Examining the Decision to Talk with Family About Organ Donation: Applying the Theory of Motivated Information Management

Afifi, Walid A.; Morgan, Susan E.; Stephenson, Michael T.; Morse, Christopher R.; Harrison, Tyler R.; Reichert, Tom; Long, Shawn D.

doi:10.1080/03637750600690700

Cited by 122 publications

(81 citation statements)

References 44 publications

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“…Recent models of decision making acknowledge that the decision process is not accomplished individually but in interaction with others (e.g., Charles et al, 1999;Afifi et al, 2006). Siminoff and Step (2005) within the doctor-patient relationship, and [acknowledge] it as a social process" (S99; see Figure 1 from Siminoff & Step, 2005, p. S102).…”

Section: Conceptualizing Shared Decision Makingmentioning

confidence: 99%

“…Several theories of information management purport that individuals seek information in an effort to reduce uncertainty; however, accessing more information has the potential to both decrease and increase uncertainty, and subsequent research has shown that uncertainty can be adaptive (Brashers, 2001). The Theory of Motivated Information Management (TMIM) argues that individuals seek information not to manage uncertainty but to reduce anxiety (Afifi et al, 2006), leaving room for individuals to selectively seek out and avoid information. 7…”

Section: Theory Of Motivated Information Managementmentioning

confidence: 99%

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Integrating Client and Clinician Perspectives on Psychotropic Medication Decisions: Developing a Communication-Centered Epistemic Model of Shared Decision Making for Mental Health Contexts

Mikesell

Bromley

Young

et al. 2015

Health Communication

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Shared decision making (SDM) interventions aim to improve client autonomy, information sharing and collaborative decision making, yet implementation of these interventions has been variably perceived. Using interviews and focus groups with clients and clinicians from mental health clinics, we explored experiences with and perceptions about decision support strategies aimed to promote SDM around psychotropic medication treatment. Using thematic analysis, we identified themes regarding beliefs about participant involvement, information management and participants' broader understanding of their epistemic expertise. Clients and clinicians highly valued clientcentered priorities such as autonomy and empowerment when making decisions.However, two frequently discussed themes revealed complex beliefs about what that involvement should look like in practice: 1) the role of communication and information exchange and 2) the value and stability of clinician and client epistemic expertise.Complex beliefs regarding these two themes suggested a dynamic and reflexive approach to information management. Situating these findings within the Theory of Motivated Information Management, we discuss implications for conceptualizing SDM in mental health services and adapt Siminoff and Step's Communication Model of Shared Decision Making (CMSDM) to propose a Communication-centered Epistemic Model of SharedDecision Making (CEM-SDM).3The quality of mental health care has been argued to be largely dependent on the quality of client-clinician communication (Priebe & McCabe, 2008), which is critical for accomplishing clinical tasks and improving health outcomes (Alegría et al., 2008;Wissow et al., 2008). The model of shared decision making (SDM) reconceptualizes client-clinician communication (Patel, Bakken & Ruland, 2008) by redefining the terms by which participants come together to make treatment decisions (Drake, Deegan & Rapp, 2010). In a SDM frame, neither clinicians (paternalistic model) nor clients (informed choice model) are singularly responsible for making decisions (Makoul & Clayman, 2006). Instead, decision making is characterized by the exchange of unbiased information (Drake et al., 2010), collaboration (Charles, Gafni & Whelan, 1999) and mutual respect for differing expertise (Deegan & Drake, 2006). Given the centrality of communication in mental health care, we believe the assumptions underlying SDM warrant critical examination.For instance, despite widespread support for SDM, its principles are not uniformly perceived or advocated. Not all clients desire high levels of autonomy (Levinson, Kao, Kuby & Thisted, 2005; Say, Murtagh & Thompson, 2006), and psychiatrists have been found to both value and criticize elements of SDM including the exchange of unbiased information (Seale, Chaplin, Lelliott & Quirk, 2006). To elucidate these discrepancies, we elicited perspectives from clients and mental health clinicians about their experiences making and facilitating medication decisions and about strategies that might suppo...

