Influence of worldview on health care choices among persons with chronic pain.
OBJECTIVE
The aim of this research was to examine relationships between the Pepperian worldviews of people with chronic pain and the health care choices that they make.


METHODS
A convenience sample survey was done.


METHODS
University Medical Center Pain Clinic, Tucson, Arizona.


METHODS
Men and women patients (n = 96) with nonmalignant chronic pain.


METHODS
World Hypothesis Scale; Health Care Choice List.


RESULTS
Findings indicate that the combination of age and formistic worldview are statistically significant predictors of conventional health care choices by participants in this study. Older patients and persons with a predominantly formistic worldview were less likely to use complementary and alternative medicine (CAM) as a choice among this sample with chronic nonmalignant pain. Borderline significant associations were noted between persons with formistic or mechanistic worldviews and conventional health care choices, and persons with contextualistic, organismic, or equal scores in two worldview categories and CAM health care choices. Although rates of CAM use did not significantly differ from conventional choices, the prevalence rate for CAM use was high (55.2%) based on national findings.


CONCLUSIONS
Results of this study provide a link to understanding how underlying philosophies can contribute to the reasons people with chronic pain make health care decisions. Further exploration of worldviews might very well contribute to best practices for consumer health care by engaging in communication styles and belief systems consistent with consumers' personal schemas.
Department of Special Education, Rehabilitation, and School Psychology, University of Arizona College of Education, Tucson, AZ 85621-0069, USA. esbuck@u.arizona.edu
Tina
T
Buck
Carol M
CM
Baldwin
Gary E
GE
Schwartz
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001130:Arizona; D016009:Chi-Square Distribution; D002755:Choice Behavior; D002908:Chronic Disease; D000529:Complementary Therapies / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D059408:Pain Management; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010358:Patient Participation / Q000706:statistics & numerical data*; D012648:Self Care; D012649:Self Concept; D012737:Sex Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires