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Objective: This study assesses the impact of initial messaging strategies on medication behavior in newly diagnosed hypertension patients in a hypothetical context. Applying Construal Level Theory, this study evaluated which message type-low construal (focused on how, feasibility, and concrete) or high construal (focused on why, desirability, and abstract)-is more effective.
Methods: An online quasi-experiment was performed with 1200 participants without hypertension aged 30-60. The participants were divided into two message groups, each receiving a hypothetical hypertension diagnosis during a health check-up and different medication messages tailored to construal levels.
Results: Compared to "how" messages, "why" messages significantly improved message satisfaction (F = 10.36, p = 0.001, ηp = 0.009, M (SE) = 5.25 (0.04) vs. 5.04 (0.04)) and adherence intentions (F = 7.54, p = 0.006, ηp = 0.006, M (SE) = 4.83 (0.06) vs. 4.59 (0.06)).
Conclusion: In the hypothetical scenario, patients newly diagnosed with hypertension were found to be more responsive to "why" messages and perceived a distant psychological distance to medication.
Practice Implications: To enhance adherence intentions and message satisfaction, healthcare professionals should emphasize the reasons and benefits of medication use for newly prescribed hypertension patients. Moreover, early-stage patient materials should prioritize "why" messages to improve adherence.
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http://dx.doi.org/10.1016/j.pec.2024.108603 | DOI Listing |
Hum Vaccin Immunother
December 2025
Vaccine Evaluation Center, British Columbia Children's Hospital Research Institute, Vancouver, Canada.
Young adults in their 20s have shown slower uptake of COVID-19 vaccines relative to older adults, potentially endangering themselves and their communities. Despite this, little vaccine communication has specifically targeted this age group. This study explored why "20-somethings" in British Columbia (BC), Canada delayed COVID-19 vaccination, and how to better encourage their vaccine uptake.
View Article and Find Full Text PDFHealth Soc Care Deliv Res
September 2025
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Background: Remote services (in which the patient and staff member are not physically colocated) and digital services (in which a patient encounter is digitally mediated in some way) were introduced extensively when the COVID-19 pandemic began in 2020. We undertook a longitudinal qualitative study of the introduction, embedding, evolution and abandonment of remote and digital innovations in United Kingdom general practice. This synoptic paper summarises study design, methods, key findings, outputs and impacts to date.
View Article and Find Full Text PDFArthroscopy
August 2025
Department of Orthopaedic Surgery, Meir Medical Center, Kfar-Saba, Isarel; The Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel. Electronic address:
Hip arthroscopy has been shown to consistently result in significant improvements in pain, function, and quality of life for athletes diagnosed with femoroacetabular impingement syndrome (FAIS). This outcome is similarly observed in studies focusing specifically on soccer players, a group notably associated with FAIS due to the physical demands of the sport. Although majority of athletes return to their sport, interpreting return-to-sport (RTS) data requires caution.
View Article and Find Full Text PDFJACC Case Rep
August 2025
Department of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. Electronic address:
Background: Managing pocket infections in cardiac implantable electronic devices (CIEDs) during early pregnancy presents significant clinical challenges, as current guidelines mandate complete system extraction. However, extraction carries high maternal-fetal risks, including surgical complications, radiation exposure, and teratogenic effects of systemic antibiotics.
Case Summary: A 29-year-old woman, 5-week pregnant, was referred for a CIED pocket infection with an extruding implantable cardioverter-defibrillator implanted 9 years earlier for idiopathic ventricular fibrillation.
JACC Case Rep
August 2025
Faculty of Medicine and University Hospital Cologne, Clinic III for Internal Medicine, University of Cologne, Cologne, Germany.
Background: Fluoropyrimidines are widely used in cancer treatment but can cause cardiac adverse effects.
Case Summary: A 57-year-old man with esophageal cancer, receiving fluoropyrimidine-based therapy, was referred for preoperative cardiac evaluation. Abnormal electrocardiogram findings raised concern for ischemia, but coronary angiography ruled out obstructive disease.