BMC Med Inform Decis Mak - Prevention praised, cure preferred: results of between-subjects experimental studies comparing (monetary) appreciation for preventive and curative interventions.

Tópicos

{ intervent(3218) particip(2042) group(1664) }
{ treatment(1704) effect(941) patient(846) }
{ survey(1388) particip(1329) question(1065) }
{ studi(1119) effect(1106) posit(819) }
{ activ(1452) weight(1219) physic(1104) }
{ general(901) number(790) one(736) }
{ cost(1906) reduc(1198) effect(832) }
{ inform(2794) health(2639) internet(1427) }
{ cancer(2502) breast(956) screen(824) }
{ measur(2081) correl(1212) valu(896) }
{ framework(1458) process(801) describ(734) }
{ perform(1367) use(1326) method(1137) }
{ process(1125) use(805) approach(778) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(2315) diseas(1263) diabet(1191) }
{ control(1307) perform(991) simul(935) }
{ perform(999) metric(946) measur(919) }
{ state(1844) use(1261) util(961) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ decis(3086) make(1611) patient(1517) }
{ can(774) often(719) complex(702) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ sequenc(1873) structur(1644) protein(1328) }
{ imag(2830) propos(1344) filter(1198) }
{ problem(2511) optim(1539) algorithm(950) }
{ concept(1167) ontolog(924) domain(897) }
{ method(1557) propos(1049) approach(1037) }
{ method(984) reconstruct(947) comput(926) }
{ risk(3053) factor(974) diseas(938) }
{ import(1318) role(1303) understand(862) }
{ first(2504) two(1366) second(1323) }
{ use(1733) differ(960) four(931) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: 'An ounce of prevention is worth a pound of cure' is a common saying, and indeed, most health economic studies conclude that people are more willing to pay for preventive measures than for treatment activities. This may be because most health economic studies ask respondents to compare preventive measures with treatment, and thus prompt respondents to consider other uses of resources. However, psychological theorizing suggests that, when methods do not challenge subjects to consider other uses of resources, curative treatment is favored over prevention. Could it be that while prevention is praised, cure is preferred?METHODS: In two experimental studies, we investigated, from a psychological perspective and using a between-subjects design, whether prevention or treatment is preferred and why. In both studies, participants first read a lung cancer prevention or treatment intervention scenario that varied on the prevention-treatment dimension, but that were the same on factors like 'costs per saved life' and kind of disease. Then participants completed a survey measuring appreciation (general and monetary) as well as a number of potential mediating variables.RESULTS: Both studies clearly demonstrated that, when the design was between-subjects, participants had greater (general and monetary) appreciation for treatment interventions than for preventive interventions with perceived urgency of the intervention quite consistently mediating this effect. Differences in appreciation of treatment over preventive treatment were shown to be .59 (Study 1) and .45 (Study 2) on a 5-point scale. Furthermore, participants thought that health insurance should compensate more for the treatment than for preventive measures, differences of 16% (Study 1), and 22% (Study 2). When participants were asked to directly compare both interventions on the basis of a short description, they preferred the preventive intervention.CONCLUSION: It appears that people claim to prefer prevention when they are asked to consider other use of resources, but otherwise they prefer treatment. This preference is related to perceived urgency. The preference for treatment may be related to the prevention-treatment dimension itself, but also to variations on other dimensions that are inherently linked to prevention and treatment (like different efficacy rates and costs per treatment).

