What do I have to lose? Effects of a psycho-educational intervention on cancer patient preference for resuscitation.
This original empirical study examined effects of a psycho-educational intervention on cancer patients' knowledge, concern, and preferences for cardiopulmonary resuscitation (CPR). We examined message framing as one factor that might impact subsequent decision making. In addition, we examined personality and coping style as predictors and moderators of patients' reactions to an informational intervention. As hypothesized, participants initially underestimated CPR complications and overestimated survival rates. The intervention significantly increased concern, improved knowledge, and decreased preference for CPR, particularly for participants receiving both numerical and descriptive information. Message framing of survival data did not uniquely affect CPR preference. Higher optimism predicted less increase in concern about CPR, and higher hope predicted greater decrease in preference for CPR. More approach coping related to increased concern about CPR and decreased preference for CPR.
Sears
Sharon R
SR
Department of Psychology, Fort Lewis College, 1000 Rim Drive, Durango, CO 81301, USA. sears_s@fortlewis.edu
Woodward
Julia T
JT
Twillman
Robert K
RK
D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D002755:Choice Behavior; D005260:Female; D006266:Health Education; D006801:Humans; D008297:Male; D008603:Mental Health; D009369:Neoplasms / Q000523:psychology*; D012151:Resuscitation
J Pers Soc Psychol. 1991 Apr;60(4):570-85
2037968
J Gen Intern Med. 1989 Jul-Aug;4(4):349-55
2668460
Health Psychol. 1985;4(3):219-47
4029106
Acad Emerg Med. 2000 Jan;7(1):48-53
10894242
Int J Behav Med. 1997;4(1):92-100
16250744
J Consult Clin Psychol. 2000 Oct;68(5):875-82
11068973
Lancet. 1993 Oct 23;342(8878):1055
8105287
Am Psychol. 1986 Jul;41(7):813-9
3740641
Neurology. 1993 Nov;43(11):2173-8
8232924
J Med Ethics. 1995 Feb;21(1):39-44
7776347
Support Care Cancer. 2002 Nov;10(8):573-8
12436216
J Pers Soc Psychol. 1994 Dec;67(6):1063-78
7815302
Palliat Med. 2007 Mar;21(2):139-44
17344262
Med J Aust. 1999 Sep 6;171(5):239-42
10495754
J Pers. 1998 Apr;66(2):195-214
9529663
J Palliat Med. 2007 Jun;10(3):712-20
17592983
J Clin Psychol. 2007 Jul;63(7):607-9
17551941
Q J Med. 1991 Dec;81(296):1005-10
1808635
N Engl J Med. 1994 Feb 24;330(8):545-9
8302322
Gen Hosp Psychiatry. 1994 Jul;16(4):277-85
7926704