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Le credenze epistemologiche circa il sapere medico: Quale ruolo nei comportamenti del paziente?
Titolo Rivista: RICERCHE DI PSICOLOGIA  
Autori/Curatori: Alessandro Antonietti, Manuela Cantoia 
Anno di pubblicazione:  2014 Fascicolo: 2  Lingua: Italiano 
Numero pagine:  20 P. 341-360 Dimensione file:  226 KB
DOI:  10.3280/RIP2014-002010
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Viene presentato uno studio condotto con 84 soggetti adulti attraverso la somministrazione di tre questionari self-report: il "Questionario sulle Credenze Epistemologiche in Medicina" (Antonietti e Ferraro, 2013), la versione adattata del questionario "Come conosco" (Antonietti e Ferraro, 2013) volto a rilevare le credenze epistemologiche in maniera contestualizzata e un questionario di valutazione del grado di health literacy. Il campione e stato suddiviso in base all’eta, al li - vello di istruzione, al livello di alfabetizzazione medica e al tipo di esperienze sanitarie avute negli ultimi 5 anni. Dall’analisi dei dati emerge che al crescere del grado di istruzione aumentano le visioni epistemologiche relativistiche, mentre i soggetti con recenti o ripetute esperienze di ricovero tendono ad avere una visione piu assolutistica del sapere medico. Non risulta l’incidenza ne dell’eta, ne delle conoscenze dominio-specifiche. Vengono approfondite le accezioni del concetto di health literacy e lo statuto delle conoscenze implicate nel rapporto medico-paziente.


Keywords: Credenze epistemologiche, alfabetizzazione sanitaria.

