Personal control and health promotion

Peterson, Christopher; Stunkard, Albert J.

doi:10.1016/0277-9536(89)90111-1

Cited by 137 publications

(72 citation statements)

References 57 publications

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“…Our study confirmed the independent effect of perceived control on CVD mortality in population of Eastern Europe. Also, our results confirmed the associations between perceived control and CVD risk factors [27,32,33]. However, not all CVD risk factors were related significantly with perceived control.…”

Section: Resultssupporting

confidence: 84%

Perceived control as a predictor of cardiovascular disease mortality in Poland. The HAPIEE study

et al. 2015

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(HR 2.68, respectively). After adjustment for age, both in men and women, the highest risk of death from all causes was observed in persons with low perceived control. Further adjustment for covariates attenuated the relationship. Conclusions: Perceived control is a strong independent predictor of CVD mortality and may be considered a CVD risk factor in the Polish urban population. (Cardiol J 2015; 22, 4: 404-412)

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Section: Resultssupporting

confidence: 84%

Perceived control as a predictor of cardiovascular disease mortality in Poland. The HAPIEE study

et al. 2015

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“…Consistent with adult learning and behavioral theory, the IMCP allowed patients to decide how much information to view. 6,[43][44][45] The texts for the English and Spanish IMCP versions (average Flesch-Kincaid reading grade level 7.4) were developed by a previously described process. 40,46 Examples of tailored IMCP content are available from the authors.…”

Section: Study Interventionsmentioning

confidence: 99%

Sociopsychological Tailoring to Address Colorectal Cancer Screening Disparities: A Randomized Controlled Trial

Jerant

Kravitz

Sohler

et al. 2014

The Annals of Family Medicine

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PURPOSE Interventions tailored to sociopsychological factors associated with health behaviors have promise for reducing colorectal cancer screening disparities, but limited research has assessed their impact in multiethnic populations. We examined whether an interactive multimedia computer program (IMCP) tailored to expanded health belief model sociopsychological factors could promote colorectal cancer screening in a multiethnic sample. METHODSWe undertook a randomized controlled trial, comparing an IMCP tailored to colorectal cancer screening self-efficacy, knowledge, barriers, readiness, test preference, and experiences with a nontailored informational program, both delivered before office visits. The primary outcome was record-documented colorectal cancer screening during a 12-month follow-up period. Secondary outcomes included postvisit sociopsychological factor status and discussion, as well as clinician recommendation of screening during office visits. We enrolled 1,164 patients stratified by ethnicity and language (49.3% non-Hispanic, 27.2% Hispanic/English, 23.4% Hispanic/Spanish) from 26 offices around 5 centers (Sacramento, California; Rochester and the Bronx, New York; Denver, Colorado; and San Antonio, Texas). RESULTSAdjusting for ethnicity/language, study center, and the previsit value of the dependent variable, compared with control patients, the IMCP led to significantly greater colorectal cancer screening knowledge, self-efficacy, readiness, test preference specificity, discussion, and recommendation. During the followup period, 132 (23%) IMCP and 123 (22%) control patients received screening (adjusted difference = 0.5 percentage points, 95% CI -4.3 to 5.3). IMCP effects did not differ significantly by ethnicity/language. CONCLUSIONS Sociopsychological factor tailoring was no more effective than nontailored information in encouraging colorectal cancer screening in a multiethnic sample, despite enhancing sociopsychological factors and visit behaviors associated with screening. The utility of sociopsychological tailoring in addressing screening disparities remains uncertain. 2014;204-214. doi: 10.1370/afm.1623. Ann Fam Med INTRODUCTIONC olorectal cancer screening is underutilized.1,2 Screening rates are particularly low among Hispanic persons, reflecting language and socioeconomic barriers. 1,3 Approaches to motivate more individuals to undergo colorectal cancer screening and lessen ethnic screening disparities are needed.Interventions tailored to sociopsychological factors that may influence behavior, such as self-efficacy, stage of readiness, barriers, and others, 4 show promise.5 Such interventions use responses elicited from individuals to match the content and amount of information to individual needs and sociopsychological factors, with the proximate goal of enhancing the factors. [6][7][8] Tailoring of information increases its perceived relevance, promotes deeper cognitive processing, and improves recall. 9 Further, in randomized controlled trials tailored interventions are more eff...

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“…group norm. If self-determination in a particular group is perceived as weak (shared belief is of more powerful others), individual perceptions of control may also be influenced in a similar direction (Peterson and Stunkard 1989).…”

Section: State Anxiety Only (Hypothesis 2)mentioning

confidence: 99%

“…In a review, Peterson and Stunkard (1989) concluded patients with increased appraisals of control were more likely to follow medical advice and be more skilled at coping. The review also asserts that control resides in the transaction between the individual and the environment i.e.…”

Section: Health Locus Of Controlmentioning

confidence: 99%