43-47. doi:10.1016/j.pec.2005.02.004
[3] Leino-Kilpi, H., Heikkinen, K., Hiltunen, A., Johansson, K., Kaljonen, A., Virtanen, H. and Salantera, S. (2009) Preference for information and behavioral control among adult ambulatory surgical patients. Applied Nursing Research, 22, 101-106. doi:10.1016/j.apnr.2007.05.003
[4] Edward, G.M., Naald, N.V., Oort, F.J., De Haes, H.C., Biervliet, J.D., Hollmann, M.W. and Preckel, B. (2011) Information gain in patients using a multimedia website with tailored information on anaesthesia. British Journal of Anaesthesia, 106, 319-324. doi:10.1093/bja/aeq360
[5] Ownby, R.L. (2005) Development of an interactive tailored information application to improve patient medication adherence. AMIA Annual Symposium Proceedings, 1069.
[6] Doherty, C. and Doherty, W. (2005) Patients’ preferences for involvement in clinical decision-making within secondary care and the factors that influence their preferences. Journal of Nursing Management, 13, 119-127. doi:10.1111/j.1365-2934.2004.00498.x
[7] Say, R., Murtagh, M. and Thomson, R. (2006) Patients’ preference for involvement in medical decision making: A narrative review. Patient Education and Counseling, 60, 102-114. doi:10.1016/j.pec.2005.02.003
[8] Stewart, D.E., Abbey, S.E., Shnek, Z.M., Irvine, J. and Grace, S.L. (2004) Gender differences in health information needs and decisional preferences in patients recovering from an acute ischemic coronary event. Psychosomatic Medicine, 66, 42-48. doi:10.1097/01.PSY.0000107006.83260.12
[9] Flynn, K.E., Smith, M.A. and Vanness, D. (2006) A typology of preferences for participation in healthcare decision making. Social Science & Medicine, 63, 1158-1169. doi:10.1016/j.socscimed.2006.03.030
[10] Beaver, K., Campbell, M., Craven, O., Jones, D., Luker, K.A. and Susnerwala, S.S. (2009) Colorectal cancer patients’ attitudes towards involvement in decision making. Health Expect, 12, 27-37. doi:10.1111/j.1369-7625.2008.00515.x
[11] Arora, N.K. and McHorney, C.A. (2000) Patient preferences for medical decision making: Who really wants to participate? Medical Care, 38, 335-341. doi:10.1097/00005650-200003000-00010
[12] Barratt, A. (2008) Evidence based medicine and shared decision making: The challenge of getting both evidence and preferences into health care. Patient Education and Counseling, 73, 407-412. doi:10.1016/j.pec.2008.07.054
[13] Rahmqvist, M. and Bara, A.C. (2007) Patients retrieving additional information via the Internet: A trend analysis in a Swedish population, 2000-05. Scandinavian Journal of Public Health, 35, 533-539. doi:10.1080/14034940701280750
[14] Carlsson, C., Bendahl, P.O., Nilsson, K. and Nilbert, M. (2006) Benefits from membership in cancer patient associations: Relations to gender and involvement. Acta Oncologica, 45, 559-563. doi:10.1080/02841860600724419
[15] Lobban, T.C. and Camm, A.J. (2011) Patient associations as stakeholders: A valuable partner for facilitating access to therapy. Europace, 13, ii21-ii24. doi:10.1093/europace/eur086
[16] Carlsson, C., Baigi, A., Killander, D. and Larsson, U.S. (2005) Motives for becoming and remaining member of patient associations: A study of 1810 Swedish individuals with cancer associations. Support Care Cancer, 13, 1035-1043. doi:10.1007/s00520-004-0735-x
[17] Eldh, A.C., Ehnfors, M. and Ekman, I. (2004) The phenomena of participation and non-participation in health care—Experiences of patients attending a nurse-led clinic for chronic heart failure. European Journal of Cardiovascular Nursing, 3, 239-246. doi:10.1016/j.ejcnurse.2004.05.001
[18] Eldh, A.C., Ekman, I. and Ehnfors, M. (2006) Conditions for patient participation and non-participation in health care. Nursing Ethics, 13, 503-514. doi:10.1191/0969733006nej898oa
[19] Eldh, A.C., Ekman, I. and Ehnfors, M. (2008) Considering patient non-participation in health care. Health Expect, 11, 263-271. doi:10.1111/j.1369-7625.2008.00488.x
[20] Sahlsten, M.J., Larsson, I.E., Sjostrom, B. and Plos, K.A. (2008) An analysis of the concept of patient participation. Nursing Forum, 43, 2-11. doi:10.1111/j.1744-6198.2008.00090.x
[21] Sanford, R.C. (2000) Caring through relation and dialogue: A nursing perspective for patient education. Advances in Nursing Science, 22, 1-15.
