Journal article
Medical Maximizing-Minimizing Preferences Predict Responses to Information about Prostate-Specific Antigen Screening
Medical decision making, Vol.38(6), pp.708-718
08/2018
DOI: 10.1177/0272989X18782199
PMID: 29916784
Abstract
The recently developed Medical Maximizer-Minimizer Scale (MMS) assesses individual differences in preferences for active v. passive medical treatment. We hypothesized that men's maximizing-minimizing preferences might have relevance in the case of prostate-specific antigen (PSA) screening, since there is considerable variability in men's preference for being screened even among men who are informed that harm is more likely than benefit. The current research examined whether MMS preferences predict how men respond to didactic information and narrative stories about PSA screening.
US men 40+ years old ( N = 1208) participated in an online survey. Men viewed information about PSA screening in 3 phases and provided their preference for screening after each phase. Phase 1 described what PSA screening is. Phase 2 added didactic information about screening risks and benefits. Phase 3 added narrative stories; men were randomized to receive stories about 1) physical harm, 2) emotional harm, 3) overdiagnosis, or 4) all 3 stories. Participants also completed the validated MMS.
After receiving basic information, 76.8% of men wanted PSA screening. After receiving information about risks and benefits, 54.8% wanted screening (a significant reduction, P < 0.001). Men who changed their preferences were significantly more likely to be minimizers than maximizers; most men with maximizing tendencies wanted screening after both the didactic information and narratives, whereas most men with minimizing tendencies did not want the test after receiving information.
Men who prefer a more minimizing approach to medicine are more responsive to evidence supporting limiting or forgoing screening than men who prefer a maximizing approach.
Details
- Title: Subtitle
- Medical Maximizing-Minimizing Preferences Predict Responses to Information about Prostate-Specific Antigen Screening
- Creators
- Laura D Scherer - Department of Psychological Sciences, University of Missouri, Columbia MO, USAJeffrey T Kullgren - Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USATanner Caverly - Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USAAaron M Scherer - Division of General Internal Medicine, University of Iowa, Iowa City, IA, USAVictoria A Shaffer - Department of Psychological Sciences, University of Missouri, Columbia MO, USAAngela Fagerlin - Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USABrian J Zikmund-Fisher - Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA
- Resource Type
- Journal article
- Publication Details
- Medical decision making, Vol.38(6), pp.708-718
- DOI
- 10.1177/0272989X18782199
- PMID
- 29916784
- ISSN
- 0272-989X
- eISSN
- 1552-681X
- Language
- English
- Date published
- 08/2018
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094551502771
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