The Role of Anxiety in Seeking and Retaining Risk Information: Testing the Risk Perception Attitude Framework in Two Studies

Despite the importance of health information seeking, not all people engage in such behaviors, especially when thinking about the disease is distressing. The focus of this paper is to examine the antecedents of information seeking and retention. Based on individuals’ risk perception and efficacy beliefs, the risk perception attitude framework is used to formulate four groups: responsive (high risk, high efficacy), avoidance (high risk, low efficacy), proactive (low risk, high efficacy), and indifference (low risk, low efficacy). In Study 1, a 2 (risk) × 2 (efficacy) between‐subjects experiment, participants’ perceived risk to skin cancer and skin cancer–related efficacy beliefs were induced to determine their information seeking, retention, and intentions to engage in future seeking. The responsive group, as predicted, was associated with the most information‐seeking behaviors and information‐seeking intentions. The avoidance group, however, sought information but exhibited the lowest retention scores. These results were used to derive two predictions—the incredulity hypothesis and the anxiety‐reduction hypothesis—that were then tested in Study 2. Study 2, also a 2 (risk) × 2 (efficacy) between‐subjects experiment dealing with diabetes, found support for the anxiety‐reduction hypothesis, which argues that the high‐risk, low‐efficacy group experiences more anxiety, which leads to high motivations to seek, but lower ability to retain information.     

Breast Cancer Risk Perceptions among Relatives of Women with Uninformative Negative <Emphasis Type="Italic">BRCA1/2</Emphasis> Test Results: The Moderating Effect of the Amount of Shared Information

The most common result of BRCA1/2 mutation testing when performed in a family without a previously identified mutation is an uninformative negative test result. Women in these families may have an increased risk for breast cancer because of mutations in non-BRCA breast cancer predisposition genes, including moderate- or low-risk genes, or shared environmental factors. Genetic counselors often encourage counselees to share information with family members, however it is unclear how much information counselees share and the impact that shared information may have on accuracy of risk perception in family members. We evaluated 85 sisters and daughters of women who received uninformative negative BRCA1/2 results. We measured accuracy of risk perception using a latent variable model where accuracy was represented as the correlation between perceived risk (indicators = verbal and quantitative measures) and calculated risk (indicators = Claus and BRCAPRO). Participants who reported more information was shared with them by their sister or mother about her genetic counseling session had greater accuracy of risk perception (0.707, p?=?0.000) than those who reported little information was shared (0.326, p?=?0.003). However, counselees shared very little information; nearly 20 % of family members reported their sister or mother shared nothing with them about her genetic counseling. Family members were generally not aware of the existence of a genetic counseling summary letter. Our findings underscore the need for effective strategies that facilitate counselees to share information about their genetic counseling sessions. Such communication may help their relatives better understand their cancer risks and enhance risk appropriate cancer prevention.     

Information‐Seeking Strategies,Uncertainty, and Computer‐Mediated Communication

This article argues that existing theory and research on computer‐mediated communication (CMC) provide a limited view of information‐seeking behavior and proposes a conceptual model for its examination via CMC and new media. Although most CMC environments eliminate or severely reduce nonverbal and contextual information available to address uncertainty, form impressions, and develop relationships, such environments offer alternative mechanisms for acquiring social information about others. The article discusses strategies for seeking social information and identifies factors influencing their selection from alternatives, incorporating them into a conceptual model. Finally, 2 promising approaches for examining the effects and effectiveness of social information seeking in CMC are described, with an emphasis on how the proposed conceptual model can aid in the development of each.     

Risk aversion in information seeking

The information gain model argues that participants select alternatives with a larger expected value of information gain. The present study investigated risk aversion in information seeking to examine whether the expected value always determines information-seeking behaviour. For this investigation, we used a scale method selection task in which participants were required to select one of two scales for weighing coins in order to find an underweight coin. Two experiments showed that participants more frequently selected the alternative that provided information gain without risk, although its expected information gain was smaller. This finding indicates the presence of risk aversion in information seeking, suggesting that information-seeking behaviour is affected by risk associated with obtaining information gain.     

Person-environment transactions in youth drinking and driving

Drinking and driving is a significant health risk behavior for adolescents. This study tested mechanisms by which disinhibited personality traits (impulsivity and sensation seeking) and aspects of the adolescent home/social environment (parental monitoring and alcohol accessibility) can influence changes in drinking and driving behavior over time. Two hundred two high school age youths were assessed at 2 time points, approximately 8 months apart. Zero-inflated Poisson regression analyses were used to test (a) an additive model, where personality and environmental variables uniquely predict drinking and driving engagement and frequency; (b) a mediation model, where Time 2 environmental variables mediate the influence of disinhibited personality; and (c) an interaction model, where environmental factors either facilitate or constrain the influence of disinhibited personality on drinking and driving. Results supported both the additive and interaction model but not the mediation model. Differences emerged between results for personal drinking and driving and riding with a drinking driver. Improving our understanding of how malleable environmental variables can affect the influence of disinhibited personality traits on drinking and driving behaviors can help target and improve prevention/intervention efforts.     