Resumo Limpo

ckground ounc prevent worth pound cure common say inde health econom studi conclud peopl will pay prevent measur treatment activ may health econom studi ask respond compar prevent measur treatment thus prompt respond consid use resourc howev psycholog theoriz suggest method challeng subject consid use resourc curat treatment favor prevent prevent prais cure preferredmethod two experiment studi investig psycholog perspect use betweensubject design whether prevent treatment prefer studi particip first read lung cancer prevent treatment intervent scenario vari preventiontreat dimens factor like cost per save life kind diseas particip complet survey measur appreci general monetari well number potenti mediat variablesresult studi clear demonstr design betweensubject particip greater general monetari appreci treatment intervent prevent intervent perceiv urgenc intervent quit consist mediat effect differ appreci treatment prevent treatment shown studi studi point scale furthermor particip thought health insur compens treatment prevent measur differ studi studi particip ask direct compar intervent basi short descript prefer prevent interventionconclus appear peopl claim prefer prevent ask consid use resourc otherwis prefer treatment prefer relat perceiv urgenc prefer treatment may relat preventiontreat dimens also variat dimens inher link prevent treatment like differ efficaci rate cost per treatment

Resumos Similares

J. Med. Internet Res. - Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial. ( 0,814531578179222 )
J. Med. Internet Res. - Web-based treatment program using intensive therapeutic contact for patients with eating disorders: before-after study. ( 0,809975577979528 )
J. Med. Internet Res. - Acceptability of online self-help to people with depression: users' views of MoodGYM versus informational websites. ( 0,805893507869313 )
Telemed J E Health - Who is being reached for a telephone-delivered intervention for patients with uncontrolled hypertension? ( 0,800979634443194 )
J. Med. Internet Res. - Multimodal e-mental health treatment for depression: a feasibility trial. ( 0,798826756834525 )
J. Med. Internet Res. - Web-based cognitive behavioral self-help intervention to reduce cocaine consumption in problematic cocaine users: randomized controlled trial. ( 0,797870766619345 )
J. Med. Internet Res. - Effectiveness of a self-guided web-based cannabis treatment program: randomized controlled trial. ( 0,797766331140872 )
J. Med. Internet Res. - Internet-based early intervention to prevent posttraumatic stress disorder in injury patients: randomized controlled trial. ( 0,793337836160734 )
J. Med. Internet Res. - Short-term effects of a web-based guided self-help intervention for employees with depressive symptoms: randomized controlled trial. ( 0,783669895797398 )
J. Med. Internet Res. - Long-term results of a web-based guided self-help intervention for employees with depressive symptoms: randomized controlled trial. ( 0,783612470441435 )
J. Med. Internet Res. - Rethinking the dose-response relationship between usage and outcome in an online intervention for depression: randomized controlled trial. ( 0,782499465442838 )
Telemed J E Health - Computer-based recovery support for patients receiving residential treatment for alcohol/drug dependence: relationship between program use and outcomes. ( 0,780664909847374 )
J. Med. Internet Res. - Is a severe clinical profile an effect modifier in a Web-based depression treatment for adults with type 1 or type 2 diabetes? Secondary analyses from a randomized controlled trial. ( 0,776805609440259 )
J. Med. Internet Res. - Predictors of participant retention in a guided online self-help program for university students: prospective cohort study. ( 0,77532292583453 )
Telemed J E Health - A randomized controlled trial of an internet-based posttreatment care for patients with eating disorders. ( 0,7747860326717 )
J Telemed Telecare - A brief self-guided telehealth intervention for post-traumatic stress disorder in combat veterans: a pilot study. ( 0,774000371813903 )
J. Med. Internet Res. - An Internet-based guided self-help intervention for panic symptoms: randomized controlled trial. ( 0,773548641780992 )
J. Med. Internet Res. - Chinese My Trauma Recovery, a Web-based intervention for traumatized persons in two parallel samples: randomized controlled trial. ( 0,770511828885638 )
J. Med. Internet Res. - Self-monitoring using mobile phones in the early stages of adolescent depression: randomized controlled trial. ( 0,769405244273605 )
