Affiliation:
1. University of Macau, China
2. Huabao Global, China
3. University of Wisconsin-Madison, USA
Abstract
This study proposed and tested the cross-sectional effects of patient-centered communication (PCC) on cancer screening behaviors via an affective-cognitive sequential chain of mediation through cancer worry and health self-efficacy. Cross-sectional data were analyzed from four iterations of the Health Information National Trends Survey (2011, 2014, 2017, and 2020). The results found that lowered cancer worry following PCC does not show a cross-sectional positive effect in promoting cancer screening behaviors, while enhanced health self-efficacy as a subsequent state is a facilitator of screening behaviors. The findings further demonstrated increased PCC, a rise in cancer worry, and a sustained level of health self-efficacy. Also, our research has identified an upward trend in cancer screening behaviors from 2011 to 2017, followed by a notable decrease in 2020. These insights underscore the nuanced ways PCC can foster cancer screening behaviors, emphasizing the importance of emotional and cognitive aspects in clinical settings.
Reference82 articles.
1. American Cancer Society (2023) Key statistics for breast cancer. Available at: https://www.cancer.org/cancer/types/breast-cancer/about/how-common-is-breast-cancer.html (accessed 23 November 2023).
2. American Congress of Obstetricians and Gynecologists (2023) Mammography and other screening tests for breast problems. Available at: https://www.acog.org/womens-health/faqs/mammography-and-other-screening-tests-for-breast-problems (accessed 24 November 2023).
3. Influence of Cancer Worry on Four Cancer Related Health Protective Behaviors among a Nationally Representative Sample: Implications for Health Promotion Efforts
4. Trends in cancer survivors’ experience of patient-centered communication: results from the Health Information National Trends Survey (HINTS)
5. Predicting Breast Cancer Screening Intentions and Behavior with Emotion and Cognition