IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v66y2008i3p790-800.html
   My bibliography  Save this article

Understanding the role of cancer worry in creating a "teachable moment" for multiple risk factor reduction

Author

Listed:
  • McBride, Colleen M.
  • Puleo, Elaine
  • Pollak, Kathryn I.
  • Clipp, Elizabeth C.
  • Woolford, Sam
  • Emmons, Karen M.

Abstract

The manuscript examines the influence of contextual factors on whether and for whom a colon polyp diagnosis might be a teachable moment, as indicated by engagement with a proactively delivered intervention. Baseline and 8-month follow-up data were analyzed from a two-site behavioral intervention trial with patients in Massachusetts and North Carolina, USA who had recently undergone polypectomy for pre-cancerous colon polyps and were randomized to a behavior change intervention condition (N=591). Intervention "buy-in" was used as an indicator of response consistent with the polyp identification serving as a teachable moment. Cancer worry, personal risk, health-related self-identity and other sociodemographic factors were tested to predict intervention buy-in. As predicted, those who were most worried about colon cancer were most likely to engage in the intervention. One indicator of personal risk, number of risk behaviors, was significantly and negatively associated with buy-in. Predictors of intervention buy-in and cancer worry were not consistent. We recommend that expanded measures of affect and health-related self-identity should be considered in future research to understand the motivational potential of health events for increasing engagement in effective behavior change interventions.

