Cognitive orientation and the prediction of decisions in a medical examination context

Abstract

From the theory of cognitive orientation (Kreitler and Kreitler 1976, 1982) we derived that scores of cognitive orientation would predict the decision of women to go or not to go to a medical examination for cancer. We tested three alternative methods in addition to the standard method recommended by Kreitler and Kreitler. These four methods represent different assumptions which one can derive from the theory. On the basis of 25 interviews we developed the preliminary questionnaire of beliefs associated with the examination for early detection of cancer. The data of Study 1(N = 72) were used for item analysis as well as testing retest reliability and predicting decisions. In Study 2 (N = 142) the results could be replicated. The Likert‐scales for assessing the four components of cognitive orientation proved to be highly retest reliable. Predictions of decisions could be made nearly equally well by each of the four methods derived from the theory of cognitive orientation.