The Quality of the Childrearing Environment of Refugee or Asylum‐Seeking Children and the Best Interests of the Child: Reliability and Validity of the BIC‐Q

The Best Interest of the Child Questionnaire (BIC‐Q) has been designed as an instrument for screening the quality of the rearing situation of asylum‐seeking or refugee children. It is intended to aid legal decisions in asylum procedures. The aim of this study was to determine the reliability and the construct validity of the BIC‐Q. Based on a study sample of refugee or asylum‐seeking children in the Netherlands (N = 74), the psychometric quality of the BIC‐Q was investigated using Cohen's kappa for the inter‐ and intrarater reliability and a nonparametric item response model for the construct validity. The interrater and intrarater reliabilities of the BIC‐Q were good (kappa = .65 and .74 respectively). The results of the item response model revealed that the 14 pedagogical environmental conditions formed a strong and valid measurement scale for the quality of the childrearing environment (H = .55; rho = .94). Preliminary results indicate that the BIC‐Q may be applied to support decisions on where the asylum‐seeking or refugee child has the best opportunities for development. Copyright © 2012 John Wiley & Sons, Ltd.     

Psychological factors in hiv testing among sexually transmitted disease clinic patients: An exploratory study

Abstract

Substantial numbers of persons at risk for HIV infection do not seek HIV testing and factors influencing testing decisions are not well understood. To identify psychological characteristics of persons who remain unwilling to receive HIV testing, we surveyed patients of an inner-city sexually transmitted disease (STD) clinic (n = 181). Participants completed an anonymous survey and were grouped on the basis of HIV testing history and compared on measures of testing perceptions, attitudes, and decision making influences. Results showed that untested participants feared testing and had a sense of not knowing if they needed to be tested. In contrast, participants who were getting tested believed that testing would help them feel better about their health. Results also showed that participants lacked accurate information about some HIV testing procedures. We conclude that identifying concerns which inhibit seeking HIV testing can be useful in developing effective methods of promoting HIV testing.     

When and why do we want to know? How experienced regret promotes post‐decision information search

The effect of emotional and situational factors on the decision to seek out post‐decision information about un‐chosen alternative was examined in five experiments. Experiment 1 tested participants' willingness to find out the outcome of an un‐chosen investment that was likely to have a higher value than the chosen investment. It was found that participants were more willing to acquire information when they were responsible for the decision. Experiment 2 showed that responsibility affects information seeking, in particular when one suspects that a wrong decision was made. Experiments 3–5 examined the role of regret on information seeking. It was shown that regret about making the wrong investment (Experiment 3), forgetting to send in a lottery ticket (Experiment 4), and missing an opportunity to use a discount card after spending a month in Australia (Experiment 5), mediates the information‐seeking behavior. Experiment 5 also demonstrated that the experience of regret (and not its anticipation) influences post‐decision information seeking even when the information is of no future use. Copyright © 2006 John Wiley & Sons, Ltd.     

Environmental attitudes, knowledge, intentions and behaviors among college students

College students (N = 90) reported their pro-environment behaviors as well as their pro-environment intentions, their explicit and implicit attitudes about the environment, and their knowledge about environmental issues. Intentions and knowledge significantly and independently predicted behavior. Environmental knowledge was not significantly related to attitudes. Implicit and explicit attitudes were significantly but only moderately related. Only explicit attitudes, however, were strongly related to intentions, and intentions completely mediated the influence of explicit attitudes on behavior. Men were found to be more knowledgeable than women about environmental issues; older students had more favorable implicit and explicit environmental attitudes. This research suggests that knowledge about the environment and explicit attitudes influence behavior through different pathways, which may have implications for interventions seeking to increase environmentally friendly behavior.     

The Relationship Between Control,Job Seeking,and Well‐Being in Unemployed People

We tested the usefulness of the competence–contingency–control model to account for well‐being and job seeking in the unemployed. We surveyed 216 job seekers (M age = 35 years; M unemployment = 12.4 months) with measures of personal competency, beliefs about contingency relationships, job seeking, and well‐being. We hypothesized that control (i.e., competency and contingency) would be positively related to well‐being and job seeking, and that job seeking would be positively associated with well‐being and would mediate or moderate between control and well‐being. We found that control accounted for one third of the variance in well‐being, and was positively associated with job seeking (7% of variance). Job seeking did not mediate or moderate between control and well‐being.     

Priming Risky Choice: Do Risk Preferences Need Inferences?