  1. Nisbett, R.E., & Ross, L. (1980). Human inference: Strategies and shortcomings of social judgment. Century Psychology Series. Englewood Cliffs, NJ: Prentice-Hall.
  2. Antonietti, A., & Ferraro, V. (2013). Come conosco - Versione medica.
  3. Antonietti, A., & Ferraro, V. (2013). Questionario sulle Credenze Epistemologiche in Medicina (QUCEM).
  4. Arozullah, A.M., Lee, S.D., Khan, T., Kurup, S., Ryan, S., Bonner, M., Soltysik, R., & Yarnold, P.R. (2006). The Roles of Low Literacy and Social Support in Predicting the Preventability of Hospital Admission. Journal of General Internal Medicine, 21, 140-145., DOI: 10.1111/j.1525-1497.2005.00300.x
  5. Baker, D.W. (2006). The meaning and the measure of health literacy. Journal of General Internal Medicine, 21, 878-883., DOI: 10.1111/j.1525-1497.2006.00540.x
  6. Baker, D.W., Gazmararian, J.A., Williams, M.V., Scott, T., Parker, R.M., & Green, D., et al. (2004). Health literacy and the use of outpatient physician services by Medicare managed care enrolees. Journal of General Internal Medicine, 19, 215-220., DOI: 10.1111/j.1525-1497.2004.21130.x
  7. Baker, D. W., Parker, R. M., Williams, M. V., & Clark, W. S. (1998). Health literacy and the risk of hospital admission. Journal of General Internal Medicine, 13, 791-798., DOI: 10.1046/j.1525-1497.1998.00242.x
  8. Baker, D.W., Parker, R.M., Williams, M.V., Clark, W.S., & Nurss, J. (1997). The relationship of patient reading ability to self-reported health use of health service. American Journal of Public Health, 87, 1027-1030., DOI: 10.2105/AJPH.87.6.1027
  9. Bass, P.F., Wilson, J.F., & Griffith, C.H. (2003). A shortened instrument for literacy screening. Journal of General Internal Medicine, 18, 1036-1038., DOI: 10.1111/j.1525-1497.2003.10651.x
  10. Bromme, R., Thomm, E., & Wolf, V. (2013). From understanding to deference: Laypersons’ and medical students’ views on conflicts within medicine. International Journal of Science Education, Part B. Communication and Public Engagement., DOI: 10.1080/21548455.2013.849017
  11. Cantoia, M. (2012). “Fumare e come”. Le credenze sul fumo degli studenti di scuola superiore. Ricerche di Psicologia, 4, 605-620., DOI: 10.3280/RIP2012-004002.
  12. Cho, Y.I., Lee, S.D., Arozullah, A.M., & Crittenden, K.S. (2008). Effects of health literacy on health status and health service utilization amongst the elderly. Social Science & Medicine, 66, 1809-1816., DOI: 10.1016/j.socscimed.2008.01.003
  13. Davis, T.C., Long, S.W., Jackson, R.H., Mayeaux, E.J., George, R.B., Murphy, P.W., et al. (1993). Rapid estimate of adult literacy in medicine: A shortened screening instrument. Family Medicine, 25, 391-395.
  14. Fay, B. (1996). Contemporary philosophy of social science: A multicultural approach. Oxford, Cambridge, Massachusetts: Blackwell.
  15. Hawthorne, G. (1996). Preteenage drug use in Australia: the key predictors and school-based education. Journal of Adolescent Health, 20, 384-395., DOI: 10.1016/S1054-139X(96)00181-4
  16. Herman, A., & Jackson, P. (2010). Empowering Low-Income Parents with Skills to Reduce Excess Pediatric Emergency Room and Clinic Visits through a Tailored Low Literacy Training Intervention. Journal of Health Communication, 15, 895-910., DOI: 10.1080/10810730.2010.522228
  17. Hofer, B.K. (2000). Dimensionality and disciplinary differences in personal epistemology. Contemporary Educational Psychology, 25, 378-405., DOI: 10.1006/ceps.1999.1026
  18. Hofer, B.K. (2004). Epistemological understanding as a metacognitive process: thinking aloud during online searching. Educational Psychology, 39, 43-55., DOI: 10.1207/s15326985ep3901_5
  19. Kalichman, S.C., Benotsch, E., Suarez, E.T., Catz, S., Miller, J., & Rompa, D. (2000). Health literacy and health related knowledge among persons living with HIV/AIDS. American Journal of Preventive Medicine, 18, 325-331., DOI: 10.1016/S0749-3797(00)00121-5
  20. Kienhues, D., & Bromme, R. (2012). Exploring laypeople’s epistemic beliefs about medicine: A factor-analytic survey study. BMC Public Health, 12, 759., DOI: 10.1186/1471-2458-12-759
  21. Lee, S.D., Arozullah, A.M., & Cho, Y.I. (2004). Health literacy, social support, and health: a research agenda. Social Science & Medicine, 58, 1309-1321., DOI: 10.1016/S0277-9536(03)00329-0
  22. Lindau, S.T., Tomori, C., Lyons, T., Langseth, L., Bennet, C.L., & Garcia, P. (2002). The association of health literacy with cervical cancer prevention knowledge and health behaviors in a multi-ethnic cohort of women. American Journal of Obstetrics and Gynecology, 186, 938-943., DOI: 10.1067/mob.2002.122091