Suggested Citation

  • McBride, Colleen M. & Puleo, Elaine & Pollak, Kathryn I. & Clipp, Elizabeth C. & Woolford, Sam & Emmons, Karen M., 2008. "Understanding the role of cancer worry in creating a "teachable moment" for multiple risk factor reduction," Social Science & Medicine, Elsevier, vol. 66(3), pages 790-800, February.
    • Handle: RePEc:eee:socmed:v:66:y:2008:i:3:p:790-800
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(07)00527-8
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Bailis, Daniel S. & Segall, Alexander & Chipperfield, Judith G., 2003. "Two views of self-rated general health status," Social Science & Medicine, Elsevier, vol. 56(2), pages 203-217, January.
    2. Fife, Betsy L., 2005. "The role of constructed meaning in adaptation to the onset of life-threatening illness," Social Science & Medicine, Elsevier, vol. 61(10), pages 2132-2143, November.
    3. Lewis, Megan A. & McBride, Colleen M. & Pollak, Kathryn I. & Puleo, Elaine & Butterfield, Rita M. & Emmons, Karen M., 2006. "Understanding health behavior change among couples: An interdependence and communal coping approach," Social Science & Medicine, Elsevier, vol. 62(6), pages 1369-1380, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Brust, Michelle & Gebhardt, Winifred A. & van Bruggen, Sytske & Janssen, Veronica & Numans, Mattijs E. & Kiefte-de Jong, Jessica C., 2023. "Making sense of a myocardial infarction in relation to changing lifestyle in the five months following the event: An interpretative phenomenological analysis," Social Science & Medicine, Elsevier, vol. 338(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Missinne, Sarah & Colman, Elien & Bracke, Piet, 2013. "Spousal influence on mammography screening: A life course perspective," Social Science & Medicine, Elsevier, vol. 98(C), pages 63-70.
    2. Rees, Philip Howell & Wohland, Pia N. & Norman, Paul D., 2009. "The estimation of mortality for ethnic groups at local scale within the United Kingdom," Social Science & Medicine, Elsevier, vol. 69(11), pages 1592-1607, December.
    3. Devillanova, Carlo & Raitano, Michele & Struffolino, Emanuela, 2019. "Longitudinal employment trajectories and health in middle life: Insights from linked administrative and survey data," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 40, pages 1375-1412.
    4. Trogdon, Justin G. & Allaire, Benjamin T., 2014. "The effect of friend selection on social influences in obesity," Economics & Human Biology, Elsevier, vol. 15(C), pages 153-164.
    5. Hampanda, K. & Matenga, T.F.L. & Nkwemu, S. & Shankalala, P. & Chi, B.H. & Darbes, L.A. & Turan, J.M. & Mutale, W. & Bull, S. & Abuogi, L., 2021. "Designing a couple-based relationship strengthening and health enhancing intervention for pregnant women living with HIV and their male partners in Zambia: Interview findings from the target community," Social Science & Medicine, Elsevier, vol. 283(C).
    6. Gunasekara, Fiona Imlach & Carter, Kristie & Blakely, Tony, 2012. "Comparing self-rated health and self-assessed change in health in a longitudinal survey: Which is more valid?," Social Science & Medicine, Elsevier, vol. 74(7), pages 1117-1124.
    7. Jolidon, Vladimir, 2022. "Gender inequality and mammography screening: Does living with a partner improve women's mammography uptake?," Social Science & Medicine, Elsevier, vol. 298(C).
    8. Robert Belli & Sangeeta Agrawal & Ipek Bilgen, 2012. "Health status and disability comparisons between CATI calendar and conventional questionnaire instruments," Quality & Quantity: International Journal of Methodology, Springer, vol. 46(3), pages 813-828, April.
    9. Holly Heard & Bridget Gorman & Carolyn Kapinus, 2008. "Family Structure and Self-Rated Health in Adolescence and Young Adulthood," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 27(6), pages 773-797, December.
    10. Grzegorz Bulczak & Alexi Gugushvili & Olga Zelinska, 2022. "How are social origin, destination and mobility linked to physical, mental, and self-rated health? Evidence from the United States," Quality & Quantity: International Journal of Methodology, Springer, vol. 56(5), pages 3555-3585, October.
    11. Jun Wang & Ke Liu & Jing Zheng & Jiali Liu & Liming You, 2017. "Prevalence of Mental Health Problems and Associated Risk Factors among Rural-to-Urban Migrant Children in Guangzhou, China," IJERPH, MDPI, vol. 14(11), pages 1-15, November.
    12. Rhodes, Tim & Rance, Jake & Fraser, Suzanne & Treloar, Carla, 2017. "The intimate relationship as a site of social protection: Partnerships between people who inject drugs," Social Science & Medicine, Elsevier, vol. 180(C), pages 125-134.
    13. Catherine P. Slade & Simon K. Medcalfe & C. Kevin Fortner & Kristin V. Walker, 2023. "Residential Segregation as a Policy Priority to Address Health Disparities: a Multilevel Analysis," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(4), pages 1715-1735, August.
    14. Vie, Tina Løkke & Hufthammer, Karl Ove & Holmen, Turid Lingaas & Meland, Eivind & Breidablik, Hans Johan, 2014. "Is self-rated health a stable and predictive factor for allostatic load in early adulthood? Findings from the Nord Trøndelag Health Study (HUNT)," Social Science & Medicine, Elsevier, vol. 117(C), pages 1-9.
    15. Bukola G. Olutola & Olalekan A. Ayo-Yusuf, 2012. "Socio-Environmental Factors Associated with Self-Rated Oral Health in South Africa: A Multilevel Effects Model," IJERPH, MDPI, vol. 9(10), pages 1-19, October.
    16. Sime Smolic, 2017. "The determinants of health among the population aged 50 and over: evidence from Croatia," Public Sector Economics, Institute of Public Finance, vol. 41(1), pages 85-108.
    17. Sharon Merkin & Hadar Arditi-Babchuk & Tamy Shohat, 2015. "Neighborhood socioeconomic status and self-rated health in Israel: the Israel National Health Interview Survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(6), pages 651-658, September.
    18. Koopmans, Gerrit T. & Lamers, Leida M., 2007. "Gender and health care utilization: The role of mental distress and help-seeking propensity," Social Science & Medicine, Elsevier, vol. 64(6), pages 1216-1230, March.
    19. Wedow, Robbee & Briley, Daniel A. & Short, Susan E. & Boardman, Jason D., 2016. "Gender and genetic contributions to weight identity among adolescents and young adults in the U.S," Social Science & Medicine, Elsevier, vol. 165(C), pages 99-107.
    20. Nahal Mavaddat & Richard A Parker & Simon Sanderson & Jonathan Mant & Ann Louise Kinmonth, 2014. "Relationship of Self-Rated Health with Fatal and Non-Fatal Outcomes in Cardiovascular Disease: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-13, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:66:y:2008:i:3:p:790-800. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.