Motivational and cognitive pathways to medical help-seeking for Alzheimer's disease: a cognitive impairment response model
| Autor: | Ashley A. Williams, Mary Stephens, Kevin Berryman, Sara Honn Qualls, Megan Rogers, Lindsay N. Anderson, Heidi Layton, Laura Phillips, Kimberly E. Hiroto, Kelli J. Klebe |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Knowledge Attitudes Practice Social Psychology Adolescent media_common.quotation_subject Disease Models Psychological Developmental psychology Young Adult Alzheimer Disease Perception Intervention (counseling) medicine Humans Cognitive impairment media_common Cognitive reserve Aged Motivation Public health Cognition Middle Aged Patient Acceptance of Health Care Help-seeking Clinical Psychology Female Geriatrics and Gerontology Psychology Cognition Disorders Gerontology Clinical psychology |
| Zdroj: | The journals of gerontology. Series B, Psychological sciences and social sciences. 70(1) |
| ISSN: | 1758-5368 |
| Popis: | Relationships among cognitive and motivational factors in predicting medical help-seeking for Alzheimer's disease (AD) symptoms were tested.Community residents awaiting jury service (N = 280) completed questionnaires, including responses to a vignette depicting prototypical early symptoms of AD in a hypothetical mother. Cognitive responses to the vignette included AD symptom identification and AD attribution. Affective-motivational responses to vignettes were symptom impact and behavior appraisals. General knowledge of AD was assessed. Intention to seek medical help was the dependent variable.The impact and identification of AD symptoms, appraisals of risk, and attribution of the scenario to AD were modest, yet all contributed to prediction of medical-help-seeking intentions. The best fitting model had distinct but interrelated cognitive and motivational paths explaining 49% of the variability in medical help-seeking. Motivational variables had particularly important direct and indirect effects on help-seeking.Findings are interpreted as evidence of the importance of motivational as well as cognitive aspects of perceptions of illness behavior in another person. The substantial impact of the tested variables on the desired outcome of medical help-seeking may suggest options for public health efforts to enhance early medical help-seeking for AD that sets the stage for early intervention. |
| Databáze: | OpenAIRE |
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