提供者沟通通过改善查结果预期和感知行为控制来促进结直肠癌查意图
Xuan Zhu1, Linda Squiers2, Leah Helmueller3
1Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA.
Social science & medicine (1982)
|December 3, 2023
概括
提供者沟通显著影响结肠直肠癌 (CRC) 查意图. 解释"为什么"可以提高有效性,而详细说明"如何"可以提高CRC查测试的易用性.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 行为科学 行为科学
背景情况:
- 尽管有有效的选择,但结肠直肠癌 (CRC) 查在美国仍未得到充分利用.
- 提供者推是提高CRC查完成率的一个已知的因素.
- 对于特定的提供者沟通如何影响患者对CRC查的决策的理解有限.
研究的目的:
- 通过使用便基多目标DNA (mt-sDNA) 测试对结直肠癌 (CRC) 查的"为什么"和"如何"进行供应商沟通,从而影响患者完成查的意图的途径.
- 为了确定与mt-sDNA查意图相关的心理社会因素.
主要方法:
- 一项以行为理论为基础的调查被开发并给45-75岁的美国成年人进行,这些成年人收到了mt-sDNA查的订单.
- 结构方程建模用于测试提供商沟通,感知有效性/易用性和选意图之间的建议关系.
- 间接影响使用蒙特卡洛方法进行了测试.
主要成果:
- 在2,973名参与者中,81.6%的人报告与他们的医疗保健提供者讨论了mt-sDNA查.
- 提供者关于CRC查"为什么"的沟通与感知有效性有积极的相关性.
- 提供者关于CRC查的"如何"的沟通与感知到的易用性正相关,这两者都影响了查意图.
结论:
- 提供者沟通对于塑造患者对结直肠癌 (CRC) 查的决策至关重要.
- 解释理由 ("为什么") 提高了感知的有效性,而详细说明过程 ("如何") 提高了对mt-sDNA测试的感知易用性.
- 干预措施应侧重于加强提供者-患者沟通策略,以提高CRC查的理解和自我有效性.
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