Differences in Illness Representation among Pulmonary Patients and their Providers

Insel, Kathleen C.; Meek, Paula; Leventhal, Howard

doi:10.1177/1359105305048561

Cited by 24 publications

(15 citation statements)

References 29 publications

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“…The core of the SRM is that people use common sense in constructing their representations, based on their prior knowledge generated according to the principles of logic and rationality. 27,28 Although only a few studies have assessed professionals' illness representations about different diseases (eg, chronic obstructive pulmonary disease, asthma, diabetes, and osteoarthritis), the results have consistently shown that these perceptions are an important factor affecting the quality of treatment that health-care professionals 29,30 provide and the level of their own well-being. [19][20][21] The major attributes of cognitive illness representation are oriented around a number of dimensions of experience: (i) beliefs about symptoms (illness identity), (ii) chronicity or recurrence of the condition (timeline and cyclical timeline), (iii) consequences, (iv) personal control, (v) treatment control, (vi) illness coherence, and (vii) causes of the condition.…”

mentioning

confidence: 99%

Social Workers’ and Nurses’ Illness Representations About Alzheimer Disease

Shinan-Altman¹,

Werner²,

Cohen³

2014

Alzheimer Disease &Amp; Associated Disorders

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Professionals' perceptions of patients' diseases (illness representations) are a major factor influencing the quality of treatment they provide. The aim of the study was to examine and compare Alzheimer disease (AD) illness representations among 2 main professional groups involved in the care of Alzheimer patients. A total of 327 nurses and social workers in Israel were asked to report their cognitive representations (dimensions of identity, cause, timeline, consequences, control, coherence, timeline cycle) and emotional representations. Knowledge about AD, demographic, and occupational characteristics were also obtained. Participants perceived AD as a chronic disease associated with severe consequences. Statistically significant differences were found between the groups, as nurses attributed psychological reasons to AD more than the social workers. Nevertheless, social workers perceived AD as more chronic with severe consequences compared with the nurses. Despite some resemblance, there were differences between the social workers and nurses regarding AD illness representations. Therefore, continuing to distribute materials to professionals regarding AD is recommended, with attention to the unique characteristics of each professional group. Furthermore, the findings encourage the development of training and support programs that will not only deal with the organizational and instrumental levels of treating AD patients but also with the assessment and consequences of professionals' illness representations.

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mentioning

confidence: 99%

Social Workers’ and Nurses’ Illness Representations About Alzheimer Disease

Shinan-Altman¹,

Werner²,

Cohen³

2014

Alzheimer Disease &Amp; Associated Disorders

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“…While multidimensional scaling analysis has been used in various kinds of health research (Bishop, 1998; Fisher, Dunn, & Thompson, 2002; Insel, Meek, & Leventhal, 2005; McKirnan, 1978; Patrick & Dzewaltowski, 2000; Psoter, Zhang, Pendrys, Morse, & Mayne, 2003; Tan & Bishop, 1996), a review of the literature indicates that this study may be its first application in examining treatment motivation among patients diagnosed with HIV/AIDS who are currently receiving antiretroviral therapy. Findings from this study revealed that in many cases patients view intrinsic and extrinsic motivation differently than researchers and clinicians would expect.…”

Section: Discussionmentioning

confidence: 99%

Assessing treatment motivation among patients receiving antiretroviral therapy: A multidimensional approach

Houston¹,

McKirnan²,

Cervone³

et al. 2011

Psychology & Health

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Using multidimensional scaling analysis (MDS), this study examined how patient conceptualisations of treatment motivation compare with theoretically-based assumptions used in current assessment approaches. Patients undergoing antiretroviral therapy for HIV/AIDS (n = 39) rated for similarity all possible pairings of 23 treatment descriptions, including descriptors of intrinsic, extrinsic, approach, and avoidance motivation. MDS analyses revealed that patient perceptions of intrinsic and extrinsic motivation often differ from those based on definitions derived from common interpretations of self-determination theory. Findings also showed that patients reported motivation for avoiding treatment when they associated their medication regimens with side effects and other negatively-valenced outcomes. The study describes new applications of MDS in assessing how patients perceive the relationship between treatment behaviours and specific forms of motivation, such as intrinsic and extrinsic motivation. In addition, the study suggests how MDS may be used to develop behavioural strategies aimed at helping patients follow their regimens consistently by identifying treatment conceptualisations and contexts that facilitate or impede adherence.

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“…26 Much less is known of the degree to which the illness perception of providers in medical and CR influence the CR process and on setting rehabilitation goals. 26 Much less is known of the degree to which the illness perception of providers in medical and CR influence the CR process and on setting rehabilitation goals.…”

Section: Discussionmentioning

confidence: 99%