scholarly journals Relationship between trust and patient involvement in medical decision-making: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256698
Author(s):  
Irina Pokhilenko ◽  
Thamar E. M. van Esch ◽  
Anne E. M. Brabers ◽  
Judith D. de Jong
Keyword(s):  
Decision Making ◽  
Patient Involvement ◽  
Medical Decision Making ◽  
Negative Relationship ◽  
Cross Sectional Study ◽  
Medical Decision ◽  
Cross Sectional ◽  
Dutch Health ◽  
Trust In Physicians ◽  
The Relationship

Introduction Patients vary in their preferences regarding involvement in medical decision-making. Current research does not provide complete explanation for this observed variation. Patient involvement in medical decision-making has been found to be influenced by various mechanisms, one of which could be patients’ trust in physicians. The aim of this study was to examine whether trust in physicians fosters or impairs patient involvement in medical decision-making. This study also aimed to determine to what extent the relationship between trust and preferences regarding decision-making roles was influenced by the sociodemographic characteristics of the patients. We hypothesised that trust can both foster and impair patient involvement in medical decision-making. Materials and methods A survey was sent out to members of the Nivel Dutch Health Care Consumer Panel in February 2016 (response rate = 47%, N = 703). The Wake Forest Physician Trust Scale was used to measure trust. Patient involvement was measured using two items based on the study published by Flynn and colleagues in 2006. Multiple regression analysis was used to analyse the relationship between trust and patient involvement. Results We found a negative relationship between trust and patient involvement in medical decision-making in men. Women with high trust reported to be more involved in medical decision-making compared to men with high trust. Conclusion The results suggest that trust impairs involvement in medical decision-making for men but not for women. Further research could provide a more comprehensive explanation of the variation in patient preferences regarding involvement in medical decision-making to further elucidate which underlying mechanisms could enhance patient participation.

scholarly journals Non-health outcomes affecting self-care behaviors and medical decision-making preference in patients with type 2 diabetes: a cross-sectional study

2020 ◽  
Author(s):  
Ming-Jye Wang ◽  
Hung-Ming Lin ◽  
Li-Chen Hung ◽  
Yi-Ting Lo
Keyword(s):  
Type 2 Diabetes ◽  
Decision Making ◽  
Health Literacy ◽  
Self Efficacy ◽  
Patient Empowerment ◽  
Self Care ◽  
Cross Sectional Study ◽  
Medical Decision ◽  
Cross Sectional

Abstract Background: The effects of patient sustained self-care behaviors on glycemic control are even greater than the effects of medical treatment, indicating the value of identifying the factors that influence self-care behaviors. To date, these factors have not been placed in a single model to clarify the critical path affecting self-care behaviors. The aims of this study were to explore the relationships of these factors and the differences in patient preference for medical decision-making.Methods: A cross-sectional study was conducted among outpatients with type 2 diabetes at a regional teaching hospital. Purposive sampling was adopted to recruit 316 eligible patients via self-administered questionnaires. Partial least squares structural equation modeling was used for analysis.Results: Significant direct pathways were identified from health literacy to self-efficacy, patient empowerment, and self-care behaviors; from self-efficacy to self-care behaviors; and from patient empowerment to self-care behaviors. Indirect pathways were from health literacy to self-care behaviors via self-efficacy or patient empowerment. The pathway from health literacy to self-efficacy was significantly stronger in those preferring shared decision-making than in those who preferred physician decision-making. Conclusions: Health literacy is a critical factor in improving self-care behaviors in patients with type 2 diabetes, and the effect of health literacy on self-efficacy was more significant in the shared decision-making than in the physician decision-making. Therefore, developing an effective health strategy to strengthen health literacy awareness and designing friendly, diverse health literacy materials, and application tools is the most important factor to facilitate self-care behaviors in this population.

