Development and results of an older adult health communication program using the theory of planned behavior

Research shows that as people age, they are more likely to see the doctor.  Speaking openly and honestly with the doctor can lead to better health outcomes, while keeping things from them can cost people more money and make health worse.  This issue is likely to grow as the American population is aging and living longer.  Using the theory of planned behavior, a health communication program was developed and tested to assist older adults in developing the skills and knowledge to facilitate communication with their physician.  Particular attention was paid to addressing perceived behavioral controls with practice scenarios and a toolkit to help them prepare for visits.  Pre, post and 3 month follow-up was conducted to determine program effectiveness.  Results indicate that after the program, participants had a more positive perception towards the behavior, were less likely to perceive barriers to performing the behavior and indicated they were more likely to engage their physician at the next visit.  Discussion and recommendations will focus on the theoretical elements which helped facilitate the outcomes, participant suggested improvements to the program and additional audiences this approach may work.