基于生育意识的共享决策工具的评估第二部分:患者体验
Marguerite Duane1, Virginia Martinez1, Meghan Berry1
1FACTS, 1020 Kearny St NE, Washington, DC 20017, USA.
PEC innovation
|June 29, 2023
概括
一个新的共享决策 (SDM) 工具提高了患者的满意度,并在六个月后继续使用基于生育意识的方法 (FABMs) 进行计划生育.
科学领域:
- 生殖健康 生殖健康
- 计划生育 计划生育方式
- 患者决策辅助工具 患者决策辅助工具
背景情况:
- 基于生育意识的方法 (FABM) 是自然计划生育的选择.
- 共享决策 (SDM) 工具可以帮助患者选择合适的计划生育方法.
- 评估患者对FABM的SDM工具的体验对于改善吸收和坚持至关重要.
研究的目的:
- 通过一种新型的共享决策 (SDM) 工具来评估患者的体验,该工具是为基于生育意识的方法 (FABM) 设计的.
- 确定SDM工具对患者满意度和FABM使用连续性的影响.
- 将SDM工具的有效性与计划生育讨论中的通常做法进行比较.
主要方法:
- 预期交叉研究设计.
- 患者完成了访问前和后的调查,以及六个月的随访调查.
- 主要结局包括患者满意度和FABM使用的连续性.
主要成果:
- 访问后方法变化概率没有立即差异.
- 在六个月后,SDM工具组中显著更多的患者开始或改变FABM (52%) 与对照组相比 (36%) (p=0.04).
- 使用SDM工具并改变FABM的患者报告了明显更高的满意度 (50%) 与对照组 (17%) 相比 (p=0.022).
结论:
- 六个月后,SDM工具显著增加了选择FABM的持续使用.
- 六个月后,SDM工具显著提高了患者对FABM的满意度.
- SDM工具有助于更好地理解和选择合适的FABM,从而提高满意度.
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