J. Med. Internet Res. - The clinical effectiveness of web-based cognitive behavioral therapy with face-to-face therapist support for depressed primary care patients: randomized controlled trial. ( 0,768761627734264 )
J. Med. Internet Res. - Internet-based, culturally sensitive, problem-solving therapy for Turkish migrants with depression: randomized controlled trial. ( 0,767156449583533 )
J. Med. Internet Res. - Effectiveness of a web-based cognitive-behavioral tool to improve mental well-being in the general population: randomized controlled trial. ( 0,764166056180657 )
J Telemed Telecare - Effect of mobile phone-based psychotherapy in suicide prevention: a randomized controlled trial in Sri Lanka. ( 0,762589639428328 )
J. Med. Internet Res. - Multilevel growth curve analyses of treatment effects of a Web-based intervention for stress reduction: randomized controlled trial. ( 0,762052598103507 )
Telemed J E Health - Faked depression: comparing malingering via the internet, pen-and-paper, and telephone administration modes. ( 0,758886772451522 )
J. Med. Internet Res. - Attrition in web-based treatment for problem drinkers. ( 0,75853079125244 )
J. Med. Internet Res. - Internet-based interventions to promote mental health help-seeking in elite athletes: an exploratory randomized controlled trial. ( 0,75778065734072 )
J. Med. Internet Res. - Effects of a multilingual information website intervention on the levels of depression literacy and depression-related stigma in Greek-born and Italian-born immigrants living in Australia: a randomized controlled trial. ( 0,756264227362684 )
J. Med. Internet Res. - Feasibility and effectiveness of a web-based positive psychology program for youth mental health: randomized controlled trial. ( 0,755995569211321 )
J. Med. Internet Res. - Exploring patients' views of a cognitive behavioral therapy-based website for the self-management of irritable bowel syndrome symptoms. ( 0,752348822457279 )
J. Med. Internet Res. - Reducing suicidal ideation: cost-effectiveness analysis of a randomized controlled trial of unguided web-based self-help. ( 0,746670333797895 )
J. Med. Internet Res. - Effectiveness of an online group course for depression in adolescents and young adults: a randomized trial. ( 0,744630914266596 )
Comput Methods Programs Biomed - PODSE: a computer program for optimal design of trials with discrete-time survival endpoints. ( 0,743626535142003 )
J. Med. Internet Res. - Internet-delivered interpersonal psychotherapy versus internet-delivered cognitive behavioral therapy for adults with depressive symptoms: randomized controlled noninferiority trial. ( 0,743514912785621 )
J. Med. Internet Res. - Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study. ( 0,742704752262829 )
J. Med. Internet Res. - A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: randomized controlled trial. ( 0,741016368400642 )
J. Med. Internet Res. - Impact of interactive web-based education with mobile and email-based support of general practitioners on treatment and referral patterns of patients with atopic dermatitis: randomized controlled trial. ( 0,739706335345188 )
J. Med. Internet Res. - Internet-based recruitment to a depression prevention intervention: lessons from the Mood Memos study. ( 0,737865449015251 )
J. Med. Internet Res. - Anxiety online: a virtual clinic: preliminary outcomes following completion of five fully automated treatment programs for anxiety disorders and symptoms. ( 0,737845475210296 )
J. Med. Internet Res. - Providing web-based feedback and social norms information to reduce student alcohol intake: a multisite investigation. ( 0,73742792282868 )
J. Med. Internet Res. - Effectiveness of a web-based solution-focused brief chat treatment for depressed adolescents and young adults: randomized controlled trial. ( 0,736433102691667 )
J Am Med Inform Assoc - mHealth interventions for weight loss: a guide for achieving treatment fidelity. ( 0,735752295333219 )
J. Med. Internet Res. - Executive functioning in alcoholics following an mHealth cognitive stimulation program: randomized controlled trial. ( 0,735724856635142 )
J. Med. Internet Res. - Acceptability of a clinician-assisted computerized psychological intervention for comorbid mental health and substance use problems: treatment adherence data from a randomized controlled trial. ( 0,734256903444489 )
J. Med. Internet Res. - Online cognitive behavioral therapy for bulimic type disorders, delivered in the community by a nonclinician: qualitative study. ( 0,729266238127542 )
