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Informed and shared decision making are critical aspects of patient-centered care, which has contributed to an emphasis on decision support interventions to promote good medical decision making. However, researchers and healthcare providers have not reached a consensus on what defines a good decision, nor how to evaluate it. This position paper, informed by conference sessions featuring diverse stakeholders held at the 2015 Society of Behavioral Medicine and Society for Medical Decision Making annual meetings, describes key concepts that influence the decision making process itself and that may change what it means to make a good decision: interpersonal factors, structural constraints, affective influences, and values clarification methods. This paper also proposes specific research questions within each of these priority areas, with the goal of moving medical decision making research to a more comprehensive definition of a good medical decision, and enhancing the ability to measure and improve the decision making process., Author(s): Jada G. Hamilton [sup.1] , Sarah E. Lillie [sup.2] , Dana L. Alden [sup.3] , Laura Scherer [sup.4] , Megan Oser [sup.5] , Christine Rini [sup.6] [sup.7] , Miho [...]

In this research, four longitudinal studies investigate changes in post-purchase brand attitude. Following predictions based on adaptation theory, Studies 1a & 1b reveal that brand attitude declines over time after purchase. This research further identifies moderators that counteract post-purchase brand attitude decline. In the first two studies, long-term (versus short-term) temporal orientation is associated with relatively more positive post-purchase brand attitudes. In Studies 2 and 3, brand singularization exerts a similar effect. These studies also point to an important congruence effect such that brand attitude change is relatively more positive when consumers' long-term (short-term) time orientations are concordant with affiliative (autonomous) brand singularization. The positive congruency effect is mediated by self-brand connections. Overall, our study results advance theoretical and applied understanding of the understudied area of post-purchase brand attitude management., Author(s): Yi He[sup.1] , Qimei Chen[sup.2] , Dana L. Alden[sup.2] Author Affiliations: (1) College of Business and Economics, California State University, East Bay, 25800 Carlos Bee Boulevard, 94542, Hayward, CAUSA [...]

This study explores the 'boomerang effect' of self-referencing on message effectiveness. The results demonstrate that self-referencing message strategy activates biased message elaboration ('boomerang effect'), which jeopardizes the positive effect of self-referencing on message effectiveness by increasing biased elaboration. The results also suggest that representativeness of risk behavior can help mute the 'boomerang effect' and maintain positive self-referencing effect. In particular, when high-representative risk behavior is discussed in the healthcare message, biased elaboration is reduced and unbiased elaboration is facilitated, which in turn, lead to greater message effectiveness. Keywords: Self-Referencing, Elaboration, Representativeness, Self-Positivity Bias, 1. INTRODUCTION Self-referencing, as a healthcare message factor, is traditionally recommended as an effective method to increase health message effectiveness (e.g., Burnkrant and Unnava, 1989; Parrott, 1995). Recently, however, conflicting [...]

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jbusres.2009.01.009 Byline: Dana L. Alden, Yi He, Qimei Chen Abstract: As the international service market continues its phenomenal growth, understanding the nature of effective interpersonal interactions between service providers and their customers is increasingly important. However, cross-national theory and research on this topic remain limited. In response, the following study employs data from China and the United States to test whether the cultural congruency of benefits emphasized by the service provider interacts with the customer's value orientation and/or consumption objective to affect evaluations of service quality. Results indicate that the cultural congruency of provider recommendations affects evaluations. Preliminary evidence also suggests that this effect is moderated by consumption objective. Author Affiliation: (a) Shidler College of Business, 2404 Maile Way, Honolulu, HI 96822, United States (b) College of Business and Economics, California State University, East Bay, 25800 Carlos Bee Boulevard, Hayward, CA 94542, United States Article History: Received 22 February 2007; Accepted 23 January 2009

To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1559-1816.2009.00514.x Byline: Dana L. Alden (*), Qimei Chen (*) Abstract: Despite extensive research on adults, we know relatively little about the factors and processes that influence adolescent satisfaction with clinical reproductive healthcare. In this study, survey responses from 135 adolescent clinic users in the western U.S. support a client-satisfaction model that differs from the traditional coping response framework by featuring negative emotions as a primary antecedent of service-quality evaluations, rather than a consequence. Quality evaluations directly impacted satisfaction, which, in turn, affected word of mouth and intentions to return to the clinic. This research represents an initial step toward better understanding of ways that adolescents may differ from adults on factors influencing satisfaction with clinical reproductive healthcare and, hence, holds both theoretical and managerial significance. Author Affiliation: (*)Shidler College of BusinessUniversity of Hawaii Article note: (1) Dana L. Alden, University of Hawaii, 2404 Maile Way, Honolulu, HI 96822. E-mail: dalden@hawaii.edu

243 cross-national empirical articles published in well-respected marketing journals from 2000 to 2005 were analyzed and it is found that there is a growth of published research but only 28 percent of the studies undertook measurement invariance (MI). The low utilization of MI is attributed to low knowledge of MI.