[22] Svedberg, P., Arvidsson, B., Svensson, B. and Hansson, L. (2008) Psychometric characteristics of a self-report questionnaire (HPIQ) focusing on health promotion interventions in mental health services. International Journal of Mental Health Nursing, 17, 171-179. doi:10.1111/j.1447-0349.2008.00527.x
[23] Anonym (2011) National Association of Heart and Lung Patients in Sweden. http://www.hjart-lung.se/
[24] Krantz, D.S., Baum, A. and Wideman, M. (1980) Assessment of Preferences for self-treatment and information in health care. Journal of Personality and Social Psychology, 39, 977-990. doi:10.1037/0022-3514.39.5.977
[25] Robinson-Whelen, S. and Storandt, M. (1992) Factorial structure of two health belief measures among older adults. Psychology and Aging, 7, 209-213. doi:10.1037/0882-7974.7.2.209
[26] Valimaki, M., Leino-Kilpi, H., Gronroos, M., Dassen, T., Gasull, M., Lemonidou, C., Scott, P.A. and Arndt, M.B. (2004) Self-determination in surgical patients in five European countries. Journal of Nursing Scholarship, 36, 305-311. doi:10.1111/j.1547-5069.2004.04056.x
[27] Caldwell, L.M. (1991) The influence of preference for information on preoperative stress and coping in surgical outpatients. Applied Nursing Research, 4, 177-183. doi:10.1016/S0897-1897(05)80093-X
[28] Garvin, B.J. and Kim, C.J. (2000) Measurement of preference for information in US and Korean cardiac catheterization patients. Research in Nursing & Health, 23, 310-318. doi:10.1002/1098-240X(200008)23:4<310::AID-NUR7>3.0.CO;2-#
[29] Christensen, A.J., Ehlers, S.L., Raichle, K.A., Bertolatus, J.A. and Lawton, W.J. (2000) Predicting change in depression following renal transplantation: Effect of patient coping preferences. Health Psychology, 19, 348-353. doi:10.1037/0278-6133.19.4.348
[30] Svedberg P., Ivarsson, B., Nilsson, U., Roxberg, ?., Baigi, A., Brunt, D., Br?nnstr?m, M., Fridlund, B., Persson, S., Rask, M., Alm Roijer, C., and the SAMMI-Study Group (2011) Psychometric evaluation of a Swedish version of Krantz Health Opinion Survey. Clinical Nursing Research, accepted.
[31] Gagnon, E.M. and Recklitis, C.J. (2003) Parents’ decision-making preferences in pediatric oncology: The relationship to health care involvement and complementary therapy use. Psychooncology, 12, 442-452. doi:10.1002/pon.655
[32] Cvengros, J.A., Christensen, A.J. and Lawton, W.J. (2004) The role of perceived control and preference for control in adherence to a chronic medical regimen. Annals of Behavioral Medicine, 27, 155-161. doi:10.1207/s15324796abm2703_3
[33] Sjostrom-Strand, A., Ivarsson, B. and Sjoberg, T. (2011) Women’s experience of a myocardial infarction: 5 years later. Scandinavian Journal of Caring Science, 25, 459-466.
[34] Kenten, C., Bowling, A., Lambert, N., Howe, A. and Rowe, G. (2010) A study of patient expectations in a Norfolk general practice. Health Expect, 13, 273-284.
[35] Ivarsson, B., Fridlund, B. and Sjoberg, T. (2010) Health professionals’ views on sexual information following MI. British Journal of Nursing, 19, 1052-1054.
[36] Friberg, F., Andersson, E. P. and Bengtsson, J. (2007) Pedagogical encounters between nurses and patients in a medical ward—A field study. International Journal of Nursing Studies, 44, 534-544. doi:10.1016/j.ijnurstu.2005.12.002
[37] Van Wijk, A.J., Buchanan, H., Coulson, N. and Hoogstraten, J. (2010) Preparatory information for third molar extraction: Does preference for information and behavioral involvement matter? Patient Education and Counseling, 79, 94-99. doi:10.1016/j.pec.2009.07.013
[38] Mahler, H.I. and Kulik, J.A. (1991) Health care involvement preferences and social-emotional recovery of male coronary-artery-bypass patients. Health Psychology, 10, 399-408. doi:10.1037/0278-6133.10.6.399
[39] Lovlien, M., Schei, B. and Hole, T. (2007) Prehospital delay, contributing aspects and responses to symptoms among Norwegian women and men with first time acute myocardial infarction. European Journal of Cardiovascular Nursing, 6, 308-313. doi:10.1016/j.ejcnurse.2007.03.002

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.