  23. Lorenc, L., & Branthwaite, A. (1993). Are older adults less compliant with prescribed medication than younger adults? British Journal of Clinical Psychology, 32, 485-492., DOI: 10.1111/j.2044-8260.1993.tb01084.x
  24. Mason, L. (2001). Verità e certezze: natura e sviluppo delle epistemologie ingenue. Roma: Carrocci.
  25. Miller, L.G., Liu, H., Hays, R.D., Golin, C.E., Ye, Z., & Beck, C.K., et al. (2003). Knowledge of antiretroviral regimen dosing adherence: a longitudinal study. Clinical Infectious Diseases, 36, 514-518., DOI: 10.1086/367857.Moja,E.,&Vegni,E.(2000).Lavisitamedicacentratasulpaziente.Milano:RaffaelloCortinaEditore
  26. Nielsen-Bohlman, L., Panzer, A.M., & Kinding, D.A. (Eds.) (2004). Health literacy: A prescription to end confusion. Washington, D.C.: National Academic Press.
  27. Nutbeam, D. (1998). Health promotion glossary. Health Promotion International, 13, 349-364.
  28. Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communicazione strategies in the 21th century. Health Promotion International, 15, 259-267., DOI: 10.1093/HEAPRO/15.3.259
  29. Paasche-Orlow, M.K., & Wolf, M.S. (2007). The causal pathway linking health literacy to health outcomes. American Journal of Health Behavior, 31, S19-S26.
  30. Paonessa, V., & Antonietti, A. (2006). Le credenze epistemologiche contestualizzate: Analisi di uno strumento di rilevazione. Imparare, 3, 9-27.
  31. Parker, R.M., Bakerm D. W., Williams, M.V., & Nurss, J.R. (1995). The test of functional health literacy in adults: A new instrument for measuring patients’ literacy skills. Journal of General Internal Medicine, 10, 537-541.
  32. Riva, S., Antonietti, A., & Pravettoni, G. (in press). How to define trust in medical consultation? A New perspective with the Game Theory approach. Global Research Analysis.
  33. Riva, S., Monti, M., & Antonietti, A. (2011). Simple heuristics in over the counter drugs’ choices. A new hint for medical education and practice. Advances in Medical Education and Practice, 2, 59-70.
  34. http://dx.doi.org/10.2147/AMEP.S13004.
  35. Riva, S., Monti, M., Iannello, P., & Antonietti, A. (2012). The representation of risk in routine medical experience: What actions for the contemporary health policy? PlosONE, 7(11), e48297., DOI: 10.1371/journal.pone.0048297
  36. Riva, S., Monti, M., Iannello, P., Pravettoni, G., Schulz, P. J., & Antonietti, A. (2014). A preliminary mixed-method investigation of trust and hidden signals
  37. in medical consultations. PLosONE, 9(3), e90941., DOI: 10.1371/journal.-pone.0090941
  38. Roex, A., & Degryse, J. (2007). Viewpoint: Introducing the Concept of Epistemological Beliefs into Medical Education: The Hot-Air-Balloon Metaphor. Academic Medicine, 82, 616-620., DOI: 10.1097/ACM.0b013e3180556abd
  39. Schillinger, D., Grunbach, K., Piette, J., Wang, F., Osmond, D., Daher, C., et al. (2002). Association of healthy literacy with diabetes outcomes. Journal of the American Medical Association, 288, 475-482., DOI: 10.1001/jama.288.4.475
  40. Schommer, M. (1994). An emerging conceptualization of epistemological beliefs and their role in learning. In R. Garner., & P.A. Alexander (Eds.). Beliefs about text and instruction with text (pp. 53-69). Hillsdale, NJ: Erlbaum. Schommer-Aikins, M. (2004). Explaining the epistemological belief system: Introducing the embedded systemic model and coordinated research approach. Educational Psychologist, 39, 19-29., DOI: 10.1207/s15326985ep3901_3
  41. Schulz, P.J., & Nakamoto, K. (2005). Emerging themes in health literacy. Studies in Communication Science, 5, 1-10.
  42. Strom, A., Kvernbekk, T., & Fagermoen, M.S. (2011). Parity: (im)possible? Interplay of knowledge forms in patient education. Nursing Inquiry, 18, 94-101., DOI: 10.1111/J.1440-1800.2011.00517.x
  43. The Health Personnel Act (1999). Norwegian: Lov 1999-07-02 nr. 64: Lov om helsepersonell m.m.
  44. The Patients’ Rights Act. (1999). Norwegian: Lov 1999-07-02 nr. 63, Lov om pasientrettigheter.
  45. Williams, M.V., Baker, D.W., Parker, R.M., & Nurss, J.R. (1998). Relationship of functional health literacy to patient’s knowledge of their chronic disease: a study of patients with hypertension and diabetes. Archives of Internal Medicine, 158, 166-172., DOI: 10.1001/archinte.158.2.166

Alessandro Antonietti, Manuela Cantoia, in "RICERCHE DI PSICOLOGIA " 2/2014, pp. 341-360, DOI:10.3280/RIP2014-002010

   

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