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ijresmar.2006.01.010 Byline: Dana L. Alden (a), Jan-Benedict E.M. Steenkamp (b), Rajeev Batra (c) Keywords: Globalization; Global brands; Consumer attitudes; International marketing Abstract: This study examines relationships between a new measure of consumer attitudes toward consumption alternatives resulting from market globalization, several attitudinal antecedents (materialism, susceptibility to normative influence and consumer ethnocentrism), and a hypothesized consequence of these attitudes -- preference for global brands. Following validation of the new measure in three culturally distinct markets, South Korea, the US, and China, the hypothesized antecedents and consequence are tested in South Korea. Empirical findings broadly support hypotheses and provide important implications for future research on market globalization. Author Affiliation: (a) Marketing, College of Business Administration, University of Hawaii, 2404 Maile Way, Honolulu, HI 96822, USA (b) Kenan-Flager Business School, University of North Carolina, Chapel Hill, NC 27514, USA (c) Ross School of Business, University of Michigan, Ann Arbor, MI 48109, USA

Health-care managers are increasingly interested in client perceptions of clinic service quality and satisfaction. While tremendous progress has occurred, additional perspectives on the conceptualization, modeling and measurement of these constructs may further assist health-care managers seeking to provide high-quality care. To that end, this study draws on theories from business and health to develop an integrated model featuring antecedents to and consequences of reproductive health-care client satisfaction. In addition to developing a new model, this study contributes by testing how well Western-based theories of client satisfaction hold in a developing, Asian country. Applied to urban, reproductive health clinic users in Hanoi, Vietnam, test results suggest that hypothesized antecedents such as pre-visit expectations, perceived clinic performance and how much performance exceeds expectations impact client satisfaction. However, the relative importance of these predictors appears to vary depending on a client's level of service-related experience. Finally, higher levels of client satisfaction are positively related to future clinic use intentions. This study demonstrates the value of: (1) incorporating theoretical perspectives from multiple disciplines to model processes underlying health-care satisfaction and (2) field testing those models before implementation. It also furthers research designed to provide health-care managers with actionable measures of the complex processes related to their clients' satisfaction. Keywords.' Reproductive health; Satisfaction; Quality; Clinic management: Vietnam

The personal and social costs of unintended pregnancy and HIV infection point to the need for ongoing research designed to enhance the effectiveness of preventive advertising, particularly to those segments at greatest risk. One segment that appears to be at significant risk is comprised of individuals who experience high levels of guilt about sex. This study seeks to determine whether high sex-guilt (SG) individuals are unique in their processing, recall, and evaluative responses to advertising for condoms. Two hundred fifty-two college-aged men and women were randomly assigned to two versions of a condom advertisement that differed in terms of self-referencing vs. other-referencing in the message copy. A 2 x 2 x 3 (Gender x Self-Versus Other-Referencing Message Copy x High, Moderate, and Low Sex Guilt), between subjects ANOVA design was used to test hypothesized relationships. For female, but not male, participants, high SG was inversely related to depth of processing, recall, positive thoughts about the ad, and perceived credibility of the ad. For both genders, high SG was inversely related to perceived ad informativeness, attitude toward the ad, and attitude toward the brand. Message design interacted with SG and gender on an important outcome measure - purchase intention. Study implications are discussed, and avenues for future research are suggested.

Recent research has shown that processing based on the product-category schemas of consumers can influence the manner in which consumers evaluate products. This article presents a series of studies that explore how processing based on such schemas interacts with consumer expectations prior to the trial of a new product and influences disconfirmation judgments and product evaluations following the trial. An initial study finds that, when attributes included in the description of a new product are very discrepant from a prior category schema, consumers may switch schemas in forming pretrial expectations. A second study finds that more negative product evaluations following the trial may result when consumers' experience with a product during the trial is very different from schema expectations, compared with the situation in which the product matches schema expectations. A third study demonstrates that disconfirmation judgments and posttrial evaluations may occur through processing at the product-category schema level, rather than through processing at the product attribute level. (Reprinted by permission of the publisher.)

The well-known gap between organ-donor supply and demand in the United States is particularly acute for Asian Americans. Lower participation in organ donation programs by Asian Americans has been hypothesized as one explanation for this observation. This study finds that, relative to European Americans, Asian Americans hold more negative attitudes toward and participate loss frequently in a large, urban organ-donor program. The study also hypothesizes and tests possible reasons for subcultural differences in attitudes toward donation. Two cultural belief constructs hypothesized to more strongly predict Asian American attitudes and behaviors appear to impact both groups equally. Reasons for these results along with public policy implications and future research directions are discussed.