J. Med. Internet Res. - Experiential virtual scenarios with real-time monitoring (interreality) for the management of psychological stress: a block randomized controlled trial. ( 0,72867152290501 )
J. Med. Internet Res. - Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. ( 0,728316010128605 )
J. Med. Internet Res. - Surviving and thriving with cancer using a Web-based health behavior change intervention: randomized controlled trial. ( 0,726919520730784 )
J. Med. Internet Res. - Motivators and motivations to persist with online psychological interventions: a qualitative study of treatment completers. ( 0,72506400004984 )
J. Med. Internet Res. - Usage and effectiveness of a fully automated, open-access, Spanish Web-based smoking cessation program: randomized controlled trial. ( 0,722913960774808 )
J. Med. Internet Res. - A smartphone-based intervention with diaries and therapist feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain. part 2: 11-month follow-up results of a randomized trial. ( 0,722041536172332 )
Telemed J E Health - Evaluating opportunities for text message communication: a survey of parents and teens. ( 0,721319753305456 )
J. Med. Internet Res. - Effectiveness of a proactive mail-based alcohol Internet intervention for university students: dismantling the assessment and feedback components in a randomized controlled trial. ( 0,720796405588409 )
J. Med. Internet Res. - MEMO--a mobile phone depression prevention intervention for adolescents: development process and postprogram findings on acceptability from a randomized controlled trial. ( 0,717598568403622 )
Telemed J E Health - Two-way text messaging for health behavior change among human immunodeficiency virus-positive individuals. ( 0,717283599788798 )
J Telemed Telecare - A walking intervention for postmenopausal women using mobile phones and Interactive Voice Response. ( 0,716782106189843 )
J. Med. Internet Res. - For whom does it work? moderators of outcome on the effect of a transdiagnostic internet-based maintenance treatment after inpatient psychotherapy: randomized controlled trial. ( 0,716481868098648 )
J. Med. Internet Res. - Individually tailored internet-based treatment for young adults and adults with panic attacks: randomized controlled trial. ( 0,71635667422705 )
J. Med. Internet Res. - Ethical dilemmas in online research and treatment of sexually abused adolescents. ( 0,715516053093033 )
Med Decis Making - Crediting treatments for good outcomes that would have happened anyway: the impact of baseline risk on treatment perceptions. ( 0,713481763350876 )
J. Med. Internet Res. - A comparison between phone-based psychotherapy with and without text messaging support in between sessions for crisis patients. ( 0,712977563814948 )
J. Med. Internet Res. - An Internet-based intervention to promote mental fitness for mildly depressed adults: randomized controlled trial. ( 0,712870347809982 )
Int J Med Inform - One-year outcome of an interactive internet-based physical activity intervention among university students. ( 0,712042999415479 )
J. Med. Internet Res. - Overcoming Addictions, a Web-based application, and SMART Recovery, an online and in-person mutual help group for problem drinkers, part 1: three-month outcomes of a randomized controlled trial. ( 0,710894554485215 )
J. Med. Internet Res. - Adherence to a smartphone application for weight loss compared to website and paper diary: pilot randomized controlled trial. ( 0,710174060422712 )
J. Med. Internet Res. - Effectiveness of a Web-based multiple tailored smoking cessation program: a randomized controlled trial among Dutch adult smokers. ( 0,709620967134869 )
J. Med. Internet Res. - A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression. ( 0,708950683702196 )
BMC Med Inform Decis Mak - Protocol for population testing of an Internet-based Personalised Decision Support system for colorectal cancer screening. ( 0,705928582574797 )
J. Med. Internet Res. - Effect of a Web-based intervention to promote physical activity and improve health among physically inactive adults: a population-based randomized controlled trial. ( 0,704536055509033 )
J. Med. Internet Res. - Partnership for health-2, a web-based versus print smoking cessation intervention for childhood and young adult cancer survivors: randomized comparative effectiveness study. ( 0,704416646424629 )
J. Med. Internet Res. - Effectiveness of web-based self-disclosure peer-to-peer support for weight loss: randomized controlled trial. ( 0,704023535261064 )
