Choice and predictability in the preparation for barium enemas: a person-by-situation approach.

Wallston BS, Smith RA, Wallston KA, King JE, Rye PD, Heim CR
Res Nurs Health. 1987 10 (1): 13-22

PMID: 3644367 · DOI:10.1002/nur.4770100104

The effects of choice and predictability information regarding preparation for a barium enema procedure was investigated for patients differing in desire for control (DFC) and in experience with the barium enema exam. One-third of the patients, randomly assigned to the choice condition, were selected from three equally effective preparations. For these patients, choice and predictability information are confounded. Patients in the instruction only and information conditions were yoked to choice patients to control for type of preparation. Patients in the information condition were given the same sensation information about their specific preparation as those in choice. Instruction only was effective for low DFC patients, but contrary to prediction the choice was problematic for high DFC patients. It was suggested that the limited choice created reactance for these patients. The differential effectiveness of health care interventions in relation to patient predispositions was stressed.

MeSH Terms (20)

Adult Affect Aged Aged, 80 and over Barium Sulfate Bisacodyl Choice Behavior Citrates Citric Acid Enema Female Humans Internal-External Control Male Mental Recall Middle Aged Patient Compliance Patient Education as Topic Sensation Stress, Physiological

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