个性化结直肠癌查策略:目标人群的信息需求
Esther Toes-Zoutendijk1, Lucie de Jonge1, Emilie C H Breekveldt1,2
1Department of Public Health, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.
Preventive medicine reports
|August 21, 2023
概括
使用便血红蛋白 (f-Hb) 测试结果进行个性化结肠直肠癌 (CRC) 查对许多人来说是可以接受的. 然而,清楚的沟通至关重要,因为个人对其个性化查策略和风险的信息需求各不相同.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 便免疫化学测试 (FIT) 的便血红蛋白 (f-Hb) 水平可以分层结直肠癌 (CRC) 风险.
- 建议基于f-Hb水平的个性化查间隔 (1-3年).
- 了解患者对个性化CRC查信息的偏好至关重要.
研究的目的:
- 探索个人对个性化CRC查的看法.
- 在个性化CRC查中确定信息需求,以做出明智的决策.
主要方法:
- 在荷兰进行了三个半结构化的焦点小组.
- 参与者是年龄在55-75岁的人,他们有资格接受CRC查.
- 用专题分析来分析信息需求.
主要成果:
- 大多数参与者更喜欢个性化CRC查.
- 对于低风险个体,更长的查间隔的理由往往不清楚.
- 信息偏好差异很大,从完全披露风险到仅提供战略信息.
结论:
- 个性化CRC查是普遍接受的,但需要谨慎的沟通.
- 由于患者的偏好不同,信息传递需要一个分层的方法.
- 建议开展公共媒体活动和多道沟通策略.
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