The notion that subtle influences, often falling outside awareness, can bias behaviour has a strong grip on both theoretical perspectives and the public imagination. We report three experiments that examined this idea in the context of risky choice. Experiment 1 (N = 100) appeared to find evidence for an interaction whereby participants primed but not reminded of the prime showed an assimilation effect (e.g. participants primed to be risk seeking became more risk seeking) whereas those who were primed and reminded showed a contrast effect (e.g. became less risk seeking). However, two further experiments (N = 180, N = 128) failed to find any evidence for this interaction, and none of the experiments found evidence for the asymmetry in awareness predicted by an ‘unconscious’ assimilation but ‘conscious’ contrast account. The data were analysed using both Null Hypothesis Significance Testing and Bayesian methods, and the implications of the conclusions arising from each are discussed. Whatever one's statistical predilection, the results imply a reduction of confidence in the belief that risk preferences need no inferences. Copyright © 2016 John Wiley & Sons, Ltd.     

风险寻求中的图形表征效应

在负性风险信息沟通中,采用文本表征与图形表征,结果发现图形表征方式更能引起风险回避行为。基于此,本研究以获益方案作为风险沟通信息,分别采用文本表征与图形表征来探索信息表征方式对风险寻求的影响。结果显示:在文本表征方式中,个体决策主要受备择方案之间风险大小的影响;而图形表征方式中,个体不仅受备择方案之间风险大小的影响,而且更受备择方案之间获益大小的影响。结果说明:相对文本表征,图形表征方式更能引起决策者为了获益而冒更大的风险,从而表现出风险寻求偏好,从而证实"图形效应"在风险决策中存在普遍性,为我们风险决策信息提供依据。     

Comparative Optimism,Self-Superiority,Egocentric Impact Perception and Health Information Seeking: A COVID-19 Study

We examined perceived self-other differences (self-uniqueness) in appraisals of one’s risk of an infectious disease (COVID-19), one’s adherence to behavioural precautionary measures against the disease, and the impact of these measures on one’s life. We also examined the relationship of self-uniqueness with information seeking and trust in sources of information about the disease. We administered an online survey to a community sample (N = 8696) of Dutch-speaking individuals, mainly in Belgium and The Netherlands, during the first lockdown (late April-Mid June 2020). As a group, participants reported that they were less likely to get infected or infect others or to suffer severe outcomes than average (unrealistic optimism) and that they adhered better than average to behavioural precautionary measures (illusory superiority). Except for participants below 25, who reported that they were affected more than average by these measures (egocentric impact bias), participants also generally reported that they were less affected than average (allocentric impact bias). Individual differences in self-uniqueness were associated with differences in the number of information sources being used and trust on these sources. Higher comparative optimism for infection, self-superiority, and allocentric impact perception were associated with information being sought from fewer sources; higher self-superiority and egocentric impact perception were associated with lower trust. We discuss implications for health communication.     

What Concerns do Young Adults in Ireland Have about Attending Health Services for STD Testing?

Thirty Irish young adults (between eighteen and twenty-nine years of age) were interviewed about their experiences of accessing and attending healthcare settings for STD (sexually transmitted disease) testing. Four principle themes emerged: the risk of stigma as a result of seeking STD testing; the need to engage in impression management activities while accessing information about STD testing; the importance of using healthcare settings that supported rather than undermined impression management attempts; and identity risks experienced while waiting in clinic reception areas. Findings are discussed in relation to previous research on this topic.     

Frontal Lobe Activation Mediates the Relation Between Sensation Seeking and Cortisol Increases

ABSTRACT Low sensation seekers are theorized to avoid risk more often because risk is emotionally more costly for them (in comparison to high sensation seekers). Therefore, individual differences in sensation seeking should predict differences in risk task–induced cortisol changes. Furthermore, the neural mediation that accounts for the relation between sensation seeking and cortisol changes has not been studied. The current study tested whether individual differences in sensation seeking predicted cortisol changes in relation to a risk task and whether this relation was mediated by frontal lobe activation. Participants (N=17) who varied in sensation seeking completed an fMRI study in which they rated the likelihood they would take various risks. Cortisol was measured from saliva samples collected prior to and after the fMRI procedure. The findings show that low sensation seekers showed the greatest rise in cortisol after the risk procedure, and this relation was partially mediated by increased orbitofrontal cortex activity.     

