评估和理解反应性,自我豁免,不信任,来源豁免和信息冲突,以应对乳房扫描查过度诊断:规模开发和初步验证
Laura D Scherer1,2,3, Krithika Suresh1,4, Carmen L Lewis2,5
1Division of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
概括
在乳腺癌查中对过度诊断的怀疑,包括反应性,不信任和来源豁免,可以减少使用这些信息进行决策的意图. 了解这些反应对于明智的查选择至关重要.
科学领域:
- 医疗决策的制定能力
- 卫生沟通健康沟通
- 健康心理学的健康心理学
背景情况:
- 过度诊断是乳腺癌查决策的关键因素.
- 当个人收到有关过度诊断的信息时,可能会产生怀疑和怀疑.
研究的目的:
- 评估对过度诊断信息的反应,包括反应率,自我豁免,不信任和来源豁免 (REDS).
- 评估信息冲突作为REDS的前身.
- 开发和验证一个衡量这些反应及其对查决策的影响的尺度.
主要方法:
- 对525名年龄在39-49岁的女性参与者进行了一项调查,他们收到了关于过度诊断的信息.
- 使用探索和确认因素分析来识别独特的结构 (REDS和信息冲突).
- 开发了一个20项尺度,并分析了REDS,查意图和其他结果之间的相关性.
主要成果:
- 因素分析证实了反应性,自我豁免,不信任,来源豁免和信息冲突是不同的构造.
- 一个20项尺度表现出很好的模型匹配.
- 反应,不信任和来源豁免与使用过度诊断信息的意图较低,以及对公众信息的不重要感知有关.
结论:
- 红色和信息冲突是对过度诊断信息的不同但相关的反应.
- 某些反应,如反应,不信任和源异常,可能会对知情的查决策产生负面影响.
相关概念视频
01:14Imaging Studies I: CT and MRI
275
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
275
01:20Psychological Responses to Stress
74
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
74
01:27Diagnostic and Statistical Manual of Mental Disorders (DSM)
80
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
80
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
113
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
113