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Patients’ Expectations Regarding Medical Treatment: A Critical Review of Concepts and Their Assessment

Frontiers in Psychology. Bd. 8. Frontiers Media SA 2017 S. 1 - 12

Erscheinungsjahr: 2017

ISBN/ISSN: 1664-1078

Publikationstyp: Zeitschriftenaufsatz

Sprache: Englisch

Doi/URN: 10.3389/fpsyg.2017.00233

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Inhaltszusammenfassung


Patients’ expectations in the context of medical treatment represent a growing area of research, with accumulating evidence suggesting their influence on health outcomes across a variety of medical conditions. However, the aggregation of evidence is complicated due to an inconsistent and disintegrated application of expectation constructs and the heterogeneity of assessment strategies. Therefore, based on current expectation concepts, this critical review provides an integrated model of patie...Patients’ expectations in the context of medical treatment represent a growing area of research, with accumulating evidence suggesting their influence on health outcomes across a variety of medical conditions. However, the aggregation of evidence is complicated due to an inconsistent and disintegrated application of expectation constructs and the heterogeneity of assessment strategies. Therefore, based on current expectation concepts, this critical review provides an integrated model of patients’ expectations in medical treatment. Moreover, we review existing assessment tools in the context of the integrative model of expectations and provide recommendations for improving future assessment. The integrative model includes expectations regarding treatment and patients’ treatment-related behavior. Treatment and behavior outcome expectations can relate to aspects regarding benefits and side effects and can refer to internal (e.g., symptoms) and external outcomes (e.g., reactions of others). Furthermore, timeline, structural and process expectations are important aspects with respect to medical treatment. Additionally, generalized expectations such as generalized self-efficacy or optimism have to be considered. Several instruments assessing different aspects of expectations in medical treatment can be found in the literature. However, many were developed without conceptual standardization and psychometric evaluation. Moreover, they merely assess single aspects of expectations, thus impeding the integration of evidence regarding the differential aspects of expectations. » weiterlesen» einklappen

  • expectations, outcome expectancy, self-efficacy, optimism, placebo effect, treatment, assessment, operationalization

Autoren


Laferton, Johannes A. C. (Autor)
Salzmann, Stefan (Autor)
Auer, Charlotte J. (Autor)
Shedden-Mora, Meike C. (Autor)

Klassifikation


DFG Fachgebiet:
Psychologie

DDC Sachgruppe:
Psychologie

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