The role of risk,regret, and rejoice in non-instrumental information seeking

Standard theories suggest that humans should seek information only when it can help them make better decisions. However, recent work suggests that people choose to seek information even when it cannot influence the outcome of a choice. Across three experiments, we examined how this preference for non-instrumental information was related to the risk, regret, and rejoice associated with different choices. Experiment 1 examined how risk preference informed the appetite for non-instrumental information and tested how risk and information preference in a gamble-task related to the desire for knowledge across a range of hypothetical real-world scenarios. In Experiment 2, we tested how risk, operationalized as variance, related to non-instrumental information seeking when allowing participants to mentally simulate the potential outcomes of gambles. In Experiment 3, we provided explicit feedback about forgone options, intending to make the potential for regret or rejoice more salient. Taken together, our results show a consistent appetite for information that was robust to changes across all experimental manipulations. We found some evidence of a positive correlation between the desire for knowledge and the level of anticipated regret (Experiment 1), but overall, our data appear more consistent with the idea that non-instrumental information seeking is driven by a general aversion to uncertainty than by an attempt to regulate specific future emotions.     

自我效能感与网络健康信息搜寻关系的元分析

自我效能感与网络健康信息搜寻行为的关系如何,目前研究存在较大分歧。为明确二者关系,探究分歧原因,对检索后获得的44项研究(46个独立效应值)使用随机效应模型进行元分析。结果发现：自我效能感与网络健康信息搜寻行为存在中等显著正相关(r=0.27, 95%CI=[0.21, 0.33]);二者的相关强度受文化背景和被试健康状况的调节,但不受性别、自我效能感测量指标和网络健康信息搜寻行为测量指标的影响。结果初步澄清了健康信念模型、信息搜寻综合模型和风险感知态度框架的争论,表明个体自我效能感水平越高,其网络健康信息搜寻行为往往也会越频繁。研究启示政府和健康医疗从业者可以通过开展网络使用技能培训等干预方式提升公众自我效能感水平,间接促进公众的网络健康信息搜寻行为。     

A Survey of Patients’ Experiences with the Cancer Genetic Counseling Process: Recommendations for Cancer Genetics Programs

In order to promote ongoing quality improvement of not only the Penn State Cancer Genetics Program, but also other cancer risk assessment programs throughout the country, we developed, piloted and conducted a survey to explore patient expectations, experiences, and satisfaction with the cancer genetic counseling process. The comprehensive survey was mailed to 340 eligible patients, 156 (45.9%) of whom returned the completed survey within the allotted time. Responses to closed-ended questions were tallied and open-ended questions were content analyzed. Major findings show that: (1) Patients were seeking cancer-related information and support throughout the cancer risk assessment process and were interested in participating in available research studies; (2) The setting in which patients are seen for cancer risk assessment may pose potential emotional ramifications; (3) Misperceptions regarding insurance discrimination and lack of insurance coverage persist; (4) Patients view the genetic counselor as responsible for updating them about new discoveries. Specific recommendations for cancer genetics programs are included.     

Lay Personality Theories in Interactive Decisions: Strongly Held,Weakly Supported

In interactive decisions, cues to what others will do are important in forming a strategy. Information about others' personalities appears to be potentially valuable for this purpose. We report a series of four studies examining how information about another actor's personality influences people's own choices in interactive decisions. The studies found widespread beliefs that others' personality characteristics are strongly predictive both of broad classes of decision behavior (competition/cooperation, risk‐seeking/risk‐aversion) (Study 1) and of specific choices (Study 2) in single‐agent settings. These beliefs extended to predicting others' choices in interactive decisions (Study 3) and to shaping the predictor's own decisions in interactive play in Chicken and Assurance games (Study 4). Overall, we found extensive evidence that laypeople believe that the personality traits we selected (angry‐hostility, anxiety, assertiveness, excitement‐seeking, and warmth) have substantial effects on behavior in interactive decisions and they act on those beliefs when making their own decisions. The empirical evidence supporting the predictive validity of these traits was, however, quite weak. Copyright © 2014 John Wiley & Sons, Ltd.     

Impulsivity and Sensation Seeking: Differing Associations with Psychological Well-Being

Sensation seeking and lack of inhibition are often discussed as risk factors for hazardous and maladaptive behavior, particularly during the transition into adulthood. However, some degree and types of novelty-seeking and exploration may also be adaptive and conducive to psychological well-being. The current study examines associations between sensation seeking, impulsivity, and well-being in a large US adult sample (n = 1399, mean age = 36.2 years, range: 18–78). As conceptualized by the UPPS-P model (Whiteside and Lynam, Personality and Individual Differences, 30(4), 669-689, 2001), sensation seeking (pursuit of stimulation) was distinguished from other forms of impulsivity (lack of inhibition) by having a positive association with psychological well-being, eudaimonic well-being, and mental health status. Those positive relations were stronger for younger adults compared to older adults. Negative urgency, lack of perseverance, lack of premeditation, and positive urgency all held either negative or null associations with well-being. Findings indicate that sensation seeking has positive associations with psychological and eudaimonic well-being, in contrast to other elements of impulsivity, and particularly among younger adults.