The role of health locus of control in value co-creation for standardized screening services

Abstract

Purpose Despite the availability and accessibility of standardized screening services, such as preventative health services, many individuals avoid participation. The extant health literature has indicated that health locus of control (HLOC) influences engagement and uptake of health services. The purpose of this paper is to explore how the microfoundation, HLOC, contributes to value co-creation via service-generated and self-generated activities in standardized screening services. Design/methodology/approach A qualitative study of 25 consumers who have experienced one of the three standardized screening services in Australia was undertaken, followed by thematic analysis of the data. Findings Service-generated activities elicit reactive responses from consumers – compliance and relinquishing control – but when customers lead co-creation activities, their active responses emphasize protecting self and others, understanding relationship needs and gaining control. Consumers with high internal HLOC are more likely to take initiative for their health, take active control of the process and feel empowered through participating. Consumers with low internal HLOC, in contrast, require more motivation for participation, including encouragement from powerful others through promotion or interpersonal dialogue. Social implications These findings can be used by policymakers and providers of preventative health services for the betterment of citizen health. Originality/value The integration of the DART framework, customer value co-creation activities, and the delineation of self-generated and service-generated activities provides a holistic framework to understand the influence of HLOC on the co-creation of value in standardized screening services.

Defining and explicating value re-creation to solve marketplace problems for consumers with vulnerabilities

“…When examining consumer value derived from consumption experiences, the experiential perspective is helpful in understanding these experiences. Value has been examined across a number of social change issues and experiences including health management (Davey et al , 2020), road and rail safety (Mulcahy et al , 2021), blood donation (Chell and Mortimer, 2014), energy conservation (Butler et al , 2016; Gordon et al , 2018) and sustainability (Jutbring, 2018). Value is also a multi-dimensional construct, comprising several different value dimensions (Sánchez-Fernández and Iniesta-Bonillo, 2006) that can vary and be experienced differently across contexts, as well as consumers, given its relativistic nature (Holbrook, 2006).…”

“…This is particularly pertinent in social issues, whereby beneficial outcomes through value creation are sought not only for individual consumers but also for communities and societies at large. For example, the experience of value has been found to encourage sustained energy-saving behaviours (Gordon et al , 2018), donation behaviours (Chell and Mortimer, 2014) and health screening behaviours (Davey et al , 2020), which benefit not only the individuals engaging in these behaviours but also the societies in which they live.…”

Meeting of the minds: research priorities for value co-creation in dialogical conferences

“…Other indirect artifacts that are also useful for informing the dialogical conference are presentations and participant biographies in the conference programme. For example, textual records of social marketing cases have been the catalyst for dialogical group discussion and formulation of research ideas in micro-foundations of preventive health behaviours (Davey et al, 2019), food systems compass (Parkinson et al, 2017) and community wellbeing (Gallan et al, 2019). The process of co-creating the manuscript subsequently relied on considerable textual and numerical data as artifacts in developing the research, progressing the contribution to knowledge to final manuscript submission and acceptance.…”

“…The social construction of dialogical conferences occurs through a discursive approach, that is, they take an inductive, realist approach (Hunt, 2013(Hunt, , 2020, formed around discussions aimed at solving a specific problem (Clifton, 2012), where the generation of ideas occurs at the conference. There is further development of these new ideas after the conclusion of the conference, often resulting in the publication of manuscripts in special issues and special sections (see for example Block et al, 2011;Davey et al, 2019;Davis and Pechmann, 2013;Gallan et al, 2019;Kennedy et al, 2017;Parkinson et al, 2017). As noted by Anderson and Ostrom (2015), dialogical conferences offer potential for service researchers to solve complex problems, through meaningful engagement and collaboration of all participants to generate new theoretical and practical perspectives for generating solutions.…”

Self-efficacy, habit strength, health locus of control and response to the personalised nutrition Food4Me intervention study

“…Health locus of control (HLoC) (Gebhardt et al , 2001; Wallston et al , 1978) is LoC that is associated with health behaviours (Lee et al , 2019; Cheng et al , 2016; Ryon and Gleeson, 2014). HLoC is considered an important mediator of health behaviour change (Davey et al , 2019; Jang and Baek, 2018; Marteau et al , 2010). HLoC can be internal , reflecting the extent to which outcomes are perceived to be determined by the individual themselves, or external , the degree to which control is perceived to be determined by chance and/or other individuals (Ryon and Gleeson, 2014).…”