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Why did this happen to me? Causal attributions of illness and cultural health capital

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  • Gallan, Andrew S.
  • Helkkula, Anu
  • McConnell, William R.

Abstract

This study examines how conversations between patients and clinicians about the causes of their health conditions relate to patient engagement in care. Leveraging cultural health capital (CHC) theory, we find that patient-physician discussions of health attributions are one mechanism to build patient understanding and activate engagement. We present a qualitative interpretive analysis of data collected in three phases with adult home health care patients: phone interviews (n = 28), field observations (n = 61), and semi-structured field interviews (n = 38). We find that engaging in discussions of causal health attributions with clinicians enables patients to overcome uncertainty, envision preventive actions, and engage in setting future goals. Such discussions must be supported by acknowledgement of the co-responsibility of individual factors and structural factors such as social determinants of health. These discussions are not easy to navigate but they can potentially help patients transition from a mindset of treating the disease (pathogenic approach) to an awareness of their available capabilities to improve health (salutogenic approach). This study contributes to research on attribution theory and cultural health capital theory by demonstrating how discussing causes for poor health can enable patients resolve doubts and accrue instrumental and symbolic resources that facilitate healing.

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  • Gallan, Andrew S. & Helkkula, Anu & McConnell, William R., 2024. "Why did this happen to me? Causal attributions of illness and cultural health capital," Social Science & Medicine, Elsevier, vol. 350(C).
    • Handle: RePEc:eee:socmed:v:350:y:2024:i:c:s0277953624003678
    DOI: 10.1016/j.socscimed.2024.116923
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    1. Dennis A. Gioia & Kumar Chittipeddi, 1991. "Sensemaking and sensegiving in strategic change initiation," Strategic Management Journal, Wiley Blackwell, vol. 12(6), pages 433-448, September.
    2. Serena Barello & Guendalina Graffigna & Elena Vegni, 2012. "Patient Engagement as an Emerging Challenge for Healthcare Services: Mapping the Literature," Nursing Research and Practice, Hindawi, vol. 2012, pages 1-7, October.
    3. Gibson, Kate & Pollard, Tessa M. & Moffatt, Suzanne, 2021. "Social prescribing and classed inequality: A journey of upward health mobility?," Social Science & Medicine, Elsevier, vol. 280(C).
    4. Folkes, Valerie S, 1988. "Recent Attribution Research in Consumer Behavior: A Review and New Directions," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 14(4), pages 548-565, March.
    5. Christou, Aliki & Alam, Ashraful & Hofiani, Sayed Murtaza Sadat & Rasooly, Mohammad Hafiz & Mubasher, Adela & Rashidi, Mohammad Khakerah & Dibley, Michael J. & Raynes-Greenow, Camille, 2019. "How community and healthcare provider perceptions, practices and experiences influence reporting, disclosure and data collection on stillbirth: Findings of a qualitative study in Afghanistan," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.
    6. Williams, Brian & Steven, Karen & Sullivan, Frank M., 2011. "Tacit and transitionary: An exploration of patients' and primary care health professionals' goals in relation to asthma," Social Science & Medicine, Elsevier, vol. 72(8), pages 1359-1366, April.
    7. Verbeke, Evi & Vanheule, Stijn & Cauwe, Joachim & Truijens, Femke & Froyen, Brenda, 2019. "Coercion and power in psychiatry: A qualitative study with ex-patients," Social Science & Medicine, Elsevier, vol. 223(C), pages 89-96.
    8. Franklin, Marika & Lewis, Sophie & Willis, Karen & Rogers, Anne & Venville, Annie & Smith, Lorraine, 2019. "Goals for living with a chronic condition: The relevance of temporalities, dispositions, and resources," Social Science & Medicine, Elsevier, vol. 233(C), pages 13-20.
    9. Diamond-Brown, Lauren, 2018. "“It can be challenging, it can be scary, it can be gratifying”: Obstetricians’ narratives of negotiating patient choice, clinical experience, and standards of care in decision-making," Social Science & Medicine, Elsevier, vol. 205(C), pages 48-54.
    10. van den Boogaard, Th. Michael & Verhaak, P.F.M. & Dyck, Richard van & Spinhoven, Philip, 2011. "The impact of causal attributions on diagnosis and successful referral of depressed patients in primary care," Social Science & Medicine, Elsevier, vol. 73(12), pages 1733-1740.
    11. Gotay, Carolyn Cook, 1985. "Why me? Attributions and adjustment by cancer patients and their mates at two stages in the disease process," Social Science & Medicine, Elsevier, vol. 20(8), pages 825-831, January.
    12. Weiner, Bernard, 2000. "Attributional Thoughts about Consumer Behavior," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 27(3), pages 382-387, December.
    13. Gage-Bouchard, Elizabeth A., 2017. "Social support, flexible resources, and health care navigation," Social Science & Medicine, Elsevier, vol. 190(C), pages 111-118.
    14. Fleming, Mark D. & Shim, Janet K. & Yen, Irene H. & Thompson-Lastad, Ariana & Rubin, Sara & Van Natta, Meredith & Burke, Nancy J., 2017. "Patient engagement at the margins: Health care providers' assessments of engagement and the structural determinants of health in the safety-net," Social Science & Medicine, Elsevier, vol. 183(C), pages 11-18.
    15. Kroode, Herman Ten & Oosterwijk, Mieke & Steverink, Nardi, 1989. "Three conflicts as a result of causal attributions," Social Science & Medicine, Elsevier, vol. 28(1), pages 93-97, January.
    16. Dubbin, Leslie A. & Chang, Jamie Suki & Shim, Janet K., 2013. "Cultural health capital and the interactional dynamics of patient-centered care," Social Science & Medicine, Elsevier, vol. 93(C), pages 113-120.
    17. Dubois, Anna & Gadde, Lars-Erik, 2002. "Systematic combining: an abductive approach to case research," Journal of Business Research, Elsevier, vol. 55(7), pages 553-560, July.
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