TY - JOUR
T1 - Interpersonal influences on patients' surgical decision making
T2 - The role of close others
AU - Rini, Christine
AU - Jandorf, Lina
AU - Goldsmith, Rachel E.
AU - Manne, Sharon L.
AU - Harpaz, Noam
AU - Itzkowitz, Steven H.
N1 - Funding Information:
Acknowledgment This work was supported by grant #K07CA104701 awarded to the first author by the National Cancer Institute (NCI). R.G. was supported by NCI grant #R25CA081137. We thank Yira Duplessi, Joan Bratton, and Amy Kossoy for their assistance with data collection and management. We also appreciate the assistance of the Clinical Research in IBD (CRIB) Study Group at Mount Sinai School of Medicine, the United Ostomy Association of America, and the Crohn’s and Colitis Foundation with respect to their assistance with recruitment and promoting awareness of the study among IBD patients. Finally, we sincerely thank the men and women who participated in the study for sharing their experiences with us.
PY - 2011/10
Y1 - 2011/10
N2 - Patients make medical decisions in consultation with their partner, family, and friends. However, little is known about the ways in which these close others influence their decisions, particularly with respect to discrete decisions such as those related to medical treatments. This cross-sectional study investigated their influence on the surgical decisions of inflammatory bowel disease patients referred for surgery to remove their colon (N = 91). Guided by research on social control and classic research on power and influence in close relationships, we identified four types of close other decision influence: persuasion, assistance with understanding, indirect influence, and negative influence. Linear logistic and regression analyses showed that patients were more likely to have surgery when their close other used persuasion, and they reported lower decisional conflict when their close other helped them understand the decision. Patients were less likely to have surgery and reported greater decisional conflict when their close other used negative influence tactics. Findings demonstrate the importance of considering social context when investigating patient decision making.
AB - Patients make medical decisions in consultation with their partner, family, and friends. However, little is known about the ways in which these close others influence their decisions, particularly with respect to discrete decisions such as those related to medical treatments. This cross-sectional study investigated their influence on the surgical decisions of inflammatory bowel disease patients referred for surgery to remove their colon (N = 91). Guided by research on social control and classic research on power and influence in close relationships, we identified four types of close other decision influence: persuasion, assistance with understanding, indirect influence, and negative influence. Linear logistic and regression analyses showed that patients were more likely to have surgery when their close other used persuasion, and they reported lower decisional conflict when their close other helped them understand the decision. Patients were less likely to have surgery and reported greater decisional conflict when their close other used negative influence tactics. Findings demonstrate the importance of considering social context when investigating patient decision making.
KW - Decision making
KW - Interpersonal
KW - Partner
KW - Social control
KW - Social influence
UR - http://www.scopus.com/inward/record.url?scp=80755128896&partnerID=8YFLogxK
U2 - 10.1007/s10865-011-9323-y
DO - 10.1007/s10865-011-9323-y
M3 - Article
C2 - 21308408
AN - SCOPUS:80755128896
SN - 0160-7715
VL - 34
SP - 396
EP - 407
JO - Journal of Behavioral Medicine
JF - Journal of Behavioral Medicine
IS - 5
ER -