基于风险的乳腺查决策辅助对理解,接受和决策的影响
Jocelyn Lippey1,2,3, Louise Keogh4, Ian Campbell5
1Sir Peter MacCallum Department of Oncology, Melbourne, Australia.
NPJ breast cancer
|August 8, 2023
概括
一个新的决策辅助工具改善了女性对风险分层乳腺癌查的理解和接受,包括降低低风险个体的查频率. 这个工具支持个性化查程序.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 卫生沟通 卫生沟通
背景情况:
- 人口乳腺癌查正在向风险分层模型过渡.
- 有效的风险分层需要患者的参与和接受.
- 创建了一个决策辅助工具DEFINE,将女性对风险分层查的观点纳入其中.
研究的目的:
- 评估DEFINE决策辅助对女性知识,风险感知和接受风险分层乳腺癌查的影响.
- 评估使用援助后查频率偏好和决策的变化.
- 确定实施风险分层查计划的障碍和促进者.
主要方法:
- 采用了调查前和调查后的设计.
- 参与者是BreastScreen Victoria的客户,他们被邀请填写在线问卷.
- 这项研究涉及127名参与者,他们在查看DEFINE决策辅助器之前和之后完成了两项调查.
主要成果:
- 参与者对风险分层乳腺癌查的知识和接受度有显著的改善.
- 对低风险个体查频率下降的接受,干预后增加.
- 风险分层,基因测试和量身定制查的接受度仍然很高.
结论:
- DEFINE决策援助对接受降低低风险女性查频率的认可产生了积极的影响.
- 这种决策辅助可以帮助克服实施风险分层乳腺癌查计划的关键障碍.
- 在澳大利亚,DEFINE工具可能有助于向量身定制的人口乳腺查计划过渡.
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