How does patient-centered communication work? Trend analysis of mediation through cancer worry and health self-efficacy, 2011–2020

Author:

Ye Jizhou Francis1ORCID,Zheng Shenting2,Ao Song Harris1,Yan Changhao Dylan3,Lai Yuyuan1,Lai Ze1,Zhao Xinshu1

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.

Funder

Universidade de Macau

Publisher

SAGE Publications

Subject

Applied Psychology

Reference82 articles.

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