健康に関する知識が限られている人々との選択肢の話し合いとリスクコミュニケーション:主要な利害関係者との質的フォーカスグループ研究
Romy Richter1, Esther Giroldi1,2, Maarten Jonkmans1
1Department of Family Medicine, Care and Public Health Research Institute CAPHRI, Maastricht, Netherlands.
PloS one
|August 29, 2025
まとめ
パーソナライズされた層のコミュニケーションとビジュアル・エイドは,健康に関する知識が限られた患者の共同意思決定 (SDM) を改善します. これらの戦略は,よりよい健康成果のための治療選択肢とリスクコミュニケーション (RC) の理解を高めます.
科学分野:
- 健康に関する情報
- 患者 の 教育
- 共同の意思決定
背景:
- 効果的なコミュニケーションは,共同意思決定 (SDM) に不可欠です.
- 健康に関する知識が限られている患者は,健康に関する情報を理解する上で困難に直面します.
- LHLの患者を支援するために 合わせたコミュニケーション戦略が必要です
研究 の 目的:
- SDMの枠組みの中で,LHLの患者との治療オプションとリスクコミュニケーション (RC) の効果的な戦略に関する利害関係者の見解を調査する.
- LHLの患者に対するSDMの強化のための受け入れられ,実行可能なアプローチを特定する.
主な方法:
- 多様なステークホルダーを持つフォーカスグループを利用した質的記述的研究:健康識字,SDM,RCの専門家;一般医 (GPs);およびLHLを持つ個人.
- フォーカスグループではSDM,オプショントーク,RCに関するプレゼンテーションが行われ,その後様々なRC戦略と意思決定支援に関する議論が行われました.
- データ分析は,2人の独立した研究者による誘導的および演的内容分析を用いた.
主要な成果:
- ステークホルダーは,患者の状況に合わせてコミュニケーションを行うことを強調し,LHLの患者を特定する際の困難を認めた.
- 治療の選択肢のイラストのような視覚的援助は,議論に有益であると強調されました.
- LHLの患者は,RCのために自然な周波数とアイコン配列を好むが,恐怖誘発の可能性を指摘した. 一般医は文脈化が役に立ちましたが 患者は混乱していました
- 患者さんが好むように提供されたRCの詳細を基に,対面的に,階層的に,ステップ・バイ・ステップで議論することが,LHL患者さんの好みでした.
結論:
- 医療に関する知識が限られている患者の共同意思決定 (SDM) は,視覚的支援を組み込んだ,個別化された,階層化されたコミュニケーションアプローチによって強化されます.
- これらの戦略は,すべての患者集団により広範な利点を提供し,さらなる調査を正当化します.
さらに関連する動画
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
12.0K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
関連する概念動画
01:21Health Literacy
4.1K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
4.1K
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
174
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
174
01:25Role of Communication in the Nursing Process II: Planning and Implementation
1.9K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.9K
01:21Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
01:30Ethical Dilemmas II
1.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.3K
01:26Levels of Health Promotion and Illness Prevention
13.2K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
13.2K