选择明智的消费者问题和决策结果的共享决策视频干预的随机试验
Danielle Marie Muscat1,2, Rachel Thompson1,2,3, Erin Cvejic1,4
1Faculty of Medicine and Health, School of Public Health, Sydney Health Literacy Lab, University of Sydney, New South Wales, Australia.
概括
选择明智的问题和共享决策 (SDM) 视频改善了患者参与SDM的意图,并确定了相关的问题. 在没有进一步调查的情况下,视频干预也减少了对低价值护理的接受.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
- 共享的决策方式
背景情况:
- 面向消费者 选择明智的问题被广泛使用,但研究不足.
- 关于它们对患者决策结果的影响的研究有限.
研究的目的:
- 评估选择明智问题和关于消费者决策的共享决策 (SDM) 视频的有效性.
- 评估对自我效能,参与SDM的意图和质疑行为的影响.
主要方法:
- 一个2x2x2因子随机对照试验在线与澳大利亚成年人进行.
- 参与者被分配到:明智选择问题,SDM视频,两者,或对照组.
- 主要结局包括自我有效性和参与SDM的意图.
主要成果:
- 与对照组相比,这两种干预措施都增加了参与SDM的意图 (P < 0.001).
- 结合干预措施显示出比单独询问更大的影响.
- 接受视频或两次干预的参与者提出了更多问题,与选择明智的运动保持一致.
结论:
- 选择明智的问题和SDM视频可以增强患者对SDM的意图,并改善问题识别.
- 这些干预措施简单,成本低廉,适合解决低价值护理.
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