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Section: Conceptualizing Shared Decision Makingmentioning

confidence: 99%

Section: Theory Of Motivated Information Managementmentioning

confidence: 99%

Integrating Client and Clinician Perspectives on Psychotropic Medication Decisions: Developing a Communication-Centered Epistemic Model of Shared Decision Making for Mental Health Contexts

Mikesell

Bromley

Young

et al. 2015

Health Communication

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“…Therefore, the moderating role of interpersonal communication in affecting relevant attitudinal and behavioral outcomes is important to examine in future research. Some prior research in this area suggests that stimulating conversations about important topics, such as about organ donation with family members [59] or about drugs between parents and children [60], may be a planned outcome of campaigns and interventions. Therefore, analyzing how participants' communication changes when they are encouraged to discuss the workshop with others and how that affects relevant distal outcomes needs further examination.…”

Section: Discussionmentioning

confidence: 99%

Interpersonal communication outcomes of a media literacy alcohol prevention curriculum

Banerjee

Greene

Magsamen‐Conrad

et al. 2015

Behav. Med. Pract. Policy Res.

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Media literacy intervention efficacy literature has focused on media-relevant (e.g., knowledge and realism) and behavior-relevant outcomes (e.g., attitudes and behaviors), without much attention paid to interpersonal communication outcomes. This project examined interpersonal communication after participation in two versions (analysis plus analysis and analysis plus planning) of the Youth Message Development (YMD) intervention, a brief media literacy curriculum targeted at preventing high school student alcohol use. Participants attended a 75-mins media literacy YMD workshop and completed a delayed posttest questionnaire 3 to 4 months later. Overall, 68 % participants replied affirmatively to interpersonal communication about the YMD intervention. Communication about the workshop moderated the effects of the type of workshop (analysis plus analysis or analysis plus planning) on self-efficacy to counter-argue (but not critical thinking). Interpersonal communication moderated the effects of the YMD intervention on self-efficacy to counter-argue, thereby signaling the importance of including interpersonal communication behaviors in intervention evaluation. Keywords Alcohol prevention, Evaluation, Interpersonal communication, Media literacyAlcohol use, particularly underage alcohol consumption (use by those under the minimum legal drinking age of 21), is a major public health problem [1]. Rates of youth alcohol use in the USA exceed rates of youth tobacco or drug use [2] and remain high despite the adverse physical, social, legal, and emotional consequences including approximately 4700 deaths [3], physical and sexual assaults, higher risk for suicide and homicide, increased risk for illicit drug abuse, and higher risk of involvement in alcoholrelated car crashes [4,5].The 2011 Youth Risk Behavior Survey revealed that 39 % of high school students report alcohol consumption and 22 % report binge drinking in the last 30 days [6]. Recent reports from the 2012 Monitoring the Future study clearly document that although alcohol use among adolescents dropped significantly in the last 5 years, they still use at unacceptably high levels. For instance, 3.6 % of 8th graders, 14.5 % of 10th graders, and 28.1 % of 12th graders in 2012 reported getting drunk in the past month [7]. These statistics suggest a need for novel efforts to prevent underage drinking and encourage healthier decisions regarding alcohol use. Thus, it is imperative to develop and deliver interventions that prevent alcohol use.Intervention approaches to prevent underage drinking utilize two primary avenues for change: efforts to change the adolescent and efforts to change the adolescent's environment [2]. Intervention approaches to change adolescent behaviors include provision of knowledge, skills, and/or motivation to change adolescent beliefs, attitudes, norms, and intentions. On the other hand, intervention approaches to change the adolescent's environment seek to reduce opportunities for underage drinking by enforcing legislation for minimum age re...

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“…Ailelerle yapılan görüşmelerde bazı kişilerin ölüm konusunun aniden, beklenmedik bir şekilde konuşulmasının o kişilere uğursuzluk getireceğine inandıkları görülmüştür (25,26). Ölen kişinin yakınlarının organ bağış süreciyle ilgili inanışları ve beklentileri örneğin, ölenin başkaları için olumlu şeyler yaptığının düşünülmesi ya da cenazenin hızlı teslim edilmesi gibi birçok faktör bağış kararının verilmesinde etkilidir.…”

Section: Türk Nefroloji Diyaliz Ve Transplantasyon Dergisi Turkish Neunclassified

Kadavradan Organ Bağışında Aile Algısı ve İletişim

Arslan¹,

Dilek²

2017

Turk Neph Dial Transpl

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Examining the Decision to Talk with Family About Organ Donation: Applying the Theory of Motivated Information Management

Cited by 122 publications

References 44 publications

Integrating Client and Clinician Perspectives on Psychotropic Medication Decisions: Developing a Communication-Centered Epistemic Model of Shared Decision Making for Mental Health Contexts

Integrating Client and Clinician Perspectives on Psychotropic Medication Decisions: Developing a Communication-Centered Epistemic Model of Shared Decision Making for Mental Health Contexts

Interpersonal communication outcomes of a media literacy alcohol prevention curriculum

Kadavradan Organ Bağışında Aile Algısı ve İletişim

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