The relationship of caffeinated beverages with depressive symptoms and decision-making

2021 ◽  
pp. 1-10
Author(s):  
Hatice Çolak ◽  
Emel Erdeniz ◽  
Esra Tansu Sarıyer ◽  
Ekin Çevik ◽  
Didem Yangın
Keyword(s):  
Decision Making ◽  
Depressive Symptoms ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Caffeine Intake ◽  
Caffeine Consumption ◽  
Cross Sectional ◽  
Decision Making Styles ◽  
Intuitive Decision Making ◽  
The Relationship

BACKGROUND: Caffeine can affect depressive symptoms and decision-making. OBJECTIVE: This study aims to examine the relationship between caffeinated beverages consumption with depressive symptoms and decision-making styles. METHODS: This cross-sectional study was conducted with 432 adults working in office environment. The questionnaire consisting of individuals’ socio-demographic attributes, the frequency and the amount of caffeinated beverages consumption, the “Epidemiological Research Center-Depression (CES-D) Scale” and the “Decision-Making Styles Scale” were used. The frequency and amount of caffeinated beverages were determined using the food frequency questionnaire (FFQ). The participants were asked to choose which cup/mug they prefer to drink their caffeinated beverages and what amount they consume that beverage at a time. All the data were collected using online platforms. RESULTS: In the study, 76.7%of the participants were female and the mean age was 31.5±8.0 years. The average daily total caffeine intake of the participants was 425.8±461.4 mg and the total CES-D scale score was 17.7±11.2 points. It was found that as the amount of caffeine consumed increased, intuitive decision-making decreased and depressive symptoms increased (p <  0.05). In linear regression analysis, total caffeine consumption was found to be a significant predictor for the intuitive decision-making score (B: –0.151; p:0.002). When caffeine consumption is controlled, intuitive and rational decision making decreases with increasing depressive symptoms while addiction and avoidance decision making increased (p <  0.05). CONCLUSIONS: As a result, the amount of caffeine consumed daily was related to intuitive decision-making but did not effect depression. It has been observed that depressive symptoms affect decision-making styles in different ways. To our knowledge, our study is the first to examine the effects of caffeine consumption on depression and decision-making styles. Accordingly, future studies may focus on the link between caffeine consumption, depression, and decision-making styles in larger populations and the mechanisms that influence this relationship.

scholarly journals Two dimensions of problematic smartphone use mediate the relationship between fear of missing out and emotional well-being

2020 ◽  
Vol 14 (2) ◽  
Author(s):  
Nino Gugushvili ◽  
Karin Täht ◽  
Dmitri Rozgonjuk ◽  
Maris Raudlam ◽  
Robert Ruiter ◽  
...  
Keyword(s):  
Mediation Analysis ◽  
Negative Relationship ◽  
Well Being ◽  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Two Dimensions ◽  
Cross Sectional ◽  
Fear Of Missing Out ◽  
Smartphone Use ◽  
The Relationship

It has been shown that both fear of missing out (FoMO) and problematic (i.e., excessive) smartphone use (PSU) are negatively associated with indicators of emotional well-being. Moreover, FoMO has been found to be a key predictor of PSU. This suggests that PSU may mediate the relation between FoMO and decreased emotional well-being but this pathway has never been tested. Moreover, in most studies on PSU, the multidimensional nature of this construct has been ignored. The aim of the present study was to address these gaps by directly testing the mediating role of (subdimensions of) PSU in the association between FoMO and emotional well-being. We conducted a cross-sectional study with Estonian participants (n = 426). Using a simple mediation analysis, we found that PSU partially mediated the relationship between FoMO and decreased emotional well-being. Using a parallel mediation analysis, we found that two specific dimensions of PSU were significant mediators of the relationship between FoMO and decreased emotional well-being: Cyberspace-oriented Relations and Physical Symptoms. This suggests that the negative relationship between FoMO and decreased emotional well-being is due to FoMO stimulating (a) online relationships at the cost of offline interactions and (b) Physical symptoms associated with excessive smartphone use. Overall, this study provides a fine-grained analysis of the relationship between FoMO, PSU and emotional well-being.

