Impact of health beliefs, quality of life, and the physician-patient relationship on the treatment intentions of inflammatory bowel disease patients.
The research tested a model of treatment decision making in chronic illness that includes health beliefs, quality of life, and relationship with the physician (shared or not). Inflammatory bowel disease patients (N = 218) reported on their physician-patient relationship, general and disease-specific quality of life, and intentions to take a drug, for which perceived benefits and costs were manipulated. For more symptomatic patients, both costs and benefits predicted intentions; however, for less symptomatic patients, costs played a more important role. Physician recommendation predicted intention primarily among those who shared a decision-making relationship with their physician. Overall, the model accounted for 57.8% of the variance in medication-taking intention. Findings suggest that an integrative consideration of relationship factors, health beliefs, and health status may help explain treatment intentions among the chronically ill.
Goldring
Amy B
AB
Department of Psychology, University of California, Los Angeles 90095-1563, USA. goldring@ucla.edu
Taylor
Shelley E
SE
Kemeny
Margaret E
ME
Anton
Peter A
PA
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003362:Cost-Benefit Analysis; D003657:Decision Making; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000191:economics / Q000628:therapy*; D033182:Intention; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010817:Physician-Patient Relations; D011788:Quality of Life; D011897:Random Allocation; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires