Tailoring health-related messages for young adults with adverse childhood experiences (ACEs) |
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| Institution: | 2. Department of Marketing, Hospitality, & Legal Studies, B.I. Moody, III College of Business Administration, University of Louisiana at Lafayette, 214 Hebrard Boulevard, Moody Hall, Lafayette, LA 70503;1. Universtity of Amsterdam, Research Institute of Child Development and Education, Nieuwe Achtergracht 127, 1018 WS, Amsterdam, The Netherlands;2. University of Amsterdam, Work and Organizational Psychology, Nieuwe Achtergracht 129, 1018 WS, Amsterdam, The Netherlands;1. College of Education, Shanghai Normal University, Shanghai 200234, China;2. College of Liberal Art and Social Science, City University of Hong Kong, Hong Kong, China |
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| Abstract: | The goal was to identify factors that might affect likelihood of seeking health-related interventions for young adults with adverse childhood experiences (ACEs). We tested whether ACEs were associated with (1) regulatory focus (tendency toward promoting good outcomes versus preventing bad outcomes), and (2) patient activation (the intention to take active charge of one’s health). We further tested whether promotion and prevention and patient activation were associated with each other and with health. Students at a public university (N = 321) completed online questionnaires assessing ACEs, regulatory focus, patient activation, and health. Greater childhood adversity showed small but significant associations with being a less activated patient and being less focused on promoting good outcomes. In contrast, greater childhood adversity had a much stronger association with focusing on preventing negative outcomes. Students with a more significant mental health history were more likely to have been exposed to childhood adversity, to be less activated patients, and to focus more on prevention. Results suggest that using a prevention focus may be effective in health messages aimed to reach individuals with high levels of ACEs. Furthermore, individuals with high levels of ACEs may benefit from interventions aimed at increasing patient activation. |
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| Keywords: | Adverse childhood experiences (ACEs) Regulatory focus Patient activation Mental health Physical health |
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