scholarly journals The relationship between professional autonomy and moral distress in ICU nurses of Guilan University of Medical Sciences in 2017

2019 ◽  
Author(s):  
Mohammad Reza Yeganeh ◽  
Moluk Pouralizadeh ◽  
Atefeh Ghanbari
Keyword(s):  
Decision Making ◽  
Standard Deviation ◽  
Moral Distress ◽  
Cross Sectional Study ◽  
Professional Autonomy ◽  
Full Time ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Relationship Of ◽  
The Relationship

Background & Aim: Professional autonomy is a key component of decision-making and empowerment of the nurses. However, ICU nurses sometimes experience a degree of moral distress in their decision-making but the relationship of this distress with their autonomous performance in intensive care units is unclear. The aim of this study is determining the relationship between professional autonomy and moral distress of ICU nurses. Methods & Materials: In this correlational cross-sectional study, 180 ICU nurses were selected by census method from educational hospitals of Guilan University of Medical Sciences in 2017. Research tools were Varjuss professional autonomy and Corely et al. moral distress questionnaires. Data were analyzed using SPSS software version 16. Results: Most of the subjects were female (93.89%), full-time nurses (61.67%), with age mean and standard deviation of 35±5.97. Mean and standard deviation of professional autonomy and moral distress were 77.04±4 and 140.85±5.45, respectively. Moral distress of most nurses (55.6%) was moderate. There was a positive and significant correlation between professional autonomy and moral distress scores (p<0.001, r=0.33). Conclusion: This study showed that by increasing the professional autonomy, the moral distress of ICU nurses increases as well. These results, by informing nursing mangers, remind the necessity of using some approaches for reducing the moral distress of nurses along with improving their professional autonomy.

scholarly journals Uninformed Decision Making and Regret About the Delay in Childbearing Decision Among Japanese Women and Men Seeking Fertility Treatment: A Cross-Sectional Study

2020 ◽  
Author(s):  
Tomoko Adachi ◽  
Masayuki Endo ◽  
Kazutomo Ohashi
Keyword(s):  
Decision Making ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Fertility Treatment ◽  
Financial Security ◽  
Sectional Study ◽  
Cross Sectional ◽  
Men Health ◽  
Reproductive Aged Women ◽  
The Relationship

Abstract Background: In Japan, mean maternal and paternal ages at first birth have steadily increased over the past two decades, and more and more women and men seek fertility treatment. The aim of this study was to examine regret over the timing of the childbearing decision and reasons for its delay.Methods: This cross-sectional study included 219 women and 169 men referred to fertility facilities in Japan from July to December 2018. Participants completed a questionnaire on the reasons for their delay in childbearing decision and the degree of regret regarding their decision. Multiple linear regression was used to analyze the association between degree of regret and the reasons for the delay.Results: The top three reasons for the delay in childbearing decision in women were “Establishing the relationship,” “Health problems,” and “Financial security.” The top three reasons in men were “Establishing the relationship,” “Financial security,” and “Lack of fertility knowledge.” Lack of fertility knowledge was associated with regret over the timing of the childbearing decision in women (β = 0.232, 95% CI = 0.075-0.318, p = 0.002) and men (β = 0.238, 95% CI = 0.083-0.371, p = 0.002). In men, health problems was also associated with regret over the timing of the childbearing decision (β = 0.196; 95% CI = 0.039-0.332, p = 0.013).Conclusions: Uninformed decision making based on lack of fertility knowledge was significantly associated with regret later in life. It is important for early reproductive-aged women and men to have fertility knowledge in order to make an informed decision about the timing of childbearing to alleviate the possibility of experiencing regret later in life.Keywords: uninformed decision making, regret, delay in childbearing, fertility knowledge, preconception health

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