对男性使用导航的经验进行了定性研究:局部化前列腺癌治疗决策援助
Elizabeth Todio1, Penelope Schofield1,2,3,4, Jessica Sharp1
1Department of Psychological Sciences, Swinburne University of Technology, Melbourne, VIC, Australia.
MDM policy & practice
|September 18, 2023
概括
被诊断为局部性前列腺癌 (LPC) 的男性发现Navigate决策辅助工具对治疗选择有帮助. 临床医生的信任和及时获得公正信息是明智决策的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
背景情况:
- 局部性前列腺癌 (LPC) 由于相似的生存率,但有不同的感知优缺点,因此存在治疗困境.
- 导航决策辅助工具是为了支持患有LPC的澳大利亚男性做出价值调整的治疗选择而开发的.
- 导航提供了公正的信息和价值观澄清练习.
研究的目的:
- 质量地调查男性对LPC的治疗决策过程.
- 通过"导航"网站探索男性的经历.
- 确定需要改进的领域,并为导航的实施提供信息.
主要方法:
- 与20名被诊断患有LPC的男性进行了半结构面试,他们参加了Navigate随机对照试验.
- 对采访成绩单进行了主题分析.
主要成果:
- 男性的治疗决策受到临床医生的强烈影响,往往导致早期选择.
- 参与者评价了Navigate的内容格式和设计,但提出了改进建议.
- 关键建议包括增加诊断旅程和治疗更新的内容,以及完善价值澄清练习.
结论:
- 临床主管机构对LPC的早期治疗决策有重大影响.
- 导航辅助正在进行的决策,特别是在积极监视的男性.
- 提高用户信任需要突出显示凭证和来源,以及战略定时和临床医生授权用于援助利用.
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