J. Med. Internet Res. - Text messaging data collection for monitoring an infant feeding intervention program in rural China: feasibility study. ( 0,700880427541794 )
J. Med. Internet Res. - Long-term outcomes of internet-based self-management support in adults with asthma: randomized controlled trial. ( 0,697302871075003 )
J. Med. Internet Res. - A 5-Year follow-up of internet-based cognitive behavior therapy for social anxiety disorder. ( 0,695943020222441 )
J. Med. Internet Res. - Working alliance in online cognitive behavior therapy for anxiety disorders in youth: comparison with clinic delivery and its role in predicting outcome. ( 0,695105498242354 )
J. Med. Internet Res. - Internal versus external motivation in referral of primary care patients with depression to an internet support group: randomized controlled trial. ( 0,695062211820079 )
Telemed J E Health - Internet-based aftercare for patients with back pain-a pilot study. ( 0,693773904213542 )
J. Med. Internet Res. - Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition. ( 0,692291955882937 )
J. Med. Internet Res. - Web-based intervention programs for depression: a scoping review and evaluation. ( 0,689645985849551 )
J. Med. Internet Res. - Effectiveness of a web-based intervention for problem drinkers and reasons for dropout: randomized controlled trial. ( 0,688200334692166 )
J. Med. Internet Res. - Effects of a web-based patient activation intervention to overcome clinical inertia on blood pressure control: cluster randomized controlled trial. ( 0,687100789195647 )
J. Med. Internet Res. - Comparing effects in regular practice of e-communication and Web-based self-management support among breast cancer patients: preliminary results from a randomized controlled trial. ( 0,685640230240409 )
J. Med. Internet Res. - The ins and outs of an online bipolar education program: a study of program attrition. ( 0,681750868214905 )
J Telemed Telecare - Recruitment challenges associated with a randomised controlled trial within a general telephone counselling service. ( 0,681345542699932 )
J. Med. Internet Res. - Does brief telephone support improve engagement with a web-based weight management intervention? Randomized controlled trial. ( 0,679901944343093 )
J. Med. Internet Res. - Effects of internet-based tailored advice on the use of cholesterol-lowering interventions: a randomized controlled trial. ( 0,679785831908791 )
J. Med. Internet Res. - Development and initial evaluation of an Internet-based support system for face-to-face cognitive behavior therapy: a proof of concept study. ( 0,679700990400098 )
Int J Med Inform - Engagement in My Child's Asthma, an interactive web-based pediatric asthma management intervention. ( 0,678799578084893 )
J. Med. Internet Res. - Effects of a Web-based tailored intervention to reduce alcohol consumption in adults: randomized controlled trial. ( 0,677274605324816 )
J. Med. Internet Res. - Preventing smoking relapse via Web-based computer-tailored feedback: a randomized controlled trial. ( 0,675808746261451 )
J. Med. Internet Res. - Do participants' preferences for mode of delivery (text, video, or both) influence the effectiveness of a Web-based physical activity intervention? ( 0,675376582631454 )
J. Med. Internet Res. - Type 1 diabetes eHealth psychoeducation: youth recruitment, participation, and satisfaction. ( 0,674823560614677 )
J. Med. Internet Res. - A text messaging-based smoking cessation program for adult smokers: randomized controlled trial. ( 0,674207519082174 )
J. Med. Internet Res. - Motivational interviewing in a Web-based physical activity intervention with an avatar: randomized controlled trial. ( 0,674114815464203 )
J. Med. Internet Res. - Cost-utility and cost-effectiveness of internet-based treatment for adults with depressive symptoms: randomized trial. ( 0,673286778456057 )
J. Med. Internet Res. - Prevention of generalized anxiety disorder using a web intervention, iChill: randomized controlled trial. ( 0,672918074998737 )
J. Med. Internet Res. - Engagement in a diabetes self-management website: usage patterns and generalizability of program use. ( 0,671484690667336 )
Telemed J E Health - Body weight telemetry is useful to reduce interdialytic weight gain in patients with end-stage renal failure on hemodialysis. ( 0,670083197834859 )
J. Med. Internet Res. - From online randomized controlled trials to participant preference studies: morphing the San Francisco Stop Smoking site into a worldwide smoking cessation resource. ( 0,669272150218793 )
J. Med. Internet Res. - Assessing adolescent asthma symptoms and adherence using mobile phones. ( 0,665462327727742 )